| 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) |
| C0280 | PATIENT CARE POLICIES CFR(s): 485.635(a)(4) These policies are reviewed at least annually by the group of professional personnel required under paragraph (a)(2) of this section, and reviewed as necessary by the CAH. This STANDARD is not met as evidenced by: Based on staff interview and review of policies and procedures, the facility failed to ensure health care policies were reviewed annually. The findings were: On 11/17/11 at 8:15 AM the CNO stated that the health care policies had not been reviewed annually. Review of the policies confirmed some had not been reviewed in several years. Some examples are as follows: a. Policy #PH0001 Hospital Pharmacy Services; revised 6/1/08 b. Policy #PH0002 Drug Storage; revised 6/1/08 c. Policy #AC198 Charting; revised 6/18/08 d. Policy #AC 184 Advance Directives; revised 8/19/08 e. Policy #AC219 Incident Reports; revised 8/25/08 f. Policy #AC161 Medication Errors; revised 9/9/08 |