| 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) |
| C0281 | PATIENT SERVICES CFR(s): 485.635(b)(1) (1) General. The CAH provides those diagnostic and therapeutic services and supplies that are commonly furnished in a physician's office or at another entry point into the health care delivery system, such as a low intensity hospital outpatient department or emergency department. These CAH services include medical history, physical examination, specimen collection, assessment of health status, and treatment for a variety of medical conditions. This STANDARD is not met as evidenced by: Based on staff interview and review of the organizational structure and policies and procedures, the facility failed to develop and implement all the required elements for outpatient services. The findings were: Review of the facility's organizational structure and policies and procedures revealed the lack of a single individual who directed the outpatient services, written policies and procedures defining the scope of rehabilitation services as approved by the medical staff, and required written qualifications and competences for rehabilitative staff as defined by the medical staff. Interview with the CNO on 11/15/11 at 3:45 PM revealed each department provided outpatient services, but no one individual was designated as responsible for outpatient services. Evidence of defined written policies and procedures, and evidence of written qualifications and competencies were requested by the surveyor, but not provided. |