Life Care Center of Cheyenne

    1330 Prairie Ave, Cheyenne, WY 82009
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Compassionate care with excellent therapy

    I'm very pleased with my loved one's stay - the staff were consistently friendly, attentive, and went above and beyond. The facility is clean, updated and homey, with a large, well-staffed PT gym and excellent therapy options. Meals were good with choices, activities (therapy dogs, ice cream/popcorn, even a staff-arranged date night) kept residents engaged, and transportation/case management were reliable. Overall I'm grateful for the compassionate, professional care and would recommend it.

    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

    4.74·(97)

    Overall rating

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

      4.5
    • Staff

      4.5
    • Meals

      4.1
    • Amenities

      3.8
    • Value

      4.7

    Pros

    • Compassionate, responsive nursing and caregiving staff
    • Strong, well-resourced physical and occupational therapy program
    • Knowledgeable rehabilitation therapists and large therapy space
    • Effective case management and care-transition coordination
    • On-site transportation services and arranged outings
    • Clean, updated, homey facility interior
    • Nutritious meals with choice options and occasional special meals/treats
    • Engaging recreational and social programming (therapy dogs, events, social nights)
    • Welcoming admissions and front-desk experience
    • Assistance with insurance navigation and administrative needs
    • Smooth check-in/out and discharge transitions
    • Staff willingness to provide personalized accommodations and extras

    Cons

    • Staffing shortages contributing to slower response times
    • Inconsistent medication-administration processes
    • Variable communication between clinical staff and families
    • Inconsistent attention to personal-care tasks and linen-change timeliness
    • Odor concerns in some common areas
    • Limited dining variety at times
    • Inconsistent temperature regulation and noise control
    • Limited visitation and phone-access flexibility during infection-control events

    Summary of reviews

    Life Care Center of Cheyenne is frequently described as a rehabilitation- and therapy-focused center with a strong clinical orientation toward physical and occupational therapy. Reviewers routinely highlight a large, well-equipped therapy space and an experienced therapy staff that prioritize functional recovery. Many families and residents characterized the clinical and rehab teams as knowledgeable and effective, and noted successful discharges home following short rehabilitative stays.

    The facility's frontline staff receive consistently positive comments: nursing, CNAs, reception, and admissions personnel are commonly described as warm, welcoming, and willing to go beyond routine expectations. Case management and admissions staff are noted for facilitating transitions and helping with insurance and outpatient coordination. On-site transportation and arranged outings are available, and staff have been recognized for arranging personalized gestures (flowers, special meals, social nights) that support resident well-being.

    Dining and activities are strengths for many residents. Meals are described as nutritious with choice options; occasional off-site meals and special treats (ice cream, popcorn) and programmed events (therapy-dog visits, organized social nights) contribute to a lively social environment. Recreational programming and opportunities for social interaction were highlighted as meaningful contributors to resident morale.

    Facility condition is generally viewed positively: reviewers describe a clean, bright, and updated interior with a homey atmosphere. The center's administrative systems—check-in/out, admissions, and front-desk interactions—are cited as efficient and user-friendly.

    Notable patterns of concern relate to operational consistency. Several reviews indicate staffing shortages at times, which can slow response times and affect timeliness for personal-care tasks and linen changes. There are mentions of medication-administration lapses and inconsistent communication between staff and families, suggesting opportunities to strengthen clinical handoffs and documentation. Housekeeping and shift-level practices appear uneven in places, with odor concerns noted in some common areas and occasional lapses in storage/housekeeping practices. Some families also described limited meal variety at times and intermittent issues with temperature control and noise.

    Finally, infection-control events (for example, lockdowns or outbreaks) have at times resulted in restricted phone or visitation access; prospective families should clarify current visitation policies and contingency plans. Overall, the center demonstrates clear strengths in rehabilitation, compassionate frontline staff, and engaging programming, paired with operational areas—staffing consistency, medication processes, housekeeping consistency, and communication—where targeted improvements could enhance the resident and family experience. Prospective residents and families may find the facility well suited for therapy-focused short stays but should inquire about staffing patterns, medication safeguards, and current visitation policies during the decision process.

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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 Cheyenne

    Life Care Center of Cheyenne is located at 1330 Prairie Ave, Cheyenne, WY, 82009.

    About Life Care Center of Cheyenne

    Life Care Center of Cheyenne sits at 1330 Prairie Ave. in Cheyenne, WY, and has space for folks who need different kinds of care, whether someone's needing skilled nursing, short-term rehab, memory care for dementia or Alzheimer's, assisted living, adult day care, or even help at home with home health care if that's needed. The building's got private rooms, each furnished with a hospital bed, vanity, seating area, and a private bathroom, which means a bit more comfort and privacy than sharing a space, and the rooms have an emergency call system in case someone needs help quick. Staff and an on-site physician work together for 24-hour nursing care, and they can help with daily living needs, medication, post-op recovery, or any of the basics seniors might not be able to manage themselves anymore.

    They try to keep things lively with a full-time activities director, and folks get to join in games, outings, social gatherings, entertainment, and spiritual care services if that's important to them. Residents can spend time in a lounge, walk on garden paths, relax in the courtyard, chat in the library, or get to appointments and errands using the facility's transportation service. Meals happen restaurant-style in a dining room that feels warm and comfortable, so nobody has to eat alone if they don't want to.

    Care plans get built around what each person needs, so if someone needs help with things like bathing or moving around, or more serious therapy like physical, occupational, or speech therapy, there's someone around to help, and the in-house rehab team uses things like the AlterG Anti-Gravity Treadmill for special rehab needs. For memory care, the place has specialized staff and programs, trying to give folks with Alzheimer's or dementia a safe and steady routine. Residents use amenities like a beauty barber shop, get help with laundry and housekeeping, and the idea is to let people keep as much independence as possible while still having help around. The team tries to stick to a homelike feeling, and the facility offers both long-term and short-term stays, depending on what's needed.

    They post updates and news on their Facebook page, and they listen to resident feedback to keep things running smoothly. The whole operation falls under Life Care Centers of America, which means there's some consistency in standards and values, and the staff's purpose is to provide good, reliable care rather than just a place to stay.

    People often ask...

    Life Care Center of Cheyenne offers assisted living, memory care, and skilled nursing.

    There are 36 photos of Life Care Center of Cheyenne on Mirador.

    The full address for this community is 1330 Prairie Ave, Cheyenne, WY 82009.

    No, Life Care Center of Cheyenne 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-189
    Facility typeNursing Home

    Inspection Reports

    135

    Reports

    17

    Type A Citations

    0

    Type B Citations

    51

    Complaints

    21

    Years

    17 Apr 2025Complaint
    Investigated a complaint. Determined that no deficiencies were identified pertaining to the complaint investigation.
    18 Oct 2024Revisit
    Verified that prior deficiencies were corrected and no new noncompliance was found.
    05 Sept 2024Complaint
    Investigated a complaint and found medications were not safely stored; a medication cup with capsules was left unattended on top of a cart and not labeled.
    • 42 CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
    09 Aug 2024Revisit
    Found no deficiencies after the follow-up survey. All regulations surveyed were in compliance.
    09 Aug 2024Revisit
    Found no deficiencies. Confirmed compliance with all regulations surveyed.
    06 Jun 2024Licensure
    Found failures to update care plans for depression and to document psychoactive medication target symptoms. Also noted improper monitoring of psychotropic medications.
    • CFR 483.21(b)(2)Care Plan Timing and Revision
    • CFR 483.45(e)(1)-(5)Psychotropic Drugs
    05 Jun 2024Life Safety
    Identified deficiencies in fire alarm testing/maintenance and electrical system testing. The issues involved missing location/pass-fail documentation for alarm notifications and lack of testing for main and feeder circuit breakers.
    • NFPA 101, Sec. 19.3.4.1, 9.6.1.3; NFPA 72, Table 14.4.5Fire Alarm System - Testing and Maintenance
    • 2012 NFPA 99 Ch.10 Sec. 4.4.1.2Health Care Facilities Code - Other
    26 Sept 2023Complaint
    Found no deficiencies identified during the complaint survey and the COVID-19 focused infection control review.
    02 Jun 2023Complaint
    Investigated the complaint and found no deficiencies.
    19 May 2023Revisit
    Found no deficiencies. The revisit confirmed compliance with all regulations surveyed.
    03 Apr 2023Revisit
    Verified that previously identified deficiencies were corrected and that emergency preparedness and life safety code requirements are met.
    • 42 CFR 483.73Emergency Preparedness
    • 42 CFR 483.90Life Safety Code
    02 Mar 2023Complaint
    Identified deficiencies across care planning, quality of care, fall prevention, medication labeling/storage, and records safeguarding.
    • CFR 483.21(b)(1)-(3)Develop/Implement Comprehensive Care Plan
    • CFR 483.25Quality of care
    • CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    • CFR 483.45(g)-(h)Label/Store Drugs and Biologicals
    • CFR 483.20(f)(5), 483.70(i)Resident Records - Identifiable Information
    02 Mar 2023Licensure
    Found no deficiencies. The survey concluded compliance with state requirements.
    01 Mar 2023Life Safety
    Found multiple life-safety deficiencies related to means of egress, door operations, hazardous-area enclosure, electrical clearance, and gas cylinder storage.
    • NFPA 101 (2012) 19.2.1; 7.1.6Means of Egress - General
    • NFPA 101 (2012) 7.2.1.8.2; 18.2.2.2.7; 18.2.2.2.8; 19.2.2.2.7; 19.2.2.2.8Doors with Self-Closing Devices
    • NFPA 101 (2012) 19.3.2.1.3Hazardous Areas - Enclosure
    • NFPA 101 (2012) 19.5.1.1; 9.1.2; NFPA 70 (2011) 210.8(B)(5)Electrical Equipment - Other
    • NFPA 55 (2010) 7.1.8.4Gas Equipment - Cylinder and Container Storage
    11 Jul 2022Complaint
    Investigated the complaint and found no deficiencies identified.
    22 Apr 2022Complaint
    Investigated a complaint and a COVID-19 focused infection control review; no deficiencies were identified.
    25 Mar 2022Revisit
    Verified all previously identified deficiencies were corrected and compliance with all regulations was achieved.
    18 Mar 2022Revisit
    Verified that previously cited deficiencies were corrected and found no new noncompliance.
    25 Feb 2022Revisit
    Verified that all previously cited deficiencies were corrected and no new noncompliance was found.
    27 Jan 2022Life Safety
    Identified inadequate pressure and water flow at an eyewash station due to a stuck mixing valve; repairs were performed.
    • 2006 International Plumbing Code Section 411.1; ANSI-Z358.1Eye wash station — inadequate pressure and water flow
    27 Jan 2022Life Safety
    Identified several life-safety deficiencies related to egress doors, hazardous-area enclosures, sprinkler systems, and electrical safety.
    • NFPA 101 2012, 19.2.2.2.4; 7.2.1.6.1.1; 18.2.2.2.5.1; 18.2.2.2.6; 19.2.2.2.5.1; 19.2.2.2.6Egress Doors
    • NFPA 101 2012, 19.2.2.2.4; 7.2.1.6.1.1Doors with Self-Closing Devices
    • NFPA 101 2012, 19.3.2; 8.7.1; 8.3.5.1; 19.3.5.9; 18.7.1; 19.3.5.9Hazardous Areas - Enclosure
    • NFPA 101 2012, 19.3.5.1; 19.3.5.2; 19.3.5.3; 19.3.5.4; 19.3.5.5; 19.4.2; 19.3.5.10; 9.7; 9.7.1.1(1); 2010 NFPA 13, 8.3.2.5; Table 6.2.5.1Sprinkler System - Installation
    • NFPA 101 2012, 19.3.5.1; 9.7.5; NFPA 25 2011, 5.2.1.2Sprinkler System - Maintenance and Testing
    • NFPA 101 2012, 19.5.1.1; 9.1.2; NFPA 70 410.22Utilities - Gas and Electric
    26 Jan 2022Licensure
    Found multiple deficiencies across care planning, activities, bathing, incontinence, catheter care, and infection control, indicating non-compliance with federal requirements.
    • CFR(s): 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    • CFR(s): 483.24(a)(2)ADL Care Provided for Dependent Residents
    • CFR(s): 483.24(c)(1)Activities Meet Interest/Needs Each Resident
    • CFR(s): 483.25(e)(1)-(3)Bowel/Bladder Incontinence, Catheter, UTI
    • CFR(s): 483.80(a)-(f)Infection Prevention & Control
    26 Jan 2022Licensure
    Concluded that the facility was in compliance with State requirements.
    29 Dec 2021Complaint
    Found deficiencies in resident rights and visitation policies that hindered resident self-determination and access to visitors.
    • CFR 483.10Resident Rights
    • CFR 483.10Right to Receive/Deny Visitors
    21 Oct 2021Revisit
    Verified the previous deficiency was corrected and found no new noncompliance.
    30 Sept 2021Revisit
    Found no deficiencies. All prior deficiencies corrected.
    17 Sept 2021Complaint
    Found that an electric recliner was not assessed for safety, leading to a fall with injuries.
    • CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
    17 Aug 2021Complaint
    Found no deficiencies after investigating a complaint.
    06 Aug 2021Complaint
    Investigated a verbal abuse allegation and found a deficiency related to ensuring a resident was free from mental abuse.
    • 42 CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    14 Apr 2021Revisit
    Concluded that all previously cited deficiencies were corrected and no new noncompliance was found.
    18 Mar 2021Revisit
    Concluded that deficiencies identified on 02/16/2021 were corrected and compliance restored as of 03/18/2021.
    19 Feb 2021Licensure
    Identified multiple deficiencies in medication self-administration, Medicare/Medicaid notifications, restraints/alarms, dining assistance for residents, medication storage, and kitchen sanitation.
    • 483.10(c)(7)Resident Self-Admin Meds-Clinically Approp
    • 483.10(g)(17)-(18)(i)-(v)Medicaid/Medicare Coverage/Liability Notice
    • 483.10(e); 483.12(a)(2)Right to be Free from Physical Restraints
    • 483.24(a)(2)ADL Care Provided for Dependent Residents
    • 483.45(g)-(h)Label/Store Drugs and Biologicals
    • 483.60(i)Food Procurement,Store/Prepare/Serve-Sanitary
    19 Feb 2021Licensure
    Concluded that the facility met state requirements. No deficiencies were cited.
    16 Feb 2021Life Safety
    Identified safety deficiencies involving egress door locking and hazardous area enclosures; repairs were made and ongoing inspections were planned.
    • NFPA 101 2012, 19.2.2.2.1; 7.2.6.1Egress Doors
    • NFPA 101 2012, 19.3.2.1.3; 19.3.2.1.5(5)Hazardous Areas - Enclosure
    06 Nov 2020Licensure
    Investigated a COVID-19 focused infection control survey and found no deficiencies identified.
    15 Oct 2020Licensure
    Concluded that no deficiencies were identified during a COVID-19 focused infection control survey.
    15 Oct 2020Licensure
    Found no deficiencies identified in the focused infection control survey.
    15 May 2020Licensure
    Found no deficiencies identified during a COVID-19 focused infection control survey conducted on 2020-05-14 to 2020-05-15.
    18 Jul 2019Complaint
    Investigated the complaint; found no deficiencies.
    09 Jul 2019Revisit
    Concluded that all prior deficiencies were corrected and no new noncompliance was found.
    09 Jul 2019Revisit
    Verified no deficiencies found. A follow-up visit confirmed ongoing compliance with all regulations surveyed.
    13 Jun 2019Complaint
    Investigated the complaint and found no deficiencies.
    08 May 2019Complaint
    Found no deficiencies related to the complaint. The complaint survey was conducted on 2019-05-08.
    19 Apr 2019Complaint
    Found no deficiencies identified during the complaint investigation.
    17 Apr 2019Complaint
    Identified no deficiencies related to the complaint during the survey.
    04 Apr 2019Complaint
    Investigated a complaint and found no deficiencies.
    22 Mar 2019Licensure
    Investigated a gastroenteritis outbreak and found that required reporting to the state health department within 24 hours did not occur.
    • Wyoming Rules and Regulations for Nursing Care Facilities, Chapter 11, Section 6(b)(iii)Infection control/reporting of outbreaks to health authorities
    22 Mar 2019Complaint
    Identified failures to notify residents of transfers and bed-holds, to update care plans for equipment use, and to maintain sanitary food-storage areas.
    • CFR §483.15(c)(3)-(6)-(8)Notice Requirements Before Transfer/Discharge
    • CFR §483.15(d)(1)-(2)Notice of Bed Hold Policy Before/Upon Transfer
    • CFR §483.21(b)(1) and §483.10(c)(3)Develop/Implement Comprehensive Care Plan
    • CFR §483.60(i)(1)-(2)Food Procurement,Store/Prepare/Serve-Sanitary
    20 Mar 2019Life Safety
    Determined the site was in compliance with all applicable requirements after an on-site survey.
    27 Feb 2019Revisit
    Verified all prior deficiencies were corrected and back in compliance.
    23 Jan 2019Life Safety
    Identified failure to maintain hazardous-area enclosures due to combustible materials stored in a room larger than 50 square feet with a non-self-closing door near a room heater.
    • NFPA 101, 2012 edition, 19.3.2; 19.3.2.1.3Hazardous Areas - Enclosure
    15 Jan 2019Complaint
    Investigated a complaint survey and concluded that no deficiencies were identified.
    08 Nov 2018Complaint
    Investigated a complaint and found no deficiencies.
    17 Oct 2018Licensure
    Investigated a complaint and found no deficiencies identified.
    19 Apr 2018Complaint
    Investigated the allegation and found no deficiencies.
    17 Apr 2018Revisit
    Found that all previous deficiencies were corrected and no new noncompliance was found.
    13 Apr 2018Revisit
    Verified that prior deficiencies were corrected and no new noncompliance was found.
    19 Mar 2018Complaint
    Investigated a complaint alleging deficiencies; found no deficiencies identified.
    01 Mar 2018Licensure
    Investigated deficiencies related to transfer/discharge notices, bed-hold notices, and data transmission for resident assessments. Found that several transfers lacked written notices, bed-hold notices were not issued, and resident assessment data were not transmitted as required.
    • §483.15(c)(4) Timing of the noticeTiming of transfer/discharge notice
    • §483.15(c)(5) Contents of the noticeContents of transfer/discharge notice
    • §483.15(d)(2) Bed-hold notice upon transferBed-hold notice upon transfer
    • §483.20(f)(2) Transmitting dataTransmitting resident assessment data
    01 Mar 2018Licensure
    Determined the facility was in compliance with state requirements.
    27 Feb 2018Life Safety
    Observed a 3/4-inch gap between fire doors in a smoke compartment, not meeting required standards, and a deficiency was cited.
    • 2012 NFPA 101, Sections 19.2.2.2.1; 7.2.1.15.2; 2010 NFPA 80, Section 6.3.1.7.1Fire doors not maintained to prevent gaps
    30 Jun 2017Revisit
    Confirmed compliance after a revisit survey; prior deficiencies from a May 15 complaint investigation were corrected by June 28, 2017.
    30 Jun 2017Complaint
    Investigated a complaint survey; found no deficiencies.
    15 May 2017Complaint
    Determined deficiencies in diabetes care, including a delay between glucose testing and insulin administration and issues with timing relative to meals.
    • Pain management; diabetes care and timely insulin administration
    15 May 2017Revisit
    Concluded that compliance was restored after a revisit survey addressing deficiencies noted in a prior licensure survey.
    15 May 2017Revisit
    Concluded that compliance was restored after follow-up surveys addressing prior deficiencies.
    15 May 2017Revisit
    Determined that prior deficiencies were corrected and compliance was restored after follow-up surveys.
    23 Mar 2017Licensure
    Investigated a reported deficiency in care and oversight, uncovering multiple deficiencies in resident rights postings, grievance procedures, medication management, and support services.
    • Type ANotice of resident rights and related notices
    • Type APosting of required notices
    • Type AGrievance policy and procedures
    • Type ADrugs and biologics labeling and storage
    • Type ALaboratory services
    23 Mar 2017Licensure
    Found no state deficiencies cited.
    21 Mar 2017Life Safety
    Identified multiple life-safety deficiencies related to door locking and egress, signage, and hazardous equipment storage during the assessment.
    • Type ANFPA 101 (2012) 19.2.2.4; 7.2.1.6.1Delay-egress locking arrangements
    • Type ANFPA 101 (2012) 11.7.4; NFPA 80 (2010) 7.4Doors with self-closing devices
    • Type ANFPA 101 (2012) 19.5.1 (Smoking regulations)Smoking regulations
    • Type ANFPA 99Storage and use of liquid oxygen equipment
    21 Mar 2017Life Safety
    Found life-safety deficiencies including an egress ramp without proper handrails and issues with combustible/oxygen storage and exhaust requirements.
    • 2006 IFC - Section 315.2.3Capacity of Means of Egress
    • 2006 IFC - Table 2703.1.1(1); 2006 IBC - Section 508.3.3State Miscellaneous Life Safety
    23 May 2016Revisit
    Identified several regulatory deficiencies requiring correction and followed up; all corrective actions were completed.
    • 483.15(c)(6)
    • 483.35(i)
    • 483.15(f)(1)
    • 483.60(b), (d), (e)
    • 483.20(d), 483.20(k)(1)
    • 483.65
    17 Mar 2016Licensure
    Investigated deficiencies in dietary supervision and food safety practices, including continued issues with hand hygiene and improper storage of foods, with staff lacking appropriate training and credentials.
    • Continued From page 1; hand washing, and improper storage of raw foods with ready-to-eat foods.
    17 Mar 2016Licensure
    Identified deficiencies in the facility’s activities program and related resident care practices, including dining during isolation precautions.
    • Type A483.15(f)(1)ACTIVITIES MEET
    15 Mar 2016Life Safety
    Identified deficiencies related to exit access and sprinkler system maintenance; observed an inoperable courtyard exit gate, exit doors that could not be opened as exits, and missing sprinkler escutcheon rings.
    • NFPA 101, Sections 19.2.1 and 7.2.1.5.1Exit access not readily accessible; courtyard exit gate inoperable
    • NFPA 101, Sections 18.3.5.1, 19.3.5.1, and 9.7.1.1Front entrance sliding doors labeled as exits but locked
    • NFPA 101, Sections 18.3.5.1, 19.3.5.1, 9.7.1.1; NFPA 13, Section 3-2.7.2Missing escutcheon rings on sprinkler heads; maintenance deficiencies
    18 Aug 2015Complaint
    Investigated the complaint and found no deficiencies.
    20 Feb 2015Revisit
    Investigated a complaint and conducted a follow-up revisit to verify corrections from a prior visit.
    20 Feb 2015Revisit
    Verified that the previously identified deficiencies were corrected and follow-up was completed.
    05 Feb 2015Life Safety
    Found no deficiencies.
    08 Jan 2015Complaint
    An investigation identified multiple deficiencies in resident rights/privacy and in pain and medication management.
    • Type AContinued From page 1
    • Type AContinued From page 3
    08 Jan 2015Licensure
    Determined compliance with state requirements after a survey conducted January 5–8, 2015. No deficiencies were cited.
    06 Jan 2015Life Safety
    Observed multiple life-safety deficiencies including inadequate exit access, insufficient smoke barrier protection, delayed-egress mechanism failures, and hazardous storage practices.
    • NFPA 101 Life Safety Code StandardCorridor protection and smoke compartment protection
    • NFPA 101 Life Safety Code StandardDelayed-egress locks/egress timing
    • NFPA 101 Life Safety Code StandardExit access and door closers
    • NFPA 101 Life Safety Code StandardOxygen storage and medical gas storage
    06 Jan 2015Life Safety
    Observed that hand washing fixtures in the 2010 remodel area did not have temperature-limiting devices, with faucets replaced after the regulatory date and lacking ASSE 1070 devices.
    • IPC Life Safety - Int’l Plumbing CodeWater temperature limiting devices required on hand washing fixtures
    18 Aug 2014Revisit
    Verified that a prior deficiency was corrected; follow-up confirmed corrections completed.
    • 483.65Life Safety Code deficiency
    15 May 2014Complaint
    Investigated an infection-control deficiency involving a resident with MRSA/ESBL; PPE and signage for contact precautions were not consistently implemented.
    • Infection control
    13 Mar 2014Revisit
    Investigated fire and life-safety deficiencies; several corrections were completed and a follow-up revisit occurred.
    28 Feb 2014Revisit
    Investigated a follow-up to a prior issue and found deficiencies; corrections were completed.
    • 483.20(d)
    • 483.20(k)(3)(ii)
    • 483.25
    • 483.25(d)
    • 483.25(m)(1)
    • 483.35(i)
    • 483.60(b), (d), (e)
    • 483.65
    19 Dec 2013Licensure
    Identified deficiencies in care planning and actual delivery of resident toileting/incontinence care, with evidence of incomplete care plans and inadequate assistance.
    • §483.25Care planning; resident toileting/incontinence care
    • §483.25Care planning; resident toileting needs
    19 Dec 2013Licensure
    Concluded no deficiencies were found and state requirements were met.
    17 Dec 2013Life Safety
    Identified multiple life-safety deficiencies related to egress, storage, and hazardous decorations.
    • NFPA 101 Life Safety Code StandardCorridor storage and door hardware
    • NFPA 101 Life Safety Code StandardDoor operation and egress
    • NFPA 101 Life Safety Code StandardAlarm notification appliances
    • NFPA 101 Life Safety Code StandardDecorations – flammability hazards
    • NFPA 101 Life Safety Code StandardHand hygiene supplies storage
    • NFPA 101 Life Safety Code StandardGenerator testing
    10 Dec 2013Revisit
    Verified that corrective actions for previously cited deficiencies were completed. The visit did not identify any additional deficiencies.
    10 Oct 2013Complaint
    An investigation found deficiencies in timely treatment and follow-up for a resident with an infection, including issues with IV access and delays in antibiotic administration, as well as gaps in responding to lab results and monitoring care.
    • Continued From page 3 test results
    • Timely initiation of treatment after labs
    • Continued from page 4 – infection treatment and monitoring
    18 Jun 2013Revisit
    Identified a deficiency related to a federal regulation; corrective action completed on 05/12/2013.
    • 483.15(a)
    28 Mar 2013Complaint
    Identified deficiencies regarding residents' dignity and respect; care tasks and wake/sleep routines were not consistently followed, affecting residents' dignity.
    • Dignity and Respect of Residents
    03 Jan 2013Revisit
    Investigated a complaint and identified multiple regulatory deficiencies; corrections completed on 12/11/2012.
    • 483.10(n)
    • 483.15(g)(1)
    • 483.20(d), 483.20(k)(1)
    • 483.25(f)(1)
    • 483.25(i)
    • 483.25(l)
    • 483.65
    14 Dec 2012Revisit
    Found deficiencies and confirmed corrections were completed; follow-up showed completion.
    26 Oct 2012Complaint
    Investigated a complaint about care and safety; deficiencies were found in how medications were managed and how residents’ care plans were developed.
    • The resident's right to self-administer medications
    26 Oct 2012Licensure
    Determined that the facility was in substantial compliance.
    25 Oct 2012Life Safety
    Multiple life-safety deficiencies were identified, including issues with smoke barrier and door integrity, sprinkler head maintenance, portable fire extinguishers, and oxygen storage practices.
    • NFPA 101 LIFE SAFETY CODE STANDARDCorridor doors smoke resistance
    • NFPA 101 LIFE SAFETY CODE STANDARDSprinkler head above dryers/attic pipe
    • NFPA 101 LIFE SAFETY CODE STANDARDMonthly testing of portable extinguishers
    • NFPA 101 LIFE SAFETY CODE STANDARDService corridor oxygen tank audit
    • NFPA 101 LIFE SAFETY CODE STANDARDStorage of liquid oxygen containers
    27 Jan 2012Revisit
    Investigated a revisit after a prior survey. Corrections were completed.
    23 Jan 2012Revisit
    Investigated a follow-up after earlier concerns; corrections completed and no deficiencies cited.
    13 Jan 2012Revisit
    Investigated a complaint and follow-up survey; found deficiencies in several federal requirements requiring corrective action.
    • 483.20(b)(1)
    • 483.20(d), 483.20(k)(1)
    • 483.35(i)
    • 483.65
    17 Nov 2011Licensure
    Identified a deficiency for lacking an advisory dentist to oversee dental services; arranged to obtain a dentist to provide consultation and educate staff on oral hygiene.
    • Wyoming Rules for Nursing Homes, Chapter 11, Section 14Dental Services
    17 Nov 2011Licensure
    The regulator identified deficiencies in resident assessments, development of care plans, and infection control practices.
    • 483.20(b)(1)Comprehensive Assessments
    • 483.20(k)Care Planning
    • 483.65Infection Control
    • 483.80Infection Control / Coordination
    16 Nov 2011Life Safety
    An investigation found multiple life-safety deficiencies, including sprinkler obstructions and unsafe electrical/wiring practices.
    • Type ANFPA 101, 2000 Edition; 19.3.5.1; 9.7.7.1; NFPA 70; NFPA 13Sprinkler system – obstructed sprinklers
    • Type ANFPA 70; NFPA 101; 517-20Electrical safety – surge protectors and wet locations
    • Type ANFPA 101; NFPA 13; NFPA 70Sprinkler system – maintenance and clearance
    • Type ANFPA 101; NFPA 70; NFPA 517-20Electrical safety – wet locations and portable cords
    09 Nov 2011Revisit
    Investigated and verified that earlier deficiencies were corrected.
    • 483.10(b)(2)Regulation 483.10(b)(2)
    • 483.15(a)Regulation 483.15(a)
    24 Aug 2011Complaint
    Identified deficiencies related to residents' records access and dignity, including delays in providing copies of records and improper handling of resident restraint in public areas.
    • 483.10(b)(2)Right to access/purchase copies of records
    • 483.15(a)Dignity and respect of individuality
    18 Feb 2011Revisit
    Found no deficiencies.
    07 Jan 2011Licensure
    Found deficiencies in resident dignity and respect, daily living assistance, nursing standards, narcotic handling, and laboratory oversight.
    • Dignity and Respect of Individuality
    • Services Provided Meet Professional Standards
    • ADL Care Provided for Dependent Residents
    • Provide/Obtain Laboratory Services
    04 Jan 2011Life Safety
    Identified life-safety deficiencies including non-smoke-resistant smoke barriers with penetrations, and issues with exit access and electrical wiring.
    • NFPA 101 LIFE SAFETY CODE STANDARDSmoke barriers not smoke resistant
    • NFPA 101 LIFE SAFETY CODE STANDARDExit access not readily accessible / exit signage
    • NFPA 101 LIFE SAFETY CODE STANDARDSmoke barriers not smoke resistant (continued observations)
    • NFPA 101 LIFE SAFETY CODE STANDARD; NFPA 70Electrical wiring and equipment compliance
    03 Nov 2010Complaint
    Investigated a complaint from 2010-11-01 through 2010-11-03 and found no deficiencies.
    10 Sept 2010Complaint
    Investigated a complaint and found no deficiencies.
    10 Sept 2010Complaint
    Investigated a complaint and found no deficiencies.
    22 Dec 2009Revisit
    Investigated a post-certification revisit and cited deficiencies.
    • 483.20(k)(3)(ii)
    • 483.25(a)(3)
    • 483.25(h)
    03 Dec 2009Revisit
    Identified no deficiencies during the follow-up visit.
    29 Oct 2009Licensure
    Investigated deficiencies in care planning and supervision; found failures to implement written care plans and ensure adequate resident safety.
    • 483.20(k)(3)(ii)COMPREHENSIVE CARE PLANS
    • 483.25(h)ACCIDENTS AND SUPERVISION
    27 Oct 2009Life Safety
    Identified smoke-resistance deficiencies, including a middle laundry room corridor door not being smoke resistant and escutcheon rings not being smoke resistant with gaps to the ceiling tiles.
    • NFPA 101 LIFE SAFETY CODE STANDARDSmoke resistance of doors and penetrations
    • NFPA 101 LIFE SAFETY CODE STANDARDMaintenance of automatic sprinkler systems
    05 May 2009Complaint
    Determined that no deficiencies were identified in the complaint investigation and substantial compliance was met.
    14 Nov 2008Revisit
    Investigated a complaint and found deficiencies during a revisit; four regulatory deficiencies were cited.
    • 483.25(d)
    • 483.35(i)
    • 483.65(b)(3)
    • 483.75(j)(1)
    04 Nov 2008Revisit
    Identified multiple life-safety code deficiencies during a post-certification revisit.
    • Life Safety Code deficiency
    • Life Safety Code deficiency
    • Life Safety Code deficiency
    • Life Safety Code deficiency
    11 Sept 2008Licensure
    Identified deficiencies in urinary incontinence management, sanitary conditions, infection control, and laboratory services. The findings showed areas where regulatory requirements were not met.
    • 483.25(d)URINARY INCONTINENCE
    • 483.65(i)SANITARY CONDITIONS
    • 483.80PREVENTING THE SPREAD OF INFECTION
    • 483.75(j)(1)LABORATORY SERVICES
    11 Sept 2008Licensure
    Found no deficiencies identified during the survey.
    10 Sept 2008Life Safety
    Identified multiple life-safety deficiencies, including unsealed penetrations in smoke barriers, improper oxygen storage and handling, inadequate testing of safety systems, and issues with exit signage and electrical wiring.
    • NFPA 101 Life Safety Code StandardSmoke barriers and penetrations
    • NFPA 101 Life Safety Code StandardSmoke barriers and partition doors
    • NFPA 101 Life Safety Code StandardTesting of safety systems
    • NFPA 101 Life Safety Code StandardOxygen storage and transfer
    • NFPA 101 Life Safety Code Standard; NFPA 70Exit and directional signage
    • NFPA 70Electrical wiring
    25 Sept 2006Revisit
    Identified deficiencies during the revisit that required corrective action; a summary of uncorrected deficiencies was sent.
    18 Aug 2006Revisit
    Verified corrections completed after a prior survey; follow-up showed compliance.
    27 Jul 2006Revisit
    Found life-safety code deficiencies cited during the revisit.
    • NFPA 101 Life Safety CodeLifecycle/means of egress deficiencies
    • NFPA 101 Life Safety CodeFire protection equipment/installation
    • NFPA 101 Life Safety CodeExit access / corridor width or clearance
    • NFPA 101 Life Safety CodeDoor/egress hardware or closure issues
    • NFPA 101 Life Safety CodeGeneral building safety/maintenance deficiencies
    29 Jun 2006Licensure
    Identified multiple deficiencies in resident care and related processes, including inadequate social services, incomplete assessments, poor discharge planning, and medication management issues.
    • 483.15(e)(1)ACCOMMODATION OF NEEDS
    • 483.15(g)(2)&(3)QUALIFICATIONS OF A SOCIAL WORKER
    • 483.20(k)(3)(i)COMPREHENSIVE ASSESSMENTS
    • 483.25(h)(1)DISCHARGE SUMMARY
    • 483.25QUALITY OF CARE
    • 483.25(a)(3)ACTIVITIES OF DAILY LIVING
    • 483.25(e)(2)PRESSURE SORES
    • 483.25(h)(1)ACCIDENTS
    • 483.25(m)(1)MEDICATION ERRORS
    • 483.25(e)(1)RANGE OF MOTION
    • 483.25(e)(3)RANGE OF MOTION
    28 Jun 2006Life Safety
    Identified several life-safety code deficiencies, including problems with fire resistance, smoke resistance of doors, and emergency lighting.
    • NFPA 101 Life Safety Code StandardMaintenance of 1-hour fire rating
    • NFPA 101 Life Safety Code StandardDoors protecting corridor openings
    • NFPA 101 Life Safety Code StandardDoor between resident rooms not resisting smoke
    • NFPA 101 Life Safety Code StandardEmergency lighting
    • NFPA 101 Life Safety Code StandardHVAC systems
    30 May 2006Life Safety
    Several life-safety code deficiencies were identified, including issues with exit accessibility, fire protection systems, oxygen transfer, and electrical wiring. The findings showed multiple areas where standards were not met.
    • NFPA 101 Life Safety Code StandardLife Safety Code Standard
    • NFPA 101 Life Safety Code StandardLife Safety Code Standard
    • NFPA 101 Life Safety Code StandardLife Safety Code Standard
    • NFPA 101 Life Safety Code StandardLife Safety Code Standard
    • NFPA 101 Life Safety Code StandardLife Safety Code Standard
    • NFPA 101 Life Safety Code StandardLife Safety Code Standard
    • NFPA 101 Life Safety Code StandardLife Safety Code Standard
    16 Jun 2005Revisit
    Identified Life Safety Code deficiencies and verified their correction on revisit.
    • Life Safety Code (LSC) - K0018Life Safety Code deficiency
    • Life Safety Code (LSC) - K0029Life Safety Code deficiency
    • Life Safety Code (LSC) - K0062Life Safety Code deficiency
    • Life Safety Code (LSC) - K0135Life Safety Code deficiency
    • Life Safety Code (LSC) - K0076Life Safety Code deficiency
    • Life Safety Code (LSC) - K0130Life Safety Code deficiency
    25 Apr 2005Life Safety
    A number of life-safety and NFPA code deficiencies were found across several areas, including electrical systems, fire safety, hazardous areas separation, and storage of flammable liquids.
    • NFPA 70; NFPA 70 Section 110-27, 370-25, 400-8Electrical system not installed per NFPA 70
    • NFPA 101 Life Safety Code, Section 19.3.2.1Life Safety Code Standard
    • NFPA 101 Life Safety Code StandardLife Safety Code Standard
    • NFPA 101 Life Safety Code StandardLife Safety Code Standard – Fire alarm
    • NFPA 101 Life Safety Code; NFPA 25; NFPA 99Life Safety Code – bed height and sprinkler systems
    • NFPA 101 Life Safety Code Standard; NFPA 10Portable fire extinguishers per NFPA 10
    • NFPA 101 Life Safety Code StandardSeal/space separation and storage per NFPA 101
    • NFPA 101 Life Safety Code; NFPA 30Flammable liquid storage and use per NFPA 30
    • NFPA 45; NFPA 10; NFPA 30Flammable liquids and associated safety practices
    20 Apr 2005Revisit
    Identified deficiencies and verified corrective actions were completed.
    • Type A483.20(c)
    12 Apr 2005Complaint
    Investigated the complaint and found no deficiencies.
    31 Mar 2005Complaint
    Investigated deficiencies in the resident assessment process and care planning; documentation and participation in assessments were incomplete.
    • 42 CFR 483.20Resident assessment and care planning
    03 Mar 2005Licensure
    Investigated multiple deficiencies involving resident assessments and care plans, dietary services, administration, and the environment.
    • 483.20(g)-(h)RESIDENT ASSESSMENT
    • 483.20(k)CARE PLAN
    • 483.35(d)(1)&(2)DIETARY SERVICES
    • 483.40(c)(1)&(2)PHYSICIAN SERVICES
    • 483.75(h)(2)ADMINISTRATION
    • 483.70(h)PHYSICAL ENVIRONMENT

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