Hospice record · CCN 531510
Memorial Hospital of Sheridan County
1401 West 5th Street, Sheridan, WY, 82801
Total citations
26
across 2 survey dates
Immediate jeopardy
0
IJ-level findings
Distinct L-tags
24
unique L-tags cited
Most recent survey
01/24/2025
history from 03/24/2022
Citation history
Newest survey first. Every hospice deficiency on file with CMS.
| Survey date | Type | Tag | Deficiency | Level | Immed. jeopardy |
|---|---|---|---|---|---|
| 01/24/2025 | Reaccreditation | E0004 | Develop EP Plan, Review and Update Annually42 CFR 418.113(a) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | E0006 | Plan Based on All Hazards Risk Assessment42 CFR 418.113(a)(2) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | E0024 | Policies/Procedures-Volunteers and Staffing42 CFR 418.113(b)(4) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | E0030 | Names and Contact Information42 CFR 418.113(c)(1)(ii) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | E0037 | EP Training Program42 CFR 418.113(d)(1)(iii) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | E0039 | EP Testing Requirements42 CFR 418.113(d)(2) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | E0042 | Integrated EP Program42 CFR 418.113(e)(1) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0516 | RIGHTS OF THE PATIENT42 CFR 418.52(c)(5) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0546 | CONTENT OF PLAN OF CARE42 CFR 418.56(c)(1) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0552 | REVIEW OF THE PLAN OF CARE42 CFR 418.56(d ) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0557 | COORDINATION OF SERVICES42 CFR 418.56(e)(4) | ConditionCondition-level | No |
| 01/24/2025 | Reaccreditation | L0559 | QUALITY ASSESSMENT & PERFORMANCE IMPROVEMENT42 CFR 418.58 | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0595 | COUNSELING SERVICES42 CFR 418.64(d) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0596 | COUNSELING SERVICES42 CFR 418.64(d)(1)(iv) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0615 | COMPETENCY EVALUATION42 CFR 418.76(c)(1) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0619 | COMPETENCY EVALUATION42 CFR 418.76(c)(5) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0626 | HOSPICE AIDE ASSIGNMENTS AND DUTIES42 CFR 418.76(g)(2)(ii) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0629 | SUPERVISION OF HOSPICE AIDES42 CFR 418.76(h)(1)(i) | ConditionCondition-level | No |
| 01/24/2025 | Reaccreditation | L0632 | SUPERVISION OF HOSPICE AIDES42 CFR 418.76(h)(2) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0651 | GOVERNING BODY AND ADMINISTRATOR42 CFR 418.100(b) | ConditionCondition-level | No |
| 01/24/2025 | Reaccreditation | L0663 | TRAINING42 CFR 418.100(g)(3) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0674 | CONTENT42 CFR 418.104(a)(3) | StandardStandard-level | No |
| 01/24/2025 | Reaccreditation | L0795 | CRIMINAL BACKGROUND CHECKS42 CFR 418.114(d)(1) | StandardStandard-level | No |
| 03/24/2022 | Reaccreditation | L0579 | PREVENTION42 CFR 418.60(a) | StandardStandard-level | No |
| 03/24/2022 | Reaccreditation | L0663 | TRAINING42 CFR 418.100(g)(3) | StandardStandard-level | No |
| 03/24/2022 | Reaccreditation | L0674 | CONTENT42 CFR 418.104(a)(3) | StandardStandard-level | No |