South Lincoln Nursing Center

    711 Onyx St, Kemmerer, WY 83101
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Attentive staff, clean, engaging activities

    I'm generally satisfied - the staff are attentive, there are engaging activities, and the facility is very clean.

    Current/former resident
    Jul 2026

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    Tour Type

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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

    3.33·(3)

    Overall rating

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

      3.3
    • Staff

      4.0
    • Meals

      3.3
    • Amenities

      2.0
    • Value

      3.3

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    Medicare Ratings

    2·/ 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 South Lincoln Nursing Center

    South Lincoln Nursing Center is located at 711 Onyx St, Kemmerer, WY, 83101.

    About South Lincoln Nursing Center

    South Lincoln Nursing Center sits in Kemmerer, Wyoming, with a history that reaches back to the early 20th century and you'll find it's part of the South Lincoln Medical Center, serving as an important place for elder care in the area. The center holds state certification for nearly 20 years and offers 24-hour skilled nursing care in a home that welcomes up to 24 residents. Residents live in either nine semi-private or six private rooms, each one tastefully decorated, individually heated and cooled, fitted with their own TV and phone connections, and you'll find a call button at every bed for immediate help whenever needed. The centrally placed nursing station means nurses respond fast, and every area is equipped with safety features like smoke detectors, sprinkler systems, emergency generators, and ground-level exits, meeting all safety codes.

    Meals come with dietary consultation, letting folks with special or general diets get what they need, and people get all their pharmacy, lab, and x-ray services right there. South Lincoln Nursing Center stands out for its restorative and rehabilitation programs, bringing in physical therapy, occupational therapy, and speech therapy in a spacious area, and the care team puts energy into both long-term and short-term rehab, including specialized memory care for people with cognitive needs. There's always some kind of activity or therapy going, from fishing by the river, shopping trips, cooking and baking, bingo, poker, movie nights, gardening, and even monthly family dinners, so residents don't just sit around and there's plenty of chance for community connection. The social services team helps families stay involved and supports residents with anything from paperwork to personal concerns.

    Residents spend time in the lounge, enjoy meals in the dining room, and relax on an outdoor terrace that looks toward the park, while the recreation area hosts games, religious services, and even a beauty salon. The facility's connected to a Critical Access Hospital, so you get access to care in areas like Pulmonology, Medicine, cardiopulmonary, orthopedics, women's health, dermatology, pain management, and surgery, along with emergency medical services, and on-site clinics such as South Lincoln Primary Care, Arrowhead Family Medicine, and Specialty Clinic. There are 38 staffed beds in total, with 24 set aside for long-term care and nursing facility services, and also swing bed services for people coming from or going to the hospital. Medicare inpatients average about three days for their stay, and families can use the patient portal or pay bills online. South Lincoln Nursing Center hosts monthly community events and board meetings in the district hospital, so it stays tied in with local people, and overall, the center tries to balance real medical needs with a sense of belonging, comfort, and everyday life for seniors and their families.

    People often ask...

    South Lincoln Nursing Center offers assisted living, memory care, and skilled nursing.

    The full address for this community is 711 Onyx St, Kemmerer, WY 83101.

    No, South Lincoln Nursing 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-200
    Facility typeNursing Home

    Inspection Reports

    101

    Reports

    21

    Type A Citations

    1

    Type B Citations

    8

    Complaints

    21

    Years

    10 Jul 2025Complaint
    A follow-up review identified multiple deficiencies across resident rights, communications, advance directives, abuse prevention, medications, activities, staffing credentials, infection control, and governance.
    • Type A483.10(g)(6)-(9)Right to Forms of Communication w/ Privacy
    • Type A483.10(c)(6)-(9); 483.10(g)(12)Advance Directives
    • Type A483.12(a)(1); 483.12(a); 483.45(c)(3)(d)(e)Freedom from Abuse, Neglect, and Exploitation
    • Type A483.45(e)Psychotropic Drugs
    • Type A483.24(c)(1)Activities
    • Type A483.24(c)(2)(i)-(D)Qualifications of Activity Professional
    • Type A483.35(e)(4)-(6)Nurse Aide Registry Verification, Retraining
    • Type A483.70(d)(1)-(3)Governing Body
    • Type A483.80Infection Control
    09 Jul 2025Life Safety
    Investigated deficiencies in emergency preparedness, including lack of an all-hazards risk assessment, outdated policies, and insufficient training and testing.
    • 42 CFR 483.73(a)(1)-(2)Emergency Plan
    • 42 CFR 483.73(b)EP Policies and Procedures
    • 42 CFR 483.73(b)(1)Subsistence Needs for Staff and Patients
    • 42 CFR 483.73(b)(3)Safe Evacuation
    • 42 CFR 483.73(b)(4)Sheltering in Place
    • 42 CFR 483.73(c)(8)Resident/Family Notifications
    • 42 CFR 483.73(d)(1)EP Training and Testing
    • 42 CFR 483.73(d)(1)EP Training Content and Documentation
    • 42 CFR 483.73(d)(2)EP Testing
    11 Jun 2024Revisit
    Found no deficiencies. A follow-up visit confirmed prior deficiencies were corrected and no new noncompliance was found.
    11 Jun 2024Revisit
    Concluded that prior deficiencies were corrected and no new noncompliance was found.
    04 Jun 2024Revisit
    Verified no deficiencies were found and confirmed prior issues were corrected.
    28 Mar 2024Licensure
    Identified a deficiency in dental services due to no documentation of oral hygiene in-service education for care providers.
    • Type ACh 11 Sec 14 (a)Dental Services
    28 Mar 2024Licensure
    Found that in-service education on oral hygiene was not provided.
    • Type AWyoming Rules and Regulations Chapter 11 Section 14(a)Dental Services
    28 Mar 2024Licensure
    Found multiple deficiencies across advance directives, resident property protection, restorative services, psychotropic monitoring, dietary staffing, menu adherence, food safety, and infection control.
    • §483.10(c)(6), §483.10(c)(8), §483.10(g)(12)Advance directives
    • §483.10(i)(1)-(7)Safe environment; protection of resident property
    • §483.25(c)(1)-(3)Mobility; restorative services
    • §483.45(e)(1)-(5)Psychotropic drugs; monitoring side effects
    • §483.60(a)(1)-(2)Qualified dietary staff; director of food and nutrition services
    • §483.60(c)(1)-(7)Menus; nutritional adequacy and adherence
    • §483.60(i)(1)-(2)Food safety and sanitation; procurement and storage
    • §483.80(a)(1)-(2)(4)(e)(f); §483.80(e); §483.80(f)Infection prevention and control
    27 Mar 2024Life Safety
    Observed multiple deficiencies during an emergency preparedness and life safety review, including missing emergency contact information, no occupancy/needs data, and inadequate maintenance of sprinkler systems, extinguishers, and HVAC components.
    • 42 CFR 483.73(c)(2)Emergency Officials Contact Information
    • 42 CFR 483.73(c)(7)Information on Occupancy/Needs
    • NFPA 101; NFPA 13; NFPA 25Sprinkler System - Maintenance and Testing
    • NFPA 101; NFPA 10Portable Fire Extinguishers
    • NFPA 101; NFPA 90A; NFPA 80HVAC
    27 Mar 2024Life Safety
    Found flooring not readily cleanable and uneven with taped seams across multiple areas.
    • Wyoming Dept of Health Chapter 3 Construction Rules, Sec. 5; 2006 FGI Sections 4.1-8.2.3.1(1) and (3)Flooring not readily cleanable; uneven surfaces
    21 Jun 2023Licensure
    Determined the provider was in compliance with Federal requirements following an onsite review.
    17 May 2023Revisit
    Verified compliance with all regulations. Prior deficiencies were corrected.
    17 May 2023Revisit
    Verified all prior deficiencies were corrected and no new noncompliance was found.
    13 Apr 2023Complaint
    Investigated a 3/15/23 verbal abuse incident; found the resident was not protected from abusive language and the incident was not reported promptly as required.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • CFR 483.12(b)(5)(i)(A)(B)(c)(1)(4)Reporting of Alleged Violations
    13 Apr 2023Revisit
    Investigated an allegation of staff verbal abuse toward a resident and found failures to protect the resident from abuse and to timely report suspected abuse.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • CFR 483.12(b)(5)(i)(A)(B)(c)(1)(4) and 483.12(c)(4)Reporting of Alleged Violations
    15 Mar 2023Revisit
    Verified that all previously cited deficiencies were corrected and no new noncompliance was found.
    15 Mar 2023Revisit
    Verified all prior deficiencies were corrected and found no new noncompliance.
    08 Mar 2023Revisit
    Verified that prior deficiencies were corrected and the site was in compliance with safety and emergency preparedness requirements.
    28 Feb 2023Complaint
    Investigated a complaint about verbal abuse toward a resident; found violations of rights and reporting requirements.
    • 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • 483.12(b)(5)(i)(A)(B)(c)(1)(4) and 483.12(c)Reporting of Alleged Violations
    26 Jan 2023Licensure
    Investigated governance concerns due to the absence of a full-time administrator; the DON served as administrator and performed multiple additional duties.
    • Wyoming Rules and Regulations Chapter 11, Section 5(a) - Organization and AdministrationOrganization and Administration
    26 Jan 2023Licensure
    Identified multiple deficiencies in resident funds management, care planning, mobility equipment, nursing leadership, and psychotropic medication management.
    • 483.10(f)(10)(iii)Accounting and Records of Personal Funds
    • 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
    • 483.25(c)(1)-(3)Increase/Prevent Decrease in ROM/Mobility
    • 483.35(b)(1)-(3)RN 8 Hrs/7 days/Wk, Full Time DON
    • 483.45(e)Free from Unnecessary Psychotropic Meds/PRN Use
    25 Jan 2023Life Safety
    Identified emergency preparedness and multiple life-safety deficiencies, including missing risk assessment, inadequate coordination with authorities, and several egress, fire alarm, sprinkler, HVAC, and décor safety issues.
    • 42 CFR 483.73(a)(1)-(2)Emergency Preparedness Plan - All-Hazards Risk Assessment
    • 42 CFR 483.73(a)(4)Local/Tribal Collaboration with Emergency Officials
    • 42 CFR 483.73(b)(8)Waiver Roles under 1135 Waiver
    • 42 CFR 483.73(c)(2)Emergency Communications - Contact Information
    • NFPA 101, 2012 Edition, 19.2.2.2.5 (and related 19.2.2.2.5.1/19.2.2.2.6)Egress Doors
    • NFPA 101, 2012 Edition, 19.2.3.4/19.2.3.5Aisle, Corridor, or Ramp Width
    • NFPA 70; NFPA 72; NFPA 101, 2012 Edition 9.6.1.3/9.6.1.5Fire Alarm System - Testing and Maintenance
    • NFPA 25 (backflow); NFPA 101, 2012 Edition 9.7.5/9.7.7/9.7.8; NFPA 25 13.6.2Sprinkler System - Maintenance and Testing
    • NFPA 101 9.2; NFPA 90A; NFPA 80HVAC and Opening Protectives
    • NFPA 101, 2012 Edition 19.7.5.6Combustible Decorations
    • NFPA 101 18.7.6; 4.6.12; NFPA 80 5.2.1Maintenance, Inspection & Testing - Doors
    24 Jan 2022Revisit
    Verified that prior deficiencies were corrected and compliance was restored.
    07 Jan 2022Revisit
    Found no deficiencies. All prior deficiencies were corrected and all regulations surveyed were met.
    04 Nov 2021Licensure
    Identified multiple deficiencies related to resident assessments, care planning, QAA governance, and antibiotic stewardship. Noted late MDS submissions, missing CAAs, incomplete care plans, leadership gaps in QAPI, and inadequate antibiotic-use monitoring.
    • 42 CFR 483.20(b)Comprehensive Assessments & Timing
    • 42 CFR 483.20(b)(2)(ii)Comprehensive Assessment After Significant Change
    • 42 CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
    • 42 CFR 483.75(g)QAA Committee
    • 42 CFR 483.80(a)(3)Antibiotic Stewardship Program
    04 Nov 2021Licensure
    Determined compliance with state requirements. No deficiencies cited.
    02 Nov 2021Life Safety
    Regulators found multiple deficiencies in emergency preparedness, including missing risk assessments, lack of collaboration processes, incomplete contact information, insufficient testing, and egress door security issues.
    • §483.73(a)(1)-(2)Emergency Plan - all-hazards risk assessment
    • §483.73(a)(4)Emergency Plan - Local/tribal/state/federal collaboration
    • §483.73(b)(8)Emergency Plan - waiver roles
    • §483.73(c)(2)Emergency Plan - contact information for officials
    • §483.73(d)(2)Emergency Plan - testing requirements
    • NFPA 101, 2012 Edition, Section 19.2.2.2.5Egress Doors
    23 Nov 2020Licensure
    Concluded that no deficiencies were identified during a COVID-19 focused infection control survey.
    27 Apr 2020Licensure
    Found no deficiencies in COVID-19 infection control.
    14 Feb 2020Revisit
    Verified that all prior deficiencies were corrected and no new noncompliance was found.
    14 Feb 2020Licensure
    Verified compliance after a revisit; all prior deficiencies were corrected and no new noncompliance was found.
    16 Dec 2019Revisit
    Verified that all previously cited deficiencies were corrected.
    07 Nov 2019Licensure
    Identified multiple deficiencies across resident assessment, care planning, activities, nutrition, pain management, staffing, pharmacy, and antibiotic stewardship with failures to implement required processes.
    • §483.10(f)(5) The resident has a right to organize and participate in resident groups in the facility. (i) The facility must provide a resident or family group, if one exists, with private space; (ii) Staff, visitors, or other guests may attend resident group or family group meetings only at the respective group's invitation; (iii) The facility must provide a designated staff person who is approved by the resident or family group and the facility and who is responsible for providing assistance and responding to written requests that result from group meetings; (iv) The facility must consider the views of a resident or family group and act promptly upon the grievances and recommendations of such groups concerning issues of resident care and life. §483.10(f)(6) The resident has a right to participate in family groups. §483.10(f)(7) The resident has a right to have family member(s) or other resident representative(s) meet in the facility with the families or resident representative(s) of other residents in the facility.Resident/Family Group and Response
    • §483.20(b)(1) Comprehensive Assessments; §483.20(b)(2) Timeframes (i)-(iii).Comprehensive Assessments & Timing
    • §483.21(b) Comprehensive Care PlansDevelop/Implement Comprehensive Care Plan
    • §483.24(c) ActivitiesActivities Meet Interest/Needs
    • §483.24(c)(2) The activities program must be directed by a qualified professionalQualifications of Activity Professional
    • §483.25(c) MobilityDevelop/Implement ROM/Mobility
    • §483.25(g) Nutrition/Hydration (1-3)Nutrition/Hydration – Assessments & RD Involvement
    • §483.25(k) Pain ManagementPain Management
    • §483.35(a) Sufficient Nursing StaffSufficient Nursing Staff
    • §483.45 Pharmacy ServicesPharmacy Services
    • §483.80 Infection prevention and control program; §483.80(a)(3) Antibiotic StewardshipAntibiotic Stewardship
    07 Nov 2019Licensure
    Found no deficiencies. Compliance with state requirements was confirmed.
    06 Nov 2019Life Safety
    Identified multiple safety deficiencies in life-safety and electrical systems, including failure to maintain electrical systems per NFPA codes and the absence of a compliant fire safety plan. Also noted improper use of power cords and extension cords.
    • 2012 NFPA 101, Life Safety Code, Section 19.7.1.1; 19.7.2.2Electrical Systems Maintenance
    • 2012 NFPA 101, Life Safety Code, Section 19.7.5.6(c); 19.7.5.6(4)Decorations/Fire Safety Plan
    • NFPA 101; NFPA 70Electrical Equipment - Power Cords and Extension Cords
    06 Nov 2019Licensure
    Found no deficiencies. The survey determined compliance with all requirements.
    02 Apr 2019Revisit
    Verified prior deficiencies were corrected and no new noncompliance was found.
    28 Feb 2019Revisit
    Verified prior Life Safety Code deficiencies were corrected and compliance restored.
    31 Jan 2019Licensure
    Identified multiple deficiencies including inconsistent advance directive information, an oxygen safety hazard, expired medications, and diet order noncompliance during a surveillance in January 2019.
    • §483.10(c)(6)Right to accept/refuse treatment and advance directives
    • §483.25(d)Free of Accident Hazards/Supervision/Devices
    • §483.45Pharmacy Services
    • §483.60(e)Therapeutic Diet Prescribed by Physician
    31 Jan 2019Licensure
    Found no deficiencies identified during the survey and confirmed compliance with state requirements.
    29 Jan 2019Life Safety
    Identified deficiencies in life-safety and electrical systems, including missing smoke detector testing records, unverified fire alarm certification, and improper use of power cords and extension cords.
    • NFPA 101, 2012 edition; NFPA 70Emergency power and emergency lighting testing
    • NFPA 101, 2012 edition; NFPA 72Fire alarm system maintenance and certification
    • NFPA 101, 2012 edition; NFPA 70; NFPA 72Electrical equipment - power cords and extension cords
    08 May 2018Revisit
    Found no deficiencies. The survey determined compliance with federal requirements.
    08 May 2018Revisit
    Determined that the facility was in compliance with state requirements; no deficiencies were cited.
    21 Mar 2018Revisit
    Found no deficiencies. A follow-up visit confirmed prior issues were corrected and no new noncompliance was identified.
    21 Mar 2018Revisit
    Verified that previous deficiencies were corrected and no new noncompliance was found; all regulations surveyed were met.
    26 Jan 2018Life Safety
    Investigated a life safety issue involving oxygen storage; found the oxygen storage room contained 3,454 cubic feet with a 3/4 hour fire door, below the required rating for that capacity.
    • 2006 IFC Section 315.2.3State Miscellaneous Life Safety
    11 Jan 2018Life Safety
    Observed life-safety and emergency-preparedness deficiencies, including noncompliant ramps and exits, inadequate means of egress illumination, and problems with the sprinkler/fire alarm system.
    • NFPA 101 Life Safety Code (Means of Egress)Ramps and Other Exits
    • NFPA 101 Life Safety Code (Means of Egress)Illumination of Means of Egress
    • NFPA 101 Life Safety Code; Emergency PreparednessEmergency Preparedness – Initial Comments
    • NFPA 72; NFPA 101 Life Safety Code (emergency communications and fire alarm integration)Impaired Fire Alarm System (continued – NFPA 72)
    10 Jan 2018Licensure
    Found the licensee did not have a full-time administrator during the period reviewed, with leadership duties handled by others and interim plans in place.
    • Ch 11 Sec 5 (a)(i)Organization and Administration
    10 Jan 2018Licensure
    Investigation revealed multiple regulatory deficiencies across rights, transfers, medication management, infection control, and facility operations.
    • Type A483.10(a)(2)Provision of quality care regardless of payment source
    • 483.15(c)(3)Notice before transfer
    • 483.15(d)Bed hold policy
    • 483.15(c)(4)Timing of the notice
    • 483.15(c)(5)Contents of the notice
    • 483.15(c)(6)Changes to the notice
    • 483.60(i)(1)Procure and store food safely
    • 483.80(a)(3)Infection prevention and control program
    • 483.45(c)(1)(2)(4)(5)Drug regimen review
    24 Mar 2017Revisit
    Investigated two revisit surveys identified deficiencies and noted the site was back in compliance as of February 8, 2017 and January 20, 2017.
    20 Mar 2017Revisit
    Concluded that deficiencies identified in prior health recertification and Life Safety Code surveys were brought back into compliance following revisit surveys.
    20 Mar 2017Revisit
    Investigated the January 5, 2017 licensure survey findings and found deficiencies corrected, restoring compliance by February 8, 2017.
    13 Jan 2017Life Safety
    Investigated deficiencies found unsafe storage of oxygen and gases, electrical wiring issues, and use of portable heaters, with observations of hazardous conditions and improper practices.
    • 2012 NFPA 101 - Section 9.7.2.1; 2010 NFPA 72; NFPA 101 Portable Space HeatersStorage of gas cylinders and related safety
    • 2012 NFPA 101 - Section 9.7.2.1Wiring not encased; electrical connections
    • NFPA 101 Portable Space HeatersPortable Space Heaters
    • 2012 NFPA 101; NFPA 99; NFPA 72Oxygen storage and safety in corridors
    05 Jan 2017Licensure
    Investigated a licensure survey found a deficiency in dental services due to the absence of a consultant dentist and lack of staff in-service dental education.
    • Type ACh 11 Sec 14 (a) Dental ServicesDental Services
    05 Jan 2017Licensure
    An inspection identified multiple deficiencies in resident care, facility housekeeping, and medication handling. Several specific areas lacked adequate controls and documentation.
    • Continued From page 2
    • Continued From page 4
    • 483.10(k)(2)Continued From page 12
    • Continued From page 25
    • Continued From page 28
    25 Apr 2016Revisit
    Investigated the follow-up visit and identified deficiencies; corrective actions were completed for several regulatory requirements.
    • 483.10(b)(11)
    • 483.15(f)(1)
    • 483.25
    • 483.25(h)
    • 483.75(l)(1)
    25 Apr 2016Revisit
    Investigated and cited a deficiency during the revisit; the deficiency referenced regulation Ch 11 Sec 6 (a)(iv).
    • Ch 11 Sec 6 (a)(iv)Ch 11 Sec 6 (a)(iv) Regulation
    17 Mar 2016Revisit
    Found no deficiencies cited during the follow-up visit.
    06 Jan 2016Licensure
    Identified deficiencies in resident care documentation, monitoring, and safety practices with incomplete recordkeeping and care planning.
    • Address and contact information for resident's representative
    • Provide care/services to meet resident needs
    • Continued from page 7 – Activities/ calendar and resident activity program
    • Provide care/environment safety and documentation
    06 Jan 2016Licensure
    Identified a hot water temperature deficiency with sinks exceeding the 110-degree limit at multiple locations.
    • Type BCh 11 Sec 6 (a)(iv) Physical EnvironmentPhysical Environment
    05 Jan 2016Life Safety
    Identified a life-safety deficiency related to exit access; exits were not readily accessible at all times as required by the Life Safety Code.
    • NFPA 101 Life Safety Code StandardExit access not readily accessible
    29 Dec 2014Revisit
    Confirmed no deficiencies were found. The follow-up verified that previously reported issues were corrected.
    29 Dec 2014Revisit
    Verified that corrective actions from the prior deficiency were completed on follow-up.
    24 Dec 2014Revisit
    Confirmed that corrective actions were completed after a follow-up visit.
    30 Oct 2014Licensure
    Investigated a complaint and found deficiencies in providing care/services for residents’ highest well-being and in maintaining a sanitary, orderly interior.
    • 483.25Provide care/services for highest well-being
    • Housekeeping & Maintenance Services
    30 Oct 2014Licensure
    Identified a deficiency in nursing home regulations; a survey conducted in late October 2014 noted noncompliance with state requirements.
    • LIC REGS FOR NURSING HOMES
    24 Oct 2014Life Safety
    Investigated life-safety concerns revealed multiple deficiencies including doors to hazardous areas not kept closed or properly released, inadequate clearance around electrical panels, and maintenance issues with HVAC, grease filtration, and decorative flame retardancy.
    • NFPA 101 Life Safety Code, 2000; 19.7.6; 4.6.12Hazardous-area doors not kept closed or properly released
    • NFPA 70, National Electrical CodeInsufficient clearance around electrical service panels
    • NFPA 13; NFPA 25; 19.7.6; 4.6.12HVAC systems not properly maintained and tested
    • NFPA 96; NFPA Life Safety Code; 19.7.5.4Grease filtration not maintained; gaps in grease filter assemblies
    • NFPA 101 Life Safety Code; 9.2; 19.7.xDecorations not flame retardant; combustible decorations used
    • NFPA 101 Life Safety Code; NFPA 70Clearance around electrical service panels not maintained
    24 Oct 2014Life Safety
    Found deficiencies in plumbing systems, including backflow risk from a hose connection to a chemical dispensing system and a faucet replacement lacking a temperature-limiting device.
    • WDH Chapter 3 Construction Rules and Regulations for Healthcare Facilities; IPC 2006; Sections 608.6, 608.13; 5(b)(iv)(E)Backflow prevention and plumbing system maintenance
    28 Oct 2013Revisit
    Identified deficiencies cited during the follow-up visit.
    17 Oct 2013Revisit
    Observed corrections completed during a follow-up visit after the initial survey.
    29 Aug 2013Licensure
    Investigated the dietary manager's certification status; found a six-month extension to December 2013 for graduation.
    • Dietary manager certification/education completion
    29 Aug 2013Licensure
    Identified deficiencies related to incomplete resident assessments and inadequate monitoring of care planning and corrective actions.
    • Comprehensive assessment not completed as required
    28 Aug 2013Life Safety
    Investigated a life-safety concern with multiple deficiencies, including unsealed smoke barrier penetrations, incomplete fire alarm testing, and unsafe electrical practices.
    • Smoke barrier penetrations
    • Fire alarm system testing/maintenance
    • Electrical safety and working space
    12 Oct 2012Revisit
    Identified life-safety deficiencies and documented corrections completed by the dates shown.
    12 Oct 2012Revisit
    Verified that corrective actions for prior deficiencies were completed.
    12 Oct 2012Revisit
    Investigated deficiencies identified on the prior survey; all cited issues were corrected.
    14 Aug 2012Life Safety
    The facility showed life-safety deficiencies, including missing ceiling tiles and penetrations in walls and concerns about smoke barrier integrity. Several deficiencies were noted during the inspection with follow-up actions recommended.
    • NFPA 101 Life Safety Code Standard 19.3.6.2.1Corridor walls, penetrations and ceiling provisions
    09 Aug 2012Licensure
    Investigated deficiencies in staff credentialing and medication management, with inadequate drug regimen oversight and missing documentation of background checks.
    • Staffing/credentialing documentation
    • Medication regimen review and monitoring
    23 Aug 2011Life Safety
    Identified multiple life-safety deficiencies including inadequate smoke barriers, compromised means of egress, and missing or incomplete fire safety plans and procedures.
    • NFPA 101 Life Safety Code StandardBuilding construction and life safety
    • NFPA 101 Life Safety Code StandardMeans of egress / fire barriers
    • NFPA 101 Life Safety Code StandardSmoke barriers and sleeping room fire compartments
    • NFPA 101 Life Safety Code StandardSmoke barriers / doors
    • NFPA 101 Life Safety Code StandardExits and egress
    • NFPA 101 Life Safety Code StandardFire drills
    • NFPA 101 Life Safety Code StandardFire safety plan
    • NFPA 101 Life Safety Code StandardMedical gas storage and administration areas
    • NFPA 101 Life Safety Code StandardMeans of egress / general safety
    • NFPA 101 Life Safety Code StandardFire safety systems maintenance
    28 Jul 2011Licensure
    Investigated a complaint and identified multiple deficiencies regarding resident rights, privacy, daily activities, and care planning.
    28 Jul 2011Licensure
    Found no deficiencies.
    27 Jul 2011Life Safety
    Found multiple life-safety and electrical deficiencies, including unrestrained oxygen cylinders, unsafe temporary wiring, and missing generator load-bank testing.
    • NFPA 101 Life Safety Code, 2000 Edition; NFPA 99, 1999 Edition; NFPA 101, 2000 Edition: Section 19.3.7.3Oxygen storage and handling
    • NFPA 70 — National Electrical Code; NFPA 101 Life Safety CodeElectrical wiring and equipment
    • NFPA 101 Life Safety Code StandardGenerator testing and load bank testing
    24 Mar 2011Complaint
    Found no deficiencies. No deficiencies were identified during the complaint investigation.
    24 Mar 2011Complaint
    Investigated a complaint and found no deficiencies identified.
    21 Dec 2009Revisit
    Investigated prior deficiencies and confirmed corrections completed.
    28 Oct 2009Revisit
    Found several life-safety code deficiencies requiring corrections; follow-up confirmed completion.
    • NFPA 101Life Safety Code
    • NFPA 101Life Safety Code
    • NFPA 101Life Safety Code
    • NFPA 101Life Safety Code
    • NFPA 101Life Safety Code
    • NFPA 101Life Safety Code
    • NFPA 101Life Safety Code
    17 Sept 2009Licensure
    An investigation found deficiencies in reporting suspected abuse of a vulnerable adult and in handling survey documentation related to resident care and dignity.
    • Wyoming Adult Protective Services Act, 35-20-103Reporting of abuse/neglect of a vulnerable adult
    17 Sept 2009Licensure
    Identified non-compliance with licensure rules for nursing homes after a survey. The findings indicated state requirements were not met.
    • LIC REGS FOR NURSING HOMES
    16 Sept 2009Life Safety
    Identified deficiencies in life-safety measures: smoke barrier doors failed to resist smoke and ceiling tiles were missing, compromising smoke containment.
    • NFPA 101 LIFE SAFETY CODE STANDARDLife safety: smoke barriers and related conditions
    11 Jul 2007Revisit
    Verified that deficiencies identified in the CMS-2567 were corrected during the follow-up visit.
    11 Jul 2007Revisit
    Verified corrections were completed for deficiencies previously cited and confirmed ongoing compliance.
    17 May 2007Life Safety
    Identified life-safety deficiencies including incomplete fire alarm testing, issues with smoke barrier doors, and inadequate clearance around sprinkler heads.
    • Type ANFPA 101 Life Safety Code; NFPA 72 Fire Alarm SystemsLife Safety Code standard – Fire alarm testing
    • Type ANFPA 101 Life Safety Code; NFPA 80 (Smoke barrier doors) / related barrier door requirementsSmoke barrier doors not maintained
    • Type ANFPA 101 Life Safety Code; NFPA standards for sprinkler head clearanceSprinkler head clearance
    16 May 2007Licensure
    Identified multiple deficiencies in resident assessments, care planning, immunizations, environment safety, and nutrition; several management practices also lacked adequacy.
    • 483.20(b)(2)(ii)RESIDENT ASSESSMENT - WHEN REQUIRED
    • 483.20(k)(3)(i)COMPREHENSIVE CARE PLANS
    • 483.25(h)ENVIRONMENT – ACCIDENTS/HAZARDS
    • 483.25(n)INFLUENZA AND PNEUMOCOCCAL IMMUNIZATION
    • 483.35(c)MENUS AND NUTRITIONAL ADEQUACY
    • IMMUNIZATION – CHART AUDITS
    • CONDITIONS - FOOD SERVICE
    27 Apr 2006Revisit
    Found deficiencies in sanitary conditions for food preparation and service, including undated and unlabeled food items and packaging.
    • Type AFood Code 3-307.11; 3-301; 3-308Sanitary conditions - Food Prep & Service
    03 Apr 2006Revisit
    Investigated a complaint and identified Life Safety Code deficiencies; corrections were completed during follow-up.
    • NFPA 101 Life Safety CodeLife Safety Code deficiency - K0018
    • NFPA 101 Life Safety CodeLife Safety Code deficiency - K0025
    • NFPA 101 Life Safety CodeLife Safety Code deficiency - K0056
    09 Mar 2006Licensure
    Identified deficiencies related to the accuracy of resident assessments and the adequacy of menus and nutrition.
    • 483.20(g) - (i) RESIDENT ASSESSMENTRESIDENT ASSESSMENT
    • 483.35(c) MENUS AND NUTRITION ADEQUACYMENUS AND NUTRITION ADEQUACY
    09 Mar 2006Licensure
    Identified a deficiency in dental services: advisory dentist did not provide regular in-service education on oral hygiene, with the last in-service dating back to 2004.
    • Type ASection 14(a) Dental Services; State Rules and Regulations for Nursing Care FacilitiesDental Services
    09 Mar 2006Licensure
    Investigated multiple deficiencies in resident funds handling, resident assessments, meal planning, and food storage practices.
    • 483.10(c)(2)-(5)PROTECTION OF RESIDENT FUNDS
    • 483.20(g)-(i)RESIDENT ASSESSMENT
    • 483.35(c)MENUS AND NUTRITIONAL ADEQUACY
    • 483.60FOOD STORAGE AND HANDLING
    08 Feb 2006Life Safety
    Identified life-safety deficiencies in fire barriers, sprinkler system integrity, and electrical wiring. Observed issues require remediation to meet code requirements.
    • NFPA 101 Life Safety Code StandardUnsealed penetrations in fire barrier / penetrations near barriers
    • NFPA 13 Standard for the Installation of Sprinkler SystemsSprinkler head clearance and obstructions
    • NFPA 101 Life Safety Code StandardElectrical wiring and equipment
    • NFPA 101 Life Safety Code StandardElectrical wiring and equipment
    12 Jan 2005Life Safety
    Identified deficiencies related to discharge summaries, medication administration, and physician oversight.
    • Type A483.20(b)(1)(i)&(2)Discharge summaries and plan of correction
    • Type A483.20(b)(4) & related medication administration requirementsMedication administration
    • Type A483.40Physician Services
    12 Jan 2005Licensure
    Investigated a tuberculosis testing deficiency; found two of four employees did not receive annual tuberculin skin testing as required.
    • Tuberculosis testing for employees

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