Ch. 26, § 6. Deficiencies and Actions Against a License

(a) If the State Survey Agency determines during a survey that a center is out of compliance with any provision of these Rules or other applicable law, the following conditions apply: (i) The State Survey Agency shall provide the center a statement of deficiencies within ten (10) business days of the survey exit date. (ii) If a center receives a statement of deficiencies, the center shall comply with the following provisions. (A) The center shall submit an acceptable plan of correction to the State Survey Agency within ten (10) business days. (B) The plan of correction must be a written document that provides the following information: (I) Who will be charged with the responsibility to correct each deficiency; (II) What will be done to correct each deficiency; (III) How the plan of correction will be incorporated into the center's quality management program; (IV) Who will be charged with monitoring the center to ensure each deficiency does not occur or develop again; and (V) The date the center expects to correct all deficiencies, which may not exceed sixty (60) calendar days after the survey exit date. (iii) If the State Survey Agency determines it will take the center longer than the sixty (60) days to implement the plan of correction and there is no threat to the health or safety of patients, the State Survey Agency may extend the sixty (60) day deadline. (b) Pursuant to W.S. 35-2-905, the State Survey Agency may take action against a center according to the following conditions: (i) The State Survey Agency may take action against a center if the State Survey Agency finds that the center: (A) Violated a provision of these Rules or other applicable laws; (B) Permitted, aided, or abetted the commission of any illegal act by a facility licensed by the State Survey Agency; or (C) Conducted practices detrimental to the health, safety, or welfare of the patients of the center. (ii) Action against a center may include: (A) Placing conditions upon the center's license; (B) Installing a monitor or manager, at the center's expense, that has been approved by the State Survey Agency; (C) Suspending the admission of new patients at the center; or (D) Denying, suspending, or revoking a center's license.