Cody Regional Health Long Term Care Center

    707 Sheridan Ave, Cody, WY 82414
    • Assisted Living
    • Skilled Nursing

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    Amenities

    Healthcare services

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

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    Medicare Ratings

    4·/ 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 Cody Regional Health Long Term Care Center

    Cody Regional Health Long Term Care Center is located at 707 Sheridan Ave, Cody, WY, 82414.

    About Cody Regional Health Long Term Care Center

    Cody Regional Health Long Term Care Center sits right in Cody, Wyoming, and it's part of Cody Regional Health's network of care. The place provides a wide range of services including skilled nursing care, memory care, end-of-life support, palliative care, rehabilitation, and personalized hospice with a focus on making residents feel respected and comfortable. They've got home health services too, with nurses on call day and night, and they serve nearby towns like Powell, Meeteetse, Burlington, and Ralston for folks who need care at home. Inside the facility, you'll find roomy resident rooms-some with views of the mountains-secured supportive housing, and areas for socializing both indoors and out, including outdoor spaces where residents sit, visit, and relax. There's a chapel, cozy sitting spots, activity rooms, a beauty and barber shop, and inviting dining rooms where people can gather over meals. A whole team works here, including licensed nurses, nursing assistants, activities coordinators, a dietician, and social work professionals, helping with daily living, dietary needs, and personal care. They offer hospice care at their Spirit Mountain Hospice House, which is the only inpatient hospice in the Big Horn Basin, and their hospice efforts don't stop at the door since they also visit people at home. The Long Term Care Center supports those who need recovery after illness, respite care, or who live with chronic issues or dementia, and they put a lot of effort into meeting both the emotional and physical needs of each resident, with attention to dignity and comfort. Therapy services like speech, occupational, and physical therapy are available, plus wound care, mental health support, counseling, and spiritual support for those who want it. There's a strong sense of community here, with regular onsite physician visits, onsite clinics, and help for things like laundry and housekeeping, and they've got amenities like a cafeteria and organized social events. The place is fully licensed by the Wyoming Department of Health, Medicare and Medicaid certified, and works with several payment types including private insurance, veteran's benefits, and long-term care insurance. Folks often mention the caring staff and the efforts made to create a homelike, welcoming setting, which has helped the facility build a steady reputation over the years. The center is also connected to Cody Regional Health West Park Hospital, giving residents access to extra services like lab work, wound care, birthing units, a cath lab, respiratory support, and even behavioral and chemical dependency programs at Cedar Mountain Center. The facility offers rooms and common areas that are handicap accessible, and they run volunteer programs that help bring people together for activities and community events.

    People often ask...

    Cody Regional Health Long Term Care Center offers assisted living and skilled nursing.

    The full address for this community is 707 Sheridan Ave, Cody, WY 82414.

    No, Cody Regional Health Long Term Care Center 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-193
    Facility typeNursing Home

    Inspection Reports

    106

    Reports

    9

    Type A Citations

    0

    Type B Citations

    34

    Complaints

    21

    Years

    08 Jan 2025Complaint
    Investigated a complaint and determined that no deficiencies were identified.
    09 Oct 2024Revisit
    Verified that prior deficiencies were corrected and found no new noncompliance.
    03 Oct 2024Revisit
    Concluded that all previously cited deficiencies were corrected and no new noncompliance was found.
    22 Aug 2024Licensure
    Multiple deficiencies were identified in care planning, medication administration, pharmacy procedures, and infection control, including incomplete care plans for a resident with a Foley catheter and medications not consistently observed during administration.
    • CFR 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
    • CFR 483.21(b)(3)(i)Services Provided Meet Professional Standards
    • CFR 483.45Pharmacy Services/Pharmacist/Records
    • CFR 483.80Infection Prevention & Control
    20 Aug 2024Life Safety
    Identified noncompliance with essential electrical system maintenance due to lack of annual inspections and documentation for main and feeder circuit breakers.
    • NFPA 99 6.4.4.1.2.1Electrical Systems - Essential Electric System maintenance and testing
    24 May 2024Complaint
    Investigated a complaint and found no deficiencies.
    06 Feb 2024Complaint
    Found a failure to follow the resident's CPR status; staff did not initiate life support because CPR status was misinterpreted as DNR despite Full Code in the record.
    • CFR 483.24(a)(3)Cardio-Pulmonary Resuscitation (CPR)
    12 Sept 2023Revisit
    Verified that all previous deficiencies were corrected and no new noncompliance was found.
    16 Aug 2023Revisit
    Verified that all previously cited life safety deficiencies were corrected and no new noncompliance was found.
    13 Jul 2023Complaint
    Found deficiencies in bathing for a dependent resident, monthly medication reviews, medication labeling with expiration dates, kitchen sanitation, and infection control practices.
    • §483.24(a)(2)ADL Care Provided for Dependent Residents
    • §483.45(c)(5)Drug Regimen Review
    • §483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
    • §483.60(i)(2)Food Procurement, Store/Prepare/Serve-Sanitary
    • §483.80(a)(1)-(2)(4)(e)(f)Infection Prevention & Control
    13 Jul 2023Licensure
    Found no deficiencies. The review concluded compliance with state requirements.
    12 Jul 2023Life Safety
    Found fire-safety and emergency lighting deficiencies. Noted an open access hatch compromising a 1-hour fire-rated ceiling, lack of documented monthly emergency lighting tests, and a hazardous-area door that did not self-close.
    • NFPA 101 19.1.1.1.3, 4.6.13.1General Requirements - Fire-resistive construction
    • NFPA 101 19.2.9.1, 7.9.3.1.1Emergency Lighting
    • NFPA 101 19.3.2.1.3Hazardous Areas - Enclosure
    11 May 2023Complaint
    Found no deficiencies identified during the complaint investigation and focused infection control review.
    02 Mar 2023Complaint
    Found no deficiencies identified in the complaint investigation.
    30 Nov 2022Revisit
    Confirmed compliance with all regulations surveyed; no new deficiencies were found.
    29 Sept 2022Licensure
    Investigated deficiencies found in monitoring psychotropic medications and in infection prevention, including improper behavior monitoring for residents on psychoactive meds and unsafe storage of oxygen equipment with improper PPE use.
    • §483.45(e)Free from Unnecessary Psychotropic Meds/PRN Use
    • §483.80Infection Prevention & Control
    28 Sept 2022Life Safety
    Found no deficiencies related to emergency preparedness or life safety code requirements.
    09 Nov 2021Revisit
    Verified that all deficiencies were corrected and compliance was achieved.
    26 Oct 2021Revisit
    Identified a failure to maintain smoke barriers; two sets of glass double doors were not labeled for a 20-minute fire rating.
    • NFPA 101 19.3.7.3; 19.3.7.6; 8.5.6Smoke Barrier Construction
    22 Oct 2021Revisit
    Verified no deficiencies were found during the revisit.
    26 Aug 2021Licensure
    Investigated infection control and staff training related to glucometer sanitation; found that education on device sanitation was not provided for one staff member and glucometers were not cleaned between resident uses.
    • Ch 11 Sec 20 (b)(iv)Physical Environment; Inservice education on infection control and sanitation
    26 Aug 2021Licensure
    Identified multiple deficiencies across resident assessments, PASARR coordination, care planning, bed rail safety, psychotropic medication use, facility assessment, and infection control.
    • 483.20(b)(2)(ii)Comprehensive Assessment
    • 483.20(e)(1)(2)Coordination of PASARR and Assessments
    • 483.21(b)(1)Develop/Implement Comprehensive Care Plan
    • 483.25(n)Bed Rails
    • 483.45(c)(3)(e)(1)-(5)Free from Unnec Psychotropic Meds/PRN Use
    • 483.70(e)(1)-(3)Facility Assessment
    • 483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
    26 Aug 2021Life Safety
    Identified multiple life-safety deficiencies, including egress door signage, obstructed corridors, sprinkler coverage gaps, smoke barrier penetrations, and missing oxygen storage signage.
    • NFPA 101 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 19.2.3.4; 19.2.3.5Aisle, Corridor or Ramp Width
    • NFPA 101 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)Sprinkler System - Installation
    • NFPA 101 19.3.7.3; 19.3.7.6; 8.5.6Subdivision of Building Spaces - Smoke Barriers
    • NFPA 99 11.3.4; 11.3.1; 11.3.2; 11.3.3; 11.6.5Gas Equipment - Cylinder and Container Storage
    28 Apr 2021Complaint
    Investigated a complaint survey and a COVID-19 focused infection control survey conducted on 2021-04-27 through 2021-04-28 and found no deficiencies.
    24 Sept 2020Complaint
    Found no deficiencies identified in the complaint investigation or the focused infection control review.
    14 May 2020Licensure
    Found no deficiencies.
    18 Sept 2019Revisit
    Verified no deficiencies found after follow-up for prior findings; no new noncompliance identified.
    29 Aug 2019Revisit
    Found no deficiencies. All prior deficiencies were corrected and no new noncompliance was found.
    19 Jul 2019Life Safety
    Found deficiencies related to means of egress and fire protection; exit signage and hardware needed correction, and sprinkler system installation was not in full compliance.
    • NFPA 101 19.2.10.1Means of egress not maintained
    • NFPA 101 19.2.10.1Fire-rated door hardware and exit signage
    • NFPA 13 6.2.7.1Sprinkler System - Installation
    18 Jul 2019Complaint
    Investigated complaints and an on-site survey identified multiple regulatory deficiencies, including improper use and evaluation of alarms as restraints, failure to report and investigate abuse, missing transfer/bed-hold notices and related documents, and inaccuracies in resident assessments and skin care practices.
    • 483.10(e)(1), 483.12(a)(2)Right to be free from restraints
    • 483.12(c)(1), 483.12(c)(4)Reporting of Alleged Violations
    • 483.12(c)(2)-(4)Investigate/Prevent/Correct Alleged Violation
    • 483.15(c)(3)-(6)(8)Notice before Transfer/Discharge
    • 483.15(d)(1)-(2)Bed-hold Notice
    • 483.20(g)Accuracy of Assessments
    • 483.20(k)(1)-(3)PASARR Screening for MD & ID
    • 483.25(b)(1)-(2)Treatment/Services to Prevent/Heal Pressure Ulcers
    • 483.25(n)Bed Rails
    18 Jul 2019Licensure
    Found no deficiencies.
    25 Apr 2019Revisit
    Concluded that all previous deficiencies were corrected and no new noncompliance was found.
    25 Apr 2019Revisit
    Verified that previous deficiencies were corrected and no new noncompliance was found during a follow-up review.
    07 Mar 2019Complaint
    Investigated an allegation of verbal abuse toward a resident; findings showed abuse occurred and staff actions were taken, including termination of the involved CNA and implementation of corrective measures.
    • 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    13 Feb 2019Complaint
    Investigated discharge notice timing and found failure to timely notify the ombudsman about a resident discharge.
    • §483.15(c)(3)-(6)(8)Notice Requirements Before Transfer/Discharge
    31 Oct 2018Complaint
    Investigated a complaint and found no deficiencies.
    23 Aug 2018Revisit
    Found no deficiencies after a follow-up visit; all previously cited deficiencies were corrected.
    24 Jul 2018Revisit
    Concluded that previous deficiencies were corrected and no new noncompliance was found.
    14 Jun 2018Complaint
    Investigation found multiple deficiencies related to informing residents of services and charges, and failures in transfer/discharge notifications and care planning.
    • §483.10(g)(18)Notice to residents about services and charges
    • §483.15(c)(3)-(6)Notice Requirements Before Transfer/Discharge
    • §483.15(d)(1)-(2)Notice Before Transfer/Discharge (Bed-Hold/Transfer)
    • §483.20(k)(1)-(3)Care Plan Development
    • §483.21(b)(1)Develop/Implement Comprehensive Care Plan
    • §483.21(b)(1)-(3)Care Plan Implementation Timing
    • §483.45(c)(3)(e)(1)-(5)PRN/Meds—Psychotropic Drugs
    14 Jun 2018Licensure
    Found no deficiencies.
    12 Jun 2018Life Safety
    Found a deficiency for obstructed means of egress due to a fabric STOP sign blocking an exit door.
    • NFPA 101Means of Egress - General
    21 Mar 2018Revisit
    Concluded that all prior deficiencies were corrected and no new noncompliance was found.
    15 Mar 2018Complaint
    Investigated a complaint and found no deficiencies.
    29 Dec 2017Complaint
    Found deficiencies in investigating injuries of unknown origin and in overall quality of care, including wound care and fall prevention measures.
    • CFR 483.12(c)(2)-(4)Abuse, Neglect, and Exploitation; Investigations
    • CFR 483.25Quality of Care
    15 Nov 2017Revisit
    Found that all previous deficiencies were corrected and no new noncompliance was found.
    13 Oct 2017Revisit
    Concluded that all previously cited deficiencies were corrected and no new noncompliance was found.
    13 Sept 2017Revisit
    Identified a deficiency requiring compliance with a Wyoming code provision; the corrective action was completed on 2017-06-22.
    • Ch 11 Sec 6 (a)(iv)Regulation Ch 11 Sec 6 (a)(iv)
    24 Aug 2017Revisit
    Investigated and verified corrections were completed addressing prior deficiencies.
    27 Jul 2017Complaint
    Investigated a resident-rights complaint and found deficiencies related to the right to refuse medications and related advance directives.
    • 483.10(c)(6)(8)(g)(12); 483.24(a)(3)Right to refuse; formulate advance directives
    27 Jun 2017Life Safety
    Found multiple life-safety deficiencies, including problems with means of egress signage, fire alarm and sprinkler system maintenance, and exit/access pathways. The issues were documented with corrective actions and timelines.
    • Type A2012 NFPA 101 Life Safety Code - Means of Egress (19.2.2.x, 7.2.1.6.1(4))Means of egress - signage for delayed exit
    • Type ANFPA 101 Fire Alarm System - Testing and Maintenance (NFPA 72 related requirements)Fire Alarm System - Testing and Maintenance
    • Type ANFPA 101 Sprinkler System - Maintenance and Testing (NFPA 25)Sprinkler System - Maintenance and Testing
    • Type ANFPA 101 Utilities - Gas and Electric (NFPA 70 and related codes)Electrical/Utility Compliance
    • Type ANFPA 101 Ramps and Other Exits (Means of Egress)Ramps and Other Exits
    22 Jun 2017Life Safety
    Investigated a complaint and cited deficiencies for failing to maintain safe hot-water temperatures in resident areas.
    • Ch 11 Sec 6 (a)(iv) Physical EnvironmentPhysical environment – water temperature control
    22 Jun 2017Licensure
    Identified multiple deficiencies in grievances documentation and resident care practices during a licensing evaluation. The deficiencies involve documentation requirements, resident rights, and care processes.
    28 Mar 2017Revisit
    Investigated a complaint; deficiencies were corrected and compliance was restored as of March 3, 2017.
    14 Feb 2017Complaint
    Identified failure to report an Influenza Type A outbreak to the Licensing Division.
    • Type AFailure to report outbreak to Licensing Division
    14 Feb 2017Complaint
    Investigated a complaint survey conducted on 2017-02-13 through 2017-02-14 and found no deficiencies.
    23 Aug 2016Revisit
    Verified that corrective actions for previously cited deficiencies were completed.
    22 Aug 2016Revisit
    Verified corrections were completed for previously reported deficiencies.
    • 483.10(n)
    • 483.13(c)(1)(ii)-(iii), (c)(2)-(4)
    • 483.13(c)
    • 483.15(a)
    • 483.15(f)(1)
    • 483.15(h)(2)
    • 483.25
    • 483.25(h)
    • 483.40(c)(1)-(2)
    29 Jun 2016Life Safety
    Found electrical wiring and exit-door safety deficiencies, including outlets without ground-fault protection and exit-related doors not fully compliant.
    • NFPA 70 (National Electrical Code) – 1999 editionElectrical wiring and equipment shall be in accordance with NFPA 70
    • NFPA 101 Life Safety Code StandardDoors in exits must be self-closing
    23 Jun 2016Licensure
    Investigated a complaint about resident safety and care practices; identified multiple deficiencies related to medication management, resident activities, and care procedures.
    • Type A483.10(a) – Self-administration of medicationsSelf-administration of medications
    • 483.13(c)(1)(ii)(iii), (c)(2)-(4) – Investigate/Report Allegations/IndividualsInvestigate/Report Allegations/Individuals
    • 483.25 – ActivitiesActivities
    • 483.24(g) – ADL and daily living activitiesDaily living activities/ADL
    • 483.24 – Activities (continued)Activities
    23 Jun 2016Licensure
    Found no deficiencies. A survey conducted from June 20 to June 23, 2016 showed compliance with state requirements.
    10 Aug 2015Revisit
    Concluded that corrective actions were completed to address prior deficiencies after a follow-up activity.
    30 Jun 2015Revisit
    Investigated prior deficiencies; corrections were completed and no new deficiencies were identified.
    21 May 2015Complaint
    Investigated deficiencies found in the care planning process and residents' activities, with evidence that the facility did not meet several required standards for resident care and engagement.
    • Type AActivities program not meeting resident needs
    21 May 2015Licensure
    Investigated a survey conducted May 18–21, 2015, and determined the facility was in compliance with state requirements.
    20 May 2015Life Safety
    Identified deficiencies involving obstructed means of egress and use of space heaters, with removal of heaters and corridor obstructions noted after observation.
    • NFPA 101 Life Safety Code, 2000 edition, Sections 19.2.1 and 7.1.10Means of egress obstructed
    • NFPA 101 Life Safety Code, 2000 edition, Section 19.3.6.3Storage/use of heating devices in resident sleeping areas
    • NFPA 101 Life Safety Code, 2000 edition, Sections 19.2.1 and 7.1.10Means of egress not maintained
    21 Jan 2015Complaint
    Investigated a complaint and found no deficiencies.
    29 Jul 2014Revisit
    Investigated deficiencies related to ID Prefix compliance with NFPA 101 and Life Safety Code; corrections were completed.
    • NFPA 101 / Life Safety Code (LSC)ID Prefix
    • NFPA 101 / Life Safety Code (LSC)ID Prefix
    • NFPA 101 / Life Safety Code (LSC)ID Prefix
    29 Jul 2014Revisit
    Verified that prior deficiencies were corrected and actions completed.
    29 May 2014Revisit
    Investigated corrections from a prior survey and confirmed that identified deficiencies were corrected and compliance was maintained.
    01 Apr 2014Life Safety
    Investigated a life-safety issue and found deficiencies related to door latching and exit signage.
    • Lifesafety – smoke and fire resistance/door closure
    • Exit signage
    • Door latching/means of egress
    01 Apr 2014Life Safety
    Identified deficiencies in plumbing and condensate management related to heating-season operations and water seals.
    • IMC 307; IPC 1002102.4 Additions, alterations or repairs
    27 Mar 2014Licensure
    Identified deficiencies in activity programming, care planning, safety practices, and nutrition-related procedures.
    • Weekend activities scheduling
    • Care planning and CNA input
    • Ongoing activities program
    • Snack service and meal timing
    • Blood glucose testing and staff monitoring
    27 Mar 2014Licensure
    Determined the facility was in compliance with state requirements after a survey conducted March 24–27, 2014.
    23 Apr 2013Life Safety
    Investigated life-safety compliance and found deficiencies in fire barriers and smoke barrier walls, including an unprotected opening and improper maintenance of horizontal exits.
    • NFPA 101, 8.3.6.1 (1) a and bLife Safety Code – Fire barriers and penetrations
    28 Feb 2013Licensure
    Multiple deficiencies were identified in patient-care planning and medication safety, including concerns about self-administration of medications and inadequate dementia-related care planning.
    • Care plan deficiencies related to dementia and medication safety
    27 Feb 2013Life Safety
    Identified life-safety deficiencies involving fire barriers and doors, sprinkler components, and monthly extinguisher inspections.
    • NFPA 101 LIFE SAFETY CODE STANDARDFire barriers and door-closer/smoke resistance
    • NFPA 101 LIFE SAFETY CODE STANDARDConstruction for hazardous areas; fire protection
    • NFPA 101 LIFE SAFETY CODE STANDARDMaintenance of sprinkler components and seals
    • NFPA 101 LIFE SAFETY CODE STANDARDMonthly inspection of portable fire extinguishers
    02 Oct 2012Complaint
    Investigated a complaint and found no deficiencies.
    13 Apr 2012Revisit
    Follow-up review confirmed that deficiencies identified earlier were corrected. Corrections were completed in March 2012.
    • 483.10(n)Regulation 483.10(n)
    • 483.15(f)(1)Regulation 483.15(f)(1)
    • 483.15(h)(1)Regulation 483.15(h)(1)
    • 483.20(b)(1)Regulation 483.20(b)(1)
    • 483.20(d)(3), 483.20(k)(1)Regulation 483.20(d)(3); 483.20(k)(1)
    • 483.20(d)(3), 483.20(k)(2)Regulation 483.20(d)(3); 483.20(k)(2)
    • 483.30(e)Regulation 483.30(e)
    • 483.25(a)(3)Regulation 483.25(a)(3)
    • 483.25(i)Regulation 483.25(i)
    • 483.60(b),(d),(e)Regulation 483.60(b),(d),(e)
    • 483.65Regulation 483.65
    • 483.60(c)Regulation 483.60(c)
    • 483.35(i)Regulation 483.35(i)
    • 483.60(c)Regulation 483.60(c)
    13 Apr 2012Revisit
    Investigated a complaint and found deficiencies, which were addressed with corrective actions completed by 03/18/2012.
    01 Mar 2012Revisit
    Found no deficiencies.
    16 Feb 2012Licensure
    Found no deficiencies after a re-certification survey conducted February 13-16, 2012. Determined compliance with state rules and regulations.
    02 Feb 2012Licensure
    Investigated deficiencies found in resident activities, environment, and care planning with multiple observed lapses in daily care and safety practices.
    • 483.15(h)(1)Activities of Daily Living
    • 483.20(d)(?)Care planning/Environmental standards
    • 483.25(?)Comprehensive assessments / resident care planning
    02 Feb 2012Licensure
    Concluded that the facility was in compliance with state requirements.
    01 Feb 2012Life Safety
    The entity investigated life-safety conditions and found deficiencies related to egress doors, storage of combustibles near exits, and emergency lighting/testing procedures.
    • NFPA 101 Life Safety Code StandardProhibited obstruction of egress; doors propped open
    • NFPA 101 Life Safety Code StandardStorage of combustibles near means of egress
    • NFPA 101 Life Safety Code StandardEmergency lighting/testing requirements
    01 Apr 2011Licensure
    Investigated deficiencies in care planning and wound care management. Found failures to develop and update comprehensive care plans and to adequately address pressure ulcers and related skin care needs.
    • 483.20(d); 483.20(k)(1); 483.25Comprehensive care plan development and updates
    • 483.25(c)Treatment/Services to prevent/heal pressure sores
    10 Feb 2011Licensure
    Found no deficiencies.
    10 Feb 2011Complaint
    Investigated a complaint and found deficiencies related to resident care, documentation, and facility operations.
    09 Feb 2011Life Safety
    Inspected for deficiencies and found life-safety code problems, including corridor doors not smoke resistant and issues with exits, signage, and fire protection equipment.
    • 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
    24 Feb 2010Revisit
    Verified corrections were completed for previously identified deficiencies; no new deficiencies were cited.
    24 Feb 2010Revisit
    Investigated and found no deficiencies.
    29 Jan 2010Revisit
    Identified life-safety deficiencies under NFPA 101 with multiple corrections completed.
    • NFPA 101K0069 – NFPA 101 / Life Safety Code deficiency
    • NFPA 101K0050 – NFPA 101 / Life Safety Code deficiency
    • NFPA 101K0062 – NFPA 101 / Life Safety Code deficiency
    • NFPA 101K0211 – NFPA 101 / Life Safety Code deficiency
    • NFPA 101K0144 – NFPA 101 / Life Safety Code deficiency
    • NFPA 101K0147 – NFPA 101 / Life Safety Code deficiency
    22 Dec 2009Life Safety
    Identified deficiencies in fire safety and maintenance practices, including unsealed penetrations, incomplete fire drills, sprinkler head obstruction, and missing documentation for life-safety systems.
    • Cable penetrations in hazardous area near exit
    • Fire drills not conducted as required
    • Sprinkler head obstruction
    • Documentation of life-safety services
    • Dispenser installation documentation
    • NFPA Life Safety Code compliance
    17 Dec 2009Complaint
    Identified deficiencies in RAIs documentation, infection-control practices, and food-handling procedures during a regulatory review.
    • Resident Assessment Instrument (RAI) signatures missing
    • Infection-control deficiencies
    • Quality Improvement/Performance Improvement deficiencies
    17 Dec 2009Licensure
    Found no deficiencies. The survey concluded compliance with state requirements.
    23 Sept 2009Life Safety
    Found life-safety deficiencies related to smoke barriers, including unsealed wall penetrations and missing ceiling tiles in areas expected to be smoke resistant.
    • NFPA 101 Life Safety Code StandardLife safety: smoke barriers
    11 Dec 2008Revisit
    Found deficiencies cited across several regulatory areas.
    • 483.20(k)(3)(i)
    • 483.20(k)(3)(ii)
    • 483.25(i)
    • 483.25(d)
    • 483.25(n)
    • 483.30(e)
    • 483.25(i)
    • 483.60(c)
    • 483.65(b)(3)
    17 Nov 2008Revisit
    Concluded substantial compliance after revisit; prior deficiencies were addressed.
    25 Sept 2008Complaint
    Found deficiencies in care planning, medication administration, urinary continence management, staffing records, and infection control.
    • 483.20(k)(3)(i)COMPREHENSIVE CARE PLANS
    • 483.20(k)(3)(ii)COMPREHENSIVE CARE PLANS
    • 483.25(c)URINARY INCONTINENCE
    • 483.25(d)URINARY INCONTINENCE
    • 483.60(c)NURSE STAFFING
    25 Sept 2008Licensure
    Investigated during the licensure survey; found no deficiencies identified.
    20 Sept 2006Revisit
    Identified multiple deficiencies related to resident care, rights, and facility management.
    • 483.20(k)(3)(ii)
    • 483.25
    • 483.25(l)(1)
    • 483.35(t)
    • 483.35(i)(2)
    • 483.60(a)
    • 483.60(d)
    • 483.65(b)(3)
    29 Jun 2006Licensure
    Investigated TB testing compliance and found delays in tuberculin testing for staff prior to resident contact.
    • Tuberculin testing for employees and annual testing
    29 Jun 2006Licensure
    Found deficiencies in following residents' written care plans; the facility failed to implement the care plan for at least one resident.
    • Type A483.20(k)(3)(ii)COMPREHENSIVE CARE PLANS
    03 May 2006Life Safety
    A regulatory survey identified multiple life-safety code deficiencies during the inspection. The findings indicate several areas where required standards were not met and corrective actions were needed.
    • NFPA 101 LIFE SAFETY CODE STANDARDDoors protecting corridors openings will resist the passage of smoke
    • NFPA 101 LIFE SAFETY CODE STANDARDMeans of egress will be free of obstacles
    • NFPA 101 LIFE SAFETY CODE STANDARDMeans of egress and corridor practices (continued)
    • NFPA 101 LIFE SAFETY CODE STANDARDMeans of egress free of obstacles (continued)
    • NFPA 13; NFPA 25Fire alarm systems are maintained in accordance with NFPA 72 and records of maintenance are kept readily available
    • NFPA 70; NFPA 70 National Electrical CodeElectrical wiring and equipment is in accordance with NFPA 70
    • NFPA 99 / NFPA 101Ventilation/placement and related standards for supply systems
    • NFPA 101 LIFE SAFETY CODE STANDARDExit signs are illuminated and clearly visible
    • NFPA 101 LIFE SAFETY CODE STANDARDLocation for supply systems of greater than 3,000 cu ft are vented to the outside
    07 Jul 2005Revisit
    Identified deficiencies during follow-up and verified corrections were completed.
    20 Jun 2005Revisit
    Investigated a complaint and cited deficiencies in multiple regulatory areas.
    • 483.10(d)(3)
    • 483.15(a)
    • 483.20(k)(3)(i)
    • 483.25(e)(2)
    • 483.25(h)(1)
    • 483.25(i)(1)
    • 483.25(h)(2)
    21 Apr 2005Licensure
    Identified a deficiency related to residents' right to privacy and confidentiality of personal and medical information.
    • 483.10(d)(3)Privacy/Confidentiality - Free Choice

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    Mirador Living is not affiliated with the owner or operator(s) of Cody Regional Health Long Term Care Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Cody Regional Health Long Term Care Center directly. There is no cost for this service. We are compensated by the community you select.

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