| 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) |
| C1056 | PATIENT VISITATION RIGHTS ยง485.635(f) Standard: Patient visitation rights. A CAH must have written policies and procedures regarding the visitation rights of patients, including those setting forth any clinically necessary or reasonable restriction or limitation that the CAH may need to place on such rights and the reasons for the clinical restriction or limitation. A CAH must meet the following requirements: (1) Inform each patient (or support person, where appropriate) of his or her visitation rights, including any clinical restriction or limitation on such rights, in advance of furnishing patient care whenever possible. (2) Inform each patient (or support person, where appropriate) of the right, subject to his or her consent, to receive the visitors whom he or she designates, including, but not limited to, a spouse, a domestic partner (including a same-sex domestic partner), another family member, or a friend, and his or her right to withdraw or deny such consent at any time. This STANDARD is not met as evidenced by: Based on medical record review, staff interview, and policy review, the facility failed to ensure policies and procedures were documented to address the visitation rights for 20 of 20 inpatient sample records (#1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #13, #14, #15, #16, #17, #18, #19, #20, #21). The findings were: Review of the medical records sample patients #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #13, #14, #15, #16, #17, #18, #19, #20, #21 which included 5 current patients who were in swing bed status showed a lack of evidence they were provided information on patient visitation rights. The following concerns were identified: a. Review of the medical records for the 20 sample patients revealed there was no documentation regarding patient visitation rights in the medical record. b. Review of the facility policies and procedures showed the facility had no policy to address patient visitation rights. c. Interview with the DNS on 4/28/22 at 9 AM confirmed the facility failed to formulate a policy regarding patient visitation rights. She further stated there was no documentation in the medical record to show patients were informed of their visitation rights, and she confirmed no documentation regarding patient visitation was provided to patients or families. She stated her expectation was for staff to inform patients of their visitation rights upon admission. |