Deficiency Index

Every finding on record at Hospice of Campbell County Memorial Hospital

Gillette, Wyoming · CCN 531519

1 finding across 1 survey, in the inspector's own words.

The inspector’s own words from form CMS-2567, unedited, including CMS’s own spacing. Names and some dates are redacted by CMS.

Survey of October 10, 2025

1 finding
L0629

Based on medical record review, staff interview, and policy review, the facility failed to ensure supervisory visits were done for 2 of 9 sample patients (#3, #14) reviewed for supervisory visits. The following concerns were identified. --- 1. Review of the medical record for patient #3 for the certification period 7/31/25 through 10/28/25 showed on August 6th there was a supervisor visit. The next supervisory visit was done on August 27th, showing 20 days without a supervisory visit.       2. Review of the medical record for patient #14 for the certification period 8/21/25 through 11/18/25 showed on August 21st there was a supervisor visit. The next supervisory visit was done on September 8th, showing 19 days without a supervisory visit.       3. Interview with the administrator on 10/9/25 at  2:48 PM confirmed the supervisory visit on the 2 patients were missed.      4. Review of the policy "Aide Supervision: Home Health" last revised on 08/2023 showed "...2. If the patient is receiving skilled Home Health services, the RN/therapist will make supervisory visits to the patient's residence at least every 14 days..."

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