Life Care Center of Casper

    4041 S Poplar St, Casper, WY 82601
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Loving attentive staff, clean facility

    I'm very pleased with LifeCare - the staff are loving, attentive and professional, the facility is clean and well-maintained, and nursing and therapy care helped my loved one feel safe and comfortable. Admissions and Medicaid coordination were smooth, communication with family was proactive, and visits were pleasant; I'd recommend LifeCare for compassionate, family-like care.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.70·(249)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.6
    • Staff

      4.7
    • Meals

      4.1
    • Amenities

      4.5
    • Value

      1.5

    Pros

    • Compassionate and attentive nursing and CNA staff
    • Responsive and communicative admissions team
    • Strong physical, occupational, and speech therapy services
    • Effective interdisciplinary coordination across departments
    • Clean, bright, and odor-free facility
    • Well-maintained grounds and courtyard with aviary
    • Engaging activities and visiting programs (therapy dog, trivia)
    • Family-friendly amenities including private dining space
    • Supportive social work and front-office problem-solving
    • Respectful staff–resident interpersonal interactions
    • Rehab-focused care with clear discharge planning
    • Knowledgeable and personable dietary team
    • Hygiene-conscious infection-control practices

    Cons

    • Inconsistent meal quality and temperature control
    • Variable staff responsiveness and conduct
    • Personal-item security and belongings-management gaps
    • Roommate-compatibility and shared-room privacy challenges
    • Occasional understaffing affecting service consistency
    • Gaps in discharge and transport coordination
    • Inconsistent clinical monitoring and therapy oversight

    Summary of reviews

    Life Care Center of Casper receives substantial praise for its frontline caregiving and rehabilitative services. Reviewers frequently highlight compassionate, attentive CNAs and nurses, an effective admissions team, and a highly regarded therapy department (physical, occupational, and speech therapy) that supports many residents' return home. The facility's interdisciplinary coordination — encompassing nursing, therapy, dietary, activities, administration, environmental services, and maintenance — is commonly described as well organized, and social work/front-desk staff are often singled out for problem-solving and family communication.

    Clinical care is generally presented positively: families describe attentive hands-on care, restorative therapy progress, and a staff that takes time with residents. At the same time, a small number of reviewers raised concerns about clinical monitoring in specific situations (for example, oxygen-therapy oversight). These accounts suggest variability in clinical oversight and indicate that families may wish to clarify monitoring protocols and escalation procedures during admission and care-planning conversations.

    Dining and nutrition receive mixed but useful commentary. Several reviewers praised the dietary team and menu variety and named individual staff for professionalism and responsiveness. Others described inconsistent meal temperature, occasional small or meager portions, and service lapses (for example, food arriving cold or requiring reheating). Prospective residents and families may want to ask about meal-service practices, accommodations for preferences, and routine procedures for maintaining meal temperature.

    Recreation and environment are strengths. The building and grounds are repeatedly described as clean, bright, and well maintained, with a pleasant courtyard and a small aviary that contribute to resident engagement. Activities programming — including visiting therapy dogs, trivia, themed events, and private family dining options — is commonly appreciated for promoting socialization and emotional wellbeing.

    Operational issues raised across reviews point to several recurring patterns. Some reviewers noted variability in staff conduct and responsiveness, and a number of comments pointed to understaffing or an overwhelmed workforce at times. There are also recurring concerns about roommate compatibility in shared rooms and procedural gaps around personal-item security and transport coordination at discharge or return to facility. A few reviewers raised more serious concerns, including an allegation related to a resident's death and instances of missing personal items; these are isolated in the context of overall sentiment but should prompt direct inquiry by families about safeguards, incident reporting, and investigatory practices.

    In summary, Life Care Center of Casper is frequently praised for compassionate caregiving, strong rehabilitative services, a clean and engaging environment, and responsive admissions and social-work staff. The main operational areas to probe further are meal-service consistency, roommate-assignment and privacy practices, personal-property safeguards, transport/discharge coordination, and specific clinical-monitoring protocols. Families prioritizing rehabilitation, a family-oriented culture, and active programming are likely to find the facility well suited, provided they confirm arrangements in the areas noted above during intake and care planning.

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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

    Map showing location of Life Care Center of Casper

    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 numbernh-185
    Facility typeNursing Home

    Inspection Reports

    133

    Reports

    29

    Type A Citations

    0

    Type B Citations

    44

    Complaints

    21

    Years

    17 Dec 2024Revisit
    Confirmed no deficiencies and overall compliance with all regulations after revisit.
    11 Dec 2024Revisit
    Concluded compliance after a Life Safety Code revisit; all prior deficiencies corrected and no new noncompliance found.
    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
    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
    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
    Found no deficiencies and confirmed full compliance.
    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
    Concluded that all prior deficiencies were corrected and no new noncompliance was found.
    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
    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) 19.3.2.5.5; 9.2.3; NFPA 96 (2011) 12.1.2.3Cooking Facilities
    • NFPA 101 (2012) 19.3.4.1; 9.6.1.3; NFPA 72 (2010) 26.3.4.3; Table 14.4.5(20)Fire Alarm System - Testing and Maintenance
    • NFPA 101 (2012) 19.3.5.1; 9.7.5; NFPA 25 (2011) 5.2.1.2Sprinkler System - Installation
    • NFPA 101 (2012) 19.5.1.1; 9.1.1; NFPA 54 (2012) 9.6.1.2Utilities - Gas and Electric
    • NFPA 101 (2012) 19.7.6; 8.3.3.1; NFPA 80 (2010) 5.2; 5.2.3Maintenance, Inspection & Testing - Doors
    • 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
    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
    Found no deficiencies. The survey concluded compliance with state requirements.
    19 Apr 2023Complaint
    Found no deficiencies identified during the complaint survey.
    22 Feb 2023Complaint
    Found no deficiencies related to the complaints. A complaint survey was conducted.
    23 Nov 2022Revisit
    Verified that all prior deficiencies were corrected and no new noncompliance was found.
    04 Oct 2022Revisit
    Confirmed prior deficiencies were corrected and no new noncompliances were found.
    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 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 101 Life Safety Code (Delayed Egress/Exit Locking) 2012 editionEgress doors - delayed egress
    • NFPA 101 Life Safety Code (Doors with Self-Closing Devices) 2012 editionDoors with self-closing devices
    • NFPA 101 Life Safety Code and NFPA 96 (Cooking Facilities) 2012/2011 editionsCooking facilities protection
    • NFPA 101 19.3.5.1; 9.7.5; NFPA 25 5.2.1.2Sprinkler system - maintenance and storage clearance
    • NFPA 101 19.3.5.1.2; NFPA 9.7.4.1; NFPA 10 6.1.3.3.1Portable fire extinguishers
    • NFPA 101 19.7.5.1; 19.7.5.6; 10.3.1Combustible decorations
    • NFPA 101 19.7.8Portable space heaters
    • NFPA 110; NFPA 101 19.5.1.1; 9.1.3.1Electrical systems - essential electric system maintenance and testing
    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
    27 Apr 2022Revisit
    Concluded that all previous deficiencies were corrected and no new noncompliance found.
    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
    Investigated a complaint survey and a COVID-19 focused infection control survey and found no deficiencies.
    08 Oct 2021Complaint
    Investigated a complaint survey and a COVID-19 focused infection control survey; found no deficiencies identified.
    08 Sept 2021Revisit
    Investigated deficiencies identified earlier; all have been corrected and compliance is restored.
    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
    Confirmed that all previously cited deficiencies were corrected and no new noncompliance was found.
    03 Aug 2021Revisit
    Found no deficiencies after a follow-up visit; all prior deficiencies were corrected.
    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 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
    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, 2012; Sections 19.2.10.1; 7.10.1.1; 7.10.1.5.1Exit signage
    • NFPA 101, 2010; Section 13.4.2.1; 13.4.2.6; 13.4.2.4Portable Fire Extinguishers – Inspections
    • 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
    Found no deficiencies and concluded compliance with state requirements.
    29 Dec 2020Licensure
    Found no deficiencies identified in the COVID-19 focused infection control survey.
    04 Dec 2020Complaint
    Investigated a complaint and a focused infection-control survey; found no deficiencies identified.
    22 Sept 2020Revisit
    Verified that prior deficiencies were corrected and a revisit survey found no new noncompliance.
    07 Jul 2020Licensure
    Investigated a complaint survey and focused infection prevention survey; found no deficiencies identified.
    19 May 2020Licensure
    Investigated a focused infection control survey and found no deficiencies.
    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
    Found no deficiencies. Follow-up on 2019-08-28 confirmed prior deficiencies were corrected.
    25 Jul 2019Revisit
    Concluded that all prior deficiencies were corrected and compliance was restored.
    17 Jul 2019Complaint
    Found no deficiencies after investigating the complaint intake WY00002879.
    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
    Concluded the facility was in compliance with state requirements. Found no deficiencies.
    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
    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 101, Sections: 19.5.2.1; 9.2HVAC Systems - Maintenance & Testing
    • 2012 NFPA 99 Health Care Facilities CodeElectrical Systems - Maintenance and Testing
    01 Mar 2019Complaint
    Investigated the complaint and found no deficiencies.
    07 Jun 2018Revisit
    Concluded that the provider was in substantial compliance with Federal Requirements after a follow-up survey.
    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
    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
    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
    Found no deficiencies. The survey determined compliance with state requirements.
    25 Apr 2018Life Safety
    Verified compliance with emergency preparedness requirements. No deficiencies were cited.
    03 Jan 2018Complaint
    Investigated a complaint; found no deficiencies.
    09 Nov 2017Revisit
    Concluded that all previously cited deficiencies were corrected and no new noncompliance was found.
    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
    Investigated a complaint; found no deficiencies identified.
    02 Jun 2017Revisit
    Concluded that deficiencies found in recent surveys were corrected and compliance restored as of May 14, 2017.
    02 Jun 2017Revisit
    Investigated and concluded compliance was achieved after follow-up surveys.
    26 May 2017Revisit
    Investigated and found compliance was restored after follow-up surveys.
    26 May 2017Revisit
    Concluded that compliance was restored after follow-up surveys, with deficiencies corrected by May 14, 2017.
    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
    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
    Found combustibles stored in a mechanical room, indicating improper storage in an area not allowed for combustibles.
    • 2006 IFC 315.2.3Storage of combustibles
    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.
    • 2012 NFPA 101 Sections 19.2.2.6; 3.3.219; 7.2.5.2(2)(c)Ramp with insufficient handrails; improper ramp height
    21 Nov 2016Revisit
    Found no deficiencies. No violations cited.
    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
    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
    Found no deficiencies. The 6/8/2016 revisit did not identify any violations.
    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
    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 AHousekeeping & Maintenance Services
    • Type AMedication Administration
    • Type AMobility/Functional Ability
    • Type AAudits of Medication Passes
    07 Apr 2016Licensure
    Determined that the facility was in compliance with state requirements.
    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
    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
    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
    Confirmed corrective actions for previously reported deficiencies were completed.
    19 Mar 2015Revisit
    Investigated follow-up after a prior survey. All identified deficiencies were corrected and no uncorrected deficiencies remained.
    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
    Found privacy and confidentiality of residents' records not adequately protected.
    • Privacy/Confidentiality of Records
    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
    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
    Identified multiple deficiencies across resident rights, care planning, and daily living services.
    • Type AQuality of life / notification of changes
    • Type AProvider availability information
    • Type AQuality of life / dining and activities
    • Type AContinued care / positioning and safety
    • Type AStaff training / responsiveness to concerns
    • Type AResident care planning / pain management
    • Type ANutrition / dining services
    • Type AHousekeeping / linen and overall environment
    • Type ASkin integrity / wound care
    • Type AMedication management / resident pain control
    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
    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 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 Mar 2013Revisit
    Verified corrective actions completed for two deficiencies cited in the prior survey.
    • 483.20(k)(3)(i)
    • 483.25
    07 Feb 2013Revisit
    Investigated deficiencies in pain management and documentation of resident pain, with inadequate assessment and recording of analgesic administration.
    • Type APain management
    29 Nov 2012Licensure
    Found no deficiencies. The survey determined compliance with state requirements.
    29 Nov 2012Complaint
    Investigated a complaint and found deficiencies in resident care processes and program oversight, prompting corrective measures.
    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 70 / NFPA 101 (as applicable)Temporary electrical wiring
    • NFPA 101 Life Safety Code StandardFlame-retardant window curtains
    16 Nov 2012Revisit
    Investigated a deficiency allegation; corrections were completed and a follow-up visit occurred.
    03 Oct 2012Complaint
    Investigated a bowel management deficiency and found poor documentation and protocol adherence for a resident.
    • Type ABowel management program and documentation
    20 Jul 2012Revisit
    Investigated a complaint alleging uncorrected deficiencies and followed up on corrective actions.
    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
    Found deficiencies cited under several regulatory standards; corrections completed.
    • 483.15(c)(6)483.15(c)(6)
    • 483.20(d)(3), 483.10(k)(2)483.20(d)(3), 483.10(k)(2)
    • 483.20(k)(3)(ii)483.20(k)(3)(ii)
    • 483.25(c)(6)483.25(c)(6)
    09 Dec 2011Revisit
    Identified multiple life-safety deficiencies requiring correction; follow-up completed with corrections documented.
    • NFPA 101Life Safety Code
    • NFPA 101Life Safety Code
    • NFPA 101Life Safety Code
    • NFPA 101Life Safety Code
    • NFPA 101Life Safety Code
    20 Oct 2011Licensure
    Investigated deficiencies in resident care planning, infection control, and staff practices during the survey.
    • Infection control program
    20 Oct 2011Licensure
    Determined the facility was in compliance with state requirements.
    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
    Investigated the complaint and found no deficiencies.
    17 Mar 2011Complaint
    Investigated the complaint and found no deficiencies identified.
    17 Mar 2011Complaint
    Investigated the complaint; found no deficiencies.
    17 Mar 2011Complaint
    Found no deficiencies identified.
    08 Mar 2011Complaint
    Investigated the complaint and found no deficiencies identified.
    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
    Investigation identified deficiencies requiring corrective actions, with follow-up documenting completed corrections and ongoing review for CMS.
    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
    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 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 AProtection of residents from mistreatment and abuse; policies and funds
    • Type ADietary; diet consistency and portioning
    • Type AHand hygiene and sanitation
    • Type AMedication administration; infection control
    • Type ARehabilitation services
    • Type ALaboratory services; documentation
    • Type AMedical records; lab results availability
    16 Dec 2010Revisit
    Concluded that deficiencies were corrected after follow-up.
    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
    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
    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
    Investigated a post-certification revisit and documented the facility details and the revisit date.
    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 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
    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
    Investigated follow-up visit found no deficiencies cited. Corrections for prior deficiencies were completed.
    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
    Found no deficiencies.
    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
    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
    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
    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 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 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
    The agency identified deficiencies during the revisit and noted corrections completed after the initial findings.
    01 May 2006Revisit
    Investigated and confirmed corrections completed for previously cited deficiencies.
    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
    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
    Investigated prior deficiencies and confirmed corrections completed.
    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
    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
    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
    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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