| 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) |
| C0308 | PROTECTION OF RECORD INFORMATION CFR(s): 485.638(b)(1) The CAH maintains the confidentiality of record information and provides safeguards against loss, destruction, or unauthorized use. This STANDARD is not met as evidenced by: Based on observation, staff interview, and review of policies and procedures, the facility failed to ensure all outpatient clinical records were secured from access by unauthorized personnel. The findings were: During interview on 5/1/12 at 1:55 PM, the clinic director and the vice president of physician services stated the main clinic area was locked with a separate key. Observation of the clinic at 2:15 PM showed all records were stored in revolving file cabinets that could be individually locked. However, the receptionist stated that she closed the files each evening but did not lock them. She further stated that housekeeping and maintenance had access to the area and that anyone with a key to the clinic could open the file cabinets. According to the facility's policy "Management of Information" last reviewed/revised 5/2011 "4. Patient records are maintained in a secure, confidential environment." |