Sublette Center

    333 N Bridger Ave, Pinedale, WY 82941
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Caring staff and clean facility

    I'm very pleased with my experience here - the staff are amazing and genuinely caring, and the facility is consistently well maintained and clean. Overall a strong choice for reliable, attentive senior care.

    Current/former resident
    Jul 2026

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    Tour Type

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Coordination with health care providers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    3.67·(3)

    Overall rating

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

      3.7
    • Staff

      3.0
    • Meals

      3.7
    • Amenities

      3.7
    • Value

      3.7

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    Medicare Ratings

    3·/ 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 Sublette Center

    Sublette Center is located at 333 N Bridger Ave, Pinedale, WY, 82941.

    About Sublette Center

    Sublette Center sits in Pinedale, Wyoming, with its main location at 333 N Bridger Ave and a mailing address at PO BOX 788, and it's a nonprofit community offering many types of senior care. The center has skilled nursing, assisted living, memory care, independent living options, and long term care for seniors, so folks can choose between staying for rehab or planning a longer stay, and there are Heritage Apartments and Aspen Grove for those wanting affordable senior apartments with studio, one-bedroom, or two-bedroom layouts for active and independent living, which fits people with different needs pretty well. There's a focus on health and wellness with staff like Shelli Davis, who's the registered nurse and director of nursing, and you'll also find the licensed nursing home administrator Dawn W., certified nursing assistant Katelynn Kristofferson, and a Nightingale College student named Ashlee Merriam, all working in the community. People can count on professional care and access to services like EMS, laboratory, radiology, urgent care, care coordination, visiting specialists, family and business services, and even home maintenance and home care, so daily help and medical support are right there. Residents can be part of a quiet and beautiful setting in the Winds, with paths for socializing, educational programs, and fun activities to keep life interesting and the mind sharp. Being close to shopping, banks, parks, restaurants, and hospitals in Pinedale means everything folks might need isn't far, and seniors can feel safe with the center's added touches for accessibility and comfort. Sublette Center serves people in English (UK), Afrikaans, French (France), Portuguese (Portugal), Spanish, German, Italian, Arabic, Hindi, Simplified Chinese, and Japanese, so those needing care in other languages won't have much trouble. The staff size runs between 11 and 50 employees, which seems enough for both the skilled nursing facility and senior apartments, and as a continuing care retirement community, the place allows people to transition between care options as their needs change, which helps families plan ahead a bit better. Sublette Center puts its care on quality and making sure seniors have choices for both medical and everyday living, and the website at sublettecenter.org has more about the community for those who want to learn more.

    People often ask...

    Sublette Center offers assisted living, memory care, and skilled nursing.

    The full address for this community is 333 N Bridger Ave, Pinedale, WY 82941.

    No, Sublette 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-206
    Facility typeNursing Home

    Inspection Reports

    104

    Reports

    5

    Type A Citations

    0

    Type B Citations

    24

    Complaints

    21

    Years

    19 Aug 2025Complaint
    Investigated a complaint and found a significant medication error involving insulin that led to hospitalization. A deficiency was cited for failing to ensure residents are free from significant medication errors.
    • CFR 483.45(f)(2)Residents are free of significant medication errors
    07 Aug 2025Revisit
    Verified that prior deficiencies were corrected and no new noncompliance was found.
    04 Aug 2025Revisit
    Verified compliance after a life safety code revisit; all previously identified deficiencies were corrected.
    12 Jun 2025Complaint
    Investigated deficiencies found noncompliance with psychotropic medication monitoring, timely transmission of MDS assessments, and infection control practices, including catheter care and meal service hygiene.
    • §483.10(e)(1), §483.12(a)(2), §483.45(c)(3), §483.45(d), §483.45(e)Right to be Free from Chemical Restraints
    • §483.20(f) (1)-(4)Encoding/Transmitting Resident Assessments
    • §483.80(a)-(f)Infection Prevention & Control
    11 Jun 2025Life Safety
    Found deficiencies in testing and maintenance of patient-care electrical equipment.
    • NFPA 99, 2012 edition, Section 10.3Electrical Equipment - Testing and Maintenance
    10 Jun 2024Revisit
    Verified continued compliance with all surveyed regulations; prior deficiencies were corrected.
    17 Apr 2024Complaint
    Identified abuse-related deficiencies, including unprofessional staff conduct and delays in reporting alleged abuse.
    • 483.12(a)(1)Abuse, neglect, mistreatment of residents
    • 483.12(b)(5)(i)(A)(B)(c)(1)(4)Management of abuse reporting and resident rights
    17 Apr 2024Complaint
    Investigated an abuse incident and found two deficiencies: failure to protect a resident from abuse and delayed reporting of allegations.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • CFR 483.12(c)(1) and CFR 483.12(c)(4)In response to allegations of abuse, neglect, exploitation, or mistreatment
    10 Apr 2024Revisit
    Verified compliance after follow-up revisit; no deficiencies were found.
    25 Mar 2024Revisit
    Verified that all deficiencies were corrected and no new noncompliance was found.
    23 Feb 2024Complaint
    Found deficiencies in developing comprehensive care plans, managing constipation for residents on opioids, and limiting unnecessary PRN psychotropic medications.
    • 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
    • 483.25Quality of Care
    • 483.45(c)(3)(e)(1)-(5)Free from Unnecessary Psychotropic Meds/PRN Use
    23 Feb 2024Complaint
    Found multiple deficiencies: failed to develop comprehensive care plans for several residents, failed to implement constipation interventions for residents on opioids, and allowed extended PRN psychotropic medications without proper justification.
    • CFR 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
    • CFR 483.25Quality of Care
    • CFR 483.45(e)(1)-(5)Free from Unnecessary Psychotropic Meds/PRN Use
    21 Feb 2024Life Safety
    Found that hazardous areas were not properly enclosed, with two doors failing to latch and close.
    • 2012 NFPA 101, Sections 19.3.2.1 and 19.3.2.1.3; 19.3.5.9Hazardous Areas - Enclosure
    07 Apr 2023Revisit
    Found no deficiencies. The revisit showed no new noncompliance.
    08 Mar 2023Revisit
    Verified that all deficiencies were corrected and no new noncompliance was found.
    09 Feb 2023Life Safety
    Found multiple life safety deficiencies, including cooking equipment not properly protected under the fire suppression system and unprotected gas and oxygen devices. Also observed faded sprinkler signage and several equipment-related risks, such as portable heaters and unsecure cylinders.
    • NFPA 101 (2012) Life Safety Code; NFPA 96 (2011) Standard for Ventilation Control and Fire Protection of Commercial Cooking OperationsCooking Facilities
    • NFPA 101 (2012) Life Safety Code; NFPA 25 (2011) Standard for the Inspection, Testing, and Maintaining of Water-based Fire Protection SystemsSprinkler System - Maintenance and Testing
    • NFPA 101 (2012) Life Safety Code; NFPA 54 (2012) National Fuel Gas CodeUtilities - Gas and Electric
    • NFPA 101 (2012) Life Safety Code; NFPA 80 (2010) Fire DoorsMaintenance, Inspection & Testing - Doors
    • NFPA 101 (2012) Life Safety Code; NFPA 19.7.8Portable Space Heaters
    • NFPA 101 (2012) Life Safety Code; NFPA 99 (2012) Health Care Facilities CodeGas Equipment - Precautions for Handling Oxygen
    02 Feb 2023Licensure
    Found that a resident received medications longer than ordered, exposing them to unnecessary drugs; expired medications were found in storage and not properly secured.
    • CFR 483.45(d)(1)-(6)Unnecessary Drugs-General
    • CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
    02 Feb 2023Licensure
    Found no deficiencies. The survey concluded compliance with state requirements.
    07 Jul 2022Complaint
    Investigated the complaint; found no deficiencies.
    14 Feb 2022Revisit
    Verified prior deficiencies were corrected and found no new noncompliance.
    26 Jan 2022Revisit
    Verified that all previously identified deficiencies were corrected and back in compliance.
    18 Nov 2021Licensure
    Investigated multiple deficiencies including restraints and safety devices, medication reviews, nutrition, sanitation, tobacco safety, and infection control failures.
    • §483.12(a)(2)Right to be Free from Physical Restraints
    • §483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    • §483.25(n)(1)-(4)Bed Rails
    • §483.45(c)Drug Regimen Review
    • §483.60(d)(1)-(2)Nutritive Value/Appear, Palatable/Prefer Temp
    • §483.60(i)(1)-(2)Food Procurement,Store/Prepare/Serve-Sanitary
    • §483.80(a)(1)-(2)Infection Prevention & Control
    18 Nov 2021Licensure
    Concluded that no deficiencies were found and the provider was in compliance with state requirements.
    17 Nov 2021Life Safety
    Found deficiencies in emergency preparedness waiver role and multiple life-safety areas, including exit signage, corridor doors, and decorations.
    • CFR 483.73(b)(8)Roles Under a waiver declared by the Secretary
    • NFPA 101, 2012, Sections 19.2.1; 7.10.1.2.1Exit Signage
    • NFPA 101, 2012, Sections 19.3.6.3.5Corridor - Doors
    • NFPA 101, 2012, Sections 19.7.5.6(1); 19.7.5.6(4)(c)Combustible Decorations
    29 Jun 2021Revisit
    Concluded prior deficiencies were corrected and no new noncompliance found.
    07 Apr 2021Complaint
    Investigated allegations of resident-to-resident sexual contact; found two incidents of inappropriate touching by a resident toward others and safety concerns identified.
    • Type A483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    03 Dec 2020Licensure
    Investigated a COVID-19 focused infection control survey and found no deficiencies identified related to infection control.
    30 Sept 2020Revisit
    Verified compliance with all regulations; found no deficiencies.
    26 Aug 2020Revisit
    Verified that prior deficiencies were corrected and compliance was restored. No new issues were identified.
    24 Apr 2020Licensure
    Found no deficiencies. The COVID-19 infection-control review identified no deficiencies.
    27 Feb 2020Licensure
    Found deficiencies in accuracy of resident assessments, secure drug storage, and infection control.
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.45(g)(h)(1)(2); 483.45(h)(1)-(2)Label/Store Drugs and Biologicals
    • CFR 483.80(a)(1)-(2); 483.80(a)(4); 483.80(e); 483.80(f)Infection Prevention and Control
    27 Feb 2020Life Safety
    Found deficiencies related to means of egress and electrical safety, including use of a power strip near a bed and extension cords for patient-care equipment, not in compliance with Life Safety Code.
    • NFPA 101 Life Safety Code – Sections 19.5.1.1; 9.1.2Means of Egress - General
    • NFPA 101 Life Safety Code – Sections 10.2.4; 10.2.3.6; NFPA 70 – Section 400-8Electrical Equipment - Power Cords and Extensions
    27 Feb 2020Licensure
    Found no deficiencies. The survey concluded compliance with state requirements.
    09 May 2019Revisit
    Investigated a revisit survey; all prior deficiencies were corrected and no new noncompliance found.
    12 Apr 2019Revisit
    Investigated a Life Safety Code revisit survey; all previously cited deficiencies were corrected and compliance was restored.
    19 Mar 2019Life Safety
    Identified deficiencies involving emergency lighting and electrical-system maintenance/testing. Observations showed lack of battery-powered emergency lighting and inadequate testing/recordkeeping for emergency power equipment.
    • NFPA 110Illumination at the transfer switch
    • NFPA 99Electrical Systems - Maintenance and Testing
    • NFPA 99Electrical Systems - Maintenance and Testing
    14 Mar 2019Licensure
    Identified multiple deficiencies across restraint use, discharge planning and communications, bed-hold notices, pharmacy controls, and infection prevention.
    • §483.12(a)(2); §483.10(e)Right to be free from physical restraints
    • §483.15(c)(3)-(6)(8)Notice Requirements Before Transfer/Discharge
    • §483.15(d)(1)-(2)Notice of bed-hold policy before/ Upon transfer
    • §483.21(c)(1)-(ix)Discharge Planning Process
    • §483.21(c)(2)Discharge Summary
    • §483.45(a)-(b)(3)Pharmacy Services
    • §483.80(a)-(f)Infection Prevention & Control
    14 Mar 2019Licensure
    Concluded compliance with state requirements. Found no deficiencies.
    04 May 2018Revisit
    Found no deficiencies. A revisit confirmed previous deficiencies were corrected and a waiver for K916 was approved.
    01 May 2018Revisit
    Found no deficiencies. The revisit confirmed prior deficiencies were corrected and regulatory compliance was achieved.
    16 Apr 2018Revisit
    Identified a deficiency in the essential electrical system's annunciator panel that remained non-conforming from a prior survey. The deficiency involved failure to provide a functioning annunciator per the 2012 NFPA 99 standard.
    • NFPA 99, 2012 Edition, Section 6.4.1.1.17.4Electrical Systems - Essential Electric System
    16 Feb 2018Life Safety
    The inspection identified deficiencies related to exit signage and an area open to the corridor, with staff unaware of the applicable requirements.
    • NFPA 101, 2012 edition, Section 19.2.10.1; 7.10Exit signage
    • NFPA 99, 2012 edition, Section 6.4.1.1.17.4(4); NFPA 101Area Open to Corridor
    15 Feb 2018Licensure
    Investigated found deficiencies in resident privacy and communications, medical records safeguards, wound care, and the facility's quality assurance processes.
    • §483.10(g)(9)Right to privacy and access to electronic communications
    • §483.70(i)(3)Safeguard medical record information against loss, destruction, or unauthorized use
    • §483.25(b)(1)(i)(ii)Quality of care
    • §483.75(a)(2)(h)(i) and §483.75(h)QAPI program; Disclosure of information
    15 Feb 2018Licensure
    Determined the provider was in compliance with State requirements after a survey conducted February 12–15, 2018.
    28 Sept 2017Complaint
    Investigated a complaint survey conducted on 9/27/17 through 9/28/17 and found no deficiencies identified in the investigation.
    08 Feb 2017Life Safety
    Identified multiple life-safety deficiencies, including incomplete documentation and testing for fire alarms, unproven flame/spread ratings for wall paneling, and improper maintenance of fire dampers and corridor doors.
    • 2012 NFPA 101 Life Safety CodeLife Safety Code compliance
    • NFPA 101 Fire Alarm and Detection; NFPA 70; NFPA 90A; NFPA 80Fire alarm system – testing and maintenance
    • 2012 NFPA 101 Life Safety CodeCorridor Doors
    • 2012 NFPA 101 Life Safety CodeFire dampers – testing and maintenance
    08 Feb 2017Revisit
    Concluded the site was back in compliance after a revisit, with deficiencies from earlier surveys addressed, as of March 30, 2017.
    02 Feb 2017Licensure
    An investigation identified several deficiencies, including gaps in staff training on abuse/neglect, weaknesses in reporting policies, and deficiencies in medical records and medication management.
    • Training staff on abuse, neglect, exploitation, and misappropriation
    • Policies on reporting abuse and neglect
    • Bowel protocol/documentation
    • Medical records documentation
    • Expired medications and destruction
    02 Feb 2017Licensure
    Concluded the provider was in compliance with state requirements after the survey.
    02 Feb 2017Revisit
    Concluded that prior deficiencies were corrected and compliance was reinstated.
    11 Apr 2016Revisit
    Identified several regulatory deficiencies and noted corrections completed.
    • 483.10(e), 483.75(i)(4)
    • 483.13(a)
    • 483.13(c)(1)(ii)-(iii), (c)(2)-(4)
    • 483.15(h)(2)
    • 483.35(j)
    • 483.75(j)(1)
    25 Feb 2016Revisit
    Identified a Life Safety Code deficiency related to NFPA 101; corrective action completed on 01/29/2016.
    • NFPA 101Life Safety Code – NFPA 101
    28 Jan 2016Life Safety
    Investigated a complaint and found a deficiency related to life safety code requirements for exit access.
    • NFPA 101 Life Safety Code StandardLIFE SAFETY CODE STANDARD
    06 Feb 2015Revisit
    Verified corrections completed and substantial compliance achieved.
    06 Feb 2015Revisit
    Found no deficiencies. Prior deficiencies had been corrected.
    26 Jan 2015Revisit
    Investigated the complaint and identified deficiencies; corrections completed.
    04 Dec 2014Licensure
    Investigated the physical environment and found water temperatures in showers, baths, and resident lavatories exceeded safe limits.
    • Type ACh 11 Sec 6(a)(iv)Physical Environment
    04 Dec 2014Licensure
    Identified multiple deficiencies in housekeeping, sanitation, food service, and essential equipment management.
    • Housekeeping & Maintenance Services
    • Food Procure, Store/Prepare/Serve - Sanitary
    • Essential Equipment, Safe Operating Condition
    02 Dec 2014Life Safety
    Identified noncompliance with construction/remodeling and health facility plumbing requirements, including eyewash stations lacking tepid water and the need for a tempering valve.
    • Ch 19 Sec 7 Construction/RemodelingConstruction/Remodeling
    • IPC Life Safety - Int'l Plumbing CodeLife Safety/IPC Plumbing Code
    02 Dec 2014Life Safety
    Investigative findings identified multiple safety deficiencies including fire-rated construction gaps, issues with exits and smoke compartments, and inadequate generator inspections and maintenance.
    • NFPA 101 Life Safety Code StandardOne hour fire rated construction
    • NFPA 101 LIFE SAFETY CODE STANDARDReadily accessible exits
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued from page 3 - Smoke compartments
    • NFPA 99 / NFPA 101Electrical system and generator maintenance
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued from page 5 - Generator inspections
    09 Jan 2014Revisit
    Identified deficiencies requiring correction with uncorrected items noted during the follow-up visit.
    • 483.10(b)(11)
    • 483.20(b)(2)
    • 483.70(k)(2)
    30 Dec 2013Revisit
    Investigated the complaint and verified corrections addressing life-safety deficiencies identified in an earlier survey.
    05 Nov 2013Life Safety
    Found several life-safety deficiencies, including gaps in smoke barriers, unsealed penetrations, and electrical wiring issues, with required corrective actions and compliance dates.
    • NFPA 101 Life Safety CodeSummary of deficiencies related to smoke barriers
    • NFPA 101 Life Safety CodeSmoke barrier integrity
    • NFPA 70Electrical wiring and equipment
    • NFPA 101; NFPA 99Medical gas storage and administration areas
    31 Oct 2013Licensure
    The agency found deficiencies in care planning and documentation, including failing to follow written care plans and inadequate nursing documentation related to resident pain and mobility.
    • Type A483.16(b)(2) and related provisions; paragraph (b)(1) of this sectionResident rights and plan of correction
    • Type A483.20/483.25 (care and treatment) – mobility and ROM documentationMobility and ROM documentation
    • Type A483.25 (Nursing services and physician oversight) and related notesNursing notes documentation – pain management
    31 Oct 2013Licensure
    Determined the facility was in compliance with state requirements. No deficiencies were cited.
    29 Nov 2012Revisit
    Identified life-safety code deficiencies and confirmed corrections completed.
    • Life Safety Code - K0025Life Safety Code deficiency
    • Life Safety Code - K0062Life Safety Code deficiency
    • Life Safety Code - K0056Life Safety Code deficiency
    • Life Safety Code - K0064Life Safety Code deficiency
    29 Oct 2012Revisit
    Found no deficiencies during a follow-up visit. Prior deficiencies were addressed.
    20 Sept 2012Licensure
    Identified several deficiencies related to wheelchair fit and cushioning, pain management documentation, and monitoring of safety-related equipment and processes.
    • Wheelchair width not documented
    • Inadequate pain management documentation
    • Inadequate wheelchair cushioning
    • Inadequate monitoring of blanket warmer
    • Inadequate documentation of sleep medications/PRN use
    20 Sept 2012Licensure
    Concluded the operation was in compliance with state requirements; no deficiencies were cited.
    18 Sept 2012Life Safety
    Observed multiple life-safety deficiencies including unsealed penetrations in smoke barriers, missing or mismaintained self-closing devices, inadequate testing of life-safety systems, and unsafe storage near sprinklers.
    • NFPA 101 Life Safety Code StandardSmoke barriers and sprinkler system maintenance deficiencies
    • NFPA 101 Life Safety Code StandardSelf-closing devices
    • NFPA 101 Life Safety Code Standard; NFPA 72Testing Frequencies / Initiating Devices
    • NFPA 101 Life Safety Code StandardAnnual inspection for sprinkler heads
    • NFPA 101 Life Safety Code StandardSprinkler system activation timing
    • NFPA 101 Life Safety Code StandardPortable fire extinguishers testing
    • NFPA 101 Life Safety Code StandardStorage of oxygen equipment / hazard signage
    • NFPA 101 Life Safety Code StandardEquipment storage and monitoring
    21 Oct 2011Revisit
    Investigated a follow-up after prior concerns and found corrections completed.
    27 Sept 2011Revisit
    Concluded that prior deficiencies were corrected and follow-up confirmed completion.
    • NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
    • NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
    • NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
    • NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
    • NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
    • NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
    11 Aug 2011Complaint
    Unable to read the document clearly; the content cannot be reliably extracted.
    11 Aug 2011Licensure
    Found no deficiencies identified during a recertification survey conducted from 8/8/11 through 8/11/11.
    11 Aug 2011Licensure
    Investigated a recertification survey; found no deficiencies.
    09 Aug 2011Life Safety
    Identified noncompliance with fire safety planning and smoke barrier maintenance, with gaps in smoking policy enforcement.
    • NFPA 101 LIFE SAFETY CODE STANDARD 19.7.6.1Fire Watch Policy
    12 Nov 2010Revisit
    Verified corrections completed after a prior deficiency, following up on a previous survey.
    10 Nov 2010Revisit
    Concluded that previously reported deficiencies were corrected.
    18 Oct 2010Revisit
    Identified multiple life-safety and NFPA 101/LSC deficiencies during a follow-up visit.
    • 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
    02 Sept 2010Licensure
    Investigated a complaint about unsafe water temperatures; temperatures in several resident rooms exceeded the acceptable limit and corrective actions were planned.
    • Water temperature not to exceed 110 degrees Fahrenheit
    02 Sept 2010Complaint
    Identified multiple deficiencies related to residents' rights, safety, and care documentation.
    31 Aug 2010Life Safety
    Found deficiencies in fire-safety testing and smoke detector placement, indicating non-compliance with life-safety standards.
    • NFPA 10Portable fire extinguishers – hydrostatic testing
    • NFPA 72Smoke detectors – installation distance from ventilation
    • NFPA 101Life Safety Code standard – portable fire extinguishers
    18 Dec 2009Revisit
    Investigated the complaint and confirmed corrections were completed. Follow-up verification showed all issues addressed.
    25 Nov 2009Revisit
    Investigated a pressure sore care issue and found that preventive skin measures were not implemented in a timely manner and residents with pressure sores did not receive necessary treatment.
    • 483.25(c)Pressure sores
    22 Oct 2009Revisit
    Investigated and identified deficiencies in life-safety code compliance; corrections were completed by 09/27/2009 and verified on 10/22/2009.
    13 Aug 2009Complaint
    Investigated for deficiencies related to resident protection and care processes; found failures to implement policies preventing mistreatment, neglect, abuse, and misappropriation of resident property, along with inadequate pre-employment screening.
    • 483.13(c)STAFF TREATMENT OF RESIDENTS
    13 Aug 2009Licensure
    Found deficiencies in meeting residents' social and emotional needs; failed to designate in writing a liaison with social, health, and community agencies and to contract with a qualified social worker or recognized agencies for consultation.
    • Wyoming Rules and Regulations, Chapter 11, Section 15 (Social Services)State Rules and Regulations
    13 Aug 2009Revisit
    Investigated a follow-up assessment and noted corrections for previously cited items.
    11 Aug 2009Life Safety
    Found multiple life-safety deficiencies and building-code issues, including unsealed penetrations, inadequate emergency lighting testing, gaps around fixtures, and improper wiring practices.
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 4 – kitchen boiler room penetrations
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 6 – emergency battery light testing
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 9 – escutcheon/ceiling gap
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 11 – equipment/workspace and wiring
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 12 – non-smoking signage
    14 Apr 2009Complaint
    Investigated an incident in which the acting administrator did not have the required Wyoming Nursing Home Administrator license; interviews showed the administrator was unavailable.
    • Administrator license not issued
    13 Nov 2007Revisit
    Investigated a complaint; deficiencies identified and corrected during follow-up.
    01 Oct 2007Revisit
    Investigated the follow-up to a prior survey and found that corrections were completed for previously cited deficiencies.
    16 Aug 2007Licensure
    Investigated a complaint about deficiencies in resident assessments, immunization records, and staffing documentation; multiple deficiencies were identified in the areas of comprehensive assessments, vaccination records, and posting of staffing data.
    • Comprehensive assessment of resident needs
    • Immunizations and vaccination records
    • Nurse staffing data posting
    • Nursing services and medication management policies
    07 Aug 2007Life Safety
    Investigated life-safety deficiencies, including unsealed penetrations and non-compliant door and construction features, with plans to address sprinkler related issues.
    • NFPA 101 LIFE SAFETY CODE STANDARDLife Safety Code observation
    • NFPA 101 LIFE SAFETY CODE STANDARDFire-rated construction/automatic extinguishing system
    • NFPA 101 LIFE SAFETY CODE STANDARDSelf-closing doors
    • NFPA 101 LIFE SAFETY CODE STANDARDCorridor door requirements
    28 Mar 2007Revisit
    Identified deficiencies and uncorrected items from a prior survey.
    13 Feb 2007Complaint
    Identified multiple deficiencies related to swallowing safety and care planning that coincided with a resident death, across several sections of the assessment.
    • Continued from page 1 – resident death-related swallowing issues
    • Continued from page 6 – resident death-related swallowing issues
    • Dietary/care plan deficiencies related to swallowing
    • Care planning and daily living activities deficiencies
    03 Aug 2006Revisit
    Investigated a follow-up for previously identified deficiencies; corrections for all cited items were completed.
    15 Jun 2006Licensure
    The Wyoming health department found multiple deficiencies relating to residents’ dignity, activity programming, housekeeping, and overall care quality, along with infection control and laboratory concerns.
    • 483.15(a)(1)Dignity
    • 483.15(f)(1)Activities
    • 483.15(h)(2)Housekeeping/Maintenance
    • 483.20(k)(3)(i)Comprehensive Care Plans
    • 483.25Quality of Care
    • 483.25(h)(2) / 483.75Accidents
    • 483.75(b)(3)Preventing Spread of Infection
    • 483.35Laboratory Services
    15 May 2006Revisit
    Verified corrections to life-safety code deficiencies cited earlier; most corrections were completed between March and May 2006.
    • NFPA 101 (Life Safety Code)Life Safety Code – NFPA 101
    • NFPA 101 (Life Safety Code)Life Safety Code – NFPA 101
    • NFPA 101 (Life Safety Code)Life Safety Code – NFPA 101
    • NFPA 101 (Life Safety Code)Life Safety Code – NFPA 101
    • NFPA 101 (Life Safety Code)Life Safety Code – NFPA 101
    • NFPA 101 (Life Safety Code)Life Safety Code – NFPA 101
    • NFPA 101 (Life Safety Code)Life Safety Code – NFPA 101
    • NFPA 101 (Life Safety Code)Life Safety Code – NFPA 101
    22 Mar 2006Life Safety
    Identified multiple life-safety code deficiencies and safety-related issues during the inspection, including problems with door hardware, emergency preparations, and maintenance of safety systems.
    07 Jul 2005Revisit
    Identified deficiencies citing federal requirements governing resident rights and facility operations; a follow-up visit occurred.
    • 483.25(h)(2)
    • 483.15(e)(1)
    • 483.20(b)
    29 Jun 2005Revisit
    Investigated deficiencies cited during a follow-up visit and corrections were completed for several items.
    • NFPA 101Life Safety Code deficiency
    19 May 2005Licensure
    Investigation found deficiencies related to resident rights and care, including inadequate skin assessments and documentation of wound care.
    03 May 2005Life Safety
    Identified life-safety deficiencies including obstructed storeroom access and missing sprinkler coverage for walk-in refrigerators.
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued deficiency: storeroom door obstruction
    • NFPA 101 LIFE SAFETY CODE STANDARDWalk-in refrigerator sprinkler coverage

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