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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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
5
4
3
2
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
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 number
nh-200
Facility type
Nursing Home
Inspection Reports
101
Reports
21
Type A Citations
1
Type B Citations
8
Complaints
21
Years
10 Jul 2025Complaint
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
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
11 Jun 2024Revisit
Found no deficiencies. A follow-up visit confirmed prior deficiencies were corrected and no new noncompliance was found.
11 Jun 2024Revisit
11 Jun 2024Revisit
Concluded that prior deficiencies were corrected and no new noncompliance was found.
04 Jun 2024Revisit
04 Jun 2024Revisit
Verified no deficiencies were found and confirmed prior issues were corrected.
28 Mar 2024Licensure
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
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
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(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
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
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
21 Jun 2023Licensure
Determined the provider was in compliance with Federal requirements following an onsite review.
17 May 2023Revisit
17 May 2023Revisit
Verified compliance with all regulations. Prior deficiencies were corrected.
17 May 2023Revisit
17 May 2023Revisit
Verified all prior deficiencies were corrected and no new noncompliance was found.
13 Apr 2023Complaint
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
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
15 Mar 2023Revisit
Verified that all previously cited deficiencies were corrected and no new noncompliance was found.
15 Mar 2023Revisit
15 Mar 2023Revisit
Verified all prior deficiencies were corrected and found no new noncompliance.
08 Mar 2023Revisit
08 Mar 2023Revisit
Verified that prior deficiencies were corrected and the site was in compliance with safety and emergency preparedness requirements.
28 Feb 2023Complaint
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
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
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
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
Verified that prior deficiencies were corrected and compliance was restored.
07 Jan 2022Revisit
07 Jan 2022Revisit
Found no deficiencies. All prior deficiencies were corrected and all regulations surveyed were met.
04 Nov 2021Licensure
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)(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
04 Nov 2021Licensure
Determined compliance with state requirements. No deficiencies cited.
02 Nov 2021Life Safety
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
Concluded that no deficiencies were identified during a COVID-19 focused infection control survey.
27 Apr 2020Licensure
27 Apr 2020Licensure
Found no deficiencies in COVID-19 infection control.
14 Feb 2020Revisit
14 Feb 2020Revisit
Verified that all prior deficiencies were corrected and no new noncompliance was found.
14 Feb 2020Licensure
14 Feb 2020Licensure
Verified compliance after a revisit; all prior deficiencies were corrected and no new noncompliance was found.
16 Dec 2019Revisit
16 Dec 2019Revisit
Verified that all previously cited deficiencies were corrected.
07 Nov 2019Licensure
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
§483.80 Infection prevention and control program; §483.80(a)(3) Antibiotic StewardshipAntibiotic Stewardship
07 Nov 2019Licensure
07 Nov 2019Licensure
Found no deficiencies. Compliance with state requirements was confirmed.
06 Nov 2019Life Safety
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
06 Nov 2019Licensure
Found no deficiencies. The survey determined compliance with all requirements.
02 Apr 2019Revisit
02 Apr 2019Revisit
Verified prior deficiencies were corrected and no new noncompliance was found.
28 Feb 2019Revisit
28 Feb 2019Revisit
Verified prior Life Safety Code deficiencies were corrected and compliance restored.
31 Jan 2019Licensure
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
31 Jan 2019Licensure
Found no deficiencies identified during the survey and confirmed compliance with state requirements.
29 Jan 2019Life Safety
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
08 May 2018Revisit
Found no deficiencies. The survey determined compliance with federal requirements.
08 May 2018Revisit
08 May 2018Revisit
Determined that the facility was in compliance with state requirements; no deficiencies were cited.
21 Mar 2018Revisit
21 Mar 2018Revisit
Found no deficiencies. A follow-up visit confirmed prior issues were corrected and no new noncompliance was identified.
21 Mar 2018Revisit
21 Mar 2018Revisit
Verified that previous deficiencies were corrected and no new noncompliance was found; all regulations surveyed were met.
26 Jan 2018Life Safety
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
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 72; NFPA 101 Life Safety Code (emergency communications and fire alarm integration)Impaired Fire Alarm System (continued – NFPA 72)
10 Jan 2018Licensure
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
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
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
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
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
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
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
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
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
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
17 Mar 2016Revisit
Found no deficiencies cited during the follow-up visit.
06 Jan 2016Licensure
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
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
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
29 Dec 2014Revisit
Confirmed no deficiencies were found. The follow-up verified that previously reported issues were corrected.
29 Dec 2014Revisit
29 Dec 2014Revisit
Verified that corrective actions from the prior deficiency were completed on follow-up.
24 Dec 2014Revisit
24 Dec 2014Revisit
Confirmed that corrective actions were completed after a follow-up visit.
30 Oct 2014Licensure
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
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
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
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
28 Oct 2013Revisit
Identified deficiencies cited during the follow-up visit.
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17 Oct 2013Revisit
17 Oct 2013Revisit
Observed corrections completed during a follow-up visit after the initial survey.
29 Aug 2013Licensure
29 Aug 2013Licensure
Investigated the dietary manager's certification status; found a six-month extension to December 2013 for graduation.
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
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
12 Oct 2012Revisit
Identified life-safety deficiencies and documented corrections completed by the dates shown.
12 Oct 2012Revisit
12 Oct 2012Revisit
Verified that corrective actions for prior deficiencies were completed.
12 Oct 2012Revisit
12 Oct 2012Revisit
Investigated deficiencies identified on the prior survey; all cited issues were corrected.
14 Aug 2012Life Safety
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
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
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
28 Jul 2011Licensure
Investigated a complaint and identified multiple deficiencies regarding resident rights, privacy, daily activities, and care planning.
28 Jul 2011Licensure
28 Jul 2011Licensure
Found no deficiencies.
27 Jul 2011Life Safety
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
24 Mar 2011Complaint
Found no deficiencies. No deficiencies were identified during the complaint investigation.
24 Mar 2011Complaint
24 Mar 2011Complaint
Investigated a complaint and found no deficiencies identified.
21 Dec 2009Revisit
21 Dec 2009Revisit
Investigated prior deficiencies and confirmed corrections completed.
28 Oct 2009Revisit
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
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
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
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
11 Jul 2007Revisit
Verified that deficiencies identified in the CMS-2567 were corrected during the follow-up visit.
11 Jul 2007Revisit
11 Jul 2007Revisit
Verified corrections were completed for deficiencies previously cited and confirmed ongoing compliance.
17 May 2007Life Safety
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
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
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
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
09 Mar 2006Licensure
Identified deficiencies related to the accuracy of resident assessments and the adequacy of menus and nutrition.
483.35(c) MENUS AND NUTRITION ADEQUACYMENUS AND NUTRITION ADEQUACY
09 Mar 2006Licensure
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
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
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
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
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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