| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 531310 | (X3) Date Survey Completed 05/03/2012 |
| Name of Provider or Supplier Powell Valley Hospital | Street Address, City, State 777 Avenue H, Powell, 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) |
| C0000 | The following common abbreviations are used throughout this document. CDC - Centers for Disease Control & Prevention CEO - chief executive officer CNO - chief nursing officer CRNA - certified registered nurse anesthetist PACU - post anesthesia care unit RN - registered nurse Less commonly used abbreviations will be annotated in each deficiency. |