| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 531311 | (X3) Date Survey Completed 09/29/2016 |
| 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 policy review, annual quality review information, and staff interview, the facility failed to ensure a health care policy review was included in the annual program evaluation. The findings were: Review of the quality review information from October 2015 through July 2016 showed no evidence hospital health care policies were evaluated, reviewed, or revised. Interview with the DON by phone on 9/29/16 at 11:40 AM confirmed that, with the exception of radiology policies, facility policies had not been reviewed annually. |