| 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) |
| C0334 | PERIODIC EVALUATION CFR(s): 485.641(a)(1)(iii) [The evaluation is done at least once a year and includes review of--] the CAH's health care policies. This STANDARD is not met as evidenced by: Based on staff interview and review of policies and procedures, the facility failed to ensure all health care policies were reviewed yearly. The findings were: During an interview on 11/15/11 at 10 AM, the CNO and HIM clerk #1 stated the facility's health care policies had not been reviewed yearly. Review of the policies confirmed the lack of an annual evaluation. Refer to C280 for evidence of specific policies that were not reviewed on an annual basis. |