| 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) |
| C0270 | PROVISION OF SERVICES CFR(s): 485.635 Provision of Services This CONDITION is not met as evidenced by: Based on observation, medical record review, staff interview, review of facility policies and procedures, and review of the QAPI program, the hospital failed to provide appropriate health care services for acute and swing bed patients (C271, C276, C277, C278, C280, C281, C293, C295, C297, and C298). In addition, the failure of the facility to ensure staff verified medication orders and administered medications appropriately (C297) resulted in a determination of immediate jeopardy on 11/16/11 at 2:27 PM. The hospital's action plan included immediate education of all professional staff currently working or scheduled to work during the next four shifts (two days) to include: a. All orders to be transcribed with verification by two nurses; both to initial the MARs; b. Each patient's MAR to be started with the same date and all recopied MARs to flow forward for the next seven days; c. Questionable orders to be verified with the physician before being carried out. If the nurse is still uncomfortable giving the medication, s/he is to notify the CNO or nursing supervisor, notify the provider s/he cannot or does not wish to give the medication, and ask the provider if s/he would like to give it. d. Completion of a medication error report if any error is made or discovered. The action plan was accepted on 11/17/11 at 2:10 PM, and immediate jeopardy was abated at that time. |