| 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) |
| C0298 | NURSING SERVICES CFR(s): 485.635(d)(4) A nursing care plan must be developed and kept current for each inpatient. This STANDARD is not met as evidenced by: Based on staff interview and medical record review, the hospital failed to ensure care plans were comprehensive for 10 of 10 medical/surgical patients (#1, #6, #7, #8, #9, #10, #11, #12, #13, #14). The findings were: Review of the care plans for patients #1, #6, #7, #8, #9, #10, #11, #12, #13 and #14 showed not all problems identified were included, goals were not measureable, interventions were not individualized to meet the specific needs for each patient and discharge planning was not evident. Interview with the director of medical/surgical on 4/30/12 at 6 PM revealed the care plan software program was not working properly and nurses were not remembering to write everything in the care plans and were not updating them. She said the hospital was in the process of changing computer programs and she thought the new program would yield improved care plans. The director further said nurses did not use the care plans to direct or plan care anyway, they used a kardex instead. . |