St. John's Living Center

    625 E Broadway Ave, Jackson, WY 83001
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Outstanding compassionate care, engaging programs

    I'm very grateful my loved one is here - the care has been outstanding and the staff (Jon, Chrishawna, Melek, Cara, Sammy and many others) are compassionate, responsive, and expertly trained. The homey, pet-friendly atmosphere, delicious meals, excellent communication, and engaging art & music program (they've blossomed into a talented artist and rhythm-instrument player) have made them happy and independent while administration addresses concerns quickly.

    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

    5.00·(6)

    Overall rating

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

      5.0
    • Staff

      5.0
    • Meals

      5.0
    • Amenities

      5.0
    • Value

      5.0

    Pros

    • Outstanding, high-standard elder care
    • Expertly trained and capable caregivers
    • Compassionate, loving and caring staff
    • Responsive, team-based care and quick issue resolution
    • Excellent communication with families
    • Staff and administrators who put families at ease
    • Strong pandemic-era care and safety
    • Named staff praised for exceptional care (Jon, Chrishawna, Melek, Cara, Sammy)
    • Robust activities program (art & music)
    • Residents supported to maintain independence and voice opinions
    • Homey, welcoming facility atmosphere
    • Delicious meals
    • Pet-friendly environment (resident dog)
    • Families express gratitude and high praise ("best nursing home")

    Cons

    • Occasional fussiness about certain issues (minor, isolated)

    Summary of reviews

    Overall sentiment: The reviews present a strongly positive, consistently satisfied view of St. John's Living Center. The dominant themes are exceptional, compassionate caregiving, good communication with family members, and a warm, home-like environment. Multiple reviewers use emphatic praise (for example calling it the "best nursing home") and name specific staff members who provided an "unbelievable level of care," indicating both institutional strengths and standout individual caregivers.

    Care quality and staffing: Reviews repeatedly highlight outstanding standards of elder care delivered by expertly trained, capable staff. Care is described as both competent and compassionate; reviewers emphasize that caregivers are loving, responsive, and team-oriented. Several reviewers call out specific employees by name (Jon, Chrishawna, Melek, Cara, Sammy) for delivering exceptional personal attention, which suggests both strong front-line performance and meaningful relationships between staff and residents. Team-based care and rapid attention to family concerns are recurring points — administration is described as helpful and concerns are handled quickly, reinforcing the impression of an organized and accountable care team.

    Communication, management, and pandemic response: Communication with families is consistently praised; reviewers note that staff put families at ease and maintain good, transparent lines of communication. Management and administration are depicted as responsive and supportive, addressing issues in a timely manner. One explicit theme is effective care through the pandemic, suggesting the facility managed infection-control, continuity of care, and family communication well during a stressful period.

    Activities, resident life, and independence: The facility's activities — particularly art and music programs — receive notable praise. Reviews mention residents "blossoming" into talented artists and becoming skilled rhythm-instrument players, indicating meaningful, person-centered programming that encourages creativity and skill development. Reviewers also emphasize that residents are encouraged to voice opinions and maintain independence, pointing to a culture that respects autonomy and individualized engagement.

    Facilities, dining, and atmosphere: St. John's is described as homey and welcoming, with delicious meals and a pet-friendly environment that includes a resident dog. These details support an overall impression of comfort and quality of life beyond clinical care: pleasant dining, a welcoming physical environment, and opportunities for social connection and companionship.

    Notable patterns and minor concerns: The reviews contain almost entirely positive feedback; the only recurring negative note is that some reviewers occasionally found residents or aspects of care "fussy about certain things." This concern appears minor and isolated, and other reviews explicitly state that concerns are addressed quickly. There are no systematic complaints about staffing levels, safety, cleanliness, or clinical competence in the provided summaries.

    Conclusion: Collectively, the reviews paint a picture of a facility that delivers high-quality, compassionate, and individualized elder care, with strong family communication, effective administration, and engaging activity programming. The combination of professional caregiving, named staff excellence, home-like atmosphere, good dining, and pet-friendly policy contributes to high family satisfaction and gratitude. Aside from occasional minor fussiness on specific issues, reviewers report few if any substantive negatives, making St. John's Living Center appear to be a well-regarded option for long-term care in the contexts reflected by these summaries.

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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 St. John's Living Center

    St. John's Living Center is located at 625 E Broadway Ave, Jackson, WY, 83001.

    About St. John's Living Center

    St. John’s Nursing Home provides a comprehensive and resident-centered approach to long-term nursing care in the Jackson, WY area. This dedicated facility offers private rooms to ensure comfort and privacy, allowing residents to feel more at home during their stay. In response to the evolving needs of its residents and the surrounding community, the nursing home has introduced innovative care models designed to enhance quality of life and support individualized attention for each person.

    A key feature of St. John’s Nursing Home is its specialized memory support neighborhood. This area has been thoughtfully developed to serve residents living with Alzheimer’s disease and other forms of dementia. The memory support environment is structured to provide both safety and enrichment, ensuring that those with cognitive challenges receive compassionate care tailored specifically to their needs. The staff employs proven strategies to address memory loss while also promoting dignity and engagement for every resident within this supportive setting.

    For individuals recovering from medical events, St. John’s Nursing Home offers an acute physical and functional rehabilitation program that assists those rebounding from stroke, traumatic injury, or serious illnesses such as COPD and heart failure. Comprehensive rehabilitation services work to restore function and support a return to daily activities, all within a nurturing atmosphere designed to encourage recovery and foster a sense of well-being. Each resident benefits from a care plan formulated with input from a multidisciplinary team, ensuring that every aspect of their rehabilitation is addressed.

    The foundation of St. John’s Nursing Home is its award-winning tradition of care, which has served the Jackson community for decades. Residents and families can take comfort in knowing the staff is dedicated to continually improving and adapting services to meet changing needs. Through a combination of specialized programs, modern accommodations, and a focus on health and wellness, St. John’s Nursing Home remains committed to delivering exceptional, resident-focused care in an environment that feels welcoming and supportive of both physical and emotional health.

    People often ask...

    St. John's Living Center offers assisted living, memory care, and skilled nursing.

    There are 4 photos of St. John's Living Center on Mirador.

    The full address for this community is 625 E Broadway Ave, Jackson, WY 83001.

    No, St. John's Living 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-199
    Facility typeNursing Home

    Inspection Reports

    88

    Reports

    6

    Type A Citations

    0

    Type B Citations

    3

    Complaints

    21

    Years

    08 Jul 2025Revisit
    Verified no deficiencies were found after the follow-up visit.
    08 May 2025Licensure
    Found a resident’s funds were misappropriated and there were lapses in kitchen food-safety monitoring, including missing temperature logs and dishwasher sanitation records.
    • CFR 483.12Free from Misappropriation/Exploitation
    • CFR 483.60(i)(1)(2)Food safety requirements
    06 May 2025Life Safety
    Determined compliance with emergency preparedness and Life Safety Code requirements. Found no deficiencies.
    26 Mar 2024Revisit
    Verified that all prior deficiencies were corrected and no new noncompliance was found.
    22 Mar 2024Revisit
    Found that all prior deficiencies were corrected and no new noncompliance was identified.
    08 Feb 2024Licensure
    Found that pneumococcal immunizations were not offered to two residents per CDC recommendations. Documentation and interviews showed no offers since the last documented pneumococcal vaccines.
    • 42 CFR §483.80(d)Influenza and Pneumococcal Immunizations
    07 Feb 2024Life Safety
    Found noncompliances in hazardous areas enclosure and gas/electric safety, including doors taped over latching hardware that prevented proper closing and unsecured restraints on gas appliances.
    • NFPA 101 Life Safety Code, 2012 edition; sections 18.3.2.1, 7.2.1.8, 8.4, 8.7, 9.7Hazardous Areas - Enclosure
    • NFPA 101 Life Safety Code, 2012 edition; 18.5.1.1, 19.5.1.1, 9.1.1, 9.1.2; NFPA 54Utilities - Gas and Electric
    06 Apr 2023Revisit
    Concluded that all prior deficiencies were corrected and compliance with the life safety code requirements was achieved.
    16 Mar 2023Revisit
    Found no deficiencies. The revisit confirmed compliance with applicable regulations.
    12 Jan 2023Licensure
    Identified deficiencies in medication storage security and food safety practices. An unsecured medication cart was observed, and a cook failed to change gloves or perform hand hygiene during food preparation.
    • 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
    • 483.60(i)(1)(2)Food Procurement, Store/Prepare/Serve-Sanitary
    12 Jan 2023Life Safety
    Found deficiencies in corridor and smoke barrier doors, including latch failures and doors not fully closing. These issues could allow smoke or fire to spread.
    • NFPA 101 (2012) 18.3.6.3.5; 42 CFR Parts 403, 418, 460, 482, 483, 485Corridor doors and doors to rooms containing flammable or combustible materials shall resist smoke and latch properly
    • NFPA 101 (2012) 18.3.7.8; closers that were disallowing cross-corridor smoke barrier doors to fully close and latch properlySmoke barrier doors in cross-corridor spaces
    12 Jan 2023Licensure
    Found no deficiencies. The survey determined compliance with state requirements.
    18 Jan 2022Revisit
    Verified that life safety code deficiencies were corrected and compliance was restored.
    10 Jan 2022Revisit
    Verified that all previously cited deficiencies were corrected and no new noncompliance was found.
    21 Oct 2021Licensure
    Identified multiple deficiencies in Medicare notices, resident care, psychotropic medication management, and food safety practices.
    • CFR 483.10(g)(17)-(18)Medicaid/Medicare Coverage/Liability Notice
    • CFR 483.25Quality of care
    • CFR 483.45Free from Unnecessary Psychotropic Meds/PRN Use
    • CFR 483.60(i)Food Procurement, Store/Prepare/Serve-Sanitary
    21 Oct 2021Life Safety
    Multiple life-safety deficiencies were identified, including delayed-egress locking, lack of sprinklers under a porte-cochere, improper corridor doors, and missing vision panels in smoke barrier doors.
    • 2012 NFPA 101; 18.2.2.2.4; 7.2.1.6.1.1Egress Doors - Delayed-Egress Locking Arrangements
    • 2012 NFPA 101; 18.3.5.1; 9.7.1.1; 2010 NFPA 13; 8.15.7.5Sprinkler System – Installation
    • 2012 NFPA 101; 18.3.6.3.5Corridor - Doors
    • 2012 NFPA 101; 18.3.7.9Smoke Barrier Door Glazing
    21 Oct 2021Licensure
    Found no deficiencies. The survey concluded compliance with state requirements.
    12 Aug 2021Complaint
    Investigated a complaint and a COVID-19 infection-control survey; no deficiencies were identified.
    04 Aug 2021Revisit
    Verified no deficiencies; all prior deficiencies were corrected and no new noncompliance was found.
    18 Jun 2021Complaint
    Investigated a fall-related care issue and found missing neurological assessments after falls for one resident, with multiple instances not documented as required.
    • 42 CFR 483.25Quality of care
    06 Oct 2020Licensure
    Investigated a COVID-19 focused infection control survey conducted on 10/6/20 through 10/8/20; found no deficiencies.
    27 May 2020Licensure
    Found no deficiencies related to infection control during a focused survey.
    02 Dec 2019Revisit
    Confirmed that all prior deficiencies have been corrected; no new deficiencies were cited.
    09 Oct 2019Life Safety
    Investigated safety deficiencies identified: an exit door required excessive force to operate and combustible decorations exceeded allowed limits.
    • 2012 NFPA 101, Life Safety CodeExit door maintenance and operation
    • NFPA 701; NFPA 101 Life Safety CodeCombustible decorations
    09 Oct 2019Licensure
    Determined compliance with state requirements. Found no deficiencies.
    09 Oct 2019Licensure
    Found no deficiencies. An emergency preparedness evaluation concluded compliance with all requirements.
    09 Oct 2019Licensure
    Found no deficiencies. A recertification survey conducted from 10/07/2019 to 10/09/2019 determined compliance with Federal requirements.
    04 Jan 2019Revisit
    Verified prior deficiencies were corrected and no new noncompliance found. The facility was in compliance with all regulations surveyed.
    10 Dec 2018Revisit
    Concluded that all previously cited deficiencies were corrected after a Life Safety Code revisit.
    01 Nov 2018Licensure
    Investigated medication management issues and found insulin pens not properly labeled with open date/expiration date and initials, requiring corrective actions.
    • Type A§483.45(b)(1)-(3)Medication administration and pharmacy services
    01 Nov 2018Licensure
    Determined no deficiencies were found and compliance with state requirements was achieved.
    31 Oct 2018Life Safety
    Observed oxygen cylinders stored near combustibles and not in compliance with NFPA 99 requirements.
    • 2012 NFPA 99, Section 11.3.2.3(2)Gas Equipment - Cylinder and Container Storage
    28 Dec 2017Revisit
    Conducted a follow-up visit; previous deficiencies were corrected and no new noncompliance was found.
    18 Dec 2017Revisit
    Verified that all prior deficiencies were corrected and no new noncompliance was found; in compliance with all regulations surveyed.
    18 Dec 2017Revisit
    Investigated a revisit survey and confirmed all previously cited deficiencies were corrected. No new noncompliance was found.
    12 Oct 2017Licensure
    Investigated deficiencies related to the domestic hot water system; multiple sinks exceeded safe temperatures and maintenance did not routinely monitor water temperature at the point of use.
    • Ch 11 Sec 6(a)(iv) Physical EnvironmentPhysical Environment
    12 Oct 2017Licensure
    Found deficiencies in pain management and bowel care, including missing bowel movement documentation and lack of PRN medications for constipation.
    • Type APain Management
    12 Oct 2017Life Safety
    Identified deficiencies in life-safety enforcement, including an unsecured hazardous area enclosure and excessive combustible decorations.
    • NFPA 101, Life Safety Code – Hazardous Areas - Enclosure (Sections 19.2.10; 7.10.1.2)Hazardous Areas - Enclosure
    • NFPA 101 Life Safety Code (Sections 19.7.5.6(c)); NFPA 701; 2012 NFPA 101Combustible Decorations
    07 Oct 2016Revisit
    Investigated a revisit; three NFPA 101 Life Safety Code deficiencies were cited and completed on 2016-10-08.
    • NFPA 101Life Safety Code deficiency
    • NFPA 101Life Safety Code deficiency
    • NFPA 101Life Safety Code deficiency
    25 Aug 2016Life Safety
    Found deficiencies related to fire safety: missing manual fire alarm boxes in several smoke compartments, incomplete sprinkler protection, and incorrect mounting height of portable extinguishers.
    • NFPA 72Manual fire alarm box installation
    • NFPA 13Automatic sprinkler system protection
    • NFPA 10Placement/height of portable fire extinguishers
    24 Aug 2016Licensure
    Investigated and found the facility in compliance with long-term care requirements following a survey conducted Aug 22–24, 2016.
    24 Aug 2016Licensure
    Investigated and found no deficiencies; the survey determined compliance with state requirements after the visit conducted August 22–24, 2016.
    14 Sept 2015Revisit
    Investigated follow-up on previously reported deficiencies; corrections completed.
    09 Sept 2015Revisit
    Identified deficiencies related to CMS regulations; corrections completed.
    • 483.15(h)(2)
    • 483.35(i)
    • 483.65
    23 Jul 2015Licensure
    Identified deficiencies in housekeeping/maintenance and infection control, including unsealed bathroom-floor cracks creating uncleanable surfaces and an incomplete infection control program.
    • Housekeeping and maintenance
    • Infection control program
    23 Jul 2015Licensure
    Determined that the facility was in compliance with state requirements. No deficiencies were cited.
    21 Jul 2015Life Safety
    Identified multiple life-safety deficiencies involving fire alarm documentation, exit signage, and unobstructed egress.
    • NFPA 101 LIFE SAFETY CODE STANDARDFire alarm system documentation and maintenance
    • NFPA 101 LIFE SAFETY CODE STANDARDCentral station fire alarm certification documentation
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued from page 1 – Egress and door operation
    • NFPA 101 LIFE SAFETY CODE STANDARDExit signage illumination
    • NFPA 101 LIFE SAFETY CODE STANDARDExit access and related signage requirements
    25 Sept 2014Revisit
    Determined corrections were completed for previously cited deficiencies.
    25 Sept 2014Revisit
    Investigated and found no deficiencies.
    15 Sept 2014Revisit
    Observed corrections completed for previously cited deficiencies.
    18 Jun 2014Life Safety
    Investigated plumbing and safety deficiencies, including lack of backflow prevention and incorrect water supply to safety equipment, observed during the survey.
    • 2006 IPC, Section 411; Section 802; Section 608.16.1; ANSI Z358.1; ASSE 1071Emergency eyewash tepid water and backflow prevention deficiencies
    • 2006 IPC, Section 802; Section 608.16.1Dishwashing and beverage fixtures lack backflow prevention
    18 Jun 2014Licensure
    Investigated a complaint about resident care and identified deficiencies in incontinence care and staff hair restraint practices.
    • Continued From page 1: resident's pants were visibly wet
    • Nursing staff observations and feedback on care as needed
    • Hair restraints policy not consistently followed
    18 Jun 2014Life Safety
    Identified deficiencies in life-safety measures, including missing smoke detection in corridor spaces and improper oxygen cylinder storage.
    • Type ANFPA 101 Life Safety Code StandardSmoke detection in corridors/open spaces
    • Type ANFPA 101 Life Safety Code StandardOxygen cylinder storage and NFPA 99 compliance
    18 Jun 2014Licensure
    Found no deficiencies. Concluded compliance with state requirements.
    25 Nov 2013Revisit
    Investigated the reported deficiencies and confirmed that corrections were completed.
    • 483.15(a)
    • 483.20(k)(3)(i)
    • 483.20(k)(3)(i)
    14 Nov 2013Revisit
    Concluded that previously reported deficiencies were corrected and follow-up actions completed.
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    01 Oct 2013Life Safety
    Identified life-safety deficiencies: unsealed penetrations in storage/service areas and inadequate separation of hazardous areas, plus issues with maintenance and kitchen-fire protection systems.
    • NFPA 101 Life Safety Code Standard; 8.4.1 and 19.3.5.4Life Safety Code – Hazardous area separation and fire protection
    • NFPA 101 Life Safety Code StandardMaintenance/Inspection of fire protection system
    • NFPA 101 Life Safety Code Standard; NFPA 96Cooking facilities protection
    26 Sept 2013Licensure
    Investigated deficiencies in residents' dignity and respect, nutrition status, and care planning; care plans and monitoring needed revision.
    • 483.10Dignity and respect of residents
    • 483.20(d)Care planning and implementation (care plan needs)
    • 483.20(d)Care plans revised as needed
    • 483.25(i)Maintain nutrition status
    26 Sept 2013Licensure
    Found no deficiencies. The survey conducted September 23–26, 2013 concluded compliance with state requirements.
    26 Oct 2012Revisit
    Found no deficiencies. Follow-up to a prior survey completed on 08/30/2012.
    18 Oct 2012Revisit
    Concluded that all previously identified deficiencies were corrected and continued compliance was achieved after the follow-up.
    30 Aug 2012Licensure
    Investigated deficiencies in resident assessment and related documentation, including inadequate completion of a comprehensive assessment and issues surrounding catheter management.
    • 42 CFR 483.20Comprehensive assessment
    30 Aug 2012Licensure
    Found no deficiencies and determined compliance with state requirements after the survey conducted 2012-08-27 through 2012-08-30.
    28 Aug 2012Life Safety
    The investigation found deficiencies in life-safety controls, including incomplete testing of the fire alarm system and improper fire drill practices.
    • NFPA 101 LIFE SAFETY CODE STANDARDFire drills and fire alarm testing
    28 Jul 2011Licensure
    Identified deficiencies in infection control and PASRR oversight during the survey, including improper infection-control practices and incomplete PASRR processes.
    • 42 CFR 483.65Infection Control
    28 Jul 2011Licensure
    Determined compliance with state requirements.
    27 Jul 2011Life Safety
    Investigated a complaint/inspection and found fire-safety deficiencies and issues with corridor doors and smoke barriers, as well as related access concerns.
    • Type ANFPA 101 Life Safety Code StandardCorridor doors – resistance to passage of smoke
    • Type ANFPA 101 Life Safety Code StandardSmoke barrier/corridor door closings
    23 Sept 2010Revisit
    Verified that previously reported deficiencies were corrected. No new deficiencies were cited.
    15 Jul 2010Licensure
    Found deficiencies in post‑fall resident monitoring and in the infection control program, including inadequate follow‑up nursing notes and poor documentation of infection prevention practices.
    • Post‑fall monitoring and follow‑up
    • Infection control program deficiencies
    • Infection control program implementation
    13 Jul 2010Life Safety
    Identified life-safety and electrical-code deficiencies, including sprinkler head clearance and use of temporary wiring.
    • NFPA 101 LIFE SAFETY CODE STANDARDLife Safety Code Standard
    • NFPA 70 NATIONAL ELECTRICAL CODEElectrical wiring and equipment in accordance with NFPA 70
    28 Aug 2009Revisit
    Identified deficiencies in Life Safety Code compliance during a follow-up revisit. Corrections were completed.
    • NFPA 101Life Safety Code deficiency (K0011)
    • NFPA 101Life Safety Code deficiency (K0025)
    • Life Safety Code (LSC)Life Safety Code deficiency (K0029)
    28 Aug 2009Revisit
    Investigated a complaint and followed up on prior deficiencies; uncorrected deficiencies were noted.
    29 Jul 2009Life Safety
    Investigated safety deficiency regarding kitchen hood fire suppression; improper maintenance and placement of appliances were identified.
    • 42 CFR 483.70(a)Life safety regulations for long-term care facilities (fire safety)
    24 Jun 2009Licensure
    Found no deficiencies identified during the survey. Concluded the provider was presumed to be in substantial compliance with federal requirements for long-term care facilities.
    23 Jun 2009Life Safety
    Identified multiple life-safety deficiencies including inadequate smoke barriers, insufficient fire-rated construction for hazardous areas, improper electrical wiring, and fire drill deficiencies.
    • NFPA 101 LIFE SAFETY CODE STANDARDSmoke barriers must be smoke resistant
    • NFPA 101 LIFE SAFETY CODE STANDARDFire-rated construction for hazardous areas
    • NFPA 101 LIFE SAFETY CODE STANDARDFire drills conducted as required
    • NFPA 101 LIFE SAFETY CODE STANDARDPermanent electrical wiring; no temporary wiring in smoke compartments
    14 Jun 2007Revisit
    Cited deficiencies in multiple areas related to resident rights, discharge planning, and care processes.
    • 483.20, 483.20(b)
    • 483.20(k)(3)(i)
    • 483.25(a)(3)
    • 483.25(a)(3)
    • 483.40(b)(3)
    • 483.65(b)(3)
    17 May 2007Revisit
    Verified that corrections for previously cited deficiencies were completed and substantial compliance was achieved on follow-up.
    05 Apr 2007Licensure
    Found multiple deficiencies including incomplete sleep assessments, inadequate medication oversight, and insufficient infection-control practices.
    • Comprehensive sleep assessment not completed
    • Medication orders not properly documented
    • Unnecessary drugs
    • Infection control deficiencies (hand hygiene)
    • Inadequate hand hygiene / infection control training
    • Infection-control monitoring and follow-up
    • Hand hygiene / infection control program (general)
    • Hand hygiene practices for staff
    21 Mar 2007Life Safety
    Identified several NFPA 101 Life Safety Code deficiencies related to fire barriers, smoke barriers, and sprinkler systems, including unsealed penetrations, improper door construction, and incomplete testing.
    • NFPA 101 Life Safety Code StandardDoors protecting corridor openings
    • NFPA 101 Life Safety Code StandardDoor openings in smoke barriers
    • NFPA 101 Life Safety Code StandardSmoke barrier/ corridor doors
    • NFPA 101 Life Safety Code StandardWater supply for sprinkler system
    • NFPA 101 Life Safety Code StandardTesting of sprinkler heads
    • NFPA 101 Life Safety Code StandardSprinkler head obstruction
    31 Jul 2006Revisit
    Identified multiple deficiencies during the follow-up visit with several corrections completed on site.
    • 483.10(e), 483.75(i)(4)
    • 483.13(c)(1)(i)(ii)(iii), (c)(2)-(4)
    • 483.20(g)-(i)
    • 483.15(a)
    • 483.20(g)-(i)
    • 483.20(k)(1)
    • 483.25(h)(1)
    • 483.25(i)(1)
    • 483.35(f)
    • 483.70(h)
    31 May 2006Revisit
    Verified corrections completed and found no deficiencies.
    04 May 2006Licensure
    An inspection identified deficiencies related to privacy and confidentiality, resident rights and dignity, treatment of residents, and care planning.
    • 483.10(e), 483.75(i)(4)Privacy and Confidentiality
    • 483.13(c)(i)(ii)-(iii), (c)(2)-(4)STAFF TREATMENT OF RESIDENTS
    • 483.15(a)DIGNITY
    • 483.20(k)(3)(i)COMPREHENSIVE CARE PLANS
    05 Apr 2006Life Safety
    Identified multiple life-safety deficiencies related to door openings and smoke barriers, enclosure of hazardous areas, portable extinguishers, sprinkler systems, linen/trash storage, and electrical wiring.
    • NFPA 101 Life Safety Code StandardDoor openings and smoke barriers
    • NFPA 101 Life Safety Code StandardDoor openings in smoke barriers
    • NFPA 101 Life Safety Code StandardEnclosure of hazardous areas
    • NFPA 101 Life Safety Code StandardPortable fire extinguishers and related requirements
    • NFPA 13/13-5-6.5.3 and Table 5-6.5.1.2Sprinkler system inspection
    • NFPA 10Portable fire extinguishers provision
    • NFPA 101 Life Safety Code StandardLimiting soiled linen and trash receptacles
    • NFPA 70Electrical wiring and equipment
    25 Apr 2005Revisit
    Investigated the licensing review; found no deficiencies.
    14 Apr 2005Revisit
    Investigated a follow-up to verify previously reported deficiencies were corrected; corrections were completed by 2005-04-01 and a revisit occurred on 2005-04-14.
    07 Mar 2005Revisit
    Investigated follow-up on prior deficiencies and confirmed corrections completed for multiple life-safety issues.
    17 Feb 2005Licensure
    Identified deficiencies in resident assessment and care planning, including failure to ensure comprehensive assessments were accessible to staff.
    • 483.20(d)Resident Assessment
    13 Jan 2005Life Safety
    Investigated and identified multiple life-safety deficiencies, including inadequate fire barriers, improper separation of hazardous areas, and noncompliant storage near sprinkler components.
    • NFPA 101 Life Safety Code StandardContinued From page 1
    • NFPA 101 LIFE SAFETY CODE STANDARDNFPA 101 LIFE SAFETY CODE STANDARD
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 3
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 4
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 5
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 5

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