| Statement of Deficiencies | (X1) Provider/Supplier/CLIA Identification Number 531311 | (X3) Date Survey Completed 04/28/2022 |
| 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) |
| C0000 | A recertification survey was conducted by Healthcare Licensing and Surveys from 4/25/22 to 4/28/22. Also reviewed in the course of the survey was complaint intake WY00003241. In addition, a review for compliance with the Omnibus COVID-19 Health Care Staff Vaccination requirements was conducted. It was determined, based upon the findings of the survey team, that no deficiencies were identified pertaining to these requirements. The following common abbreviations are used throughout this document: CNA- Certified Nurse Aide DNS- Director of Nursing Services Less commonly used abbreviations will be annotated in each deficiency. |