Weston County Health Services I

    1124 Washington Blvd, Newcastle, WY 82701
    • Assisted Living
    • Skilled Nursing
    3.7·29 reviews
    For the front desk(307) 746-2793

    Compassionate attentive care with improvements

    I felt in very good hands - staff were gentle, patient and compassionate, with top-notch nurses and therapists who were attentive, fast and often went above and beyond. They handled billing and logistics proactively (arranged transport and explained everything), have gym access, and I would recommend their care - a few minor tweaks would make it outstanding.

    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

    3.69·(29)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1

    • Care

      3.2

    • Staff

      3.7

    • Meals

      3.7

    • Amenities

      3.7

    • Value

      3.7

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    Medicare Ratings

    2·/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.

    • 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 Weston County Health Services I

    Weston County Health Services I is located at 1124 Washington Blvd, Newcastle, WY, 82701.

    About Weston County Health Services I

    Weston County Health Services I stands as a facility that covers a broad range of medical needs through its hospital, clinic, nursing home, and outreach services, offering patients a place for everything from urgent health problems to regular checkups, because they've got walk-in clinics in both Upton at 717 Pine St., open Monday to Friday from 9 am to 4 pm, and Newcastle at 1121 Washington Blvd., open Monday to Saturday from 8 am to 5 pm, helping folks get care when they need it, and folks will find board-certified physicians and advanced practice providers who take time to give each patient care suited to their needs, whether that's through family medicine clinics, work or school exams, travel checks, immunizations, or just general health visits. The hospital has facilities to handle minor ambulatory procedures, surgeries like hernia repair, appendectomies, biopsies, gall bladder removals, gynecology, obstetrical work, and even hemorrhoids, plus specialized treatments for cardiac, respiratory, infectious, bone, joint, kidney, and digestive illnesses, and they're set up for recuperative and rehabilitative care, home health visits, psychiatric crisis help, and cancer therapies as well. Folks who need X-rays, ultrasounds, mammography, CT scans, or other types of imaging can get those done in the full-service radiology department, and there's a laboratory, emergency care, physical therapy, pharmacy, and nursing on site too, so care feels complete and close by. The physical therapy services reach several locations and even include special programs like Black Hills Orthopedic & Spine Center Physical Therapy, ProMotion Physical Therapy at The Spine Center and Baken Park, and there's a hospital connection with Black Hills Surgical Hospital Physical Therapy, so anyone needing help after surgery or with mobility can find what they need, especially for hand, upper extremity, foot and ankle, joint replacement, or sports medicine problems. Weston County Health Services I offers home care with speech therapy, personal care, and case management, and the long-term nursing home is another option on the same campus for people who need extra support day to day, with all these services run by staff who focus on safety, kindness, and clear communication. They provide things that make modern care a little easier like patient forms and online bill pay, and their nonprofit foundation helps with healthcare scholarships, so people in the region can keep getting the care and support they need over time, reaching folks from Newcastle, Upton, and even several towns across the area.

    People often ask...

    Weston County Health Services I offers assisted living and skilled nursing.

    The full address for this community is 1124 Washington Blvd, Newcastle, WY 82701.

    No, Weston County Health Services I 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-205
    Facility typeNursing Home

    Inspection Reports

    106

    Reports

    7

    Type A Citations

    0

    Type B Citations

    19

    Complaints

    21

    Years

    11 Sept 2024Revisit
    Verified no deficiencies were found; all prior deficiencies were corrected.
    11 Sept 2024Revisit
    Verified that prior deficiencies were corrected and found no new noncompliance. Confirmed compliance with all regulations surveyed.
    04 Sept 2024Revisit
    Confirmed all deficiencies from the prior inspection were corrected and compliance restored.
    11 Jul 2024Licensure
    Identified that no qualified administrator was on site as required.
    • Ch 11 Sec 5(a) Organization and AdministrationOrganization and Administration
    11 Jul 2024Complaint
    Found multiple deficiencies related to governance, staffing, QAPI oversight, infection control, and wound care practices. The issues included lack of an on-site administrator, missing staffing submissions, incomplete QAPI attendance, inadequate infection prevention oversight, and improper dressing changes.
    • 483.70(d)Governing body
    • 483.70(q)Payroll Based Journal
    • 483.75(g)Quality assessment and assurance
    • 483.80(c)Infection preventionist participation on QA committee
    • 483.80Infection control
    09 Jul 2024Life Safety
    Found deficiencies in emergency preparedness testing and in fire sprinkler system maintenance and electrical safety. The issues could affect resident safety.
    • 42 CFR 483.73(d)(2)Emergency preparedness testing
    • NFPA 101; NFPA 13Sprinkler System - Installation
    • NFPA 101; NFPA 13; NFPA 25Sprinkler System - Maintenance and Testing
    • NFPA 99; NFPA 101Health Care Facilities Code - Other
    05 Jul 2023Revisit
    Verified prior deficiencies were corrected and no new noncompliance was found.
    23 Jun 2023Revisit
    Verified prior deficiencies were corrected and no new noncompliance was found. All regulations surveyed were complied with.
    13 Apr 2023Life Safety
    Identified multiple life-safety deficiencies across doors, egress, hazardous areas, sprinkler systems, and fire alarm systems.
    • NFPA 101: 7.2.1.8.2Doors with Self-Closing Devices
    • NFPA 101 18.2.5.7.1.2-18.2.5.7.1.4, 19.2.5.7.1.2-19.2.5.7.1.4Suite Separation, Hazardous Content, and Subdivision
    • NFPA 101 18.2.7, 19.2.7Discharge from Exits
    • NFPA 101 19.3.2.1, 19.3.2.1.2, 8.4.1; penetrationHazardous Areas - Enclosure
    • NFPA 101 19.3.4.1; 9.6.1.3; 9.6.1.5; NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
    • NFPA 101 19.3.5.1; 19.3.5.2; 19.3.5.3; 19.3.5.4; 19.3.5.5; 19.4.2; 19.3.5.10; 9.7; 9.7.1.1(1); NFPA 13 6.2.7.1Sprinkler System - Installation
    • NFPA 101 19.7.6; 8.3.3.1; NFPA 80 5.2; 5.2.3Maintenance, Inspection & Testing - Doors
    13 Apr 2023Licensure
    Investigations identified multiple deficiencies involving abuse reporting, resident transfers, care planning, staff qualifications, medication handling, behavioral health, pharmacy practices, psychotropic use, RN staffing, and COVID-19 vaccination policies.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • CFR 483.12(b)(5)(i)(A)(B)(c)(1)(4); CFR 483.12(c)Reporting of Alleged Violations
    • CFR 483.15(c)(3)-(6)Notice before Transfer/Discharge
    • CFR 483.21(b)(1)-(3)Comprehensive Care Plans
    • CFR 483.24(c)(2)Qualifications of Activity Professional
    • CFR 483.35(b)(1)-(3)Registered Nurse
    • CFR 483.40Behavioral Health Services
    • CFR 483.45(a)-(c)Pharmacy Services
    • CFR 483.45(e)Free from Unnecessary Psychotropic Meds/PRN Use
    • CFR 483.80(i)COVID-19 Vaccination of Facility Staff
    13 Apr 2023Licensure
    Determined that the facility was in compliance with State requirements. No deficiencies were cited.
    13 Sept 2022Revisit
    Verified that all prior deficiencies were corrected and no new noncompliance was found.
    16 Jun 2022Complaint
    Investigated a complaint and found failures to supervise and separate two residents to prevent abuse, and to implement individualized dementia-related behavioral interventions.
    • CFR 483.12(a)(1)Free from Abuse and Neglect
    • CFR 483.40(b)(3)Treatment/Service for Dementia
    16 May 2022Revisit
    Verified compliance after a follow-up review. All prior deficiencies were corrected.
    28 Apr 2022Revisit
    Identified lack of proof of fuel reliability for an emergency generator; no letter of reliability from the provider was on file.
    • §483.73(a), §483.73(e), §482.15(e), §485.625(e)(3)Emergency and standby power systems - fuel reliability
    26 Apr 2022Revisit
    Verified that previous deficiencies were corrected and no new noncompliance was found.
    10 Mar 2022Licensure
    Found that residents' representatives were not included in the care planning process for 3 of 4 sampled residents, despite involvement being required.
    • 483.10(c)(2)-(3)Right to participate in planning care
    10 Mar 2022Licensure
    Determined that the provider was in compliance with State requirements.
    08 Mar 2022Life Safety
    Found multiple life-safety and emergency preparedness deficiencies, including missing emergency contact information and failures related to power, doors, sprinklers, extinguishers, and electrical systems.
    • §483.73(c)(2)Emergency preparedness contact information incomplete
    • §483.73(a), 482.15(e)(3), §483.73(e)(3), §485.625(e)(3)Emergency and standby power: fuel reliability and testing
    • NFPA 101, 2012 edition; 19.3.2.1.3, 7.2.1.8Doors with self-closing devices not maintained
    • NFPA 13, 2010 editionSprinkler installation not properly maintained
    • NFPA 25, Section 5.2.1.2Sprinkler system maintenance and testing not performed as required
    • NFPA 10, 2010 edition; 18.3.5.12, 19.3.5.12Portable extinguishers lack operational placards
    • NFPA 101; NFPA 99; NFPA 110 (and related references listed in the narrative)Electrical systems—reliability documentation not provided
    • NFPA 110; NFPA 101Weekly generator testing not recorded
    08 Sept 2021Licensure
    Identified no deficiencies related to infection control during a COVID-19 focused survey.
    23 Apr 2021Revisit
    Verified that all prior deficiencies were corrected and no new noncompliance was found; overall compliance achieved.
    13 Apr 2021Revisit
    Found no deficiencies. The revisit confirmed previous deficiencies were corrected and no new noncompliance remained.
    08 Apr 2021Complaint
    Found no deficiencies in the complaint investigation. The investigation occurred in early April 2021.
    11 Mar 2021Licensure
    Identified multiple deficiencies in resident care, nutrition/weight loss management, dementia care, and nursing staffing and oversight.
    • CFR(s): 483.20(b)(2)(ii)Comprehensive Assessment After Significant Change
    • CFR(s): 483.25(b)(1)(i)(ii)Weight loss and nutritional status management
    • CFR(s): 483.40(b)(3)Resident-specific interventions for dementia-related behaviors
    • CFR(s): 483.35(b)(1)-(3)Nursing staff coverage and supervisory functions
    09 Mar 2021Life Safety
    Identified safety deficiencies in door hardware, electrical wiring, and oxygen handling.
    • NFPA 101 Life Safety Code, 2012 editionMaintenance of fire doors and smoke barrier integrity
    • NFPA 101 Life Safety Code, 2012 edition; 10.2.3.6; 10.2.4Electrical equipment – power cords and extension cords
    • NFPA 101 (2012), NFPA 99 (2012/2011 editions); sections cited in reportGas equipment – precautions for handling oxygen cylinders
    28 Oct 2020Complaint
    Found no deficiencies identified during the complaint investigation and the COVID-19 infection control review.
    15 Sept 2020Revisit
    Found no deficiencies.
    15 Sept 2020Revisit
    Investigated a revisit survey of prior deficiencies; all deficiencies were corrected and no new noncompliance was found.
    20 Aug 2020Revisit
    Found no deficiencies. All previously cited deficiencies were corrected.
    02 Jul 2020Licensure
    Investigated infection prevention and control; found deficiencies in establishing and maintaining an effective IPCP.
    • §483.80(a)(2)Written standards, policies, and procedures for the infection prevention and control program
    02 Jul 2020Licensure
    Found deficiencies in infection prevention and control due to residents not social distancing or wearing masks on the secure unit.
    • 42 CFR 483.80Infection prevention and control
    14 May 2020Licensure
    Found no deficiencies identified during a COVID-19 focused infection control survey.
    05 Mar 2020Licensure
    Identified multiple deficiencies across resident rights, environment safety, quality of care, bed safety, behavioral health, psychotropic medication use, and infection control with incomplete documentation and improper practices found during the survey.
    • §483.10(c)(6) The right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive; §483.10(c)(8) Nothing in this paragraph should be construed as the right of the resident to receive the provision of medical treatment or medical services deemed medically unnecessary or inappropriate; §483.10(g)(12) The facility must comply with the requirements specified in 42 CFR part 489, subpart I (Advance Directives).Advance directives
    • §483.10(i)(1)-(7) Safe Environment. The resident has a right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.Safe/Clean/Comfortable/Homelike Environment
    • §483.25 Quality of care; §483.25(n) Bed Rails; §483.25(n)(1)-(4) Bed rail requirements and safety.Quality of care
    • §483.25(n) Bed Rails; §483.25(n)(1)-(4) Bed rail assessment and installation standards; safety planning.Bed rails
    • §483.40 Behavioral health services.Behavioral health services
    • §483.45(e) Psychotropic Drugs; §483.45(e)(1)-(5) Psychotropic medication use and PRN limits.Psychotropic medication use
    • §483.80(a) Infection prevention and control program; §483.80(a)(2) Written standards; §483.80(a)(4) Incident recording; §483.80(e) Linens; §483.80(f) Annual review.Infection prevention and control
    05 Mar 2020Licensure
    Found no deficiencies. The survey determined compliance with state requirements.
    04 Mar 2020Life Safety
    Found multiple life-safety and infection-control deficiencies, including a decorative fountain in a corridor, compromised means of egress, unlatched self-closing doors, improper cooking equipment security, missing fire alarm testing records, penetrations in a smoke barrier, oversized oxygen storage, and unsafe power strip usage.
    • 42 CFR §483.80Infection control
    • NFPA 101 7.2.1.4.5.1Means of egress - General
    • NFPA 101 7.2.1.6.2; 18.2.2.2.4; 19.2.2.2.4Egress Doors
    • NFPA 101 19.2.2.2.7; 18.2.2.2.7; 19.2.2.2.4; 18.2.2.2.8Doors with Self-Closing Devices
    • NFPA 101 19.3.2.5.3(9)(b)Cooking facilities
    • NFPA 101 19.3.4.1; 9.6.1.5; NFPA 72 14.4.5(20); 14.6.2.4; Figure 14.6.2.4Fire Alarm System - Testing and Maintenance
    • NFPA 101 19.3.6.2Subdivision of Building Spaces - Smoke Barrier
    • NFPA 101 9.1.2; NFPA 99 10.2.3.6; 10.2.4; NFPA 70 400.8; NFPA 70 590.3(D)Electrical Equipment - Power Cords and Extension Cords
    • NFPA 99 11.3.2.4; 5.1.3.5.12 and Annex A Figure A.5.1.3.5.12(a)Gas Equipment - Cylinder and Container Storage
    07 Feb 2020Revisit
    Concluded no deficiencies; prior deficiencies were corrected and no new noncompliance was found.
    22 Nov 2019Complaint
    Investigated an allegation of abuse and found safety gaps and missing steps to protect residents after an allegation.
    • 42 CFR 483.12(c)(2)-(4)In response to allegations of abuse, neglect, exploitation, or mistreatment, the facility must investigate, prevent further potential abuse, and report results
    05 Jun 2019Revisit
    Verified all previously identified deficiencies were corrected and no new noncompliance was found.
    16 May 2019Revisit
    Verified prior life safety deficiencies were corrected and back in compliance.
    25 Apr 2019Complaint
    Found that one dishwashing machine did not sanitize due to a malfunction, compromising sanitation.
    • §483.60(i)Food safety requirements
    25 Apr 2019Life Safety
    Investigated life safety and emergency preparedness findings; identified that monthly testing and recording of electrolyte specific gravity or conductance for the lead-acid batteries in the emergency power supply system was not completed as required.
    • NFPA 101 Life Safety Code (2012 edition): sections 19.2.9.1; 7.9.2.4; 4.6.12.1; NFPA 110 (2010 edition): section 8.3.7.1Monthly testing and recording of electrolyte specific gravity/conductance for lead-acid batteries in the emergency power supply system not completed
    25 Apr 2019Licensure
    Concluded that the provider was in compliance with State requirements. No deficiencies were cited.
    04 May 2018Revisit
    Found no deficiencies. No new noncompliance was noted.
    04 May 2018Revisit
    Found that prior deficiencies were corrected and no new noncompliance was found. Overall, the provider was in compliance with all regulations surveyed.
    04 May 2018Revisit
    Concluded that prior deficiencies were corrected and no new noncompliance was found.
    15 Mar 2018Complaint
    Investigated deficiencies in bed hold notification, resident rights, and care planning; found failures to provide bed hold information and to develop and revise care plans with resident involvement.
    • 483.15(d)(1)-(2)Notice of Bed Hold Policy Before/Upon Transfer
    • 483.10(c)(2)-(3)Resident rights and comprehensive care plan
    • 483.21(b)Comprehensive Care Plans
    15 Mar 2018Licensure
    Found that dental in-service education for staff was not provided as required.
    • Type ACh 11 Sec 14 (a) Dental ServicesDental Services
    15 Mar 2018Life Safety
    Found safety deficiencies related to fire door maintenance and hazardous-area enclosures, including failure to test fire door assemblies annually and missing self-closing devices on some doors.
    • Type ANFPA 80; NFPA 101Means of Egress - General / Fire door inspection and hardware
    • 2012 NFPA 101, Sections: 19.3.2.1.5, 19.3.2.1, 8.7.1, 8.7.1.3Separation / Hazardous-area enclosures
    03 May 2017Revisit
    Determined substantial compliance and rescinded the denial of payment for new admissions; the prior civil money penalty was also rescinded.
    • §488.417(b)(1)Denial of Payment for New Admissions
    03 May 2017Revisit
    Concluded the provider was in compliance after a follow-up visit, restoring compliance after prior deficiencies were noted.
    06 Apr 2017Revisit
    Determined substantial compliance with health care standards as of April 6, 2017, and rescinded the denial of payment for new admissions.
    09 Feb 2017Licensure
    Investigated found that licensure verification for staff was not completed prior to resident contact for three employees.
    • —Licensure or certification of staff prior to resident contact
    09 Feb 2017Life Safety
    Identified life-safety deficiencies due to lack of sprinkler protection inside closets and incomplete building coverage by an approved sprinkler system.
    • NFPA 13; NFPA Life Safety Code (Sections: 19.4.2, 19.3.5.10, 9.7, 9.7.1(1))Life safety code deficiency – inadequate sprinkler protection
    09 Feb 2017Licensure
    Investigated multiple deficiencies across housekeeping, resident care planning, safety practices, and staff credentialing.
    • —Housekeeping & Maintenance Services
    • —Comprehensive person-centered care plan
    • —Restraints/physical safety devices
    • —Dietary safety/Monitoring
    • —Nurse aide registry verification
    • —Verification of nursing licenses prior to patient contact
    11 Apr 2016Revisit
    Investigated a complaint and found multiple regulatory deficiencies with completed corrections noted.
    • 483.15(h)(2)
    • 483.20(d), 483.20(k)(1)
    • 483.25(h)
    • 483.25(l)
    • 483.35(i)
    • 483.60(c)
    • 483.60(b), (d), (e)
    07 Apr 2016Revisit
    Investigated a Life Safety Code deficiency; corrective action completed.
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    16 Feb 2016Life Safety
    Investigated a deficiency involving exit access and a wanderguard system; doors were locked and the system did not function properly.
    • 2000 NFPA 101, Section 19.2.2.2.4Exit access/egress and wanderguard system
    11 Feb 2016Licensure
    Identified deficiencies in safety, housekeeping, and resident care processes; required corrective actions.
    11 Feb 2016Licensure
    Found no deficiencies. The survey indicated compliance with state requirements.
    11 Feb 2015Licensure
    Found deficiencies; corrections completed.
    • 483.15(h)(2)
    • 483.25(c)
    • 483.30(e)
    • 483.65
    06 Feb 2015Revisit
    Investigated the previously reported deficiencies; corrections completed.
    17 Dec 2014Licensure
    Identified deficiencies in infection control, including lapses in hand hygiene and improper linen handling.
    • —
    17 Dec 2014Licensure
    Found a deficiency in nursing home regulations; a mid-December 2014 survey concluded the rule was not met, but subsequently determined compliance with state requirements.
    • —LIC REGS FOR NURSING HOMES
    16 Dec 2014Life Safety
    Identified life-safety deficiencies during the investigation, including a door latch that would not engage, missing battery testing documentation, and a cart obstructing an exit path.
    • NFPA 101 Life Safety Code Standard, Sections 19.3.2 and 19.3.2.1Door latch hardware – basement storage area
    • NFPA 101 Life Safety Code StandardBattery load voltage testing
    • NFPA 101 Life Safety Code Standard, Means of Egress – Section 7.1.10Obstructions in means of egress
    16 Dec 2014Life Safety
    Found noncompliance with state construction rules and eye-wash safety requirements.
    • Ch 19 Sec 7 Construction/RemodellingConstruction/Remodelling
    • IPC Life Safety - Intl Plumbing CodeIPC Life Safety - Intl Plumbing Code
    16 Dec 2014Revisit
    Investigated the follow-up visit and found no deficiencies.
    13 Mar 2014Revisit
    Identified deficiencies in ID Prefix labeling under the Life Safety Code; corrections completed, resulting in substantial compliance.
    • NFPA 101ID Prefix labeling (Life Safety Code)
    • NFPA 101ID Prefix labeling (Life Safety Code)
    • NFPA 101ID Prefix labeling (Life Safety Code)
    04 Feb 2014Revisit
    Verified corrections were completed after prior deficiencies were identified during a follow-up visit.
    09 Jan 2014Life Safety
    Identified multiple deficiencies in fire safety and life-safety systems, including sprinkler head placement, fire-watch policies, and testing/documentation gaps.
    • NFPA 101 Life Safety Code StandardFire alarm system testing documentation not maintained
    • NFPA 101 Life Safety Code StandardIncorrect sprinkler head placement
    • NFPA 101 Life Safety Code StandardSoiled linen and trash containers not maintained per standard
    • NFPA 101 Life Safety Code StandardFire watch policy did not cover outages of sprinkler/alarm systems during 4-hour outage
    • NFPA 101 Life Safety Code StandardMaintain fire watch procedures; update policy for sprinkler protection
    06 Jan 2014Revisit
    Determined no violations were found during the follow-up visit.
    21 Nov 2013Complaint
    Investigated a complaint and found deficiencies in resident care, safety, nutrition, and documentation.
    19 Nov 2013Life Safety
    Investigated deficiencies in life-safety and fire-protection areas, including an unposted fire alarm central station certificate and inadequate sprinkler head maintenance.
    • Type ANFPA 101 Life Safety Code StandardFire alarm system certificate not posted
    • Type ANFPA 101 Life Safety Code StandardMaintenance of sprinkler heads
    16 Jan 2013Revisit
    Identified deficiencies and confirmed corrections completed by 12/15/2012.
    • NFPA 101Life Safety Code
    • NFPA 101Life Safety Code
    14 Jan 2013Revisit
    Investigated the complaint; corrections were completed after the revisit.
    30 Oct 2012Licensure
    Found multiple deficiencies across privacy of mail, cognitive assessments, care planning, nutrition, infection control, and medication management.
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    30 Oct 2012Licensure
    Investigated deficiencies in dietary supervision; found lack of a full-time, qualified dietetic supervisor and unqualified dietary manager.
    • Type ASection 11, Dietary Services (a) and (f); Chapter 11 of Regulations for Nursing Care FacilitiesLicensing Regulations for Nursing Homes
    20 Oct 2012Life Safety
    Investigated and found deficiencies in life-safety features related to smoke barriers and exit doors.
    05 Jan 2012Revisit
    Cited several deficiencies and verified corrections were completed.
    • 483.13(c)
    • 483.15(i)(t)
    • 483.15(i)(g)(1)
    • 483.25(d)
    • 483.35(c)
    • 483.35(i)
    • 483.60(a),(b)
    19 Dec 2011Revisit
    Verified corrections were completed and compliance was confirmed on follow-up.
    03 Nov 2011Complaint
    Investigated deficiencies in the activities program and staff training, including gaps in abuse-prevention training and failure to meet residents' needs.
    • 483.15(b)(1)Activities must meet residents' needs
    03 Nov 2011Licensure
    Investigated a recertification survey and found no state deficiencies were identified.
    01 Nov 2011Life Safety
    Investigated a life-safety issue with a smoke barrier and numerous related deficiencies; multiple fire-safety elements were documented as not meeting required standards.
    • NFPA 101 Life Safety Code StandardSmoke barrier and doorway hardware deficiencies
    29 Dec 2010Revisit
    Investigated the dietary services supervision and found a lack of a qualified supervisor; the issue was corrected on 11/29/2010.
    • Section 11: Dietetic Services (a)(i) Qualified SupervisorDietetic Services - Qualified Supervisor
    29 Dec 2010Revisit
    Verified that previously identified deficiencies were corrected during the follow-up visit.
    07 Dec 2010Revisit
    Verified corrections completed for previously cited deficiencies and found substantial compliance on follow-up.
    15 Oct 2010Licensure
    Investigated deficiency showed dietary supervision lacked required qualifications and full-time staffing; policy and payroll reviews indicated no qualified dietetic supervisor.
    • —Dietary supervisor qualifications/requirements
    15 Oct 2010Licensure
    The investigation found multiple deficiencies related to care planning, hydration, hygiene, and medication management, with several residents not receiving care as written in their plans.
    • Wyoming Admin Code 463.25(d)Care planning; care provided in accordance with written plan
    • Wyoming Admin Code 463.25(d) / NO CATHETER; PREVENT UTI; RESTORE BLADDERHand hygiene and bladder care
    • Wyoming Admin Code 463.25(d) / NO CATHETER; PREVENT UTI; RESTORE BLADDERUrinary incontinence care
    • Wyoming Admin Code (Range of Motion) / increase; decrease in ROMIncrease/decrease in range of motion
    • Wyoming Admin Code 463.25(d) / DRUG REGIMEN; NO UNNECESSARY DRUGSMedication management
    • Wyoming Admin Code / Drug handling and labelingDrug handling and labeling
    • Wyoming Admin Code / Drug labeling and recordkeepingLabeling and storage of drugs
    11 Oct 2010Life Safety
    Identified several life-safety deficiencies during a survey, including obstructed self-closing doors, missing remote-stop for the emergency generator, and incomplete fire-drill and fire-alarm testing, plus issues with signage and sprinkler maintenance.
    • NFPA 101 LIFE SAFETY CODE STANDARDCorridor doors self-closing devices impeded
    • NFPA 101 LIFE SAFETY CODE STANDARDEmergency generator remote-stop station not provided
    • NFPA 101 LIFE SAFETY CODE STANDARDExit and directional signage
    • NFPA 101 LIFE SAFETY CODE STANDARDFire drills
    • NFPA 70 National Electrical Code and NFPA 72Fire alarm system testing
    08 Dec 2009Revisit
    Investigated a follow-up visit and identified deficiencies requiring correction.
    10 Nov 2009Revisit
    Identified several life-safety code deficiencies that were corrected by 2009-10-30.
    • LSC K0027Life Safety Code deficiency K0027
    • LSC K0029Life Safety Code deficiency K0029
    • LSC K0062Life Safety Code deficiency K0062
    • LSC K0074Life Safety Code deficiency K0074
    • LSC K0141Life Safety Code deficiency K0141
    24 Sept 2009Licensure
    An investigation found multiple deficiencies related to meal service timing, medication administration, and staffing, with several ongoing issues across dietary, nursing, and overall resident care operations.
    • —Late meal service / meal delivery timing
    • —Resident grievances / late meals
    • —Comprehensive care plans
    • —Drug regimen review / timely medication administration
    • —Dietary staffing adequacy
    • —Continued drug regimen review
    24 Sept 2009Licensure
    Found no deficiencies. The record showed substantial compliance with applicable rules.
    22 Sept 2009Life Safety
    Identified life-safety deficiencies including door latch issues, sprinkler concerns, and missing signage related to fire safety.
    • NFPA 101 LIFE SAFETY CODE STANDARDLife Safety Code Standard
    16 Nov 2007Revisit
    Verified that several deficiencies identified earlier were corrected during the follow-up visit and noted corrections completed.
    • 483.10(a)(1)&(2)Resident rights
    • 483.75(b)Resident rights – Dignity/privacy
    • 483.20(k)(3)(i)Safety and welfare standards
    • 483.25(h)Notification of residents’ changes/conditions
    • 483.25(a)Rights information and access
    • 483.25(d)Participation in care planning
    • 483.25(c)Dignity and respect in care
    08 Oct 2007Revisit
    Investigated the follow-up after a prior survey and found corrections were completed.
    30 Aug 2007Complaint
    Investigation found deficiencies in care planning and overall quality of care, including inadequate assistance with personal hygiene.
    • Type A42 CFR 483.20(k)(3)(i)Comprehensive Care Plans
    22 Aug 2007Life Safety
    Investigated life-safety and maintenance deficiencies, including doors not latching properly, inadequate clearance around electrical equipment, and fire-drill practices not meeting requirements.
    • NFPA 101 Life Safety CodeInitial Comments
    • NFPA 101 Life Safety CodeContinued From page 1: Corridor doors not latched
    • NFPA 101 Life Safety CodeFire Drill Procedures
    • NFPA 70 National Electrical CodeElectrical Work Space
    28 Aug 2006Revisit
    Found deficiencies related to resident protection and rights; corrections were completed.
    • Type A483.13(a)(3)Protection from abuse, neglect, and exploitation
    17 May 2006Licensure
    Inspector identified multiple deficiencies across care practices, including improper handling of mistreatment allegations, inadequate daily living support, poor medication labeling, and infection control/physical environment issues.
    • —Mistreatment, neglect, or abuse reporting
    • —Staff treatment of residents
    • —Dignity
    • —Activities of daily living
    • —Labeling of drugs and biologicals
    • —Infection control
    • —Infection control – prevention of spread
    • —Physical environment – room safety
    05 Jul 2005Revisit
    Verified corrections completed following the prior deficiencies and noted no new deficiencies.
    15 Jun 2005Revisit
    Identified deficiencies and completed corrections during the revisit; follow-up completed.
    • NFPA 101 / Life Safety CodeLife Safety Code deficiency
    • NFPA 101 / Life Safety CodeLife Safety Code deficiency
    • NFPA 101 / Life Safety CodeLife Safety Code deficiency
    • NFPA 101 / Life Safety CodeLife Safety Code deficiency
    • NFPA 101 / Life Safety CodeLife Safety Code deficiency
    15 Jun 2005Revisit
    Investigated a complaint follow-up; no deficiencies cited.
    02 Jun 2005Revisit
    Investigated dietary-related issues and found improper handling of leftovers and policy deficiencies.
    • 483.15(a)DIETARY SERVICES
    • 483.35(d)(3)DIETARY SERVICES – Policy/Procedure
    • 483.60(c)(1)ENVIRONMENTAL/ADMINISTRATIVE
    19 Apr 2005Life Safety
    The agency identified life-safety deficiencies, including improper liquid oxygen handling and several sprinkler/door concerns, with corrective actions planned or underway.
    • NFPA 99 Section 4-5.1.2Liquid oxygen transfer area not provided or improperly located
    • NFPA 101 LIFE SAFETY CODE STANDARDAutomatic sprinkler systems not maintained/inspected as required
    • NFPA 101 LIFE SAFETY CODE STANDARDLife safety code standard not currently met; renovation planned
    • NFPA 101 LIFE SAFETY CODE STANDARDFire-rated construction/automatic extinguishing systems
    • NFPA 101 LIFE SAFETY CODE STANDARDElectrical system maintenance
    07 Apr 2005Licensure
    Investigated a deficiency indicating insufficient time by the dietary consultant devoted to nursing home dietary services.
    • Section 11. Dietetic ServicesDietetic Services
    07 Apr 2005Licensure
    Identified multiple deficiencies in dietary services, pharmacy services, and administration, including unsafe food handling and inadequate medication reviews.
    • 483.35(d)(3)DIETARY SERVICES
    • 483.65(h)(2)DIETARY SERVICES
    • 483.60(c)(1)PHARMACY SERVICES
    • 483.75(c)(1)ADMINISTRATION

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