S&C QCOR Hospital 2567s
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Hospital 2567s
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Provider Characteristics

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Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific Hospital deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Hospital Subtype Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 534001 Wyoming State Hospital Psychiatric 251 Yellowstone River Road Evanston WY 8 (Denver) 08/17/2022 C9P021 Standard
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not A Deficiency Citation Memo
K0000 Initial Comments - Not A Deficiency Citation Standard
K0000 Initial Comments - Not A Deficiency Citation Standard
K0291 Emergency Lighting Standard
K0324 Cooking Facilities Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0345 Fire Alarm System - Testing And Maintenance Standard
K0351 Sprinkler System - Installation Standard
K0511 Utilities - Gas And Electric Standard
▼ 534001 Wyoming State Hospital Psychiatric 251 Yellowstone River Road Evanston WY 8 (Denver) 06/21/2018 SS6611 Complaint
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0115 Patient Rights Condition
A0385 Nursing Services Condition
A0700 Physical Environment Condition
A0144 Patient Rights: Care In Safe Setting Standard
A0395 Rn Supervision Of Nursing Care Standard
A0701 Maintenance Of Physical Plant Standard
▼ 534001 Wyoming State Hospital Psychiatric 251 Yellowstone River Road Evanston WY 8 (Denver) 04/12/2018 ZE7E11 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0046 Medical Staff - Appointments Standard
A0405 Administration Of Drugs Standard
▼ 534001 Wyoming State Hospital Psychiatric 251 Yellowstone River Road Evanston WY 8 (Denver) 04/10/2018 ZE7E21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Standard
K0211 Means Of Egress - General Standard
K0291 Emergency Lighting Standard
K0300 Protection - Other Standard
K0342 Fire Alarm System - Initiation Standard
K0353 Sprinkler System - Maintenance And Testing Standard
K0511 Utilities - Gas And Electric Standard
K0916 Electrical Systems - Essential Electric Syste Standard
▼ 534001 Wyoming State Hospital Psychiatric 251 Yellowstone River Road Evanston WY 8 (Denver) 05/07/2015 T3IO11 Standard
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0747 Infection Prevention Control Abx Stewardship Condition
A0216 Patient Visitation Rights Standard
A0217 Patient Visitation Rights Standard
A0457 Content Of Record: Standing Orders Standard
A0621 Qualified Dietitian Standard
A0749 Infection Control Program Standard
▼ 534001 Wyoming State Hospital Psychiatric 251 Yellowstone River Road Evanston WY 8 (Denver) 05/07/2015 T3IO21 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Standard
K0011 Life Safety Code Standard Standard
K0020 Life Safety Code Standard Standard
K0038 Life Safety Code Standard Standard
K0052 Life Safety Code Standard Standard
K0062 Life Safety Code Standard Standard
K0076 Life Safety Code Standard Standard
K0147 Life Safety Code Standard Standard
K0154 Life Safety Code Standard Standard
K0155 Life Safety Code Standard Standard
▼ 534001 Wyoming State Hospital Psychiatric 251 Yellowstone River Road Evanston WY 8 (Denver) 05/17/2012 QY9311 Complaint, Standard
Deficiency Tag Deficiency Description Tag Type
A0263 Qapi Condition
A0652 Utilization Review Condition
A0264 Qapi Program Scope Standard
A0265 Qapi Health Outcomes Standard
A0266 Qapi Medical Errors Standard
A0267 Qapi Quality Indicators Standard
A0273 Data Collection & Analysis Standard
A0274 Qapi Program Data Standard
A0275 Qapi Quality Of Care Standard
A0276 Qapi Identify Improvement Standard
A0283 Quality Improvement Activities Standard
A0291 Qapi Sustained Improvement Standard
A0395 Rn Supervision Of Nursing Care Standard
A0655 Scope And Frequency Of Review Standard
A0658 Review Of Professional Services Standard
A0889 Designated Requestor Standard
A0891 Staff Education Standard
▼ 534001 Wyoming State Hospital Psychiatric 251 Yellowstone River Road Evanston WY 8 (Denver) 05/15/2012 QY9321 Standard
Deficiency Tag Deficiency Description Tag Type
K0000 Initial Comments - Not A Deficiency Citation Standard
K0012 Life Safety Code Standard Standard
K0025 Life Safety Code Standard Standard
K0029 Life Safety Code Standard Standard
K0046 Life Safety Code Standard Standard
K0062 Life Safety Code Standard Standard
K0074 Life Safety Code Standard Standard
K0134 Life Safety Code Standard Standard
K0141 Life Safety Code Standard Standard
K0147 Life Safety Code Standard Standard
▼ 534001 Wyoming State Hospital Psychiatric 251 Yellowstone River Road Evanston WY 8 (Denver) 12/08/2011 7MU611 Standard
Deficiency Tag Deficiency Description Tag Type
B0103 Special Medical Record Requirements Condition
B0110 Psychiatric Evaluation Standard
B0111 Psychiatric Evaluation Completed Within 60 Hrs Of Admission Standard
B0118 Individual Comprehensive Treatment Plan Standard
B0125 Treatment Documented To Assure Active Therapeutic Efforts Standard
B0127 Progress Notes Recorded By Nurse Standard
B0133 Records Of Discharged Patients Include Discharge Summary Standard
B0144 Monitor/Evaluate Quality/Appropriateness Of Services Standard
B0148 Participates In Formulation Of Treatment Plans Standard
B0158 Adequate Staff To Provide Therapeutic Activities Standard
▼ 534004 Wyoming Behavioral Institute Psychiatric 2521 East 15th Street Casper WY 8 (Denver) 10/15/2025 G9WH11 Complaint
Deficiency Tag Deficiency Description Tag Type
A0000 Initial Comments - Not A Deficiency Citation Memo
A0148 Patient Rights: Access To Medical Record Standard