I'm grateful to the friendly, amazing staff who stepped up for my mother - the care team provides great daily care in a pleasant facility that's improving every day. I'm very pleased and would recommend it, with only minor room for improvement.
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
Coordination with health care providers
Medication management
Mental wellness program
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Special dietary restrictions
Room
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Telephone
Wifi
Transportation
Transportation arrangement (medical)
Transportation to doctors appointments
Common areas
Beauty salon
Dining room
Garden
Outdoor space
Community services
Move-in coordination
Activities
Community-sponsored activities
Scheduled daily activities
Reviews
3.78·(9)
Overall rating
5
4
3
2
1
Care
5.0
Staff
5.0
Meals
3.8
Amenities
3.8
Value
3.8
Pros
Compassionate and attentive staff
Staff stepped up to help residents' family members
Strong, reliable care team
Grateful family members
Consistently good resident care
Ongoing daily facility improvements
Friendly staff
Pleasant environment
Cons
Underpaid nurses
Poor staff compensation
Criticism of management
Summary of reviews
Overall sentiment in the reviews is strongly positive about the hands-on care and day-to-day environment at Morning Star Care Center. Multiple reviewers emphasize that the caregiving staff are compassionate, attentive, and willing to go above and beyond—one review explicitly notes that staff "stepped up to help mother," and others describe the team as the "best care team". Family members express clear gratitude for the way residents are treated, indicating trust in the quality and consistency of daily care.
Staff quality and interpersonal tone are recurring strengths. Reviewers repeatedly highlight friendly, pleasant interactions and a welcoming environment. These comments suggest that staff-resident and staff-family communication is warm and respectful, contributing to an overall pleasant atmosphere. The presence of ongoing, daily facility improvements is also noted, which indicates an active effort to maintain or enhance the physical environment for residents.
Despite these positive themes, there are notable concerns related to staffing compensation and management. Several reviewers indicate that nurses are underpaid and that staff compensation is poor, and there is direct critique of management in connection with these issues. While the reviews do not detail specific management actions or outcomes, this recurring critique suggests dissatisfaction with how compensation and possibly staff welfare are handled behind the scenes. Reviewers still praise the current care team despite these compensation concerns, but the comments imply a potential risk area—undercompensation could affect morale or long-term staff stability even if day-to-day care remains strong now.
Areas not covered or insufficiently detailed in the provided reviews include dining, activities, medical outcomes, and clinical specialties. There are no comments about meal quality, social programming, therapy services, or clinical care beyond general praise for caregiving. Because these topics were not mentioned, no reliable assessment can be made from the supplied summaries on dining options, recreational activities, or specialized medical care.
In summary, the reviews paint a picture of a facility with high marks for daily resident care, a compassionate and friendly staff, and an environment that is being actively improved. The dominant positive sentiment centers on the caregiving team's responsiveness and family members' gratitude. Counterbalancing these positives are repeated concerns about nurse pay and staff compensation, accompanied by critiques of management. Prospective families should weigh the strong firsthand reports of excellent caregiving and a pleasant environment against the documented concerns about compensation and management practices; these issues may merit follow-up questions during tours or conversations with administrators to understand staff retention and morale strategies.
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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
Morning Star Care Center is located at 4 N Fork Rd, Fort Washakie, WY, 82514.
About Morning Star Care Center
Morning Star Care Center in Fort Washakie, Wyoming, offers assisted living, skilled nursing, and rehabilitation services, so folks find help with daily needs and health concerns, and Medicaid and Medicare are accepted for financial ease. They've got private and semi-private rooms with phones and furnishings, and there's always someone available day or night thanks to 24-hour supervision, a call system, and emergency alert support. People get help with things like bathing, dressing, getting around, and managing medicine, while nurses take care of health needs, wound care, respiratory therapy, and even hospice and respite when needed. The center's got a bright, furnished environment, an arts room, a beauty shop, barber and salon, gardens and walking paths outside, and plenty of shared spaces like a community room for activities, social events, movie nights, and programs that bring people together. Meals are served all day in a dining room, and the kitchen staff prepares food for special diets like diabetic or allergy-sensitive meals, making sure everyone gets what fits their needs, plus everything's kept clean with laundry and dry cleaning. There's on-site physical, occupational, and speech therapy for those in rehab or working to recover, as well as support for chronic illnesses, and staff try to keep things feeling home-like, friendly, and safe. Transportation and parking, moving-in help, and a friendly team of caregivers supporting independence round out what's available, and after some recent renovations the place feels even more comfortable and bright. Community programs let residents stay active, and the center has earned accreditations and a reputation for careful, compassionate service. There are also connections with community organization ownership and social media like Facebook and Instagram, and new facilities for Meta products and services, so folks stay connected. Morning Star Care Center suits those needing ongoing care, daily help, and a social setting with steady support.
People often ask...
Morning Star Care Center offers assisted living, memory care, and skilled nursing.
The full address for this community is 4 N Fork Rd, Fort Washakie, WY 82514.
No, Morning Star 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 number
nh-196
Facility type
Nursing Home
Inspection Reports
151
Reports
26
Type A Citations
1
Type B Citations
42
Complaints
21
Years
03 Jun 2025Revisit
03 Jun 2025Revisit
Verified compliance with life safety requirements after review; all prior deficiencies were corrected.
30 May 2025Revisit
30 May 2025Revisit
Verified that previous deficiencies were corrected and no new noncompliance was found.
10 Apr 2025Complaint
10 Apr 2025Complaint
Identified an inaccuracy in MDS assessments for hospice status affecting one resident.
42 CFR 483.20(g)Accuracy of Assessments
10 Apr 2025Life Safety
10 Apr 2025Life Safety
Identified multiple fire-safety deficiencies. Findings included incomplete testing/maintenance of alarms and sprinklers, inadequate fire drills across shifts, improper door inspections, and unsafe storage of oxygen cylinders.
NFPA 72Fire Alarm System - Testing and Maintenance
NFPA 25Sprinkler System - Maintenance and Testing
NFPA 101Fire Drills
NFPA 80Maintenance, Inspection & Testing - Doors
NFPA 99Gas Equipment - Cylinder and Container Storage
02 Jan 2025Revisit
02 Jan 2025Revisit
Verified no deficiencies were found.
05 Nov 2024Complaint
05 Nov 2024Complaint
Investigated concerns found that a resident who was transferred to the hospital was not allowed to return to the facility, and medically related social services did not complete Medicaid LT101 processes for a resident.
42 CFR 483.15Transfer and Discharge Requirements
42 CFR 483.40(d)Provision of Medically Related Social Service
22 Mar 2024Revisit
22 Mar 2024Revisit
Verified no deficiencies were found; all prior deficiencies were corrected.
18 Mar 2024Revisit
18 Mar 2024Revisit
Verified compliance with all requirements and found no deficiencies.
25 Jan 2024Licensure
25 Jan 2024Licensure
Identified multiple deficiencies involving resident rights, discharge planning, pain management, pharmacy services, psychotropic drug management, and immunizations.
42 CFR §483.10(c)(6), §483.10(c)(8), §483.10(g)(12)Right to refuse/Discontinue treatment and advance directives
42 CFR §483.45(c)(1)-(5)Drug Regimen Review; Report Irregular; Act On
42 CFR §483.45(e)(1)-(5)Free from Unnecessary Psychotropic Meds/PRN Use
42 CFR §483.80(d)(1)-(2) influenza and pneumococcal immunizations
24 Jan 2024Life Safety
24 Jan 2024Life Safety
Identified life-safety deficiencies: fire alarm and sprinkler systems were not properly tested or maintained, and power strips were used in patient care areas.
NFPA 101 9.6.1.3, 9.6.1.5; NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
NFPA 13 13.2.5, 13.4.4.2.4, 13.4.4.2.1, 13.4.4.2.6; Table 5.1.1.2, Table 13.1.1.2Sprinkler System - Maintenance and Testing
Found all previously cited deficiencies corrected and no new noncompliance; confirmed compliance with all regulations surveyed.
21 Feb 2023Revisit
21 Feb 2023Revisit
Concluded that all deficiencies were corrected and the facility is in compliance.
12 Jan 2023Life Safety
12 Jan 2023Life Safety
Identified multiple life-safety deficiencies across emergency power, cooking facilities protection, fire alarm maintenance, and essential electrical system testing.
42 CFR 483.73(e); NFPA 99; NFPA 101; NFPA 110Emergency and standby power systems
NFPA 101; NFPA 96Cooking facilities
NFPA 101; NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
NFPA 99; NFPA 110; NFPA 70Electrical Systems - Essential Electric System
12 Jan 2023Licensure
12 Jan 2023Licensure
Found multiple deficiencies including failure to report injuries of unknown origin, insufficient investigation of abuse, incomplete care planning, gaps in restorative services, and improper psychotropic medication monitoring.
§483.12(b)(5)(i)(A)(B)(c)(1)(4)Reporting of Alleged Violations
§483.20(b)(2)(ii)Comprehensive Assessment After Significant Change
§483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
§483.25(c)(1)-(3)Increase/Prevent Decrease in ROM/Mobility
§483.45(c)(3)(e)(1)-(5)Free from Unnecessary Psychotropic Meds/PRN Use
12 Jan 2023Licensure
12 Jan 2023Licensure
Found no deficiencies during the evaluation.
09 Aug 2022Complaint
09 Aug 2022Complaint
Investigated a complaint and found no deficiencies.
04 Apr 2022Revisit
04 Apr 2022Revisit
Found no deficiencies. Prior issues were corrected and no new noncompliance was found.
31 Mar 2022Revisit
31 Mar 2022Revisit
Verified that prior deficiencies were corrected and the site is back in compliance.
17 Feb 2022Licensure
17 Feb 2022Licensure
Identified multiple deficiencies related to MDS data transmission, resident transfers, infection control PPE practices, and COVID-19 vaccination policies.
§483.20(f)(1)-(4)Automated data processing requirement - Encoding/Transmitting Resident Assessments
§483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
§483.80(a)(1)-(2), (a)(4), (e), (f)Infection Prevention & Control
§483.80(i)(1)-(3)COVID-19 Vaccination of Facility Staff
17 Feb 2022Licensure
17 Feb 2022Licensure
Found no deficiencies. The findings showed compliance with state requirements.
15 Feb 2022Life Safety
15 Feb 2022Life Safety
Identified deficiencies involving cooking facilities protection and electrical safety, creating potential fire and electrical hazards.
Concluded previous deficiencies were corrected and no new noncompliance found.
05 Apr 2021Revisit
05 Apr 2021Revisit
The agency found deficiencies during a Life Safety Code revisit but all were corrected and the facility is back in compliance.
—Initial Comments
17 Mar 2021Life Safety
17 Mar 2021Life Safety
Identified deficiencies in hazardous areas enclosure and sprinkler system installation, including improper storage of combustibles and obstruction of sprinkler heads.
NFPA 101 19.3.2.1, 19.3.5.9Hazardous Areas - Enclosure
Identified multiple deficiencies including inaccurate MDS assessments, inadequate dietary staffing qualifications, and gaps in infection prevention practices and leadership.
483.20(g)Accuracy of Assessments
483.60(a)Qualified Dietary Staff
483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
Found no deficiencies identified in the COVID-19 focused infection control survey conducted on 2020-04-07.
27 Nov 2019Revisit
27 Nov 2019Revisit
Found no deficiencies during the revisit; prior deficiencies were corrected.
19 Nov 2019Revisit
19 Nov 2019Revisit
Verified all prior deficiencies were corrected and no new noncompliance was found.
03 Oct 2019Licensure
03 Oct 2019Licensure
Investigated multiple deficiencies across resident assessments, care planning, medications, safety devices, immunizations, and food safety during a recertification survey.
CFR 483.10(g)(17)-(18)Inform Medicaid-eligible residents of services/charges; NOMNC
CFR 483.20(g)Accuracy of Assessments
CFR 483.21(b)Develop/Implement Comprehensive Care Plan
CFR 483.25(n)Bed Rails
CFR 483.45(d)Unnecessary Drugs
CFR 483.45(e)Psychotropic Drugs
CFR 483.45(g)(h)Label/Store Drugs and Biologicals
CFR 483.60(i)Food Safety – Temperature/Storage
CFR 483.80(d)Influenza and Pneumococcal Immunizations
03 Oct 2019Licensure
03 Oct 2019Licensure
Determined no deficiencies were found during the survey.
02 Oct 2019Life Safety
02 Oct 2019Life Safety
Identified serious deficiencies in emergency preparedness, fire safety systems and related procedures, including improper testing and maintenance, missing documentation, and inadequate tracking of staff and residents during emergencies.
NFPA 101 19.3.2.1.3Continued From page 2 – Hazardous areas protection
NFPA 101 (Fire Alarm System – Testing and Maintenance)Fire Alarm System - Testing and Maintenance
NFPA 101 (Fire Drills)Fire Drills
NFPA 101 / NFPA 110 / NFPA 99 (Electrical/Generator maintenance)Electrical Systems - Essential Electrical System Maintenance and Testing
CFR 483.73(b)(2)Procedures for Tracking of Staff and Patients
CFR 483.73(b)(8)Roles Under a Waiver Declared by Secretary
CFR 483.73(c)(2)Emergency Officials Contact Information
17 Jan 2019Revisit
17 Jan 2019Revisit
Verified compliance with emergency preparedness requirements after a revisit.
11 Dec 2018Revisit
11 Dec 2018Revisit
Verified previous deficiencies were corrected and found no new noncompliance. Confirmed compliance with all regulations surveyed.
08 Nov 2018Complaint
08 Nov 2018Complaint
Investigated a complaint of abuse/neglect and found a staff member verbally abused a resident, with threats and forced feeding; the staff member was terminated and corrective actions were implemented with compliance determined.
CFR 483.12(a)(1)Free from Abuse and Neglect
18 Oct 2018Licensure
18 Oct 2018Licensure
Multiple deficiencies identified across resident privacy, safety, discharge planning, care planning, assessments, and medication management, indicating non-compliance with several federal care standards.
42 CFR 483.10(h)Personal Privacy/Confidentiality
42 CFR 483.10(e); 42 CFR 483.12(a)(2)Right to be Free from Physical Restraints
42 CFR 483.15(c)(3)-(6); (c)(8)Notice before transfer/Discharge
42 CFR 483.15(d)(1)-(2)Bed-hold Notice
42 CFR 483.20(g)Accuracy of Assessments
42 CFR 483.21(b)(1)Comprehensive Care Plans
42 CFR 483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
42 CFR 483.21(c)(1)-(ix)Discharge Planning Process
42 CFR 483.21(c)(2)(i)-(iv)Discharge Summary
42 CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
42 CFR 483.45(g)-(h)(2)Label/Store Drugs and Biologicals
18 Oct 2018Licensure
18 Oct 2018Licensure
Concluded compliance with state requirements. No deficiencies were cited.
17 Oct 2018Life Safety
17 Oct 2018Life Safety
The facility was cited for deficiencies in emergency preparedness and safety systems, including unlabeled fire alarm disconnections, inadequate sheltering and subsistence planning, and missing policies and training related to emergencies.
NFPA 72; NFPA 25; 2011 NFPA 25 13.6.2.1Fire alarm system labeling/testing; backflow testing; related NFPA requirements
Emergency Preparedness CFRsInitial Comments
CFR 483.73(b)(1)Subsistence Needs for Staff and Patients
CFR 483.73(b)(4)Policies/Procedures for Sheltering in Place
—Continued From page 4 – Surge needs / integration of health care professionals
CFR 483.73(d)EP Training and Testing
—Portable space-heating devices
CFR 483.73(b)(1)Subsistence Needs for Staff and Patients (Reopened)
04 Jan 2018Revisit
04 Jan 2018Revisit
Found no deficiencies; previous deficiencies were corrected on 01/04/2018.
04 Jan 2018Revisit
04 Jan 2018Revisit
Found no deficiencies. The survey concluded compliance with all regulations.
01 Nov 2017Life Safety
01 Nov 2017Life Safety
Observed unprotected penetrations in a smoke barrier between the kitchen and dining area, which could allow smoke and fire to spread between compartments.
NFPA 101 19.3.7.3, 8.5.6.2Subdivision of Building Spaces - Smoke Barrier Construction
26 Oct 2017Licensure
26 Oct 2017Licensure
Concluded compliance with State requirements after a multi-day survey.
26 Oct 2017Licensure
26 Oct 2017Licensure
Investigation found deficiencies in care planning, staffing data, quality assurance, dietary safety, and resident rights.
06 Feb 2017Revisit
06 Feb 2017Revisit
Identified deficiencies related to resident rights and quality of life provisions; corrective actions were completed.
483.12(b)(1)-(3); 483.95(c)(1)-(3)Resident rights; quality of life
11 Jan 2017Revisit
11 Jan 2017Revisit
Identified two life-safety-code deficiencies and corrected them by the dates shown.
Ch 11 Sec 5 (b)(iv)Ch 11 Sec 5 (b)(iv)
Ch 11 Sec 6 (a)(iv)Ch 11 Sec 6 (a)(iv)
11 Jan 2017Revisit
11 Jan 2017Revisit
Investigated and identified deficiencies under federal regulations and confirmed corrective actions were completed.
Investigated follow-up after previous deficiencies; corrective actions were completed.
22 Dec 2016Revisit
22 Dec 2016Revisit
Found deficiencies under NFPA 101 and Life Safety Code; corrections were completed.
NFPA 101NFPA 101
NFPA 101NFPA 101
LSCLSC
12 Dec 2016Complaint
12 Dec 2016Complaint
Investigated a complaint and found deficiencies related to documenting internal investigations and ensuring staff competency.
—
—
15 Nov 2016Complaint
15 Nov 2016Complaint
Investigated a deficiency showing that the physician and the resident's emergency contact were not notified about a significant change in the resident's condition after a fall and bone protrusion.
—Continued From page 2 – failure to notify physician and emergency contact of significant change
03 Nov 2016Licensure
03 Nov 2016Licensure
Investigated identified deficiencies in TB testing for residents, failure to maintain safe hot water temperatures, and deficiencies in dietetic services and supervision.
Ch 11 Sec 5 (b)(iv) Organization and AdministrationTB testing and medical referrals
Ch 11 Sec 6 (a)(v) Physical EnvironmentPhysical environment - hot water temperatures
Ch 11 Sec 11 (a)(i) Dietetic ServicesDietetic supervision and food service
03 Nov 2016Complaint
03 Nov 2016Complaint
Investigated deficiencies in residents' care plans, medication management, and related safety practices, indicating several areas needing improvement.
Type A483.20(k)(3)(II)Services by Qualified Persons/Care Plan
Type A483.20(j)Drug Regimens
01 Nov 2016Life Safety
01 Nov 2016Life Safety
Identified electrical safety deficiencies and generator-related deficiencies that could affect residents and staff.
NFPA 70 (National Electrical Code)Electrical panels not provided per NFPA 70
Type ANFPA 110 (Emergency and Standby Power Systems)Remote stop button missing and generator maintenance/testing plans
Type BNFPA 110 (Emergency and Standby Power Systems)Shutdown procedures could affect residents if generator is running
29 Jan 2016Revisit
29 Jan 2016Revisit
Identified deficiencies were cited and corrections were completed.
483.10(n)
483.15(h)(2)
483.20(b)(1)
483.20(d); 483.20(k)(1)
483.20(d)(3); 483.10(k)
483.20(k)(3)(ii)
483.25(i)
483.25(h)
483.25(i)
483.35(i)
483.60(b), (d), (e)
483.65
29 Jan 2016Revisit
29 Jan 2016Revisit
Identified multiple deficiencies requiring correction; corrective actions were completed on revisit.
483.10(n)
483.15(h)(2)
483.20(b)(1)
483.60(b), (d), (e)
483.65
13 Jan 2016Revisit
13 Jan 2016Revisit
Verified corrections were completed for deficiencies identified on a prior survey, and follow-up confirmed compliance.
13 Jan 2016Revisit
13 Jan 2016Revisit
Investigated the post-certification revisit to verify corrections from a prior survey; confirmed that corrections were completed.
05 Nov 2015Licensure
05 Nov 2015Licensure
Investigative findings showed deficiencies in resident safety, mobility management, and care planning with multiple items carried over from prior notes.
—
05 Nov 2015Licensure
05 Nov 2015Licensure
Determined compliance with state requirements; no deficiencies were cited.
03 Nov 2015Life Safety
03 Nov 2015Life Safety
Investigated a deficiency in egress and life-safety systems; observed doors in multiple locations that did not operate properly and required more than one action to unlock, and findings indicated the kitchen hood/Ansul system and related safety components require inspections.
Type ANFPA 101 Life Safety Code StandardDoor hardware/egress not properly operational
Type ANFPA 101 Life Safety Code Standard; NFPA 96Kitchen hood/Ansul system inspection and related safety components
29 Jan 2015Complaint
29 Jan 2015Complaint
Investigated a complaint and found no deficiencies identified.
24 Nov 2014Revisit
24 Nov 2014Revisit
Found deficiencies cited against CMS regulations and noted required corrections.
29 Oct 2014Revisit
29 Oct 2014Revisit
Investigated a complaint alleging life-safety deficiencies; deficiencies were cited and follow-up showed corrections completed.
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
29 Oct 2014Revisit
29 Oct 2014Revisit
Investigated Life Safety Code deficiencies; corrections were completed for each cited item.
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
29 Oct 2014Revisit
29 Oct 2014Revisit
Investigated the revisit and found no deficiencies.
17 Sept 2014Life Safety
17 Sept 2014Life Safety
Identified multiple life-safety deficiencies, including unprotected ceilings, improper door hardware, and locking devices that could impede egress.
NFPA 101 Life Safety Code Standard (2000 Edition)Ceilings not smoke resistant; penetrations
NFPA 101 Life Safety Code Standard (2000 Edition)Latch releasing mechanism; egress hardware
NFPA 101 Life Safety Code Standard (2000 Edition)Listed sprinkler assemblies; flush-type sprinklers
NFPA 101 Life Safety Code Standard (2000 Edition)Locking devices affecting egress
17 Sept 2014Life Safety
17 Sept 2014Life Safety
Identified a backflow prevention deficiency in the plumbing system due to a hose connection to the chemical dispensing system, creating a cross-connection risk observed during the survey.
IPC Life Safety - Int'l Plumbing CodeLife Safety - International Plumbing Code
12 Sept 2014Licensure
12 Sept 2014Licensure
The Wyoming health department identified multiple deficiencies in housekeeping/maintenance, resident care, safety, and related operations.
12 Sept 2014Licensure
12 Sept 2014Licensure
Determined that the operation was in compliance with state requirements.
12 Sept 2014Complaint
12 Sept 2014Complaint
Investigated deficiencies in care, recordkeeping, and environmental controls; identified issues affecting resident safety and confidentiality.
12 Nov 2013Revisit
12 Nov 2013Revisit
Investigated a complaint and identified deficiencies; several corrections completed.
19 Sept 2013Revisit
19 Sept 2013Revisit
Investigated previously found deficiencies and confirmed corrections completed.
01 Aug 2013Licensure
01 Aug 2013Licensure
Determined that the facility was in compliance with state requirements.
01 Aug 2013Licensure
01 Aug 2013Licensure
During the licensing review, multiple deficiencies were found in medication administration, resident assessment and care planning, and staff documentation and monitoring.
30 Jul 2013Life Safety
30 Jul 2013Life Safety
Found deficiencies in life-safety and maintenance practices, including sprinkler gauge maintenance, flame-retardant fabric coverings, and No Smoking signage.
NFPA 101 Life Safety Code StandardSprinkler gauge maintenance
NFPA 701Fabric wall coverings flame retardant
NFPA 101 Life Safety Code StandardNo Smoking signage
NFPA 101 Life Safety Code StandardElectrical wiring and equipment
13 Aug 2012Life Safety
13 Aug 2012Life Safety
Identified multiple deficiencies related to safety and maintenance, including inadequate corridor door maintenance, missed fire drills, kitchen exhaust and hood maintenance issues, and improper smoking policy measures.
NFPA 101 Life Safety Code StandardCorridor door maintenance
NFPA 101 Life Safety Code StandardFire drills not conducted as required
NFPA 101 Life Safety Code Standard; NFPA 96Kitchen hood system maintenance
NFPA 96; NFPA 101 Life Safety Code StandardSmoking policy and ash receptacles
NFPA 101 Life Safety Code StandardKitchen exhaust cleaning contractor
NFPA 101 Life Safety Code Standard (2000 edition) Section 19.7.4In-service training for staff on life safety
12 Jul 2012Complaint
12 Jul 2012Complaint
Determined privacy and confidentiality deficiencies regarding resident records; observed privacy not maintained.
—Privacy/Confidentiality of Records
12 Jul 2012Licensure
12 Jul 2012Licensure
Identified no deficiencies; determined compliance with state requirements.
11 Jul 2012Life Safety
11 Jul 2012Life Safety
Identified multiple life-safety deficiencies, including non-functioning emergency lighting, unmaintained portable fire extinguishers, and unsafe electrical practices, with follow-up actions noted.
NFPA 101 Life Safety Code Standard Emergency lighting – exit discharge lighting (7.9.2.9.1)Emergency lighting
NFPA 101 Life Safety Code Standard 9.7.5 (Portable fire extinguishers) or related 19.2.8Portable fire extinguishers
NFPA 101 Life Safety Code Standard 19.7.6 (fire extinguisher inspections) recommendedFire extinguisher inspections
NFPA 70 National Electrical Code (9.1.2) and related electrical safety provisionsExtension cords/server room safety
08 Jun 2012Revisit
08 Jun 2012Revisit
Investigated a complaint; two deficiencies were cited and corrections were completed.
483.20(d)(3), 483.10(k)(2)
483.25(h)
06 Apr 2012Complaint
06 Apr 2012Complaint
Investigated deficiencies in care planning and fall management; care plans did not reflect residents' current conditions and falls follow-up processes were inadequate.
—Care plan not updated to reflect current condition and needs
—Falls management and follow-up deficiencies
22 Nov 2011Revisit
22 Nov 2011Revisit
Verified corrections completed after a prior deficiency and confirmed ongoing compliance during the revisit.
04 Nov 2011Revisit
04 Nov 2011Revisit
Investigated a follow-up; corrections completed; no uncorrected deficiencies remained.
15 Sept 2011Complaint
15 Sept 2011Complaint
Investigated multiple deficiencies in documentation, nutrition management, and medication oversight, including posting survey results, inadequate dietary fortification, and gaps in chart audits.
—Survey results posted/accessible to residents
—Medication labeling/expiration dates
—Dietary/nutrition fortification
—Audits of medical orders and care plans
—Medication dose reduction review
—Care planning/goals and actions
15 Sept 2011Life Safety
15 Sept 2011Life Safety
Identified life-safety deficiencies, including failure to maintain self-closing doors in multiple smoke compartments and related fire-safety concerns.
NFPA 101 Life Safety Code StandardDoors required to be self-closing/automatic closing
19 Aug 2011Revisit
19 Aug 2011Revisit
Investigated the follow-up review; the cited life-safety code deficiency was corrected.
483.75(d)(1)-(2)Life Safety Code deficiency
19 Aug 2011Revisit
19 Aug 2011Revisit
Verified the deficiencies previously reported were corrected and found no deficiencies.
05 Aug 2011Complaint
05 Aug 2011Complaint
Identified deficiencies in governance and administrator licensure; required governing body oversight and licensed administrator and training/licensure.
Found governance and administration deficiencies related to the governing body's authority and administrator qualifications.
Type ALIC REGS FOR NURSING HOMESOrganization and Administration
16 May 2011Revisit
16 May 2011Revisit
Investigated a follow-up after a prior finding and concluded substantial compliance after corrections were completed.
16 May 2011Revisit
16 May 2011Revisit
Found no deficiencies.
16 May 2011Revisit
16 May 2011Revisit
Investigated a complaint and found deficiencies that were corrected.
14 Apr 2011Licensure
14 Apr 2011Licensure
Investigated a complaint and identified deficiencies related to governance and licensing requirements for administration.
—Organizational and Administrative Requirements (Section 5)
14 Apr 2011Complaint
14 Apr 2011Complaint
Identified deficiencies in governance and licensing; there was no active administrator license at the time, though a temporary license was approved for a limited period with plans to hire a licensed administrator before expiration.
Investigation identified multiple deficiencies related to resident care, staffing practices, and documentation that impacted residents' safety and well-being.
16 Nov 2010Life Safety
16 Nov 2010Life Safety
Identified life-safety deficiencies related to obstructed sprinkler heads and missing testing of a backflow preventer, plus electrical/surge protection issues near building systems.
NFPA 101 Life Safety Code StandardLife Safety Code requirements—sprinkler system and smoke compartments
NFPA 101 Life Safety Code StandardLife Safety Code—doors and safeguarding
NFPA 70 National Electrical Code; NFPA 101 Life Safety Code StandardElectrical wiring and equipment; surge protectors
15 Jan 2010Revisit
15 Jan 2010Revisit
Identified multiple regulatory deficiencies during a revisit; several items cited against statutory requirements.
483.13(c)
483.15(a)
483.15(h)(2)
483.25(a)(2)
483.25(a)(3)(i)
483.25(c)
483.25(i)(2)
483.65(a)
483.70(h)(2)
11 Jan 2010Revisit
11 Jan 2010Revisit
Identified deficiencies and cited violations during a follow-up survey.
483.10(e), 483.75(d)(4)
483.20(k)(3)(i)
483.20(k)(3)(i)
483.25(c)
483.25(d)
04 Dec 2009Licensure
04 Dec 2009Licensure
Identified multiple deficiencies related to resident dignity, treatment by staff, and adequacy of care planning and daily living support.
Type A483.13(c)STAFF TREATMENT OF RESIDENTS
Type A483.15(a)DIGNITY
Type A483.20(k)(3)(i)COMPREHENSIVE CARE PLANS
Type A483.25(a)(2)ACTIVITIES OF DAILY LIVING
13 Nov 2009Revisit
13 Nov 2009Revisit
Investigated the follow-up visit and found no deficiencies.
15 Oct 2009Licensure
15 Oct 2009Licensure
Investigated the dietetic services and found supervisory requirements not met; the supervisor was not a registered dietitian and had not completed the required dietetic manager's course.
Type AWyoming Department of Health Aging Division Rules and Regulations for Program Administration of Nursing Care Facilities, Chapter 11, Dietetic Services, Section 11(a)Dietetic services; dietary supervisor
15 Oct 2009Licensure
15 Oct 2009Licensure
Identified deficiencies in privacy and confidentiality, continence care, and nutrition assessment with corrective actions planned.
—Privacy and Confidentiality
—Continence (promotion of continence)
—Incontinence care
—Nutritional Assessment and RAP
—Urinary Incontinence
12 Oct 2009Life Safety
12 Oct 2009Life Safety
Found life-safety deficiencies including smoke barrier penetrations and inadequate fire drill performance.
NFPA 101 LIFE SAFETY CODE STANDARDFire drills and staff training
NFPA 101 LIFE SAFETY CODE STANDARDSmoke barrier walls and penetrations
NFPA 101 LIFE SAFETY CODE STANDARDPenetrations in smoke/fire barriers
05 May 2009Complaint
05 May 2009Complaint
Found no deficiencies. The site was presumed to be in substantial compliance with applicable long-term care requirements.
21 Jan 2009Complaint
21 Jan 2009Complaint
Investigated a complaint; the allegations were unsubstantiated.
29 Oct 2008Revisit
29 Oct 2008Revisit
Determined that all cited deficiencies were corrected and follow-up confirmed compliance.
21 Oct 2008Revisit
21 Oct 2008Revisit
Investigated a complaint and found deficiencies cited during a follow-up visit.
30 Sept 2008Revisit
30 Sept 2008Revisit
Found no deficiencies. No violations were cited.
11 Sept 2008Licensure
11 Sept 2008Licensure
Investigated a chlorine sanitizing deficiency; staff did not monitor chlorine concentration and no test strips were available, leaving the sanitization level at zero.
Type AWyoming State Rules and Regulations - Chapter 11, Dietary ServicesDietary Services – Dishmachine sanitization and chlorine monitoring
11 Sept 2008Licensure
11 Sept 2008Licensure
Identified deficiencies in housekeeping/maintenance resulting in an unsanitary environment for residents.
483.25(h)(2)HOUSEKEEPING/MAINTENANCE
08 Sept 2008Life Safety
08 Sept 2008Life Safety
Identified several life-safety and electrical system deficiencies, including improper fire drill timing, door hardware issues, and inadequate maintenance of fire alarm and generator systems.
NFPA 101 Life Safety Code StandardFire drills conducted at unexpected times
NFPA 101 Life Safety Code StandardDoor hardware/door latch
NFPA 101 Life Safety Code StandardFire alarm system maintenance/testing
NFPA 101 Life Safety Code StandardGenerator load voltage test
NFPA 101 Life Safety Code StandardFire alarm system component testing
NFPA 101 Life Safety Code StandardGenerator and electrical safety maintenance
11 Jan 2008Revisit
11 Jan 2008Revisit
Investigated the complaint and found that corrections were completed; a follow-up confirmed continued compliance.
18 Dec 2007Revisit
18 Dec 2007Revisit
Identified deficiencies in medication management, including unnecessary drugs and inadequate monitoring/documentation.
483.25(i)Unnecessary drugs
18 Dec 2007Revisit
18 Dec 2007Revisit
Investigated medication practices and found a deficiency due to unnecessary drugs in residents' regimens, including an Ambien order without documented dose reduction.
Type A483.25(l)Unnecessary drugs
10 Dec 2007Revisit
10 Dec 2007Revisit
Identified life-safety code deficiencies during a follow-up visit at a senior care facility and noted multiple NFPA 101 violations.
NFPA 101 Life Safety Code
NFPA 101 Life Safety Code
NFPA 101 Life Safety Code
NFPA 101 Life Safety Code
NFPA 101 Life Safety Code
NFPA 101 Life Safety Code
22 Oct 2007Life Safety
22 Oct 2007Life Safety
Identified multiple life-safety deficiencies in fire protection, electrical systems, and building infrastructure.
Type ANFPA 101 Life Safety CodeLife Safety Code – Doors and barriers
Type ANFPA 101 Life Safety CodeSmoke barrier walls—penetrations
Type ANFPA 101 Life Safety Code / NFPA 72Fire alarm system and life safety wiring
Type ANFPA 101 Life Safety CodeSprinkler system integrity
Type ANFPA / Local electrical codesElectrical wiring and generator support
Type ANFPA / General Electrical SafetyGenerator maintenance schedule
Type ANFPA / NFPA 101Permanent wiring and electrical systems upgrade
18 Oct 2007Licensure
18 Oct 2007Licensure
Identified a deficiency in dietetic services due to the dietary manager lacking required qualifications; the manager was enrolled in a course but had not completed it.
Type AWyoming Rules and Regulations for Program Administration of Nursing Care Facilities, Section 11 Dietetic ServicesDietetic Services - Dietary Manager Qualifications
18 Oct 2007Licensure
18 Oct 2007Licensure
Investigated deficiencies related to resident rights, medication administration, and staff procedures, with multiple specific deficiencies identified.
483.10(i)(1)Privacy in written communications
483.10(n)Self administration of medications
483.13(c)Staff treatment of residents
23 Jan 2007Complaint
23 Jan 2007Complaint
Found no deficiencies identified during the complaint investigation.
16 Nov 2006Revisit
16 Nov 2006Revisit
Investigated follow-up on prior deficiencies and confirmed most corrective actions were completed; a summary of uncorrected deficiencies was sent.
16 Nov 2006Revisit
16 Nov 2006Revisit
Found no deficiencies during the revisit.
30 Oct 2006Revisit
30 Oct 2006Revisit
Investigated a previously reported deficiency and confirmed corrections completed.
05 Oct 2006Complaint
05 Oct 2006Complaint
Found a lack of a governing body and a state-licensed administrator; a temporary license was in place for the acting administrator and a plan to hire a full-time administrator was in progress.
—Governing Body
05 Oct 2006Revisit
05 Oct 2006Revisit
Investigated and found no deficiencies cited.
05 Oct 2006Revisit
05 Oct 2006Revisit
Investigated previous deficiencies and documented corrective actions with completion dates.
18 Aug 2006Licensure
18 Aug 2006Licensure
An investigation found multiple deficiencies related to residents' rights, staff treatment, and the development and use of care plans.
Type A483.10(a)(1)-(2)Exercise of rights
Type A483.13(c)Staff treatment of residents
Type A483.13(c)Staff treatment of residents
Type A483.20(g)(1)Comprehensive care plans
Type A483.20(k)Comprehensive assessments
18 Aug 2006Licensure
18 Aug 2006Licensure
An investigation found multiple deficiencies in resident rights, staff treatment, and care planning, including restraints usage, mistreatment concerns, and incomplete assessments and care plans.
483.13(c)PHYSICAL RESTRAINTS
483.13(c)STAFF TREATMENT OF RESIDENTS
483.20COMPREHENSIVE ASSESSMENTS
483.20(d), 483.20(k)(1)COMPREHENSIVE CARE PLANS
08 Aug 2006Life Safety
08 Aug 2006Life Safety
Investigated deficiencies in life-safety systems including fire alarm, sprinkler, HVAC, and electrical safety; several items were not in compliance with NFPA codes and testing requirements.
NFPA 101 Life Safety Code StandardLife safety code standard - fire alarm system
NFPA 101 Life Safety Code StandardSprinkler system maintenance/installation
NFPA 101 Life Safety Code StandardVentilation and HVAC systems
NFPA 101 Life Safety Code StandardGenerator and emergency lighting testing
NFPA 101 Life Safety Code StandardElectrical wiring and receptacles safety
08 Aug 2006Life Safety
08 Aug 2006Life Safety
Investigated found multiple life-safety deficiencies related to fire-alarm testing, sprinkler and electrical systems, and improper wiring practices.
NFPA 101 Life Safety Code StandardFire safety system testing and maintenance
NFPA 101 Life Safety Code StandardDoors and barriers
NFPA 101 Life Safety Code StandardLife safety systems maintenance
NFPA 101 Life Safety Code StandardGenerator and emergency lighting testing
NFPA 101 Life Safety Code StandardGeneral life safety code compliance
NFPA 101 Life Safety Code StandardFire-resistance and construction standards
NFPA 101 Life Safety Code StandardElectrical wiring and outlets
30 Mar 2006Revisit
30 Mar 2006Revisit
Confirmed corrections were completed and found substantial compliance.
30 Mar 2006Revisit
30 Mar 2006Revisit
Investigated the complaint and found no deficiencies.
01 Mar 2006Licensure
01 Mar 2006Licensure
Found that the governing body failed to appoint a Wyoming-licensed administrator, and the acting administrator did not hold a Wyoming license.
Wyoming Rules and Regulations for Program Administration of Nursing Care Facilities (Chapter 11), Section 5(a)Governing Body; Appointment of licensed administrator
01 Mar 2006Complaint
01 Mar 2006Complaint
Found that the administrator did not hold a current Wyoming Nursing Home Administrator license and the governing body did not appoint a licensed administrator.
—Administrator license status
02 Feb 2006Revisit
02 Feb 2006Revisit
Investigated a complaint and followed up; several items were corrected.
09 Jan 2006Complaint
09 Jan 2006Complaint
Investigated the complaint; found no deficiencies.
29 Dec 2005Complaint
29 Dec 2005Complaint
Identified that the acting administrator was not licensed in Wyoming and was operating under another staff member's license.
—Licensing/Administrator licensure
22 Nov 2005Complaint
22 Nov 2005Complaint
During a licensing review, several deficiencies were found in resident care including failure to provide planned restorative nursing services for transfers, ambulation and range of motion, plus inadequate nursing staff coverage and supervision for residents’ activities of daily living.
483.25(a)(2)Activities of Daily Living
483.25(e)(2)Range of Motion
483.30(a)Nursing Services - Sufficient Staff
30 Sept 2005Revisit
30 Sept 2005Revisit
Identified several CMS deficiencies and confirmed corrections completed.
483.15(a)
483.20(k)(3)(ii)
483.25(a)(3)
483.25(d)
483.25(h)(1)
483.35(c)
483.70(h)(4)
22 Aug 2005Revisit
22 Aug 2005Revisit
Verified that all previously identified deficiencies were corrected. Follow-up completed.
03 Aug 2005Licensure
03 Aug 2005Licensure
Investigated a deficiency related to residents' dignity and personal care; identified failures in maintaining dignity and in ensuring appropriate care planning and routines.
683.15(a)DIGNITY
03 Aug 2005Revisit
03 Aug 2005Revisit
Cited deficiencies with uncorrected items after the follow-up revisit.
08 Jul 2005Complaint
08 Jul 2005Complaint
Identified failures to follow physician orders and maintain care plans, with incomplete treatment documentation for multiple residents.
483.20, 483.20(b)Comprehensive Assessments
483.20Comprehensive Care Plans
483.25Quality of Care
28 Jun 2005Life Safety
28 Jun 2005Life Safety
The licensing review identified multiple life-safety deficiencies, including smoke-barrier doors not fully closing or latched, and issues with exit signage, emergency lighting, sprinklers, and fire extinguishers.
NFPA 101 Life Safety Code Standard (Section 19.3.7.3 and 8.3.2)Smoke barrier door hardware/closing
NFPA Life Safety Code StandardDoor hardware/closure (additional doors)
NFPA Life Safety Code StandardExit signs and emergency lighting
NFPA Life Safety Code StandardLife Safety Code standard – coverage and maintenance
NFPA Life Safety Code StandardPortable fire extinguishers – hydrostatic testing and maintenance
19 Apr 2005Complaint
19 Apr 2005Complaint
Investigated a complaint; found no deficiencies.
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Mirador Living is not affiliated with the owner or operator(s) of Morning Star Care Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Morning Star Care Center directly. There is no cost for this service. We are compensated by the community you select.
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