Bonnie Bluejacket Memorial Nursing Home

    388 Hwy 20 South, Basin, WY 82410
    • Assisted Living
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

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    Location

    Map showing location of Bonnie Bluejacket Memorial Nursing Home

    Bonnie Bluejacket Memorial Nursing Home is located at 388 Hwy 20 South, Basin, WY, 82410.

    About Bonnie Bluejacket Memorial Nursing Home

    Bonnie Bluejacket Memorial Nursing Home, located at 388 Highway 20 South in Basin, Wyoming, has 37 assisted living units and provides different levels of care including nursing home, assisted living, independent living, memory care, and continuing care, and it welcomes residents who need short-term respite or long-term support and also those who could use help with daily activities like bathing, dressing, transfers, or incontinence issues. The facility holds Wyoming license #15131 and accepts both Medicaid and Medicare, offering trained staff available 24/7 plus regular doctor assessments, as well as routine health checks and medication management to keep residents' health needs on track while accommodating special diets, like diabetes or food allergies, and serving three meals a day plus snacks in a community dining room with furnished rooms, laundry, housekeeping services, and kitchens or kitchenettes available in studio and shared units. Safety is a focus, with wheelchair accessibility, ADA-compliant bathrooms, pull cords, emergency pendants, keypad entry, and a 24-hour call system.

    People here get help with medication, wellness programs, mental health support, and therapies such as occupational, speech, and physical therapy, and you'll also find arranged transportation for outside doctor's appointments or other outings along with move-in coordination to ease the transition. For social and daily life, residents can enjoy arts and crafts, computer classes, movie nights in the theater, reading areas, fitness rooms, daily wellness activities, trips to the Bighorn Basin, holiday parties, clubs, bingo, and community events, plus outdoor spaces like landscaped walking paths, patios, and decks for enjoying tree-lined grounds, and there's a beauty salon and barber service right on site too. Bonnie Bluejacket cares for people with Alzheimer's, dementia, or Parkinson's disease and has special concierge services, massage therapy, and special dementia and Alzheimer's training for staff, with a strong focus on caregiver certification and training under state guidelines, including RAL and other senior home care courses. The facility supports both private and semi-private rooms, meals, emergency medical help, and coordination with healthcare providers, all in what many would call a warm and caring, family-friendly environment. The facility doesn't allow pets, but it does try to cover most comforts with internet, cable, HD flat-screen TVs, washer and dryer in all units, and provides plenty of community-sponsored activities, wellness checks, and scheduled events so residents don't feel left out or isolated.

    People often ask...

    Bonnie Bluejacket Memorial Nursing Home offers assisted living and skilled nursing.

    The full address for this community is 388 Hwy 20 South, Basin, WY 82410.

    No, Bonnie Bluejacket Memorial Nursing Home does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Wyoming, the Department of Health's Healthcare Licensing & Surveys program licenses care facilities and publishes licensure, complaint, and life-safety findings.

    License numbernh-182
    Facility typeNursing Home

    Inspection Reports

    96

    Reports

    5

    Type A Citations

    0

    Type B Citations

    16

    Complaints

    21

    Years

    07 Sept 2022Complaint
    Investigated a complaint and concluded that no deficiencies were identified.
    24 Feb 2022Revisit
    Verified that previously identified deficiencies were corrected and compliance was restored.
    23 Feb 2022Revisit
    Verified that all earlier deficiencies were corrected and no new noncompliance was found.
    20 Jan 2022Life Safety
    Found deficiencies in emergency preparedness planning, emergency power fuel reliability documentation, and door maintenance. Documented lack of annual plan review, missing fuel reliability letters, malfunctioning self-closing doors and missing labeling.
    • §483.73(a)Emergency Preparedness plan—review and update annually
    • §483.73(e)(3); §483.73(a); §482.15(e)(3); §485.625(e)(3)Emergency and standby power systems—fuel reliability documentation
    • NFPA 101, 2012 edition, 19.2.2.2.1; 7.2.1.8Doors with self-closing devices
    • NFPA 80, NFPA 101 (2012 edition) 19.2.2.5; 7.2.4.3.1; 8.3.3.1; 8.3.3.2.2Maintenance, Inspection & Testing - Doors
    • NFPA 101; NFPA 99; NFPA 110Electrical Systems - Other
    13 Jan 2022Licensure
    Cited deficiencies in infection control for glucometer cleaning and in staffing levels, indicating potential resident safety risks.
    • Wyoming Ch 11 Sec 9(a)(ii) Nursing ServicesNursing Services
    • Wyoming Ch 11 Sec 9(a)(ix) Nursing ServicesNursing Services
    13 Jan 2022Licensure
    Investigated and found deficiencies across resident planning, ADL support, safety, staffing, medications, diet, infection control, and QA oversight. These deficiencies affected multiple residents and operations.
    • 483.10(c)(2)-(3)Right to participate in planning care
    • 483.10(f)(5)-(7)Resident/Family Group and Response
    • 483.24(a)-(b)Activities of Daily Living (ADLs)
    • 483.25(e)Bowel/Bladder Incontinence, Catheter, UTI
    • 483.25(i)Respiratory/Tracheostomy Care and Suctioning
    • 483.25(n)Bedrails
    • 483.35(a)(1)-(2)Sufficient Nursing Staff
    • 483.45(e)Psychotropic Drugs
    • 483.60(g)Assistive Devices - Eating Equipment
    • 483.60(i)Food Safety and Storage
    • 483.75(g)Quality Assessment and Assurance (QAPI)
    • 483.80(a)-(f)Infection Prevention & Control
    03 Jun 2021Revisit
    Verified that all previously cited deficiencies were corrected and no new noncompliance was found.
    19 Apr 2021Complaint
    Infection prevention and control deficient; residents did not consistently practice hand hygiene before meals, risking transmission of infections.
    • CFR 483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
    23 Mar 2021Revisit
    Confirmed that previously cited deficiencies were corrected and no new noncompliance was found.
    22 Mar 2021Revisit
    Verified that deficiencies identified during an emergency preparedness revisit were corrected and compliance was restored.
    12 Feb 2021Life Safety
    Found that the emergency preparedness plan lacked separate, documented individual risk assessments for each separately certified facility within the system.
    • 42 CFR 483.73Integrated Emergency Preparedness Program
    04 Feb 2021Licensure
    Identified deficiencies related to transfer/discharge notices, bed-hold information, discharge summaries, and monthly drug regimen reviews.
    • 42 CFR 483.15(c)(3)-(6)(8)Notice Requirements Before Transfer/Discharge
    • 42 CFR 483.15(d)(1)-(2)Bed-hold Notice Upon Transfer
    • 42 CFR 483.21(c)(2)(i)-(iv)Discharge Summary
    • 42 CFR 483.45(c)(1)-(5)Drug Regimen Review
    04 Feb 2021Licensure
    Concluded that the facility was in compliance with state requirements.
    30 Dec 2020Licensure
    Found no deficiencies identified during a COVID-19 focused infection control survey conducted December 28–30, 2020.
    07 Dec 2020Licensure
    Investigated a COVID-19 focused infection control survey and found no deficiencies.
    23 Sept 2020Complaint
    Found no deficiencies identified during the complaint and COVID-19 focused infection control surveys.
    10 Sept 2020Revisit
    Verified no deficiencies were found. All prior deficiencies were corrected.
    10 Sept 2020Revisit
    Concluded that all previously cited deficiencies were corrected and no new noncompliance was found.
    28 Apr 2020Licensure
    Found failures in infection prevention and control related to COVID-19, including ongoing communal activities and dining that did not maintain recommended social distancing.
    • CFR 483.80Infection Prevention & Control
    22 Jan 2020Complaint
    The review found deficiencies in staff CPR/BLS training and in providing diet textures that meet individual needs.
    • CFR 483.24(a)(3)Personnel provide basic life support, including CPR
    • CFR 483.60(d)(3)Food prepared in a form designed to meet individual needs
    06 Aug 2019Revisit
    Verified that previously identified deficiencies were corrected and no new noncompliance was found; it remained in compliance with all regulations surveyed.
    13 Jun 2019Complaint
    Investigated a complaint and found deficiencies in accident hazard control and supervision after a resident eloped and sustained injuries.
    • CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
    04 Jun 2019Revisit
    Concluded that all previous deficiencies were corrected and no new noncompliance was found.
    27 Mar 2019Life Safety
    Identified multiple deficiencies related to emergency preparedness, including fire drill frequency and documentation, electrical safety with power strips, staff and contact information, and required training programs.
    • NFPA 101 Life Safety Code (2012 edition)Emergency Preparedness - Fire Drills
    • NFPA 70 National Electrical Code; UL 1363Electrical Safety - Power Strips
    • CFR 483.73(c)(1)Names and Contact Information
    • CFR 483.73(d)Emergency Preparedness Training and Testing
    • CFR 483.73(d)(2)Emergency Preparedness Exercises
    27 Mar 2019Complaint
    Investigated deficiencies across resident rights, care planning, assessments, transfers, infection control, and staff training with multiple violations identified.
    • §483.10(f)(5)-(7)Resident/Family Group and Response
    • §483.10(g)(5)Posting of State agencies and advocacy information
    • §483.10(c)(6)-(8); §483.10(g)(12)Advance directives information and documentation
    • §483.10(j)Grievances policy and process
    • §483.15(c)Notice before transfer
    • §483.15(d)Bed-hold notice before transfer
    • §483.20(g)Accuracy of Assessments
    • §483.21(b)Care Plan Timing and Revision
    • §§483.25Quality of care
    • §483.35(b)RN coverage and DON full-time
    • §§483.45(c)(1)-(5)Drug Regimen Review (pharmacist) and procedures
    • §§483.80Infection prevention and control
    • §§483.95(c)Abuse, neglect, and exploitation training
    27 Mar 2019Licensure
    Determined that operations were in compliance with State requirements.
    27 Aug 2018Revisit
    Found that all deficiencies were corrected and no new noncompliance was found; the facility is in compliance with all regulations surveyed.
    15 May 2018Revisit
    Investigated deficiencies found that dietary services supervision lacked required credentials and an advisory dentist was not in place.
    • Type ACh 11 Sec 11 (a)(i)Dietetic Services
    • Type ACh 11 Sec 14 (a)Dental Services
    14 May 2018Revisit
    Concluded that all previously cited deficiencies were corrected and no new noncompliance was found.
    03 May 2018Revisit
    Concluded that all prior deficiencies were corrected and no new noncompliance was found.
    03 May 2018Revisit
    Verified compliance with all emergency preparedness rules; all previously identified deficiencies were corrected.
    02 Mar 2018Life Safety
    Identified unprotected penetrations in fire and smoke barriers and improper use of power cords near patient care areas.
    • NFPA 101 19.1.3.3, 42 CFR 482.41, 42 CFR 485.623Multiple Occupancies
    • NFPA 101 19.3.7.3, 8.5.6.2Smoke Barrier
    • NFPA 99 10.2.3.6, 10.2.4; NFPA 70 400-8; NFPA 70 590.3(D); TIA 12-5Electrical Equipment - Power Cords and Extension Cords
    02 Mar 2018Life Safety
    Cited the absence of a policy for volunteers in emergencies in the emergency preparedness plan.
    • CFR 483.73(b)(6)Policies and Procedures - Volunteers and Staffing
    01 Mar 2018Licensure
    Found deficiencies in dietetic supervision and dental services, with the dietary supervisor not certified and no current dentist agreement.
    • Ch 11 Sec 11(a)(i)Dietetic Services
    • Ch 11 Sec 14(a)Dental Services
    01 Mar 2018Licensure
    Investigated concerns about missing MDS submissions and outdated care plans, with staff unable to show CMS that quarterly assessments were transmitted and with care plans not reflecting residents’ current needs.
    • §483.20(f)(2) and §483.20(f)(4)MDS data transmission
    • §483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    16 Jun 2017Revisit
    Put back into compliance after a revisit survey, addressing issues from a prior licensure survey.
    16 Jun 2017Revisit
    Restored to compliance after addressing deficiencies cited in prior surveys.
    08 Jun 2017Revisit
    Concluded that compliance was restored after follow-up surveys showed deficiencies corrected, with final compliance achieved as of June 4, 2017.
    06 Apr 2017Licensure
    Found deficiencies in resident rights and privacy. Grievances were not documented and confidential records were not appropriately maintained.
    • §483.10(e)(1) and (e)(2) – Privacy/Confidentiality of RecordsPrivacy/Confidentiality of Records
    06 Apr 2017Licensure
    Observed hot water temperatures in several locations exceeded 110 degrees Fahrenheit, indicating a deficiency in maintaining safe water temperatures.
    • Type ACh 11 Sec 6 (a)(iv) Physical EnvironmentPhysical Environment
    05 Apr 2017Life Safety
    The inspection found multiple life-safety deficiencies, including improper maintenance of electrical equipment, inadequate gate-release provisions, and deficient exit signage and sprinkler system maintenance.
    • 42 CFR 483.70(a)Life Safety Code violations (2012 NFPA 101 edition)
    • 2012 NFPA 101, Sections 19.2.1; 7.2.1.5.x (Means of Egress / Gate Release)Gate release and means of egress
    • 2012 NFPA 101, Sections 19.2.1; 7.2.1.5.x (Means of Egress / Fire Alarm System – Notification)Means of egress signage / fire alarm notification
    • 2012 NFPA 101, Sections 9.7.x; NFPA 25 (Sprinkler System Maintenance)Sprinkler system maintenance/testing
    13 Sept 2016Complaint
    Found no deficiencies. The complaint investigation concluded that no deficiencies were identified.
    23 Jun 2016Revisit
    Identified multiple regulatory deficiencies and documented that corrective actions were completed.
    • 483.10(g)(2)
    • 483.13(c)(1)(ii)-(iii, c)(2) -4
    • 483.13(c)
    • 483.15(a)
    • 483.15(c)
    • 483.15(h)(2)
    • 483.20(d), 483.20(k)(1)
    • 483.25(a)(3)
    • 483.25(h)(2)
    • 483.40(b)
    • 483.60(b)(d)(e)
    • 483.65
    03 Jun 2016Revisit
    Identified several life-safety deficiencies under NFPA 101; deficiencies were addressed and completed by 05/29/2016.
    • NFPA 101Life safety code deficiency
    • NFPA 101Life safety code deficiency
    • NFPA 101Life safety code deficiency
    • NFPA 101Life safety code deficiency
    14 Apr 2016Licensure
    Concluded compliance with State requirements after a survey. No deficiencies were identified.
    14 Apr 2016Licensure
    Identified multiple deficiencies related to resident care and safety during the investigation.
    12 Apr 2016Life Safety
    Investigated a complaint alleging improper oxygen storage, missing sprinkler maintenance documentation, and lack of weekly inspections; multiple deficiencies were found.
    • NFPA 101 Life Safety Code; Section 19.7.1.2; S&C-07-10Miscellaneous LSC deficiency not on 2786
    • NFPA 101 Life Safety Code Standard; Section 19.1.6; 19.7.1.2; NFPA 110Automatic sprinkler system – documentation and maintenance
    • NFPA 101 Life Safety Code; Sections 19.5.1 and 9.1.3; NFPA 110, 6-3.4 and 6-4.1Weekly inspections not documented
    31 Mar 2016Licensure
    Investigation identified multiple deficiencies including inadequate hydration for residents, missed or untimely physician visits, infection-control weaknesses, and gaps in the facility’s quality assurance processes.
    • 483.25(i)Sufficient Fluid to Maintain Hydration
    • 483.40(c)(1)-(2)Frequency & Timeliness Of Physician Visit
    • 483.65Infection Control
    • 483.75Quality Assurance and Performance Improvement (QAPI)
    • Resident Involvement/Meetings
    08 Jun 2015Revisit
    Confirmed corrections completed after a follow-up visit addressing previously identified deficiencies.
    04 Jun 2015Revisit
    Addressed prior deficiencies; corrective actions completed and follow-up confirmed compliance.
    26 Mar 2015Complaint
    Investigated a complaint and found several deficiencies related to resident care, safety, and administrative procedures.
    • Misappropriation/Allegation reporting
    • Care and assistance to residents
    • Care planning/monitoring
    • Resident care plan updates
    • Medical/dental exam documentation
    • Emergency services planning
    26 Mar 2015Licensure
    Concluded that the provider was in compliance with state requirements. No deficiencies were cited.
    24 Mar 2015Life Safety
    Investigated life-safety deficiencies: corridor walls were not properly separated from use areas and delayed-egress doors did not release as required.
    • NFPA 101 Life Safety Code, 2000 edition, Sections 19.2.2.2, 7.2.1.6.1(c)Corridor walls separation and smoke resistance
    • NFPA 101 Life Safety Code, 2000 edition, Sections 19.2.2.2, 7.2.1.6.1(c)Delayed egress hardware
    25 Sept 2014Revisit
    Observed deficiencies cited during a follow-up visit; multiple regulatory requirements were not met.
    • 483.13(c)(1)(ii)-(iii), (c)(2) - (4)483.13(c)(1)(ii)-(iii), (c)(2) - (4)
    • 483.15(a)483.15(a)
    • 483.25483.25
    • 483.25(i)483.25(i)
    • 483.25(i)483.25(i)
    • 483.25(b), (d), (e)483.25(b), (d), (e)
    • 483.75(i)(1)483.75(i)(1)
    • 483.75(l)(1)483.75(l)(1)
    29 Aug 2014Revisit
    Found deficiencies requiring correction; corrections completed.
    29 Aug 2014Revisit
    Verified that previously reported deficiencies were corrected and found no outstanding deficiencies.
    26 Jun 2014Licensure
    Identified multiple deficiencies in investigations of alleged violations, resident dignity, and medication management, with numerous incomplete or undocumented practices cited.
    • Investigation of Allegations; Reporting
    • Dignity and Respect of Individuals
    • Medication Administration, Documentation, and Monitoring
    • Wound Care / Pressure Ulcers
    • Facility Safety and Hygiene Practices
    • Medication Administration and Records
    • Lab Testing / Medical Records
    • Documentation of Care and Treatments
    26 Jun 2014Licensure
    Found no deficiencies. Determined compliance with state requirements.
    23 Apr 2014Life Safety
    Found deficiencies in maintenance of plumbing and mechanical systems, including eyewash safety and ventilation issues, based on observations and staff interviews during the visit.
    • 102.3Maintenance
    23 Apr 2014Life Safety
    Identified life-safety deficiencies concerning self-closing doors, illumination of egress paths, and missing documentation for fire alarm/sensitivity tests.
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 1
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 3
    • NFPA 72 LIFE SAFETY CODE STANDARDContinued From page 6
    09 Dec 2013Revisit
    Concluded that corrective actions were completed and compliance was achieved after the follow-up visit.
    09 Dec 2013Revisit
    Verified that required corrections were completed. Substantial compliance noted.
    17 Oct 2013Revisit
    Verified previously reported deficiencies were corrected.
    29 Aug 2013Licensure
    Observed failure to promote resident dignity and individuality during meals and in daily interactions; staff interactions did not reflect respect for residents’ self-worth.
    • Type A483.15(a)DIGNITY AND RESPECT OF INDIVIDUALITY
    08 Aug 2013Licensure
    Found deficiencies in care planning, housekeeping/maintenance, discharge planning, and ongoing resident assessments.
    • Housekeeping/maintenance and care plan updates
    • Care planning and comprehensive assessments
    • Discharge planning/interventions for bladder issues
    • Discharge summary and follow-up planning
    08 Aug 2013Licensure
    Identified noncompliance with dietary services requirements; supervisory responsibility for dietetic services was not assigned to a full-time qualified supervisor, and certification had not been completed.
    • Type AChapter 11, Section 11(a) of Wyoming Rules and Regulations for Nursing Homes (Dietary Services – Dietary Supervision)Dietary Services
    06 Aug 2013Life Safety
    Found deficiencies in smoke barrier integrity; three corridor doors did not resist smoke and did not close completely, risking smoke spread.
    • NFPA 101 Life Safety Code, 2000 editionCorridor doors not smoke resistant
    06 Dec 2012Revisit
    Concluded that corrections were completed for previously identified deficiencies. Follow-up confirmed actions taken to address prior findings.
    27 Sept 2012Licensure
    Investigated a cited deficiency related to dietetic services and dishwashing sanitation. Found that dishmachine sanitizing temperatures were not consistently meeting required standards and staff knowledge and practices were insufficient to ensure resident safety.
    • Wyoming Rules and Regulations for Nursing Homes, Chapter 11, Dietetic Services; Food Code (2009) – 4-501.112Dietetic services and safe food-handling; dishwashing sanitation
    27 Sept 2012Licensure
    Identified privacy/confidentiality violations and infection-control deficiencies during the inspection.
    07 Oct 2011Revisit
    Investigated deficiencies related to resident rights and care standards; identified multiple violations that were later corrected on follow-up.
    • 483.13(c)(1)(ii)-(iii), (c)(2)-(4)
    • 483.15(c)(6)
    • 483.20(k)(3)(ii)
    • 483.25(e)(2)
    • 483.25(h)
    • 483.25(m)(1)
    • 483.70(h)(4)
    • 483.65
    13 Sept 2011Revisit
    Investigated deficiencies and followed up on corrections; some corrections were completed, and a summary of uncorrected deficiencies was sent.
    11 Aug 2011Licensure
    Investigated a complaint and found multiple deficiencies in resident care and safety, infection control, pest control, and investigation of alleged violations.
    • 483.25(e)(2)INCREASE/PREVENT DECREASE IN RANGE OF MOTION
    • 483.25(h)FREE OF ACCIDENT HAZARDS/ SUPERVISION/ DEVICES
    • 483.13INVESTIGATIONS OF ALLEGED VIOLATIONS
    • INFECTION CONTROL
    • PEST CONTROL
    10 Aug 2011Life Safety
    Identified deficiencies related to fire safety and electrical safety; observed a fire barrier double door not latching and outlets near a sink without GFCI protection.
    • NFPA 101 LIFE SAFETY CODE STANDARDFire barrier doors not latched
    • NFPA 101 LIFE SAFETY CODE STANDARDElectrical outlets near water lack GFCI protection
    • NFPA 101 LIFE SAFETY CODE STANDARDGFCI protection not provided for wet locations
    24 Mar 2011Complaint
    Found no deficiencies. The complaint investigation concluded that no deficiencies were identified.
    24 Nov 2010Revisit
    Identified deficiencies were corrected during the follow-up visit.
    • 483.20(k)(3)(ii)Resident rights
    • 483.25(a)(1)(2)Care/quality of life and resident rights
    • 483.25(e)(2)Privacy/Confidentiality
    • 483.25(g)(1)(2)Resident rights—care planning/information
    24 Nov 2010Revisit
    Verified corrections completed for previously reported deficiencies.
    16 Sept 2010Life Safety
    Observed corridor door obstructions that could impede closing in two smoke compartments.
    • NFPA 101 Life Safety Code StandardCorridor doors closing properly
    16 Sept 2010Complaint
    Investigated a complaint about ongoing restorative nursing services and resident care, tube feeding procedures, and infection control; multiple deficiencies were identified in care planning, assessments, and monitoring.
    • Restorative nursing services not provided as written
    • Restorative assessment not completed
    • Tube feeding procedures not observed/monitored as required
    • Infection control and related care planning deficiencies
    16 Sept 2010Licensure
    Identified a deficiency for failing to ensure tuberculin testing was completed prior to resident contact for at least one employee. Documentation of the testing was missing from the personnel file.
    • Tuberculosis testing requirement for employees
    16 Dec 2009Revisit
    Concluded that corrections were completed for previously cited deficiencies.
    15 Oct 2009Licensure
    Noted findings related to state rules; the survey showed compliance with state requirements.
    • Lic Regs for Nursing HomesLicensing Regulations for Nursing Homes
    15 Oct 2009Licensure
    Investigated deficiencies in medication management and infection control, with issues surrounding unnecessary drugs and inadequate physician oversight.
    • 483.25(l)UNNECESSARY DRUGS
    • 483.40(c)(1)-(2)FREQUENCY OF PHYSICIAN VISITS
    • 483.65(a)INFECTION CONTROL
    09 Apr 2009Revisit
    Identified deficiencies related to life safety code requirements and noted that corrective actions were completed.
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    09 Apr 2009Revisit
    Identified deficiencies from the post-certification review and confirmed corrections were completed.
    20 Feb 2009Licensure
    The facility had several deficiencies related to residents’ rights, notification of changes in condition, and proper medical oversight and medications.
    • 483.10(a)(3)&(4)EXERCISE OF RIGHTS
    • 483.10(b)(11)NOTIFICATION OF CHANGES
    • NOTICE OF CHANGES IN CONDITION
    • DOCUMENTATION/ASSESSMENTS
    • 483.25(h)ACCIDENTS AND SUPERVISION
    • 483.40(a)PHYSICIAN SERVICES
    • 483.25(i)UNNECESSARY DRUGS
    20 Feb 2009Licensure
    Investigated and found no deficiencies. The survey determined compliance with state requirements.
    19 Feb 2009Life Safety
    Identified life-safety deficiencies including corridor doors not resisting smoke, untested heat detectors, and improper smoking-related safeguards.
    • NFPA 101 LIFE SAFETY CODECorridor door smoke resistance
    • NFPA 72Fire alarm/heat detector testing
    • NFPA 25Fire sprinkler system maintenance
    • NFPA 101 LIFE SAFETY CODESmoking-related container safety
    • NFPA 101 LIFE SAFETY CODESmoking area containers and maintenance
    20 Dec 2005Revisit
    Investigated deficiencies in resident rights, nursing services, and regulatory compliance during the revisit.
    • 483.10(g)(1)
    • 483.25(m)(1)
    • 483.35(h)(2)
    • 483.70(h)
    01 Nov 2005Life Safety
    Found no deficiencies; Life Safety Code standards were met.
    01 Nov 2005Life Safety
    Found no deficiencies cited. Life Safety Code standards were met.
    27 Oct 2005Licensure
    Investigated deficiencies in food safety and sanitation with corrective steps identified to improve safety and living conditions.
    • Food storage/sanitation deficiency
    • Environmental conditions
    23 Jun 2005Revisit
    Investigated deficiencies and corrections completed.
    • 483.201(c)
    • 483.25(e)(2)
    • 483.60(e)
    01 Jun 2005Revisit
    Investigated a complaint; deficiencies were cited and corrected.
    • NFPA 101 (Life Safety Code)Life Safety Code deficiency
    • NFPA 101 (Life Safety Code)Life Safety Code deficiency
    • NFPA 101 (Life Safety Code)Life Safety Code deficiency
    • NFPA 101 (Life Safety Code)Life Safety Code deficiency
    05 May 2005Licensure
    Investigated deficiencies related to resident mobility assessments and facility environment, including incomplete ROM data and missing safety-related measurements, with several follow-up items identified.
    • ROM assessment and mobility deficiencies
    • Minimum Data Set / Plan of correction documentation
    • Medication storage and temperature monitoring
    • Electrical outlets and safety in facility areas
    • Water system maintenance and flushing
    05 Apr 2005Life Safety
    Investigated life-safety deficiencies involving smoke barriers, door hardware, and exit lighting, with corrective actions noted for future compliance.
    • NFPA 101 Life Safety Code StandardSmoke barriers
    • NFPA 101 Life Safety Code StandardDoor latch
    • NFPA 101 Life Safety Code StandardExit illumination
    • NFPA 101 Life Safety Code Section 19.2.8Exit discharge lighting

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