| 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) |
| C0300 | CLINICAL RECORDS CFR(s): 485.638 Clinical Records This CONDITION is not met as evidenced by: Based on staff interview and review of medical records, laboratory reports, and clinical documentation, the hospital failed to ensure medical records were maintained in a complete, accurate, and timely manner (C302, C304, and C307). Further, the facility lacked a process for identifying errors in medical records and implementing corrective actions (C297, C302, C333, C336, and C338). The cumulative impact of these systemic deficiencies was a determination that the hospital failed to meet the requirements of the condition for participation for medical records. |