Westward Heights Care Center

    150 Caring Way, Lander, WY 82520
    • Independent Living
    • Assisted Living
    • Skilled Nursing

    Spotless safe lively compassionate staff

    I feel truly at home here - the facility is spotless, safe, and lively with residents out and about. The staff are professional, compassionate, and attentive to residents and families; their personalized support and smooth transitions make this an easy place to recommend.

    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
    • 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

    4.63·(8)

    Overall rating

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

      4.6
    • Staff

      4.6
    • Meals

      4.6
    • Amenities

      4.6
    • Value

      4.6

    Pros

    • professional, well-trained staff
    • compassionate and caring caregivers
    • strong relationship-building with residents
    • home-like, comfortable environment
    • frequently recommended by families
    • encourages family visits and involvement
    • engaging activities (e.g., painting)
    • supportive staff during transitions
    • individualized/personalized care plans
    • consistent quality care
    • safe and secure setting
    • clean and well-maintained facility
    • positive, welcoming atmosphere
    • residents are active and out and about
    • attentive to residents and families
    • accommodating and flexible staff
    • professional and well-run operations
    • big-hearted, warm team

    Cons

    • removal/reduction of therapy services mentioned
    • removal/reduction of assistance/services mentioned
    • occasional changes to services that concern families

    Summary of reviews

    Overall sentiment from these review summaries is strongly positive, with repeated emphasis on compassionate, professional staff and a homelike, safe environment. Multiple reviewers highlight the facility as being well-run and staffed by people who build relationships with residents—descriptions such as "professional," "compassionate," "big-hearted," and "attentive" appear throughout. Families frequently recommend the center and call it a "Godsend," which indicates a high level of trust and satisfaction with the day-to-day care and the facility’s culture.

    Care quality emerges as a central strength. Reviews consistently note individualized and personalized care plans, along with quality clinical attention described as "excellent care" and "great care." Several comments indicate a smooth transition into the facility and that residents and families feel supported during moves. Reviewers specifically say residents feel at home and secure, which suggests both physical safety measures and consistent caregiving practices that promote resident confidence.

    Staffing and interpersonal dynamics are standout themes. Reviewers repeatedly praise the staff for being compassionate, relationship-focused, and supportive to both residents and families. Staffing is described as attentive and accommodating; families mention staff support during visits and transitions, as well as responsiveness to family concerns. The operation of the facility is noted as professional, which, combined with descriptors like "big-hearted team," points to a balance of efficient management and warm bedside manner.

    Facility environment and services are also positively reported. The building and common areas are called "very clean" and the atmosphere is described as pleasant—residents are observed "out and about," suggesting active programming and accessible communal spaces. At least one specific activity (painting) is mentioned, pointing to engagement opportunities that foster creativity and family participation. Safety and security are explicitly mentioned, further reinforcing the perception of a well-managed living environment.

    Management and operations receive favorable mentions, but there is a limited pattern of concerns worth noting. A few summaries reference removal or reduction of therapy services and removal of assistance; while reviewers still often say "care otherwise fine," these mentions indicate that some families experienced changes to the level or type of services provided. The summaries do not provide detail about frequency, duration, or causes of these changes, but the repeated mention suggests it is the primary area of negative feedback across the reviews. Families may want clearer communication about any service adjustments, and prospective residents should ask management about typical therapy and assistance availability and policies for changes.

    Notably absent from the summaries is substantial commentary on dining quality, medication management specifics, or pricing/financial matters. Because those topics are not raised, no positive or negative conclusions can be drawn from these reviews on those aspects. Given the overall tenor of the feedback, the strongest and most reliable impressions from these reviews center on excellent interpersonal care, cleanliness, safety, active programming, and professional operations, tempered by occasional service reductions that warrant clarification.

    In conclusion, Westward Heights Care Center is consistently described as a compassionate, clean, and well-run facility where residents feel at home and families feel supported. The dominant themes—professional and caring staff, individualized attention, a welcoming atmosphere, and active engagement—make it highly recommended by those who reviewed it. Prospective residents and families should, however, ask specific questions about therapy and assistance services and how the facility communicates and manages any changes to those services to ensure expectations align with current offerings.

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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 Westward Heights Care Center

    Westward Heights Care Center is located at 150 Caring Way, Lander, WY, 82520.

    About Westward Heights Care Center

    Westward Heights Care Center sits in the heart of Wyoming near Lander and offers a range of senior care services for up to 60 people, so whether someone's looking for independent living, assisted living, memory care for Alzheimer's and dementia, skilled nursing, or something like hospice or respite care, the staff tries to cover quite a bit under one roof, and they handle things like Medicare since the place is Medicare certified and has a partnership with CMS, which takes some of the paperwork and worry off families' hands. The care community has over 45 years of service to folks, winning more than 65 awards since 1996, including Silver and Bronze National Quality Awards from AHCA | NCAL and a five-star rating from Medicare.gov, so that tells a bit about how people outside the place have rated the care there, and being named a certified Great Place to Work through May 2026 shows the staff tend to stay, which can make a difference for people who like familiar faces. Residents have access to therapies like physical, speech, and occupational therapy along with restorative programs for everyone who needs to work on moving around or recovering from something, and for those who need extra help after a hospital stay, short-term rehab, long-term care, and skilled nursing are all here, and families who just need a little break can use respite care, while hospice care can also be arranged for people nearing the end of life. The community's been set up as a continuing care retirement community, so as care needs change, folks don't have to move to another building, and pricing and availability are listed on their website, along with photos and a way to arrange tours for anyone wanting to see the place in person or online, plus the Seniorly website gives a community score if someone's comparing places. The staff at Westward Heights Care Center focus on personalized care, making sure everyone feels important, and while details like room size or exact meals aren't spelled out here, the center does have therapies, adult day care, home health, and options for both independent and assisted living, so people have choices depending on what kind of help they need.

    People often ask...

    Westward Heights Care Center offers independent living, assisted living, and skilled nursing.

    There are 18 photos of Westward Heights Care Center on Mirador.

    The full address for this community is 150 Caring Way, Lander, WY 82520.

    No, Westward Heights Care Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Wyoming, the Department of Health's Healthcare Licensing & Surveys program licenses care facilities and publishes licensure, complaint, and life-safety findings.

    License numbernh-201
    Facility typeNursing Home

    Inspection Reports

    117

    Reports

    21

    Type A Citations

    0

    Type B Citations

    21

    Complaints

    21

    Years

    16 May 2025Revisit
    Found no deficiencies. All prior deficiencies were corrected.
    01 May 2025Revisit
    Verified that prior Life Safety Code deficiencies were corrected and no new noncompliance was found.
    02 Apr 2025Life Safety
    Found multiple life-safety deficiencies, including fire alarm testing gaps, uninspected dampers, unverified essential electrical system testing, and improper oxygen cylinder storage.
    • NFPA 72 (Fire Alarm and Signaling Code)Fire Alarm System - Testing and Maintenance
    • NFPA 101 (Life Safety Code) 19.5.2, 9.2.1; NFPA 90A; NFPA 80HVAC – Fire Damper Inspection and Testing
    • NFPA 99 (Health Care Facilities Code) 6.4.4.1.2.1; 6.4.4; NFPA 90A; NFPA 70Electrical Systems - Essential Electrical System (EES) Testing and Maintenance
    • NFPA 99 11.6.2.3Gas Equipment - Cylinder and Container Storage
    27 Mar 2025Licensure
    Investigated and found deficiencies in psychotropic med management and infection control. The findings showed a lack of gradual dose reduction for trazodone in one resident and improper hand hygiene during meal service.
    • §483.45(e)Unnecessary psychotropic medications; gradual dose reduction
    • §483.80Infection prevention and control
    14 Jan 2025Complaint
    Investigated a complaint alleging abuse by a resident against another and a delay in a hip x-ray; found violations related to abuse protection and quality of care.
    • 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • 483.25Quality of Care
    21 Feb 2024Revisit
    Found no deficiencies and confirmed prior deficiencies were corrected.
    12 Feb 2024Revisit
    Verified no deficiencies and full compliance with life safety requirements.
    11 Jan 2024Licensure
    Investigated dialysis post-treatment monitoring and infection control practices; found inadequate monitoring of a dialysis access site and improper cleaning of glucometers between residents.
    • 42 CFR 483.25(l)Dialysis
    • 42 CFR 483.80Infection Prevention & Control
    11 Jan 2024Licensure
    Concluded no violations were cited. Findings indicated compliance with state requirements.
    09 Jan 2024Life Safety
    Found deficiencies in fire alarm testing/maintenance documentation and weekly generator inspections, indicating noncompliance with life safety and essential electrical system requirements.
    • NFPA 101 19.3.4.1, 9.6.1.3; NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
    • NFPA 99; NFPA 110; NFPA 111; NFPA 70Electrical Systems - Essential Electric System
    04 Jan 2023Revisit
    Verified no deficiencies were found and compliance was confirmed after a Life Safety Code revisit.
    22 Dec 2022Revisit
    Found no deficiencies after the follow-up visit; all prior deficiencies were corrected.
    03 Nov 2022Licensure
    Investigated deficiencies in PRN psychotropic medication management and in staff COVID-19 vaccination compliance.
    • 42 CFR §483.45(e)Psychotropic Drugs
    • 42 CFR §483.80(i)COVID-19 Vaccination of Facility Staff
    03 Nov 2022Licensure
    Found no deficiencies. A licensure survey conducted from 10/31/22 to 11/3/22 determined compliance with state requirements.
    02 Nov 2022Life Safety
    Observed deficiencies in cooking facilities protection, fire alarm testing, and essential electrical system maintenance.
    • NFPA 101 19.3.2.5.1, 9.2.3; NFPA 96 12.1.2.3Cooking Facilities
    • NFPA 101 19.3.4.1, 9.6.1.3; NFPA 72 2010Fire Alarm System - Testing and Maintenance
    • NFPA 110 8.3.7.1; NFPA 70; NFPA 111; NFPA 70 700.10Electrical Systems - Essential Electric System
    29 Dec 2021Revisit
    Verified that all previous deficiencies were corrected and no new noncompliance was found.
    22 Nov 2021Revisit
    Verified that previously identified deficiencies were corrected and the site is back in compliance.
    14 Oct 2021Licensure
    Found deficiencies in accurate reflection of resident health status, PASARR coordination, and nurse staffing postings, indicating noncompliance with federal requirements.
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.20(e)(1)(2)Coordination of PASARR and Assessments
    • CFR 483.35(g)Posted Nurse Staffing Information
    14 Oct 2021Licensure
    Found no deficiencies. Survey determined compliance with state requirements.
    13 Oct 2021Life Safety
    Identified multiple deficiencies in emergency preparedness and fire safety. Defects included missing shelter-in-place policy, inadequate training and testing, and several NFPA-fire-safety gaps.
    • CFR 483.73(b)(4)Policies/Procedures for Sheltering in Place
    • CFR 483.73(d)(1)Emergency preparedness training program
    • CFR 483.73(d)(2)Emergency preparedness testing
    • NFPA 101 18.1.1.1.3, 4.6.12.1General requirements – fire-resistive construction
    • NFPA 101 19.3.2.1.3, 19.3.5.9Hazardous areas - enclosure
    • NFPA 101 19.7.5.6Combustible decorations
    • NFPA 99 10.2.3.6, 10.2.4Electrical equipment - power cords and extension cords
    21 Jul 2021Complaint
    Found no deficiencies.
    07 Apr 2021Complaint
    Concluded no deficiencies were identified after reviewing a complaint and a COVID-19 focused infection control review.
    01 Dec 2020Licensure
    Investigated a COVID-19 focused infection control survey and found no deficiencies.
    14 May 2020Licensure
    Found no deficiencies identified during a COVID-19 focused infection control survey.
    03 Sept 2019Revisit
    Verified the prior deficiency was corrected and no new noncompliance was found. No violations were cited and overall compliance was achieved.
    28 Aug 2019Revisit
    Verified that all previously identified deficiencies were corrected and no new noncompliance was found. The entity was in compliance with all regulations surveyed.
    25 Jul 2019Life Safety
    The inspection identified safety deficiencies in electrical equipment usage and oxygen storage security.
    • NFPA 99; NFPA 70Power Strips and Extension Cords in patient care areas
    • NFPA 101Gas Equipment - Cylinder and Container Storage
    24 Jul 2019Licensure
    Identified trip and entanglement hazards in resident rooms due to cords and tubing.
    • CFR 483.25(d)Accidents
    24 Jul 2019Licensure
    Found no deficiencies.
    27 Jun 2019Revisit
    Verified prior deficiencies were corrected and no new noncompliance was found. Overall compliance with applicable regulations was confirmed.
    02 May 2019Complaint
    Investigated a complaint; found deficiencies in individualized care planning and timely toileting/incontinence care for a resident with urinary incontinence.
    • 42 CFR 483.21(b)Comprehensive Care Plans
    • 42 CFR 483.25(e)Bowel/Bladder Incontinence, Catheter, UTI
    25 Sept 2018Revisit
    Found no deficiencies. All prior deficiencies were corrected and no new noncompliance was found.
    05 Sept 2018Revisit
    Found no deficiencies; prior deficiencies were corrected and all regulations were met.
    26 Jul 2018Life Safety
    Identified multiple life-safety deficiencies, including failure to test and maintain the kitchen extinguishing system, inadequate or missing exit signage, and issues with smoke barriers and other building systems.
    • NFPA 96; NFPA 101 Life Safety CodeCooking Facilities
    • NFPA 101 Life Safety CodeExit Signage
    • NFPA 101 Life Safety CodeContinued From page 5 – Death in the event of a fire
    • NFPA 101 Life Safety CodeSubdivision of Building Spaces - Smoke Barrier Construction
    • NFPA 101 Life Safety Code; NFPA 70 (Electrical) CFRsElectrical Systems - Essential Electric System
    • NFPA 101 Life Safety CodeFire Alarm System - Testing and Maintenance
    • NFPA 101 Life Safety CodeSprinkler System - Maintenance and Testing
    • NFPA 101 Life Safety CodeFire Alarm System - Testing and Maintenance
    26 Jul 2018Complaint
    Identified multiple deficiencies including improper transfer/discharge notices, inadequate handling of thickened liquids, and lapses in food safety practices.
    • §483.70(l)Notice of Transfer/Discharge
    • Call light/response times
    • §483.60(i)(1)-(i)(2)Dietary/Thickened liquids handling
    • §483.60(i)(1)-(i)(2)Food safety/ sanitation – preparation and serving
    26 Jul 2018Licensure
    Determined the facility was in compliance with State requirements. No deficiencies were cited.
    14 May 2018Revisit
    Confirmed no deficiencies; prior issues were corrected and no new noncompliance was found.
    13 Mar 2018Complaint
    Investigated deficiencies in quality of care, including issues with anticoagulant management and related nursing documentation, with additional unrelated deficiencies identified.
    • CFR 483.25Quality of care
    07 Sept 2017Revisit
    Investigated a revisit survey; all prior deficiencies were corrected and no new noncompliance found.
    07 Sept 2017Revisit
    Investigated a revisit; all prior deficiencies were corrected and no new noncompliance was found.
    14 Jul 2017Licensure
    Identified deficiencies in resident care planning, safety, and documentation.
    14 Jul 2017Licensure
    Determined that the facility was in compliance with State requirements after a licensing survey conducted from 2017-07-10 to 2017-07-14.
    11 Jul 2017Life Safety
    Identified deficiencies related to sprinkler system coverage, supervisory signaling, and maintenance/testing of the sprinkler system.
    • NFPA 101 Life Safety Code - 19.3.5.1; 9.7.1Continued From page 3 - sprinkler coverage
    • NFPA 101 Sprinkler System - Supervisory SignalsSprinkler System – Supervisory Signals
    • NFPA 101 Sprinkler System - Maintenance and Testing; NFPA 25Sprinkler System – Maintenance and Testing
    24 Oct 2016Revisit
    Investigated a complaint; identified multiple CMS deficiencies cited under federal regulations.
    • 483.10(b)(5)-(10); 483.10(b)(1)CMS 483.10(b) requirements
    • 483.10(e); 483.75(i)(4)CMS 483.10(e) and 483.75(i)(4) requirements
    • 483.10(n)CMS 483.10(n) requirements
    • 483.25(i)CMS 483.25(i) requirements
    • 483.20(d); 483.20(k)(1)CMS 483.20(d) and 483.20(k)(1) requirements
    • 483.20(k)(3)(ii)CMS 483.20(k)(3)(ii) requirements
    • 483.60(b); (d); (e)CMS 483.60(b), (d), (e) requirements
    • 483.75(i)(1)CMS 483.75(i)(1) requirements
    20 Oct 2016Revisit
    Identified three NFPA 101 Life Safety Code deficiencies; corrections completed by the follow-up.
    • NFPA 101K0018
    • NFPA 101K0052
    • NFPA 101K0130
    11 Aug 2016Licensure
    Found deficiencies related to posting of advocacy contact information, confidentiality of resident health information, and privacy of resident records.
    • 483.10(b)(5)-(10), 483.10(b)(1)Notice of rights, rules, services, charges
    • 483.10(e)(6)Confidentiality of protected health information
    • 483.20(k)(3)(ii)Personal privacy/confidentiality of records
    11 Aug 2016Licensure
    Found no deficiencies. The survey determined compliance with state requirements.
    09 Aug 2016Life Safety
    Found multiple life-safety deficiencies including incomplete fire alarm testing/maintenance documentation, improper smoke compartment door operation, missing semi-annual kitchen hood fire suppression inspection records, and gaps in generator emergency lighting documentation.
    • NFPA 101 Life Safety Code (1998 edition), Section 8-3.1.1; NFPA 70; NFPA 72Fire alarm system testing and maintenance
    • NFPA 101 Life Safety Code (1998 edition), Section 8-3.1.1Maintenance of doors in smoke compartments
    • NFPA 96 (Kitchen Hood Fire Suppression) / NFPA 96, Section 8-2.1Kitchen hood fire suppression system inspection
    • NFPA 101 Life Safety Code; NFPA 70; NFPA 72Generator and emergency lighting documentation
    • NFPA 70 National Electrical CodeGFCI/wiring checks
    07 Apr 2016Complaint
    Concluded no deficiencies identified in relation to the complaint investigation.
    15 Oct 2015Revisit
    Investigated a life-safety code deficiency; the deficiency was corrected.
    • Ch 11 Sec 6 (b)(iii)Life Safety Code deficiency
    15 Oct 2015Revisit
    Concluded substantial compliance after follow-up, with corrections completed for previously cited deficiencies.
    01 Sept 2015Revisit
    Found no deficiencies.
    01 Sept 2015Revisit
    Concluded that deficiencies previously reported were corrected; no new deficiencies cited.
    09 Jul 2015Complaint
    Identified deficiencies across privacy, safety, sanitation, medication, and care planning; multiple areas failed to meet required standards.
    • Privacy/Confidentiality of Records
    • Housekeeping and Maintenance Services
    • Develop Comprehensive Care Plans
    • Provide Care/Services for Highest Well Being
    • Free of Accident Hazards/Supervision/Devices
    • Drug Regimens Free From Unnecessary Drugs
    • Corridors Have Firmly Secured Handrails
    09 Jul 2015Licensure
    Identified deficiencies in infection control reporting and dietetic services management.
    • Ch 11 Sec 6(b)(ii) Physical EnvironmentPhysical Environment
    • Ch 11 Sec 11(a)(i) Dietetic ServicesDietetic Services
    08 Jul 2015Life Safety
    Identified a lack of backflow protection for the chemical dispensing system due to a hose connection to the wall-mounted dispenser.
    • IPC Life Safety - Int'l Plumbing CodeBackflow prevention and plumbing cross-connection
    08 Jul 2015Life Safety
    Identified life-safety deficiencies related to exit accessibility and fire protection for cooking facilities, with follow-up actions noted.
    • Type ANFPA 101 Life Safety Code StandardExit access and egress
    • Type ANFPA 101 LIFE SAFETY CODE STANDARDCooking facilities protection / fire protection
    08 Jul 2015Life Safety
    Found noncompliance related to plumbing backflow prevention and overall life-safety system maintenance due to a hose connection installed without backflow prevention. Document described inadequate maintenance of plumbing systems per applicable codes.
    • IPC Life Safety - Int'l Plumbing CodeIPC Life Safety - Int'l Plumbing Code
    28 Jan 2015Complaint
    Found no deficiencies.
    23 Oct 2014Revisit
    Investigated a follow-up visit and found corrections completed for identified deficiencies.
    22 Oct 2014Revisit
    Identified deficiencies in regulatory compliance with multiple items corrected; follow-up completed.
    • 483.10(b)(11)
    • 483.25(a)(3)
    • 483.25(k)
    • 483.35(i)
    • 483.65
    • 483.70(h)(2)
    • 483.75(j)(2)(ii)
    18 Sept 2014Revisit
    Investigated deficiencies under the Life Safety Code and confirmed corrections completed.
    • NFPA 101Life Safety Code deficiency
    • NFPA 101Life Safety Code deficiency
    • NFPA 101Life Safety Code deficiency
    • NFPA 101Life Safety Code deficiency
    18 Sept 2014Revisit
    Verified corrections completed for previously reported deficiencies.
    28 Aug 2014Licensure
    Identified safety and care deficiencies, including improper restraint use, inadequate falls supervision, and missing care-plan documentation.
    • Seat belt use and supervision
    • Abuse/Neglect prevention – reporting
    • Falls prevention and supervision
    • Heel irritation/breakdown care planning
    10 Jul 2014Licensure
    Investigated deficiencies in resident care and safety; found inadequate daily living assistance and hygiene practices with ongoing hygiene concerns.
    • Nursing/Personal care deficiencies
    19 Jun 2014Life Safety
    Investigated observed plumbing deficiencies and identified a lack of backflow prevention from a faucet connection, creating cross-connection risk.
    • International Plumbing Code, 2006 Edition, Section 608Backflow prevention
    19 Jun 2014Life Safety
    Identified life-safety deficiencies related to exit accessibility and electrical equipment; several items required corrective action.
    • NFPA 101 Life Safety CodeExit access/egress
    • NFPA 70 National Electrical CodeElectrical wiring and equipment
    • NFPA 101 Life Safety Code; NFPA 701Life Safety Code standard
    30 May 2014Revisit
    Found no deficiencies.
    27 Mar 2014Complaint
    Identified deficiencies in storage and handling of controlled substances and related recordkeeping.
    • The Comprehensive Drug Abuse Prevention and Control Act (Schedule II) and related controlled-substance management requirementsStorage and handling of controlled substances
    26 Jul 2013Revisit
    Investigated the complaint and found no deficiencies.
    26 Jul 2013Revisit
    Identified Life Safety Code deficiencies during a follow-up visit.
    16 May 2013Licensure
    Investigated infection-control reporting deficiencies; found that an outbreak was not reported to all required entities.
    • Infection control outbreak reporting
    16 May 2013Licensure
    Identified multiple deficiencies related to resident care and staff practices, including inadequate bowel management, improper documentation, and lack of consistent care planning.
    23 Apr 2013Complaint
    Determined that no deficiencies were identified during the complaint investigation.
    22 Aug 2012Complaint
    Found no deficiencies after a complaint survey conducted on 2012-08-21 through 2012-08-22.
    16 Aug 2012Revisit
    Investigated the prior findings and confirmed that all corrections were completed; follow-up indicated compliance.
    09 Aug 2012Revisit
    Investigated and found deficiencies requiring follow-up actions.
    01 Jun 2012Licensure
    Investigated deficiencies in resident assessment, care planning, nutrition, and oversight of medications; multiple deficiencies were identified.
    • Type AComprehensive assessment and care planning deficiencies
    • Type AResident assessment and care planning deficiencies
    • Type AQuality of care deficiencies
    • Type ANutritional deficiencies and weight management
    01 Jun 2012Licensure
    Verified compliance with state requirements after a survey conducted May 29 through June 1, 2012.
    31 May 2012Life Safety
    Identified life-safety and electrical-safety deficiencies, including improper use of electrical cords and surge protectors and issues with sprinkler head components.
    • NFPA 101 Life Safety Code StandardLife safety deficiency
    • NFPA 70, National Electrical Code, 1999 EditionElectrical safety – improper use of cords/protectors
    • NFPA 101 Life Safety Code StandardSprinkler system maintenance
    • NFPA 101 Life Safety Code StandardSprinkler system maintenance
    • NFPA 70, National Electrical Code, 1999 EditionElectrical safety – surge protection
    24 May 2012Complaint
    Found deficiencies related to resident care planning, documentation, and infection control across multiple areas.
    • Continued From page 2
    • Care planning update
    • Medication administration issue
    • Infection control and hygiene practices
    02 Feb 2012Complaint
    Investigated a complaint and found no deficiencies.
    18 Aug 2011Revisit
    Investigated a follow-up visit and found no deficiencies cited.
    04 Aug 2011Revisit
    Identified deficiencies requiring correction; all corrections were completed by 07/22/2011.
    04 Aug 2011Revisit
    Verified follow-up actions after a prior review and documented corrections completed for multiple deficiencies.
    17 Jun 2011Licensure
    The facility showed multiple deficiencies including inadequate medication self-administration safeguards, insufficient staff orientation, and problems with maintenance, dietary services, and emergency readiness.
    • 42 CFR 483.10(n)Resident self-administration of medications
    • Staff orientation and training
    • Maintenance and sanitation
    • Dietary/food service deficiencies
    • Essential equipment and safe operating condition
    • Quality Assurance and training
    • Medication administration records and related practices
    • Documentation of dietary and nursing procedures
    • Emergency preparedness and drills
    16 Jun 2011Life Safety
    Investigated life safety issues and found a 1-inch penetration in the B Hall smoke barrier wall; noted penetrations should be inspected and sealed.
    • NFPA 101 Life Safety Code Standard; Building construction type and height (19.1.6.2, 19.1.6.3, 19.1.6.4, 19.3.5.1)Life Safety Code standard – smoke barrier/penetration
    12 May 2011Licensure
    Investigated a complaint that revealed multiple deficiencies in resident care, medication administration, care planning, and administrative oversight.
    • Self-administration of medications
    • Care planning and coordination for residents
    • Care Area Assessments and QA oversight
    • Narcotics management
    • Pain management
    • Prevention and treatment of skin integrity
    25 May 2010Revisit
    Investigated corrective actions and confirmed completion of corrections following prior deficiencies.
    22 Apr 2010Complaint
    Investigated and found multiple deficiencies involving CNA registry, medication handling, care planning, nutrition, staffing records, and infection control.
    • Continued from page 2 – CNAs not properly listed or verified in CNA registry
    • Medication labeling/ MAR verification deficiency
    • Care planning/compliance with written care plans
    • Clinical guidance/order clarification
    • Wound care/dressing protocol
    • Nutrition/dietary management
    • Staffing data/Personnel
    • Infection control/nursing procedures
    • Medical records/Nursing documentation
    22 Apr 2010Licensure
    Identified deficiencies in tuberculosis testing documentation and staff records.
    • Chapter 11, Section 5 (b)(iv)(A)Tuberculin testing for employees
    20 Apr 2010Life Safety
    Identified life-safety deficiencies included an inadequate smoke barrier, a sprinkler system issue, and improper use of extension cords.
    • NFPA 101 Life Safety Code StandardInitial life-safety deficiencies (smoke barrier requirement)
    • NFPA 101 Life Safety Code StandardSmoke barrier walls – maintenance and integrity
    • NFPA 101 Life Safety Code StandardAutomatic sprinkler system maintenance and clearance
    • NFPA 70 National Electrical Code; NFPA 101 Life Safety Code StandardUse of extension cords and related electrical safety
    09 Mar 2010Licensure
    Investigated the disaster preparedness materials and found them outdated and difficult to navigate due to misordered pages and last review dating back to 2008.
    • Chapter 19, Section 6Disaster Plan
    05 May 2009Revisit
    Investigated deficiencies and confirmed corrections completed.
    • 483.20(b)(2)(ii)
    • 483.20(d)(3), 483.10(k)(2)
    • 483.20(k)(3)(i)
    05 May 2009Revisit
    Investigated a deficiency in dietetic services; the dietary manager had not completed the required certification course as of the time of the survey.
    • Type AState Rules and RegulationsDietetic Services
    28 Apr 2009Revisit
    Verified that all previously cited deficiencies were corrected; no new deficiencies cited.
    10 Mar 2009Life Safety
    Identified multiple life-safety deficiencies including unsealed smoke barrier penetrations, disorganized emergency preparedness policies, and inadequate oversight of fire drills and equipment storage.
    • NFPA 101 Life Safety Code StandardSmoke barrier penetrations not sealed
    • NFPA 101 Life Safety Code StandardEmergency preparedness plan not organized/usable
    • NFPA 101 Life Safety Code StandardFire drill procedures and staff training shortcomings
    • NFPA 101 Life Safety Code StandardOxygen storage equipment in service corridor
    • NFPA 101 Life Safety Code StandardMaintenance oversight of corridor dispensers
    05 Mar 2009Licensure
    Identified deficiencies in resident assessment timing, care planning updates, and nursing documentation, with several care plans not reflecting residents' current needs and some incontinence and mobility issues not properly addressed.
    • Type A483.20(b)(2)(ii)RESIDENT ASSESSMENT - WHEN REQUIRED
    • Type A483.20(k)(3)(i)COMPREHENSIVE CARE PLANS
    • Type A483.20(k)(3)(d)PROVIDER'S PLAN OF CORRECTION
    • Type A483.25(d)URINARY INCONTINENCE
    • Type A483.25(e)(2)RANGE OF MOTION
    • Type A483.75NURSING AND STAFFING
    05 Mar 2009Licensure
    Investigated a deficiency in dietary supervision; the dietary manager was not certified and lacked required training to supervise dietetic services.
    • Section 11, Dietetic ServicesDietetic Supervision
    10 Apr 2008Revisit
    Identified several deficiencies in regulatory compliance that required corrective action.
    • 483.15(a)
    • 483.20(d)(3), 483.10(k)(2)
    • 483.20(k)(3)(i)
    • 483.25(a)(3)
    • 483.65(b)(3)
    • 483.70(h)(4)
    • 483.75(j)(1)
    12 Mar 2008Revisit
    Found Life Safety Code deficiencies with corrections completed by 2008-03-10 and follow-up conducted, confirming steps taken.
    • 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 (K0069)
    14 Feb 2008Life Safety
    Identified multiple life-safety deficiencies, including obstructed doors, unsealed penetrations, and failures in testing and maintaining fire alarm and safety systems.
    • NFPA 101 LIFE SAFETY CODE STANDARDSmoke barriers/doors and smoke compartments
    • NFPA 101 LIFE SAFETY CODE STANDARDSmoke barrier penetrations and fire barrier construction
    • NFPA 101 LIFE SAFETY CODE STANDARDFire alarm system testing
    • NFPA 101 LIFE SAFETY CODE STANDARDCommercial cooking facilities fire protection system testing
    • NFPA 101 LIFE SAFETY CODE STANDARDBattery indicator lights and maintenance testing for safety systems
    • NFPA 101 LIFE SAFETY CODE STANDARDFire alarm system testing and maintenance (continued)
    31 Jan 2008Licensure
    Identified a deficiency in dietetic services due to the dietary manager not being a registered dietitian and delays in completing the required coursework.
    • Type ASection 11. Dietetic ServicesDietetic Services
    31 Jan 2008Licensure
    The findings showed deficiencies in care planning, daily living activities, infection control, and environmental safety, with multiple instances where required procedures were not followed or documented.
    09 May 2007Revisit
    Corrections completed after a post-certification revisit; multiple deficiencies were cited.
    • 483.20, 483.20(b)
    • 483.20(g) - (i)
    • 483.20(k)(b)
    • 483.25(n)
    • 483.25(i)
    • 483.40(b)
    • 483.40(c)(1)-(2)
    • 483.65(b)(3)
    • 483.75(i)(1)
    17 Apr 2007Revisit
    Found life safety code deficiencies cited; all observed issues were corrected.
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    17 Apr 2007Revisit
    Verified corrections for prior deficiencies were completed and the follow-up visit confirmed compliance.
    14 Feb 2007Life Safety
    Investigated a routine licensing survey and found multiple life-safety deficiencies related to door safety, fire drills, and backflow prevention, indicating non-compliance with federal life-safety requirements.
    • 42 CFR 483.70(a)Life safety code – general
    • 42 CFR 483.70(a)Fire safety – drill scheduling
    • NFPA 101 Life Safety Code Standard 19.3.6.3.6Backflow prevention/inspection
    • 42 CFR 483.70(a)Fire drill records and timing
    08 Feb 2007Licensure
    Found deficiencies related to TB testing/documentation and dietetic supervision, with missing or incomplete records identified during the review.
    • Type ASection 11. Dietetic ServicesDietetic Services
    • Type AState TB testing requirementsTuberculosis testing
    • Type AState TB testing requirementsTB testing documentation
    08 Feb 2007Licensure
    The facility had multiple deficiencies related to resident assessment, care planning, daily care documentation, immunization, medical records, and infection control during the survey.
    06 Feb 2007Life Safety
    Inspections identified multiple life-safety and electrical deficiencies, including improper use of extension cords, missing covers, and inadequate maintenance and testing of life-safety systems.
    • NFPA 101 Life Safety Code Standard; NFPA 70 National Electrical CodeUncovered/unguarded electrical condition near Resident room #220
    • NFPA 101 Life Safety Code StandardEmergency lighting system testing not performed
    • NFPA 101 Life Safety Code StandardIllumination of means of egress not verified by test
    • NFPA 101 Life Safety Code StandardMaintenance director oversight frequency
    • NFPA 101 LIFE SAFETY CODE STANDARDFire alarm testing and QA review documentation
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued maintenance/testing program for life safety systems
    • NFPA 101 LIFE SAFETY CODE STANDARDFire safety equipment clearance and coverage (sprinkler/lighting)
    02 May 2006Life Safety
    Found multiple life-safety deficiencies related to door construction, smoke barriers, and exit/lighting maintenance during the investigation.
    • NFPA 101 Life Safety Code Standard 7.2.1.14Doors protecting corridor openings
    • NFPA 101 Life Safety Code StandardSmoke barriers
    • NFPA 101 Life Safety Code StandardLinen/closet door hardware and maintenance
    • NFPA 101 Life Safety Code StandardLighting/egress maintenance
    • NFPA 101 Life Safety Code Standard; NFPA 13 and NFPA 25 (as referenced)Sprinkler system maintenance and coverage
    30 Jan 2006Revisit
    Identified regulatory deficiencies; corrections completed.
    • 483.20(d), 483.20(k)(1)
    • 483.25(e)(2)
    • 483.25(i)(2)
    • 483.25(l)(2)(ii)
    13 Jan 2006Revisit
    Found no deficiencies.
    01 Dec 2005Licensure
    Investigated deficiencies in care planning, execution of mobility therapy, accident prevention, and antipsychotic drug management, with multiple noncompliances cited.
    • 483.20(d), 483.20(k)(1)COMPREHENSIVE CARE PLANS
    • 483.25(e)(2)RANGE OF MOTION
    • 483.25(h)(2)ACCIDENTS
    • 483.25(h)(2)ANTIPSYCHOTIC DRUGS
    15 Nov 2005Life Safety
    Found deficiencies in life-safety systems and emergency power: there was no sprinkler coverage under the roof, sprinkler heads showed corrosion, and the emergency generator was not properly maintained or tested.
    • Type ANFPA 101 Life Safety Code StandardLife Safety Code Standard
    • Type ANFPA 101 Life Safety Code StandardLife Safety Code Standard
    • Type ANFPA 110 Emergency and Standby Power SystemsEmergency Power Generator
    • Type ANFPA 110 Emergency and Standby Power SystemsEmergency Power Generator
    04 Nov 2005Complaint
    Determined that no deficiencies were identified in the complaint investigation.

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