Heartland

    777 Ave H, Powell, WY 82435
    • Assisted Living
    • Skilled Nursing

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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 Heartland

    Heartland is located at 777 Ave H, Powell, WY, 82435.

    About Heartland

    Heartland sits at 777 Ave H in Powell, Wyoming, and serves as a medium-sized senior living community with 24 assisted living units and a range of care types like assisted living, skilled nursing, memory care, home care, and rehabilitation, so folks find different levels of support all in one place. Seniors who value independence but need a hand get help with daily things like getting around, bathing, mealtime, medications, and dressing, and there are nurses and CNAs on hand all day and night, plus licensed nursing staff who check in regularly. Memory care helps those with dementia or Alzheimer's, while skilled staff provide specialized care for things like diabetes, Parkinson's, incontinence, and people who can't walk. Heartland includes studio apartments, private one-bedroom options, and shared living spaces, some available with kitchenettes and furnished for a fee, and all rooms have walk-in showers, smoke detectors, sprinklers, good closet space, and personal alarm systems, with utilities and basic cable paid except phone.

    Meals here come cooked-to-order with three balanced meals a day, and there's a snack and beverage cart that rolls around, while housekeepers handle weekly cleaning, laundry, apartment maintenance, and there's transportation in Powell for doctor visits or therapy. Main spaces include a dining area, private visit room, library, living room with a fireplace, garden, outdoor patio, summertime garden, and community kitchen, so people have choices for relaxing or joining in. Activities fill the calendar for social, physical, and mental engagement, and there's equipment for exercise, walking paths, and outdoor spaces that folks and their pets can use, since animals are welcome. Residents can join devotional services, outings, and volunteer opportunities, and the community supports both active living and seniors with more care needs.

    Heartland is part of the larger Powell Valley Healthcare and works closely with doctors, psychiatrists, nurses, and trained aides to provide most types of medical care on site, covering family medicine, internal medicine, cardiology, orthopedics, oncology, pain management, dental, pharmacy, laboratory, imaging, surgical services, obstetrics, and behavioral health. Home care services rely on trained aides, and there's therapy for physical, speech, and rehabilitation, as well as care for sleep or nutrition trouble. Residents have help with prescriptions, wellness programs, health monitoring, and concierge help for shopping and personal needs, while the security setup includes personal alarms, safety features in apartments, and staff always around for safety.

    Heartland is licensed as Assisted Living Type 1 (license #15025) and operates as a Continuing Care Retirement Community, offering everything from independent living to hospice to memory and respite care, with tailored service plans to fit people's needs, aiming to foster a supportive place where seniors can be comfortable, safe, and as active as they like, alongside staff who focus on kind, reliable care with a holistic approach that cares for the mind and body and supports a sense of community.

    People often ask...

    Heartland offers assisted living and skilled nursing.

    The full address for this community is 777 Ave H, Powell, WY 82435.

    No, Heartland 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 numberal-24
    Facility typeAssisted Living Facility

    Inspection Reports

    138

    Reports

    42

    Type A Citations

    1

    Type B Citations

    25

    Complaints

    21

    Years

    18 Apr 2025Revisit
    Found no deficiencies. Previous deficiencies were corrected and compliance was confirmed.
    11 Mar 2025Revisit
    Verified that all prior deficiencies were corrected and no new noncompliance was found.
    31 Jan 2025Licensure
    Identified deficiencies in activities of daily living care for a resident due to inconsistent restorative services and lack of documented ambulation/ROM activities.
    • 42 CFR 483.24Activities of Daily Living (ADLs)/Maintenance of Abilities
    29 Jan 2025Life Safety
    Observed hazardous areas not properly protected; two rooms stored combustible items and lacked self-closing or automatic doors.
    • NFPA 101 19.3.2.1.3 (2012 Edition)Hazardous Areas - Enclosure
    03 Dec 2024Revisit
    Verified no deficiencies were found and all prior deficiencies were corrected.
    23 Oct 2024Life Safety
    Investigated life-safety concerns; found improper storage of oxygen cylinders and inadequate staff training on disaster and emergency preparedness.
    • Type ANFPA 99 9.4.3.2; 9.7.2.3Continued From page 2 – Failure to properly store oxygen gas bottles
    • Type ANFPA 101 Life Safety Code / Life Safety Code referencesState Miscellaneous Life Safety
    06 Feb 2024Complaint
    Investigated the complaint and concluded no deficiencies were identified.
    06 Feb 2024Revisit
    Found no deficiencies. A follow-up visit confirmed prior issues were corrected and no new noncompliance was found.
    06 Feb 2024Complaint
    Found no deficiencies. The investigation was conducted in response to a complaint.
    06 Feb 2024Revisit
    Verified prior deficiencies were corrected and no new noncompliance was found.
    05 Feb 2024Revisit
    Verified compliance with life safety requirements; all prior deficiencies were corrected and no new noncompliance was found.
    07 Dec 2023Licensure
    Found failures to implement the resident's care plans and safety measures for falls, resulting in serious injuries, and deficiencies in monitoring and managing PRN psychotropic medications.
    • §483.21(b)(1), §483.21(b)(3)Develop/Implement Comprehensive Care Plan
    • §483.25(d)Free of Accident Hazards/Supervision/Devices
    • §483.45(e)(1)-(5) and §483.45(c)(3)-(e)Free from Unnec Psychotropic Meds/PRN Use
    07 Dec 2023Licensure
    Determined the facility was in compliance with state requirements after a licensure survey.
    05 Dec 2023Life Safety
    Identified several life-safety deficiencies, including inadequate monthly emergency lighting tests, incomplete fire drills, combustible decorations without flame-retardant documentation, and failure to properly test electrical receptacles.
    • NFPA 101 19.2.9.1, 7.9.3.1.1(1), 7.9.3.1.2(5)Emergency Lighting
    • NFPA 101 19.7.1.6Fire Drills
    • NFPA 101 19.7.5.6Combustible Decorations
    • NFPA 99 6.3.4.1.3Electrical Systems - Maintenance and Testing
    21 Nov 2023Revisit
    Found no deficiencies. The revisit determined compliance with all requirements.
    14 Nov 2023Complaint
    Investigated a resident-to-resident abuse incident and found a failure to protect a resident from abuse.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    18 Oct 2023Life Safety
    Investigated a life-safety deficiency regarding exterior door locks and latches not meeting NFPA 101 requirements.
    • 1994 NFPA 101 Life Safety CodeLocks and latches on doors
    03 Aug 2023Revisit
    Concluded that no deficiencies were found and that all regulations surveyed were met.
    27 Jun 2023Licensure
    Identified deficiencies in food handling due to staff not wearing hair restraints and in posting survey results for public viewing.
    • Ch 12 Sec 7 (j)(v)Hair restraints for food preparation
    • Ch 4 Sec 5 (j)(e)Posting of survey results
    22 May 2023Revisit
    Found no deficiencies after the revisit; prior issues were resolved.
    07 Mar 2023Complaint
    Investigated an abuse allegation and found the facility failed to report it to the administrator and authorities within the required two hours.
    • §483.12(c)(1) and §483.12(c)(4)Reporting of Alleged Violations
    01 Nov 2022Revisit
    Verified that prior deficiencies were corrected and compliance was restored.
    15 Sept 2022Licensure
    Concluded no deficiencies were identified during the survey.
    13 Sept 2022Life Safety
    Found multiple deficiencies in emergency preparedness and life-safety systems, including a missing waiver policy and contact information, along with cooking facilities protection and sprinkler maintenance gaps.
    • 42 CFR 483.73(b)(8)Roles under a waiver declared by the Secretary
    • 42 CFR 483.73(c)(2)Emergency Officials Contact Information
    • NFPA 101 (2012 Edition) / NFPA 96 (2011 Edition)Cooking Facilities
    • NFPA 25 (2011) / NFPA 25 5.3.3.1Sprinkler System - Maintenance and Testing
    18 Oct 2021Revisit
    Verified corrections were made and compliance was restored.
    06 Oct 2021Complaint
    Concluded no deficiencies were identified during the complaint and COVID-19 infection control surveys.
    04 Oct 2021Revisit
    Found no deficiencies. All prior issues were corrected.
    12 Aug 2021Licensure
    Identified deficiencies across dignity and rights, grievances, assessments, wound care, nutrition, pain management, and bed-rail safety.
    • CFR 483.10Resident Rights
    • CFR 483.10(j)Grievances
    • CFR 483.20(b)(2)(ii)Comprehensive Assessments After Significant Change
    • CFR 483.20(c)Quarterly Review Assessment
    • CFR 483.25(b)Skin Integrity; Pressure Ulcers
    • CFR 483.25(g)Nutrition/Hydration Status Maintenance
    • CFR 483.25(k)Pain Management
    • CFR 483.25(n)Bed Rails
    12 Aug 2021Licensure
    Found no deficiencies. The survey determined compliance with state requirements.
    11 Aug 2021Life Safety
    Identified deficiencies in emergency preparedness alignment, fire barrier construction, and electrical safety practices.
    • 42 CFR 483.73(f)Integrated Emergency Preparedness Program
    • NFPA 101 2012 Edition; 18.1.1.1.3; 4.6.12.1Fire barrier and fire-rated construction
    • NFPA 99 2012 Edition; 10.2.3.6; 10.2.4; 400-8; 590.3(D); TIA 12-5Power strips and cords in patient care areas
    25 Sept 2020Complaint
    Found no deficiencies identified in the complaint investigation or the COVID-19 focused infection control survey.
    11 Sept 2020Licensure
    Found no deficiencies identified during a COVID-19 focused infection control survey conducted from 2020-09-10 to 2020-09-11.
    14 May 2020Licensure
    Investigated an infection control survey and found no deficiencies identified.
    10 Jan 2020Revisit
    Verified prior deficiencies were corrected and found no deficiencies.
    24 Dec 2019Complaint
    Investigated the complaint and found no deficiencies.
    13 Nov 2019Complaint
    Investigated a complaint and found a resident-to-resident incident causing injury, with inadequate safeguards to keep residents free from abuse and insufficient intervention updates.
    • CFR(s): 483.12(a)(1) §483.12 Freedom from Abuse, Neglect, and ExploitationFree from Abuse and Neglect
    16 Sept 2019Revisit
    Verified that prior deficiencies were corrected and no new noncompliance was found.
    27 Aug 2019Revisit
    Found that all prior deficiencies were corrected and no new noncompliance was found; in compliance with all Emergency Preparedness Rules.
    11 Jul 2019Licensure
    Cited multiple deficiencies across resident rights, safety, care planning, nutrition, medications, and dental services.
    • CFR 483.10(f)Self-Determination
    • CFR 483.10(c)(6)-(8)(g)(12)(i)-(v)Care/Advanced Directives
    • CFR 483.10(i)(1)-(7)Safe/Comfortable/Homelike Environment
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.21(b)(2)Care Plan Timing and Revision
    • CFR 483.25(d)(1)-(2)Accidents/Environment
    • CFR 483.25(g)(1)-(3)Nutrition/Hydration Status
    • CFR 483.25(n)(1)-(4)Bed Rails
    • CFR 483.45(e)Psychotropic Medications
    • CFR 483.55(b)(1)-(5)Dental Services
    11 Jul 2019Licensure
    Found no deficiencies. The operation was in compliance with state requirements.
    10 Jul 2019Life Safety
    Identified deficiencies in fire alarm testing and maintenance, missing emergency preparedness waiver policy, and sprinkler installation/clearance issues.
    • Fire Alarm System - Testing and Maintenance
    • Emergency Preparedness Plan – Waiver Policy
    • Emergency Preparedness Plan – Waiver Content
    • Sprinkler System - Installation
    02 Jul 2019Revisit
    Verified that previously cited deficiencies were corrected and no new noncompliance was found.
    15 May 2019Complaint
    Investigated a complaint alleging abuse and neglect; found failures to protect residents from abuse/neglect and to report suspected abuse in a timely manner.
    • CFR(s): 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • CFR(s): 483.12(c)(1)(4)Reporting of Alleged Violations
    24 Aug 2018Revisit
    Concluded that all prior deficiencies were corrected and no new noncompliance was found.
    24 Aug 2018Revisit
    Investigated a revisit and found all prior deficiencies corrected with no new noncompliance.
    31 Jul 2018Revisit
    Verified prior deficiencies were corrected and found no new noncompliance.
    31 Jul 2018Revisit
    Concluded that all previous deficiencies were corrected and no new noncompliance was found.
    14 Jun 2018Licensure
    Investigated the facility for deficiencies related to grievances and resident rights, and for failures in providing medically-related social services and proper food handling practices.
    • §483.10(j)(3)Information on how to file a grievance
    • §483.10(j)(4)Grievance policy
    • §483.40(d)Medically-related social services
    • §483.60(h)(3)Dietary services – resident selection criteria / hair restraints
    14 Jun 2018Licensure
    Concluded the facility was in compliance with State requirements. Found no deficiencies.
    13 Jun 2018Life Safety
    An emergency-safety and life-safety survey identified deficiencies in means of egress, hazardous areas enclosure, and cooking facilities. Noted issues included doors not latching and inadequate enclosure of hazardous areas.
    • 2012 NFPA 101 Section 19.3.2.1.2; 8.2.1.3; 2012 NFPA 221 4.8.4.1Means of Egress - General
    • CFR(s): NFPA 101Hazardous Areas - Enclosure
    • NFPA 101; NFPA 96; 18.3.2.5.2; 19.3.2.5.2; 18.3.2.5.3; 18.3.2.5.4Cooking Facilities
    13 Jun 2018Life Safety
    Observed a deficiency in means of egress with a ramp lacking handrails and an unsafe sidewalk slope, creating potential danger during emergencies.
    • 1994 NFPA 101 Life Safety CodeMeans of egress maintenance
    11 Jun 2018Licensure
    Observed that a resident's injury was not assessed or investigated and there was no documentation of an assessment or incident report, with conflicting staff explanations.
    • Failure to assess and investigate injuries
    12 Sept 2017Revisit
    Concluded that all prior deficiencies were corrected and no new noncompliance was found.
    29 Aug 2017Revisit
    Concluded that prior deficiencies were corrected and no new noncompliance was found.
    29 Aug 2017Revisit
    Found no deficiencies during the follow-up visit.
    27 Jun 2017Life Safety
    Identified multiple deficiencies in life-safety and facility maintenance, including fire barriers, corridor doors, emergency power, and sprinkler system testing.
    • NFPA 101 Life Safety Code (2012) 19.1.3.5; 8.2.1.3; NFPA 221 4.8.4.1Cross-corridor fire barrier not maintained; doors not closing/latching properly
    • NFPA 101 Life Safety Code; NFPA 25Sprinkler system maintenance and testing not in compliance
    • NFPA 101 Life Safety CodeCorridor doors and barriers not properly tested/maintained
    • NFPA 101 Life Safety Code (2012); NFPA 70/101 referencesCorridor - Doors
    • NFPA 101 Life Safety Code; NFPA 99 Health Care FacilitiesEmergency power generator and electrical systems maintenance/testing
    • NFPA 101 Life Safety Code; NFPA 99 Health Care FacilitiesEmergency electrical systems maintenance
    • NFPA 101 Life Safety Code; NFPA 25Water/Fire protection system maintenance and testing
    • NFPA 101 Life Safety CodeCorridor- Doors – testing/maintenance deficiencies
    22 Jun 2017Licensure
    Identified violations due to hot water temperatures in resident bathrooms exceeding 110 degrees Fahrenheit at multiple sinks.
    • Ch 11 Sec 6 (a)(iv) Physical EnvironmentShower/bath and resident lavatories shall be set to provide water temperature not exceeding 110 degrees Fahrenheit
    22 Jun 2017Complaint
    Investigation found multiple deficiencies across resident dignity, abuse reporting, wound care documentation, and overall care planning and staffing practices.
    • Type A483.10(a)(1)Dignity and Respect of Individuality
    • Type A483.12(a)(3)(4)(c)(1)-(4)Investigation/Report Allegations (Abuse, Neglect, Exploitation) and Related Actions
    • 483.20(b)(2)(i)Comprehensive Assessments After Significant Change
    • Type ADocumentation/Monitoring of Wound Care
    • Type AStaff Education/Training Related to Wound Documentation
    • Type AContinued From Page 12 – Dependent Residents
    • Type AProvision of Sufficient 24-Hour Nursing Services
    01 Sept 2016Revisit
    Found life safety code deficiencies during the licensing review, with multiple NFPA 101 violations identified.
    • NFPA 101Life Safety Code deficiency
    • NFPA 101Life Safety Code deficiency
    • NFPA 101Life Safety Code deficiency
    01 Sept 2016Revisit
    Found deficiencies in several federal care requirements. A revisit occurred on 2016-09-01.
    • 483.15(h)(2)
    • 483.20(b)(1)
    • 483.25(h)
    • 483.25(k)
    • 483.25(i)
    • 483.35(i)
    • 483.65
    01 Sept 2016Revisit
    Found no deficiencies.
    31 Aug 2016Revisit
    Confirmed that the deficiencies previously reported were corrected. The revisit occurred on 2016-08-31.
    30 Jun 2016Life Safety
    Investigated deficiencies in life-safety and electrical systems, including lack of documentation for sprinkler testing and improper wiring practices.
    • NFPA 101 Life Safety Code; NFPA 70; NFPA 10; NFPA 25; 2000 NFPA 101, §§19.3.5.1, 9.7.2.1; 1996 NFPA 25, §9-2.7; 1999 NFPA 72, §2-6.2Documentation/testing of automatic sprinkler system
    • NFPA 101 Life Safety Code; NFPA 10; NFPA 13; NFPA 25; NFPA 72; 9.7.4.1Documentation/testing of sprinkler system
    • NFPA 70 National Electrical CodeElectrical wiring standards
    30 Jun 2016Licensure
    Identified multiple cleanliness and sanitation deficiencies, including sticky, discolored bathroom floors in several resident rooms, and broader issues with housekeeping and infection control.
    • INITIAL COMMENTS
    • Housekeeping and maintenance services
    • Continued From page 4
    • Continued From page 11
    • Infection control / prevent spread
    • Oxygen therapy monitoring
    • Continued From page 13
    30 Jun 2016Licensure
    Identified a deficiency where hot water temperatures in resident bathrooms and showers were not maintained below the safe limit, with multiple readings well above 110°F.
    • Type ACh 11 Sec 6 (a)(iv) Physical EnvironmentTemperature control in bathrooms and showers
    21 May 2016Licensure
    Found multiple deficiencies concerning resident privacy, dignity, and staff credential verification.
    • Type ANurse aide registry verification
    • Type APrivacy during care
    • Type ADignity and respect of residents
    19 May 2016Life Safety
    Identified deficiencies in life-safety systems, including improper maintenance of the kitchen hood/Ansul system and noncompliance with eyewash and plumbing requirements.
    • NFPA 96Kitchen Hood and Duct Fire Extinguishing System Maintenance
    • 1994 NFPA 101, Section 31-1.3.4; 1994 NFPA 96, Section 8-2Eyewash/Plumbing and Semi-Annual Kitchen Hood Inspections
    31 Jul 2015Revisit
    Identified several regulatory deficiencies during a follow-up visit and confirmed corrective actions were completed.
    • 483.13(c)(1)(i)(ii), (c)(2) - (4)
    • 483.15(a)
    • 483.15(h)(2)
    30 Jun 2015Revisit
    Investigated and identified deficiencies related to Life Safety Code requirements; corrections were completed by the follow-up date.
    • NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
    • NFPA 101 Life Safety Code (LSC)Life Safety Code deficiency
    05 Jun 2015Revisit
    Concluded that previously identified deficiencies were corrected and confirmed completion on follow-up.
    05 Jun 2015Revisit
    Verified corrections completed for previously cited deficiencies.
    21 May 2015Licensure
    Determined the facility was in compliance with state requirements.
    20 May 2015Life Safety
    Identified life-safety deficiencies including doors not resisting smoke, obstructions to means of egress, and the presence of space heaters in resident sleeping rooms.
    • NFPA 101 Life Safety CodeDoors not resisting passage of smoke
    • NFPA 101 Life Safety CodeSpace heating devices in resident sleeping rooms
    • NFPA 101 Life Safety CodeMeans of egress obstructed or impeded
    18 May 2015Life Safety
    Identified life-safety deficiencies related to flame-spread protection and the handling of combustible decorations in smoke compartments.
    • 2000 NFPA 101 Life Safety Code StandardHazardous areas protected from corridor with self-closing doors in smoke compartments
    • 2000 NFPA 101 Life Safety Code StandardFlame propagation performance in smoke compartments
    08 Apr 2015Life Safety
    Identified deficiencies in life-safety and plumbing systems, including doors lacking self-closing devices and backflow prevention issues, plus maintenance concerns for plumbing.
    • 1994 NFPA 101 Life Safety CodeLife Safety Code deficiency - self-closing devices
    • IPC Life Safety CodePlumbing - backflow prevention
    • IPC Life Safety CodeMaintenance of plumbing systems
    30 Aug 2014Revisit
    Verified that deficiencies identified in the prior survey were corrected and corrective actions completed.
    21 Aug 2014Revisit
    Found a life safety code deficiency.
    • 483.20(k)(3)(ii)Life Safety Code deficiency
    30 Jul 2014Revisit
    Investigated a follow-up for previously cited deficiencies and confirmed corrections were 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
    02 Jul 2014Revisit
    Found a stage II pressure ulcer with inadequate wound documentation and gaps in follow-up care plan compliance.
    • 483.10(q)(1)Wound care documentation and plan of care for pressure ulcers
    24 Apr 2014Licensure
    An investigation found several deficiencies related to residents’ rights, hygiene, nutrition, and overall care practices.
    • Type ARight to survey results and examination of findings
    • Type AHousekeeping and maintenance services
    • Type APrivacy curtains maintained and kept clean
    • Type ANutritional care and meals assistance
    • Type ACare planning and monitoring
    • Type AMedication administration accuracy
    • Type ASanitation of food items and kitchen
    24 Apr 2014Licensure
    Investigated the grievances and complaints process and found incorrect contact information for the State Survey Agency, including an outdated address and telephone number.
    • Type ACh 11 Sec 19 (a)(ii)Grievances and Complaints
    02 Apr 2014Life Safety
    Investigated identified deficiencies in the building’s plumbing and safety systems, including improper condensate trap sizing, missing tempering for eyewash, and lack of routine maintenance for vacuum breakers, along with missing documentation for plans.
    • International Plumbing Code, 2006 Edition, Sections 608.6 and 608.13; ANSI Z358.1Backflow prevention devices and tempered eyewash requirements
    • International Mechanical Code, 2006 Edition, Section 307; International Plumbing Code, 2006 Edition, Section 1002Ventilation system condensate traps sizing
    • ANSI Z358.1; IPC 2006 EditionEyewash and tempering device requirements
    02 Apr 2014Life Safety
    The facility had multiple life-safety deficiencies identified, including inadequate exit door features, missing signage, and unsafe conditions related to gas piping and cooking equipment.
    • NFPA 101 Life Safety Code StandardHazardous areas and exit access deficiencies
    • NFPA 101 Life Safety Code StandardEgress doors and access control deficiencies
    • NFPA 101 Life Safety Code StandardGas piping and equipment safety deficiencies
    • NFPA 101 Life Safety Code Standard; NFPA 96Minimum safety requirements for cooking equipment
    24 Jun 2013Revisit
    Investigated the complaint and followed up on corrective actions recorded during the review.
    08 May 2013Revisit
    Identified deficiencies related to residents' rights, quality of life, and environment; corrections completed.
    • 483.15(h)(2)
    • 483.25
    • 483.65
    30 Apr 2013Life Safety
    Found fire-safety testing and documentation deficiencies, including incomplete fire alarm testing and missing acceptance testing for sprinkler work.
    • NFPA 101 Life Safety Code, 1994 Edition; NFPA 72 Fire Alarm Systems, 1992 EditionFire safety testing deficiencies
    • NFPA 101 Life Safety Code, 1994 EditionWater flow and supervisory devices testing
    • NFPA 101 Life Safety Code, 1994 EditionAcceptance testing after attic sprinkler pipe replacement
    15 Apr 2013Revisit
    Found no deficiencies.
    28 Feb 2013Licensure
    Identified infection prevention deficiencies and maintenance concerns affecting safety and cleanliness.
    • Infection prevention and control deficiencies
    28 Feb 2013Licensure
    Investigated a resident smoking while using oxygen and found unsafe supervision; immediate jeopardy existed but was addressed with a care plan update.
    • Type ASmoking and safety procedures for residents with oxygen
    28 Feb 2013Licensure
    Found no deficiencies. Confirmed compliance with state requirements.
    27 Feb 2013Life Safety
    Identified deficiencies related to corridor clearance during evacuations, improper use of temporary electrical wiring, and equipment storage that could impede safety procedures.
    • NFPA 101 Life Safety Code StandardLife Safety Code – corridor clearance
    • NFPA 101 Life Safety Code Standard; NFPA 70 National Electrical CodeElectrical wiring and receptacle separation
    • NFPA 101 Life Safety Code StandardPlan of correction / ongoing safety practices
    02 Jan 2013Revisit
    Found no deficiencies.
    07 Nov 2012Complaint
    Investigated found that staff did not consistently follow safety and fall-prevention care plan interventions.
    • Care planning - follow-through on safety and fall prevention
    19 Apr 2012Revisit
    Investigated a case with multiple cited deficiencies related to resident rights, care planning, and facility operations during a follow-up visit.
    • Type A483.13(c)Dignity and rights of residents
    • Type A483.15(a)Admission, transfer, and discharge rights
    • Type A483.20(g)-(i)Rights and notification of status changes
    • Type A483.20(k)(3)(i)Documentation of resident rights and information
    • Type A483.20(k)(3)(ii)Notification of status changes (ii)
    • Type A483.25(m)(2)Quality of life and care standards
    • Type A483.35(i)Care plan development and oversight
    • Type A483.65Facility services and environmental requirements
    • Type A483.75(c)(5)-(7)Administrative records and follow-up
    12 Apr 2012Revisit
    Identified deficiencies related to life-safety code compliance during the follow-up review and required corrective action.
    • NFPA 101 Life Safety CodeLife Safety Code
    • NFPA 101 Life Safety CodeLife Safety Code
    • NFPA 101 Life Safety CodeLife Safety Code
    06 Mar 2012Life Safety
    Inspected for life-safety deficiencies and found problems with exits being accessible, and with maintenance of the fire alarm system and emergency lighting; some exits were found obstructed by locked doors.
    • NFPA 101 Life Safety Code StandardMeans of egress not maintained
    • NFPA 101 Life Safety Code StandardExit access shall be readily accessible
    • NFPA 101 Life Safety Code StandardFire alarm system and emergency lighting
    • NFPA 101 Life Safety Code StandardFire alarm system maintenance
    16 Feb 2012Life Safety
    Found no deficiencies identified pertaining to the Life Safety Code.
    16 Feb 2012Licensure
    Investigated a complaint and found multiple deficiencies related to resident care planning, documentation, and staff practices.
    05 Jan 2012Revisit
    Found no deficiencies. Follow-up confirmed corrections completed from a prior survey.
    17 Nov 2011Revisit
    Investigated a complaint and identified deficiencies related to residents' rights.
    • 483.10(b)(11)Residents' rights
    19 Oct 2011Life Safety
    Found a deficiency in fire safety drills; the required quarterly drills on each shift were not conducted and drill records were incomplete.
    • Type AFire drills conducted as required
    21 Sept 2011Complaint
    Identified deficiencies in pain assessment/management and wound care documentation and oversight. Findings indicated inadequate documentation and follow-up related to resident pain and pressure ulcers.
    • Continued from page 2 – pain management
    • Continued from page 3 – wound/pressure ulcer care
    25 Mar 2011Revisit
    Investigated a complaint and identified violations requiring follow-up.
    25 Mar 2011Revisit
    Investigated the complaint and found no deficiencies. Conducted during a visit in March 2011.
    25 Mar 2011Revisit
    Confirmed that all corrective actions from the prior survey were completed during the follow-up visit.
    10 Feb 2011Life Safety
    Investigated a deficiency involving self-closing doors not functioning properly and doors being propped open during a fire drill.
    • Type ANFPA 101 Life Safety Code, 1994 EditionSelf Closing Devices
    27 Jan 2011Licensure
    An inspection identified several deficiencies in care planning, nutrition, medication management, and safety measures during the survey in early 2011.
    • Type ACare plans not followed
    • Therapy/ROM not provided as ordered
    • Nutritional plan not implemented; weight loss
    • Medication management deficiencies
    • Corridors/safety handrails
    • Laboratory testing as ordered
    • Nutritional status and meals
    27 Jan 2011Life Safety
    Inspected deficiencies found: a door closer failed to close and a sprinkler head escutcheon was detached, with ongoing maintenance issues affecting the automatic sprinkler system.
    • NFPA 101 LIFE SAFETY CODE STANDARDDoor closer and sprinkler system enclosure
    • NFPA 101 LIFE SAFETY CODE STANDARDMaintenance of automatic sprinkler system
    27 Jan 2011Licensure
    Determined that the facility was in compliance with state requirements after a survey conducted January 24–27, 2011.
    05 Jan 2010Revisit
    Investigated a complaint and found deficiencies related to resident rights and administrative oversight; corrections were completed.
    • 483.20(g)-(i)Resident rights; freedom from abuse and privacy
    • 483.20(k)(3)(i)Quality of care; privacy/rights related standard
    • 483.70(h)Administration; administrative controls and oversight
    29 Dec 2009Revisit
    Found no deficiencies. All previously reported deficiencies were corrected and verified.
    29 Dec 2009Revisit
    Verified corrections were completed after the follow-up visit.
    05 Nov 2009Licensure
    Investigated RAP completion and medical record documentation; RAPs were not completed timely and RN certification occurred before RAP completion.
    • 483.20(k)(3)(i)Comprehensive Care Plans
    • 483.20(k)(3)(i)Comprehensive Care Plans
    05 Nov 2009Licensure
    Determined that the site was in compliance with state requirements after a survey conducted on 11/2/09 through 11/5/09.
    • LIC REGS FOR NURSING HOMES
    04 Nov 2009Life Safety
    Determined evacuation drills failed to ensure full evacuation and sprinkler testing was not properly performed.
    • Type ALife Safety Code – Fire Drills and EvacuationEvacuation capability and fire drill testing
    • Type ALife Safety Code – Fire Drills and EvacuationSprinkler system spare heads and testing
    03 Nov 2009Life Safety
    Found life-safety deficiencies, including sprinkler head obstructions and unprotected wet-location receptacles.
    • NFPA 101 LIFE SAFETY CODE STANDARD; 42 CFR 483.70(a)LIFE SAFETY CODE STANDARD
    • NFPA 101 LIFE SAFETY CODE STANDARDLIFE SAFETY CODE STANDARD
    17 Dec 2008Revisit
    Verified corrections completed for previously cited deficiencies.
    • 483.10(n)
    • 483.15(a)
    • 483.15(g)(1)
    • 483.20(b)
    • 483.25(a)(3)
    • 483.25(h)
    • 483.35(f)
    • 483.65(b)(3)
    • 483.75(o)(1)
    25 Sept 2008Licensure
    Identified a deficiency where tuberculin testing for employees was not completed for all staff before resident contact.
    • State Rules and Regulations, Rules and Regulations for Program Administration of Nursing Care Facilities, Section 6. Physical Environment (a)(iv)Tuberculin testing for employees
    25 Sept 2008Complaint
    Investigated a care facility’s records and resident care practices; found deficiencies related to medication self-administration, dignity of residents, and improper provision of some personal care tasks.
    • Type A483.10(n) SELF ADMINISTRATION OF DRUGSSelf Administration of Drugs
    • Type A483.15(a) DIGNITYDignity
    • Type A483.25(g)(1) COMPREHENSIVE ASSESSMENTSComprehensive Assessments
    24 Sept 2008Life Safety
    Identified life-safety deficiencies: two of seven smoke barriers were not smoke resistant and penetrations in the smoke barrier construction were not properly sealed, and oxygen storage areas lacked required no-smoking signage.
    • Type A42 CFR 483.70(a)Life Safety Code Standard
    • Type ANFPA 101 Life Safety Code StandardOxygen storage areas posted with no smoking signs
    24 Sept 2008Revisit
    Identified no deficiencies.
    05 May 2008Revisit
    Investigated a complaint and identified several safety deficiencies, including obstructed fire alarm devices and issues with door closures.
    • Obstructed Fire Alarm devices
    • Door closers not functioning / doors not self-closing
    28 Feb 2008Life Safety
    Investigated deficiencies in life-safety testing and documentation, including failure to test the installed fire alarm system and incomplete admission records.
    • Type ANFPA 101 Life Safety Code, 1994 Edition; NFPA 72 Fire Alarm and Signaling Systems; NFPA 70 National Electrical CodeLife-safety and fire alarm system deficiencies
    20 Nov 2007Revisit
    Investigated and identified multiple deficiencies; corrections were completed by mid-November 2007.
    • 483.15(f)(1)
    • 483.20, 483.20(b)
    • 483.25(d)
    • 483.25(n)
    • 483.25(i)(2)
    • 483.35(i)(2)
    13 Nov 2007Revisit
    Verified corrections were completed after a follow-up visit.
    04 Oct 2007Licensure
    Investigated a complaint about resident care and identified several deficiencies in activities, assessments, supervision, and nutrition.
    • 483.15(f)(1)ACTIVITIES
    • 483.20(b)COMPREHENSIVE ASSESSMENTS
    • 483.25(h)ACCIDENTS AND SUPERVISION
    • 483.25(i)(2) NUTRITIONNUTRITION
    • 483.25(d) URINARY INCONTINENCEURINARY INCONTINENCE
    04 Oct 2007Licensure
    Investigated deficiencies showing tuberculin testing was not completed before employee contact with residents. Health records documentation was incomplete.
    • Tuberculin testing for employees
    02 Oct 2007Life Safety
    Identified Life Safety Code deficiencies including unsealed penetrations in smoke barriers and failure to test emergency lighting as required.
    • Type ANFPA 101 LIFE SAFETY CODE STANDARDSmoke barriers – unsealed pipe penetration
    • Type BNFPA 101 LIFE SAFETY CODE STANDARDSmoke barriers – unsealed penetrations
    • NFPA 101 LIFE SAFETY CODE STANDARDEmergency lighting – testing and maintenance
    01 Dec 2006Revisit
    Cited deficiencies across several regulatory areas; corrections were completed by 11/15/2006.
    • 483.10(b)(11)
    • 483.12(a)(3)
    • 483.15(g)(1)
    • 483.20(b)
    • 483.20(d), 483.20(k)(1)
    • 483.25
    11 Oct 2006Complaint
    Investigation found multiple deficiencies related to notification of changes, resident documentation, social services, and assessment/care planning.
    • 483.10(b)(11)NOTIFICATION OF CHANGES
    • 483.12(a)(3)DOCUMENTATION
    • 483.15(g)(1)SOCIAL SERVICES
    • 483.20(d), 483.20(k)(1)COMPREHENSIVE ASSESSMENTS
    • 483.25QUALITY OF CARE
    13 Jul 2006Licensure
    Investigated deficiencies found failures in comprehensive resident assessments and related care planning and oversight, including adequate daily living support and timely medical review.
    • 483.20, 483.20(b)Comprehensive Assessments
    • 483.20(b)(2)(ii)Resident assessment (when required)
    • 483.25(a)(2)Activities of Daily Living
    • 483.40(c)(1)-(2)Frequency of Physician Visits
    • 483.35(i)(2)Sanitary Conditions - Food Prep & Service
    11 Jul 2006Life Safety
    Identified multiple life-safety deficiencies during a Wyoming health oversight review, including improper fire drills, sprinkler head clearance issues, decoration and window-cover safety concerns, and open-flame candles.
    • NFPA 101 Life Safety Code StandardFire drills
    • NFPA 101 Life Safety Code StandardSprinkler head clearance
    • NFPA 101 Life Safety Code StandardDecorations and furnishings
    • NFPA 101 Life Safety Code StandardOpen flames
    25 Oct 2005Revisit
    Verified corrections completed following prior deficiencies.
    • 483.20(k)(3)(i)
    • 483.20(k)(3)(iii)
    20 Oct 2005Revisit
    Identified life-safety code deficiencies during the revisit; uncorrected deficiencies remained.
    • NFPA 101Life Safety Code
    • LSCLife Safety Code
    25 Aug 2005Life Safety
    Identified deficiencies in life-safety systems, including sprinkler-related issues and door closings.
    • NFPA 101 LIFE SAFETY CODE STANDARDLIFE SAFETY CODE STANDARD
    • NFPA 101 LIFE SAFETY CODE STANDARDLIFE SAFETY CODE STANDARD
    25 Aug 2005Licensure
    Investigated deficiencies in care planning and service delivery; observed staff failed to follow written care plans and ensure services were provided by qualified personnel.
    • 483.20(k)(3)(i)COMPREHENSIVE CARE PLANS
    • 483.20(k)(3)(i)WRITTEN CARE PLANS
    29 Jul 2005Revisit
    Found a deficiency involving residents' rights; corrective action completed.
    • 483.13(c)(1)(ii)
    06 Jun 2005Complaint
    Investigated the allegation of resident mistreatment and found the investigative process inadequate, with limited interviews and no protective actions during the inquiry.
    • Staff treatment of residents

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