| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 530033 | (X3) Date Survey Completed 03/21/2018 |
| Name of Provider or Supplier Mountain View Regional Hospital | Street Address, City, State 6550 East 2nd Street, Casper, WY | |
| For information on the provider's plan to correct this deficiency, please contact the provider or the state survey agency. | ||
| (X4) ID Prefix Tag | Summary Statement of Deficiencies
(Each deficiency should be preceded by full regulatory or LSC identifying information) |
| A0000 | A complaint health survey for compliance with Emergency Medical Treatment and Labor Act (EMTALA) 42 CFR Part 489.20 Basic Section Commitments Relevant to Section 1867 Responsibilities, and 42 CFR Part 489.24 Special Responsibilities of Medicare Hospitals in Emergency Cases, was conducted from 3/20/18 through 3/21/18. Based on the findings of the survey team, Mountain View Regional Hospital was found not in compliance with the requirements for A2400 and A2409. |