Roommate compatibility and resident-preference follow-through concerns
Inconsistent staff communication and responsiveness to family input
Summary of reviews
Overall, the reviews are strongly positive about Life Care Center of Casper. Families and residents frequently describe staff as kind, patient, respectful, and attentive. Several accounts credit rehabilitation teams with helping residents regain strength and mobility, and families describe supportive care during extended stays and at the end of life. Admissions and transitions between facilities are often praised for coordination, helpful guidance, and communication with families.
The most serious concerns involve clinical processes. One family described two instances within a short period in which the wrong medication was prepared or administered, including one instance the resident noticed after taking the pills. Another reviewer raised a concern about oversight of oxygen treatment. These accounts warrant careful attention, although the reviews do not establish how common such issues are. Other criticisms include delays in getting assistance, limited physical therapy on weekends, and staffing pressures. One family also raised concerns following a resident's death, attributing the outcome to the care provided; the review did not include further details.
Dining feedback is generally favorable, with residents and visitors complimenting meals and food choices. However, a reviewer described meals served in residents' rooms during isolation as small and often cold, and noted that some residents needed straws to drink from covered water mugs. Another reviewer mentioned frequent green beans. Activities receive positive comments, including group events, therapy-animal visits, and social gatherings. The courtyard, garden, aviary, and family dining space are also appreciated. Some residents may feel lonely, and reviewers raised concerns about roommate compatibility and one interaction with the activities director.
The building is consistently described as clean, bright, attractive, and well maintained, with a welcoming or homelike atmosphere. Front-desk staff and other departments are often praised for being pleasant and helpful. A few reviews, however, describe concerns about staff conduct or family input not being heard. Other individual concerns include personal-property tracking, transportation arrangements after a hospital visit, and attention to grooming. Taken together, the reviews suggest a facility with substantial strengths in staff warmth, rehabilitation, family support, and the physical environment, alongside specific reported concerns about medication accuracy, clinical monitoring, responsiveness, and day-to-day coordination.
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Medicare Ratings
5·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Life Care Center of Casper is located at 4041 S Poplar St, Casper, WY, 82601.
About Life Care Center of Casper
Life Care Center of Casper is a nursing facility located in the scenic surroundings of Casper, Wyoming, nestled beneath the beautiful Casper Mountain and alongside the North Platte River. The setting offers residents a peaceful environment while still maintaining convenient access to nearby restaurants and shopping, making it an appealing choice for individuals and their families seeking care in a supportive and engaging location.
The center specializes in providing a range of services, including short-term rehabilitation, long-term skilled nursing care, and post-operative recovery. A central focus at Life Care Center of Casper is the creation of individualized care plans tailored to the unique needs and goals of every patient and resident. This personalized approach is facilitated through an in-house team of dedicated therapists and nurses, ensuring that each person receives the specific attention and therapy required for their stage of healing, rehabilitation, or ongoing care.
Life Care Center of Casper is well equipped to address both inpatient and outpatient rehabilitation needs. The rehabilitation gym features state-of-the-art equipment, notably including the AlterG® Anti-Gravity Treadmill®, which facilitates recovery and mobility improvement. Specialized care is extended to those living with Alzheimer’s and dementia through a secured unit designed to offer enhanced safety and tailored support for memory care residents.
Beyond medical and rehabilitative care, Life Care Center of Casper emphasizes creating a vibrant community atmosphere. The facility includes comfortable suites, spacious hallways, and social gathering spaces such as the Ice Cream Parlor, where residents can relax and enjoy time with one another. The commitment to fostering a welcoming and engaging living environment is visible in the daily life at the center, as well as through frequent updates and insights shared on the facility’s Facebook page.
Residents and short-term patients alike at Life Care Center of Casper benefit from the high standards of support and attention to detail embedded in all aspects of service. The center’s dedication to quality, individualized care makes it a respected and reassuring choice for those in need of skilled nursing, rehabilitation, or long-term assistance in Casper, Wyoming.
People often ask...
Life Care Center of Casper offers assisted living, memory care, and skilled nursing.
There are 30 photos of Life Care Center of Casper on Mirador.
The full address for this community is 4041 S Poplar St, Casper, WY 82601.
No, Life Care Center of Casper 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 number
nh-185
Status
Open
Facility type
Nursing Home
Inspection Reports
138
Reports
29
Type A Citations
0
Type B Citations
47
Complaints
21
Years
17 Aug 2026Revisit
17 Aug 2026Revisit
Identified deficiencies in fire alarm system testing and maintenance and in exit discharge level surface, potentially affecting safety during emergencies.
42 CFR 483.90(a); 2012 NFPA 101 (9.6.3.1, 9.6.1.5); 2010 NFPA 72Fire Alarm System - Testing and Maintenance
Investigated deficiencies identified in hot liquid safety, infection control, grievance handling, and medication availability. Multiple care and safety lapses were found.
CFR 483.25(d)(1)(2)Accidents
§483.10(f)(5)(i)-(iv)(6)(7)Resident/Family Group and Response
Found multiple life-safety and emergency-readiness deficiencies across fire alarm testing, extinguishers, dampers, electrical systems, means of egress, sprinklers, hazardous areas, doors, and gas storage.
2012 NFPA 101, §9.6.3.1; §9.6.1.5; 2010 NFPA 72, Table 14.4.5Fire Alarm System - Testing and Maintenance
2012 NFPA 101; 2010 NFPA 10Portable Fire Extinguishers
Verified no deficiencies were found. The revisit confirmed compliance with all regulations surveyed.
23 Apr 2026Complaint
23 Apr 2026Complaint
Investigated the allegation that resident-centered care plans were not followed; found deficiencies in care plan implementation for two residents, including 'caring in pairs' and weight monitoring lapses.
CFR 483.21(b)(1) and 483.21(b)(3)Develop/Implement Comprehensive Care Plan
17 Dec 2024Revisit
17 Dec 2024Revisit
Confirmed no deficiencies and overall compliance with all regulations after revisit.
11 Dec 2024Revisit
11 Dec 2024Revisit
Concluded compliance after a Life Safety Code revisit; all prior deficiencies corrected and no new noncompliance found.
17 Oct 2024Complaint
17 Oct 2024Complaint
Identified deficiencies in resident rights, assessment accuracy, PRN psychotropic use, and infection prevention and control.
42 CFR 483.10Resident Rights
42 CFR 483.20(b)(2)(ii)Comprehensive Assessment After Significant Change
42 CFR 483.20(g)Accuracy of Assessments
42 CFR 483.45(e)Free from Unnecessary Psychotropic Medications/PRN Use
42 CFR 483.80Infection Prevention & Control
15 Oct 2024Life Safety
15 Oct 2024Life Safety
Found deficiencies in egress door signage and in documentation for testing essential electrical systems.
NFPA 101, Life Safety Code 2012 edition: 7.2.1.6.1; 18.2.2.2.4; 18.2.2.2.5.1; 18.2.2.2.5.2; 19.2.2.2.4; 19.2.2.2.5.1; 7.2.1.6.1; 7.2.1.6.2; 7.2.1.6.3; TIA 12-4Egress Doors
NFPA 99, Health Care Facilities Code, Ch.10 Sec. 4.4.1.2; NFPA 111; NFPA 110; NFPA 70 700.10Electrical Systems - Essential Electric System
09 Apr 2024Complaint
09 Apr 2024Complaint
Investigated a complaint of sexual abuse and found that one resident was sexually abused by another resident, with monitoring gaps and reporting issues identified.
CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
04 Apr 2024Revisit
04 Apr 2024Revisit
Found no deficiencies and confirmed full compliance.
25 Jan 2024Complaint
25 Jan 2024Complaint
Investigated a complaint about bathing. Found that 4 of 9 sampled residents did not receive showers as scheduled or per preferences, with multiple days without bathing and documentation issues.
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
01 Nov 2023Revisit
01 Nov 2023Revisit
Concluded that all prior deficiencies were corrected and no new noncompliance was found.
29 Sept 2023Revisit
29 Sept 2023Revisit
Concluded that all prior deficiencies were corrected and no new noncompliance was found. The entity was in compliance with all regulations surveyed.
30 Aug 2023Life Safety
30 Aug 2023Life Safety
Identified multiple life-safety deficiencies across emergency power, egress, and fire protection systems.
42 CFR 483.73(e)Emergency and standby power systems
NFPA 101, Life Safety Code (2012 edition) Sections 19.1.1.1.3, 4.6.12.1General Requirements - Other
NFPA 101 (2012) Section 19.2.2.2.1; 7.2.1.4.5Doors with Self-Closing Devices
NFPA 101 (2012) Sections 19.2.1, 7.1.6.2Discharge from Exits
NFPA 101 (2012) 19.5.1.1; 9.1.3.1; NFPA 110 (2010) 8.2.4; 8.3.7.1Electrical Systems - Essential Electric System
24 Aug 2023Licensure
24 Aug 2023Licensure
Found deficiencies in daily living assistance for residents needing help with toileting and in maintaining an accessible, responsive call system.
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
CFR 483.90(g)(1)-(2)Resident Call System
24 Aug 2023Licensure
24 Aug 2023Licensure
Found no deficiencies. The survey concluded compliance with state requirements.
19 Apr 2023Complaint
19 Apr 2023Complaint
Found no deficiencies identified during the complaint survey.
22 Feb 2023Complaint
22 Feb 2023Complaint
Found no deficiencies related to the complaints. A complaint survey was conducted.
23 Nov 2022Revisit
23 Nov 2022Revisit
Verified that all prior deficiencies were corrected and no new noncompliance was found.
04 Oct 2022Revisit
04 Oct 2022Revisit
Confirmed prior deficiencies were corrected and no new noncompliances were found.
28 Jul 2022Licensure
28 Jul 2022Licensure
Found multiple deficiencies related to resident rights, transfers, bed-hold information, staffing postings, psychotropic medication monitoring, and food safety.
CFR 483.10(f)Self-Determination
CFR 483.15(c)(3)-(6)-(8)Notice before Transfer/Discharge
CFR 483.15(d)(1)-(2)Bed-Hold Policy Notice
CFR 483.35(g)(1)-(4)Nurse Staffing Information
CFR 483.45(e)(1)-(5)Psychotropic Drugs
CFR 483.60(i)(1)-(2)Food Safety Requirements
26 Jul 2022Licensure
26 Jul 2022Licensure
Identified combustible storage in the mechanical room violated fire code requirements.
WDH Chapter 3 Construction Rules and Regulations for Healthcare Facilities; 2006 International Fire Code 315.2.3Combustible storage in mechanical room
26 Jul 2022Life Safety
26 Jul 2022Life Safety
The surveying authority identified extensive life-safety and emergency preparedness deficiencies, including missing emergency contact information, inadequate generator testing records, obstructions in means of egress, improper door operations, cooking and sprinkler-related concerns, decorative decorations lacking fire retardant treatment, and unsafe space heaters.
42 CFR 483.73(c)Emergency preparedness contact information
42 CFR 483.73(e)Emergency and standby power systems - generator location, inspection and fuel
NFPA 101 Life Safety Code (Means of Egress General) 2012 editionMeans of egress - General
NFPA 110; NFPA 101 19.5.1.1; 9.1.3.1Electrical systems - essential electric system maintenance and testing
27 Apr 2022Revisit
27 Apr 2022Revisit
Concluded that all previous deficiencies were corrected and no new noncompliance found.
02 Mar 2022Complaint
02 Mar 2022Complaint
Found deficiencies in infection prevention and control due to staff not wearing masks properly.
§483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
02 Dec 2021Complaint
02 Dec 2021Complaint
Investigated a complaint survey and a COVID-19 focused infection control survey and found no deficiencies.
08 Oct 2021Complaint
08 Oct 2021Complaint
Investigated a complaint survey and a COVID-19 focused infection control survey; found no deficiencies identified.
08 Sept 2021Revisit
08 Sept 2021Revisit
Investigated deficiencies identified earlier; all have been corrected and compliance is restored.
18 Aug 2021Revisit
18 Aug 2021Revisit
Identified a ventilation deficiency in areas storing medical gases. The deficiency was cited as not providing required ventilation under NFPA 99.
NFPA 99, Health Care Facilities Code (2012 edition)Gas Equipment - Cylinder and Container Storage
18 Aug 2021Revisit
18 Aug 2021Revisit
Confirmed that all previously cited deficiencies were corrected and no new noncompliance was found.
03 Aug 2021Revisit
03 Aug 2021Revisit
Found no deficiencies after a follow-up visit; all prior deficiencies were corrected.
10 Jun 2021Complaint
10 Jun 2021Complaint
Found deficiencies in timely resident assessments, adequate ADL care for dependent residents, and follow-up checks after falls, with related documentation gaps noted.
42 CFR 483.20Resident assessment schedule not met
42 CFR 483.25ADL care provided for dependent residents
42 CFR 483.25Neurological checks after falls
—Nutritional/feeding-related deficiencies
10 Jun 2021Life Safety
10 Jun 2021Life Safety
Identified a deficiency regarding lack of a manual remote shut-down switch for boilers; observed during an on-site check.
2006 International Mechanical Code, Section 1004.1, ASME CSD-1 Section CE-110Manual remote shut-down switch for boilers
10 Jun 2021Life Safety
10 Jun 2021Life Safety
An investigation identified multiple life-safety and fire-protection deficiencies, including exit signage, extinguisher inspections, sprinkler system maintenance, electrical systems, and fire-drill practices.
NFPA 101, 2011; Sections 19.3.2.1; 19.3.5.1; 19.3.2.6; 19.3.5.9Sprinkler System – Testing and Maintenance
NFPA 101, 2012; Life Safety CodeElectrical Systems – Maintenance
NFPA 101, 2011; Fire DrillsFire Drills
10 Jun 2021Licensure
10 Jun 2021Licensure
Found no deficiencies and concluded compliance with state requirements.
29 Dec 2020Licensure
29 Dec 2020Licensure
Found no deficiencies identified in the COVID-19 focused infection control survey.
04 Dec 2020Complaint
04 Dec 2020Complaint
Investigated a complaint and a focused infection-control survey; found no deficiencies identified.
22 Sept 2020Revisit
22 Sept 2020Revisit
Verified that prior deficiencies were corrected and a revisit survey found no new noncompliance.
07 Jul 2020Licensure
07 Jul 2020Licensure
Investigated a complaint survey and focused infection prevention survey; found no deficiencies identified.
19 May 2020Licensure
19 May 2020Licensure
Investigated a focused infection control survey and found no deficiencies.
12 Feb 2020Complaint
12 Feb 2020Complaint
Investigated a complaint about pain management and monitoring; findings showed gaps in pain assessment, documentation, and timely administration of pain medications and communication of changes in condition.
CFR 483.25(k)Pain management
CFR 483.25(k)Pain management
28 Aug 2019Revisit
28 Aug 2019Revisit
Found no deficiencies. Follow-up on 2019-08-28 confirmed prior deficiencies were corrected.
25 Jul 2019Revisit
25 Jul 2019Revisit
Concluded that all prior deficiencies were corrected and compliance was restored.
17 Jul 2019Complaint
17 Jul 2019Complaint
Found no deficiencies after investigating the complaint intake WY00002879.
20 Jun 2019Complaint
20 Jun 2019Complaint
Investigated and found deficiencies in assessment accuracy, ADL care, and transfer safety, including harm to a resident during a transfer.
483.20(g)Accuracy of Assessments
483.24(a)(2)ADL Care Provided for Dependent Residents
483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
20 Jun 2019Licensure
20 Jun 2019Licensure
Concluded the facility was in compliance with state requirements. Found no deficiencies.
18 Jun 2019Life Safety
18 Jun 2019Life Safety
Identified a deficiency for failing to protect potable water due to aerators on sinks.
WDH Chapter 3 Section 5 (b)(iv)(E)Potable water protection
18 Jun 2019Life Safety
18 Jun 2019Life Safety
Identified deficiencies in egress protections, delayed egress locks, HVAC damper testing, and electrical system maintenance based on a survey conducted June 18, 2019, with observed noncompliance in several life-safety areas.
2012 NFPA 101, Section: 19.3.4.1; 9.6.1.3Doors and Other Opening Protectives; Means of Egress
2012 NFPA 101, Sections: 18.2.2.2.4; 19.2.2.2.4Delayed Egress Locking System
2012 NFPA 99 Health Care Facilities CodeElectrical Systems - Maintenance and Testing
01 Mar 2019Complaint
01 Mar 2019Complaint
Investigated the complaint and found no deficiencies.
07 Jun 2018Revisit
07 Jun 2018Revisit
Concluded that the provider was in substantial compliance with Federal Requirements after a follow-up survey.
07 Jun 2018Revisit
07 Jun 2018Revisit
Verified previous deficiencies were corrected and no new noncompliance was found; the entity was in compliance with all regulations surveyed.
10 May 2018Complaint
10 May 2018Complaint
Investigated a resident fall and found deficiencies in post-fall assessment and follow-up, including transfer to the hospital by wheelchair rather than ambulance.
42 CFR 483.25 Quality of CareQuality of Care
26 Apr 2018Licensure
26 Apr 2018Licensure
Found deficiencies in transfer/discharge notification, bed-hold procedures, hygiene practices for food service, and management of psychotropic medications.
§483.15(c)(3)-(6)Notice before transfer or discharge
§483.15(d)Bed-hold policy
§483.45(e)(5)PRN orders for psychotropic drugs
§483.60(i)(1)-(2)Food safety requirements
26 Apr 2018Licensure
26 Apr 2018Licensure
Found no deficiencies. The survey determined compliance with state requirements.
25 Apr 2018Life Safety
25 Apr 2018Life Safety
Verified compliance with emergency preparedness requirements. No deficiencies were cited.
03 Jan 2018Complaint
03 Jan 2018Complaint
Investigated a complaint; found no deficiencies.
09 Nov 2017Revisit
09 Nov 2017Revisit
Concluded that all previously cited deficiencies were corrected and no new noncompliance was found.
28 Sept 2017Complaint
28 Sept 2017Complaint
Identified deficiencies related to resident safety, discharge planning, and nursing staffing, with inadequate supervision and care planning documented across several pages.
—Discharge planning and 1:1 supervision
—Care planning and supervision adequacy
—Nursing services staffing
14 Aug 2017Complaint
14 Aug 2017Complaint
Investigated a complaint; found no deficiencies identified.
02 Jun 2017Revisit
02 Jun 2017Revisit
Concluded that deficiencies found in recent surveys were corrected and compliance restored as of May 14, 2017.
02 Jun 2017Revisit
02 Jun 2017Revisit
Investigated and concluded compliance was achieved after follow-up surveys.
26 May 2017Revisit
26 May 2017Revisit
Investigated and found compliance was restored after follow-up surveys.
26 May 2017Revisit
26 May 2017Revisit
Concluded that compliance was restored after follow-up surveys, with deficiencies corrected by May 14, 2017.
20 Apr 2017Licensure
20 Apr 2017Licensure
Identified hot water temperatures above the limit at several fixtures; the mixing valve was adjusted and temperatures have since fallen below the limit.
—Hot water temperature above allowed limit
20 Apr 2017Licensure
20 Apr 2017Licensure
Identified a deficiency in informing residents of their rights and facility rules in a language they understand. The communication was not reliably provided in writing or orally.
Type A483.10(g)(4)Notice and understanding of resident rights and rules in preferred language
19 Apr 2017Life Safety
19 Apr 2017Life Safety
Investigated a ramp outside the secured area and found a rise over 9 inches with no handrails, not meeting safety code requirements.
Found combustibles stored in a mechanical room, indicating improper storage in an area not allowed for combustibles.
2006 IFC 315.2.3Storage of combustibles
21 Nov 2016Revisit
21 Nov 2016Revisit
Found no deficiencies. No violations cited.
11 Oct 2016Complaint
11 Oct 2016Complaint
Investigated grievances showed three reviewed grievances were not investigated or resolved.
—Initial Comments/Grievance process not properly documented
—Concerns & Comment program – follow-up and investigation
08 Jun 2016Revisit
08 Jun 2016Revisit
Verified corrective actions for life safety code deficiencies previously reported.
NFPA 101 Life Safety CodeLife Safety Code
NFPA 101 Life Safety CodeLife Safety Code
NFPA 101 Life Safety CodeLife Safety Code
NFPA 101 Life Safety CodeLife Safety Code
NFPA 101 Life Safety CodeLife Safety Code
NFPA 101 Life Safety CodeLife Safety Code
08 Jun 2016Revisit
08 Jun 2016Revisit
Found no deficiencies. The 6/8/2016 revisit did not identify any violations.
02 Jun 2016Revisit
02 Jun 2016Revisit
Found that the previously cited deficiencies were corrected during a follow-up visit.
483.10(g)(1)
483.13(c)(1)(ii)-(iii), (c)(2)-(4)
483.15(h)(2)
483.20(k)(3)(i)
483.25(a)(2)
483.60(b), (d), (e)
07 Apr 2016Licensure
07 Apr 2016Licensure
Inspections found deficiencies in housekeeping and maintenance, medication handling, resident mobility support, and oversight of medication administration; several corrective actions were noted as needed.
Type A—Housekeeping & Maintenance Services
Type A—Medication Administration
Type A—Mobility/Functional Ability
Type A—Audits of Medication Passes
07 Apr 2016Licensure
07 Apr 2016Licensure
Determined that the facility was in compliance with state requirements.
05 Apr 2016Life Safety
05 Apr 2016Life Safety
Identified a deficiency where emergency eyewash stations did not provide tempered water, failing to meet safety standards.
ANSI Z358.1; 2006 IPC, Sections 411, 608.6, 608.13Tempered water for eyewash stations
05 Apr 2016Life Safety
05 Apr 2016Life Safety
Identified life-safety deficiencies including mislabeling of non-exit doors and improper placement of a fire extinguisher, with additional concerns about exit signage and related documentation.
2000 NFPA 101, Sections 19.2.2.2.1 and 7.2.1.5.4Door labeling for non-exit doors
NFPA 101 Life Safety Code Standard / NFPA 10Fire extinguisher height
15 Apr 2015Revisit
15 Apr 2015Revisit
Identified several deficiencies regarding regulatory requirements; corrected during the follow-up.
483.10(e), 483.75(d)(4)Regulatory deficiencies
483.15(h)(2)Regulatory deficiencies
483.20(d)(3), 483.10(k)(2)Regulatory deficiencies
483.20(k)(3)(ii)Regulatory deficiencies
483.25Regulatory deficiencies
483.25(a)(3)Regulatory deficiencies
483.25(d)Regulatory deficiencies
483.65Regulatory deficiencies
15 Apr 2015Revisit
15 Apr 2015Revisit
Confirmed corrective actions for previously reported deficiencies were completed.
19 Mar 2015Revisit
19 Mar 2015Revisit
Investigated follow-up after a prior survey. All identified deficiencies were corrected and no uncorrected deficiencies remained.
12 Feb 2015Life Safety
12 Feb 2015Life Safety
Investigated a life-safety issue involving corridor doors that did not adequately resist smoke; several doors either lacked self-closing devices or would not fully close.
NFPA 101 Life Safety Code, Section 19.3.2.1 (2000 edition)Doors protecting corridor openings that are capable of resisting the passage of smoke
11 Feb 2015Licensure
11 Feb 2015Licensure
Found privacy and confidentiality of residents' records not adequately protected.
—Privacy/Confidentiality of Records
11 Feb 2015Licensure
11 Feb 2015Licensure
Investigated and found a failure to notify the Licensing Division about an influenza outbreak in February 2015.
W.S. §35-4-107Reporting of infectious diseases to the Wyoming Department of Health
14 Mar 2014Revisit
14 Mar 2014Revisit
Found multiple deficiencies with corrective actions completed by 02/06/2014 and revisited on 2014-03-14.
483.10(b)(11)
483.35(i)
483.60(a),(b)
483.65
483.70(h)(4)
483.75(o)(1)
483.25(a)(3)
483.25(c)
483.20(d)(i)(3)
483.25(b)
10 Jan 2014Complaint
10 Jan 2014Complaint
Identified multiple deficiencies across resident rights, care planning, and daily living services.
Type A—Quality of life / notification of changes
Type A—Provider availability information
Type A—Quality of life / dining and activities
Type A—Continued care / positioning and safety
Type A—Staff training / responsiveness to concerns
Type A—Resident care planning / pain management
Type A—Nutrition / dining services
Type A—Housekeeping / linen and overall environment
Type A—Skin integrity / wound care
Type A—Medication management / resident pain control
08 Jan 2014Life Safety
08 Jan 2014Life Safety
Identified multiple life-safety and electrical-safety deficiencies, including smoke-barrier concerns, doors left open, unsealed penetrations, improper fire alarm operations, and missing/insufficient drills and generator-related practices.
NFPA 101 Life Safety Code StandardCorridor doors held open; not released by fire alarm
NFPA 101 Life Safety Code StandardUnsealed penetrations in smoke barrier walls
NFPA 101 Life Safety Code StandardOpen device not releasing with fire alarm; combustible hazard
NFPA 101 Life Safety Code StandardFire drills not conducted as required
NFPA 70 National Electrical Code; NFPA 72 Fire Alarm/SignalingElectrical safety; use of power taps and extension cords
NFPA 101 Life Safety Code StandardGenerator-related testing/maintenance issues
NFPA 101 Life Safety Code StandardElectrical system loading and attachments
NFPA 101 Life Safety Code StandardPower taps removed; generator-related changes
08 Jan 2014Life Safety
08 Jan 2014Life Safety
The facility showed several fire-safety and life-safety deficiencies, including inadequate smoke barrier integrity, unsealed penetrations, and problems with maintenance and drill practices, indicating non-compliance.
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 1
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 2
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 3
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 4
NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 4
08 Jan 2014Life Safety
08 Jan 2014Life Safety
Identified multiple life-safety deficiencies, including doors that do not resist smoke, penetrations in smoke barriers, and unsafe electrical practices and maintenance gaps.
—Corridor doors resist passage of smoke
—Smoke barrier penetrations / attic penetrations
—Fire alarm system release / door hardware
—Maintenance testing procedures
—Life safety code standard
—Generator / battery testing
—Electrical taps / extension cords
—Additional electrical safety deficiencies
08 Mar 2013Revisit
08 Mar 2013Revisit
Verified corrective actions completed for two deficiencies cited in the prior survey.
483.20(k)(3)(i)
483.25
07 Feb 2013Revisit
07 Feb 2013Revisit
Investigated deficiencies in pain management and documentation of resident pain, with inadequate assessment and recording of analgesic administration.
Type A—Pain management
29 Nov 2012Complaint
29 Nov 2012Complaint
Investigated a complaint and found deficiencies in resident care processes and program oversight, prompting corrective measures.
29 Nov 2012Licensure
29 Nov 2012Licensure
Found no deficiencies. The survey determined compliance with state requirements.
28 Nov 2012Life Safety
28 Nov 2012Life Safety
Identified multiple life-safety deficiencies, including smoke barrier penetrations, electrical wiring issues, hood fire suppression system testing gaps, and insufficient sprinkler/curtain compliance.
NFPA 101 Life Safety Code StandardSmoke barrier integrity and penetrations
NFPA 101 Life Safety Code StandardExit access and egress
NFPA 101 Life Safety Code StandardSpare sprinkler heads and cabinet
NFPA 101 Life Safety Code StandardKitchen hood fire suppression system
NFPA 101 Life Safety Code StandardFlame-retardant window curtains
16 Nov 2012Revisit
16 Nov 2012Revisit
Investigated a deficiency allegation; corrections were completed and a follow-up visit occurred.
03 Oct 2012Complaint
03 Oct 2012Complaint
Investigated a bowel management deficiency and found poor documentation and protocol adherence for a resident.
Type A—Bowel management program and documentation
20 Jul 2012Revisit
20 Jul 2012Revisit
Investigated a complaint alleging uncorrected deficiencies and followed up on corrective actions.
16 May 2012Complaint
16 May 2012Complaint
Found deficiencies in nephrostomy care practices, including lack of in-service training for staff and absence of routine visual audits to verify the nephrostomy tube and bag are secured.
—In-service education and/or training related to this resident's specific needs for prevention of dislodging the nephrostomy tube
—Randomized visualization audit of nephrostomy care including ensuring securement of the nephrostomy tube and bag and use of an abdominal binder prior to care
16 Dec 2011Revisit
16 Dec 2011Revisit
Found deficiencies cited under several regulatory standards; corrections completed.
Investigated deficiencies in resident care planning, infection control, and staff practices during the survey.
—Infection control program
20 Oct 2011Licensure
20 Oct 2011Licensure
Determined the facility was in compliance with state requirements.
18 Oct 2011Life Safety
18 Oct 2011Life Safety
Identified multiple life-safety deficiencies related to smoke barriers, door operation, fire protection systems, electrical wiring, and emergency lighting.
NFPA 101 Life Safety Code StandardSmoke barriers not smoke resistant
NFPA 101 Life Safety Code StandardDoor operations
NFPA 101 Life Safety Code StandardSpace separation by smoke-resisting partitions
NFPA 101 Life Safety Code StandardExit and door clearance
NFPA 101 Life Safety Code StandardEmergency lighting
NFPA 101 Life Safety Code StandardFire drills timing
NFPA 101 Life Safety Code StandardSpare sprinkler stock
NFPA 70 / NFPA 25Sprinkler system maintenance
NFPA 70Panel directory identification
NFPA 70Electrical wiring and equipment
15 Jun 2011Complaint
15 Jun 2011Complaint
Investigated the complaint and found no deficiencies.
17 Mar 2011Complaint
17 Mar 2011Complaint
Investigated the complaint; found no deficiencies.
17 Mar 2011Complaint
17 Mar 2011Complaint
Investigated the complaint and found no deficiencies identified.
17 Mar 2011Complaint
17 Mar 2011Complaint
Found no deficiencies identified.
08 Mar 2011Complaint
08 Mar 2011Complaint
Investigated the complaint and found no deficiencies identified.
31 Jan 2011Revisit
31 Jan 2011Revisit
Investigated a complaint and found life-safety deficiencies; corrections completed.
NFPA 101Life Safety Code deficiency
NFPA 101Life Safety Code deficiency
NFPA 101Life Safety Code deficiency
NFPA 101Life Safety Code deficiency
NFPA 101Life Safety Code deficiency
NFPA 101Life Safety Code deficiency
NFPA 101Life Safety Code deficiency
NFPA 101Life Safety Code deficiency
31 Jan 2011Revisit
31 Jan 2011Revisit
Investigation identified deficiencies requiring corrective actions, with follow-up documenting completed corrections and ongoing review for CMS.
21 Jan 2011Revisit
21 Jan 2011Revisit
Found deficiencies cited during a follow-up visit, with multiple regulatory requirements not fully met and corrections required.
483.13(c)
483.35(c)
483.75(i)(1)
483.45(a)
483.65
483.75(i)(1)
483.75(i)(2)(iv)
16 Dec 2010Licensure
16 Dec 2010Licensure
Investigated a complaint involving resident care, safety, and infection control; multiple deficiencies identified across dietary services, infection control, medication management, and rehabilitation services.
Type A—Protection of residents from mistreatment and abuse; policies and funds
Type A—Dietary; diet consistency and portioning
Type A—Hand hygiene and sanitation
Type A—Medication administration; infection control
Type A—Rehabilitation services
Type A—Laboratory services; documentation
Type A—Medical records; lab results availability
16 Dec 2010Licensure
16 Dec 2010Licensure
Found no licensed full-time administrator on site; marketing director acted as administrator under another license and planned to take the licensing exam.
Type AWyoming Administrative Code, Rules and Regulations for Program Administration of Nursing Care Facilities, Chapter 11, Section 5(a)Governing Body; Organization and Administration
16 Dec 2010Revisit
16 Dec 2010Revisit
Concluded that deficiencies were corrected after follow-up.
15 Dec 2010Life Safety
15 Dec 2010Life Safety
Investigated for life-safety concerns with multiple deficiencies found, including smoke barriers not resistant, unsealed penetrations, delayed egress locking, and inadequate maintenance of fire safety systems and furnishings.
NFPA 101 Life Safety Code StandardSmoke barriers not smoke resistant
NFPA 101 Life Safety Code StandardExit doors—delayed egress
NFPA 101 Life Safety Code StandardFire-resistive construction requirements
NFPA 101 Life Safety Code StandardFlame-retardant furnishings and draperies
NFPA 70 National Electrical Code; NFPA 72 Fire Alarm StandardsElectrical/fire alarm system maintenance
NFPA 70/NFPA 72Fire alarm system testing and maintenance
NFPA 70Kitchen equipment spacing and clearance
NFPA 101 Life Safety Code StandardAdditional furnishings and flame-retardant standards
07 Dec 2009Revisit
07 Dec 2009Revisit
Identified life safety code deficiencies during a revisit; deficiencies were cited.
NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
04 Dec 2009Revisit
04 Dec 2009Revisit
Identified life-safety deficiencies and verified 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
NFPA 101 Life Safety CodeLife Safety Code deficiency
NFPA 101 Life Safety CodeLife Safety Code deficiency
NFPA 101 Life Safety CodeLife Safety Code deficiency
NFPA 101 Life Safety CodeLife Safety Code deficiency
NFPA 101 Life Safety CodeLife Safety Code deficiency
04 Dec 2009Revisit
04 Dec 2009Revisit
Investigated a post-certification revisit and documented the facility details and the revisit date.
30 Sept 2009Life Safety
30 Sept 2009Life Safety
Identified multiple life-safety deficiencies, including issues with smoke barriers, door operations, and interior finishes, indicating non-compliance with required standards.
NFPA 101 Life Safety Code StandardSmoke partitions not continuous
NFPA 101 Life Safety Code StandardDoor closings/proper functioning
NFPA 101 Life Safety Code StandardInterior finishes flame spread rating
NFPA 101 Life Safety Code StandardDoor hardware/clearances
NFPA 101 Life Safety Code StandardHazardous area separation by smoke-resistant assemblies
NFPA 101 Life Safety Code StandardHazardous area/egress barrier integrity
NFPA 101 Life Safety Code StandardAdditional life-safety barriers and spacing
30 Sept 2009Licensure
30 Sept 2009Licensure
Determined a deficiency in nursing home licensing regulations; the survey also concluded the facility was in compliance with state requirements.
—LIC REGS FOR NURSING HOMES
30 Sept 2009Licensure
30 Sept 2009Licensure
Investigated a complaint and found multiple deficiencies in resident care, medication management, and policy implementation affecting resident dignity, sleep assessment, and drug regimens.
—Care for residents – dignity and respect
—Medically-related social services
—Unnecessary drugs – drug regimen review
—Mistreated/neglected residents – policies
21 May 2009Revisit
21 May 2009Revisit
Investigated follow-up visit found no deficiencies cited. Corrections for prior deficiencies were completed.
19 Mar 2009Complaint
19 Mar 2009Complaint
Identified deficiencies in care planning and prevention of pressure ulcers; care plans did not address residents' repositioning needs and the risk of developing pressure sores.
483.20(d), 483.20(k)(1)COMPREHENSIVE CARE PLANS
483.25(c) PRESSURE SORESPRESSURE SORES
16 Oct 2008Revisit
16 Oct 2008Revisit
Found no deficiencies.
16 Oct 2008Revisit
16 Oct 2008Revisit
Investigated the follow-up of the original findings and verified that corrective actions were completed; no deficiencies remained outstanding.
24 Sept 2008Revisit
24 Sept 2008Revisit
Investigated and found multiple deficiencies cited in regulatory areas during a revisit, including resident rights, care planning, and medication-related practices.
483.10(c), 483.75(i)(4)
483.13(c)
483.15(g)(1)
483.15(h)(2)
483.20(k)(3)(i)
483.20(k)(3)(ii)
483.65(a)(2)
483.25(d)
483.65(a)(3)
483.65(b)(3)
19 Aug 2008Life Safety
19 Aug 2008Life Safety
Identified life-safety deficiencies related to smoke barriers, exit access, and emergency planning. Noted multiple deficiencies requiring corrective actions.
Type ANFPA 101 Life Safety Code StandardSmoke barriers/door integrity
Type ANFPA 101 Life Safety Code StandardExit access/egress
Type ANFPA 101 Life Safety Code StandardSmoke barrier doors/penetrations
Type ANFPA 101 Life Safety Code/Emergency PlanningWritten plan for protection and evacuation
17 Jul 2008Licensure
17 Jul 2008Licensure
Investigated a facility with multiple deficiencies involving privacy and confidentiality, dignity, abuse reporting, and adequacy of care planning and assessments.
483.10(e), 483.75(i)(4)Privacy and Confidentiality
483.13(c)Staff Treatment of Residents
483.15(h)(2)Dignity
483.20(k)(3)(i)Comprehensive Care Plans
483.20(r)Comprehensive Assessments
17 Jul 2008Licensure
17 Jul 2008Licensure
Investigated deficiencies in tuberculin testing documentation for staff; two employees lacked documented TB test results prior to resident contact.
State Rules and Regulations; Rules and Regulations for Program Administration of Nursing Care Facilities. Chapter 11.State Rules and Regulations
17 Jul 2008Life Safety
17 Jul 2008Life Safety
Investigated a complaint and found multiple deficiencies affecting life safety, including issues with smoke partitions, exit signage, and fire safety systems.
01 Jun 2006Revisit
01 Jun 2006Revisit
The agency identified deficiencies during the revisit and noted corrections completed after the initial findings.
01 May 2006Revisit
01 May 2006Revisit
Investigated and confirmed corrections completed for previously cited deficiencies.
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22 Mar 2006Licensure
22 Mar 2006Licensure
An inspection identified multiple deficiencies in care practices, appearance and cleanliness, medication management, and staffing that affected resident dignity and overall safety. The findings show several areas where care and services did not meet required standards.
483.15(a)Dignity
483.20(h)(2)Housekeeping/Maintenance
483.16(h)(2)Housekeeping/Maintenance
483.25(k)Special Needs
483.25(m)(1)Medication Errors
483.30(a)Nursing Services - Sufficient Staff
08 Mar 2006Life Safety
08 Mar 2006Life Safety
Identified several life-safety deficiencies, including a delayed-egress lock on an exit, inadequate exit sign illumination, sprinkler system maintenance concerns, oxygen storage issues, electrical wiring standards, and improper linen/trash storage practices.
NFPA 101 Life Safety Code StandardDelayed egress locks on exit
NFPA 101 Life Safety Code Standard, Section 7.10.5.2Exit signs
NFPA 101 Life Safety Code Standard and NFPA 13/NFPA 25Sprinkler system installation and maintenance
NFPA standards related to medical gas storageOxygen storage
NFPA 70 National Electrical CodeElectrical wiring and equipment
NFPA 101 Life Safety Code StandardLinen and trash receptacles capacity
28 Apr 2005Revisit
28 Apr 2005Revisit
Investigated prior deficiencies and confirmed corrections completed.
06 Apr 2005Revisit
06 Apr 2005Revisit
Concluded that previously cited life-safety deficiencies were corrected and substantial compliance was achieved.
NFPA 101Life safety code deficiency
NFPA 101Life safety code deficiency
NFPA 101Life safety code deficiency
NFPA 101Life safety code deficiency
NFPA 101Life safety code deficiency
NFPA 101Life safety code deficiency
NFPA 101Life safety code deficiency
NFPA 101Life safety code deficiency
29 Mar 2005Life Safety
29 Mar 2005Life Safety
Identified multiple life-safety deficiencies related to emergency lighting, door integrity, and ongoing maintenance practices.
NFPA 101 Life Safety Code StandardLife Safety Code Standard
NFPA 101 Life Safety Code StandardEmergency Lighting/Power for Egress
NFPA 70 National Electrical CodeElectrical Wiring/Equipment Compliance
NFPA 70 National Electrical Code; CMS PolicyElectrical Wiring/Electrical Equipment in Accordance with NFPA 70
10 Feb 2005Life Safety
10 Feb 2005Life Safety
Identified multiple life-safety deficiencies, including door hardware not latching properly, inadequate maintenance of fire extinguishers, and issues with exit lighting and detector/testing practices.
NFPA 101 LIFE SAFETY CODE STANDARDDoor hardware not functioning
NFPA 101 LIFE SAFETY CODE STANDARDHazardous areas separation
NFPA 101 LIFE SAFETY CODE STANDARDEmergency/exit lighting
NFPA 101 LIFE SAFETY CODE STANDARDFire extinguisher maintenance/availability
NFPA 101 LIFE SAFETY CODE STANDARDGeneral life-safety compliance
03 Feb 2005Licensure
03 Feb 2005Licensure
The site showed privacy concerns with resident telephone use and incomplete resident assessments and care planning.
483.10(k)TELEPHONE
483.20(b)RESIDENT ASSESSMENT
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