| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 531311 | (X3) Date Survey Completed 11/17/2011 |
| 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) |
| C0240 | ORGANIZATIONAL STRUCTURE CFR(s): 485.627 Organizational Structure This CONDITION is not met as evidenced by: Based on review of minutes from meetings of the governing body, staff interview, and review of the "Medical Staff Bylaws and Rules & Regulations," the governing body failed to ensure health care services were provided in a safe, effective manner (C241 and C270). In addition, the governing body failed to ensure policies and procedures for health care services and quality assurance indicators were implemented, reviewed, evaluated, or revised (C271, C276, C277, C280, C281, C293, C297, C298, and C397). The cumulative effects of these failures resulted in the determination that the condition of participation related to organizational structure was not met. |