| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 531311 | (X3) Date Survey Completed 11/15/2011 |
| Name of Provider or Supplier Crook County Hospital | Street Address, City, State 713 Oak Street, Sundance, 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) |
| K0147 | LIFE SAFETY CODE STANDARD CFR(s): NFPA 101 Electrical wiring and equipment is in accordance with NFPA 70, National Electrical Code. 9.1.2 This STANDARD is not met as evidenced by: Based on observation and staff interview, the facility failed to ensure compliance with the National Electric Code in 2 of 4 smoke compartments. The findings were: Observations on 11/15/11 between 11:45 AM and 2:48 PM revealed a surge protector was plugged into another surge protector in the emergency services office, in the nursing office, and in the medical records office. Plugged into the surge protectors were business machines, including computers, printers. In addition, a dimmer wall light switch was missing an electrical cover in the xray procedure room and the wall light switch in resident room #7 was cracked. Interview with the maintenance manager at the time of the observations confirmed the above findings. Reference: NFPA 70, National Electrical Code, 1999 Edition. Article 400-8. Uses not permitted. Unless specifically permitted in section 400-7, flexible cords and cables shall not be used for the following: (1) As a substitute for the fixed wiring of a structure. Article 370-28 Pull and Junction Boxes. Boxes and conduit bodies used as pull or junction boxes shall comply with (a) through (d) of this section. (c) Covers. All pull boxes shall be provided with covers compatible with the box. |