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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
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 number
al-24
Facility type
Assisted Living Facility
Inspection Reports
138
Reports
42
Type A Citations
1
Type B Citations
25
Complaints
21
Years
18 Apr 2025Revisit
18 Apr 2025Revisit
Found no deficiencies. Previous deficiencies were corrected and compliance was confirmed.
11 Mar 2025Revisit
11 Mar 2025Revisit
Verified that all prior deficiencies were corrected and no new noncompliance was found.
31 Jan 2025Licensure
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
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
03 Dec 2024Revisit
Verified no deficiencies were found and all prior deficiencies were corrected.
23 Oct 2024Life Safety
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
06 Feb 2024Complaint
Investigated the complaint and concluded no deficiencies were identified.
06 Feb 2024Revisit
06 Feb 2024Revisit
Found no deficiencies. A follow-up visit confirmed prior issues were corrected and no new noncompliance was found.
06 Feb 2024Complaint
06 Feb 2024Complaint
Found no deficiencies. The investigation was conducted in response to a complaint.
06 Feb 2024Revisit
06 Feb 2024Revisit
Verified prior deficiencies were corrected and no new noncompliance was found.
05 Feb 2024Revisit
05 Feb 2024Revisit
Verified compliance with life safety requirements; all prior deficiencies were corrected and no new noncompliance was found.
07 Dec 2023Licensure
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
07 Dec 2023Licensure
Determined the facility was in compliance with state requirements after a licensure survey.
05 Dec 2023Life Safety
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 99 6.3.4.1.3Electrical Systems - Maintenance and Testing
21 Nov 2023Revisit
21 Nov 2023Revisit
Found no deficiencies. The revisit determined compliance with all requirements.
14 Nov 2023Complaint
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
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
03 Aug 2023Revisit
Concluded that no deficiencies were found and that all regulations surveyed were met.
27 Jun 2023Licensure
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
22 May 2023Revisit
Found no deficiencies after the revisit; prior issues were resolved.
07 Mar 2023Complaint
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
01 Nov 2022Revisit
Verified that prior deficiencies were corrected and compliance was restored.
15 Sept 2022Licensure
15 Sept 2022Licensure
Concluded no deficiencies were identified during the survey.
13 Sept 2022Life Safety
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 25 (2011) / NFPA 25 5.3.3.1Sprinkler System - Maintenance and Testing
18 Oct 2021Revisit
18 Oct 2021Revisit
Verified corrections were made and compliance was restored.
06 Oct 2021Complaint
06 Oct 2021Complaint
Concluded no deficiencies were identified during the complaint and COVID-19 infection control surveys.
04 Oct 2021Revisit
04 Oct 2021Revisit
Found no deficiencies. All prior issues were corrected.
12 Aug 2021Licensure
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
12 Aug 2021Licensure
Found no deficiencies. The survey determined compliance with state requirements.
11 Aug 2021Life Safety
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
25 Sept 2020Complaint
Found no deficiencies identified in the complaint investigation or the COVID-19 focused infection control survey.
11 Sept 2020Licensure
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
14 May 2020Licensure
Investigated an infection control survey and found no deficiencies identified.
10 Jan 2020Revisit
10 Jan 2020Revisit
Verified prior deficiencies were corrected and found no deficiencies.
24 Dec 2019Complaint
24 Dec 2019Complaint
Investigated the complaint and found no deficiencies.
13 Nov 2019Complaint
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
16 Sept 2019Revisit
Verified that prior deficiencies were corrected and no new noncompliance was found.
27 Aug 2019Revisit
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
11 Jul 2019Licensure
Cited multiple deficiencies across resident rights, safety, care planning, nutrition, medications, and dental services.
Found no deficiencies. The operation was in compliance with state requirements.
10 Jul 2019Life Safety
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
02 Jul 2019Revisit
Verified that previously cited deficiencies were corrected and no new noncompliance was found.
15 May 2019Complaint
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
24 Aug 2018Revisit
Concluded that all prior deficiencies were corrected and no new noncompliance was found.
24 Aug 2018Revisit
24 Aug 2018Revisit
Investigated a revisit and found all prior deficiencies corrected with no new noncompliance.
31 Jul 2018Revisit
31 Jul 2018Revisit
Verified prior deficiencies were corrected and found no new noncompliance.
31 Jul 2018Revisit
31 Jul 2018Revisit
Concluded that all previous deficiencies were corrected and no new noncompliance was found.
14 Jun 2018Licensure
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
Concluded the facility was in compliance with State requirements. Found no deficiencies.
13 Jun 2018Life Safety
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
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
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
12 Sept 2017Revisit
Concluded that all prior deficiencies were corrected and no new noncompliance was found.
29 Aug 2017Revisit
29 Aug 2017Revisit
Concluded that prior deficiencies were corrected and no new noncompliance was found.
29 Aug 2017Revisit
29 Aug 2017Revisit
Found no deficiencies during the follow-up visit.
27 Jun 2017Life Safety
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; 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
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
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 A—Documentation/Monitoring of Wound Care
Type A—Staff Education/Training Related to Wound Documentation
Type A—Continued From Page 12 – Dependent Residents
Type A—Provision of Sufficient 24-Hour Nursing Services
01 Sept 2016Revisit
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
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
01 Sept 2016Revisit
Found no deficiencies.
31 Aug 2016Revisit
31 Aug 2016Revisit
Confirmed that the deficiencies previously reported were corrected. The revisit occurred on 2016-08-31.
30 Jun 2016Life Safety
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
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
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
21 May 2016Licensure
Found multiple deficiencies concerning resident privacy, dignity, and staff credential verification.
Type A—Nurse aide registry verification
Type A—Privacy during care
Type A—Dignity and respect of residents
19 May 2016Life Safety
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
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
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
05 Jun 2015Revisit
Concluded that previously identified deficiencies were corrected and confirmed completion on follow-up.
05 Jun 2015Revisit
05 Jun 2015Revisit
Verified corrections completed for previously cited deficiencies.
21 May 2015Licensure
21 May 2015Licensure
Determined the facility was in compliance with state requirements.
20 May 2015Life Safety
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
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
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.
IPC Life Safety CodePlumbing - backflow prevention
IPC Life Safety CodeMaintenance of plumbing systems
30 Aug 2014Revisit
30 Aug 2014Revisit
Verified that deficiencies identified in the prior survey were corrected and corrective actions completed.
21 Aug 2014Revisit
21 Aug 2014Revisit
Found a life safety code deficiency.
483.20(k)(3)(ii)Life Safety Code deficiency
30 Jul 2014Revisit
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
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
24 Apr 2014Licensure
An investigation found several deficiencies related to residents’ rights, hygiene, nutrition, and overall care practices.
Type A—Right to survey results and examination of findings
Type A—Housekeeping and maintenance services
Type A—Privacy curtains maintained and kept clean
Type A—Nutritional care and meals assistance
Type A—Care planning and monitoring
Type A—Medication administration accuracy
Type A—Sanitation of food items and kitchen
24 Apr 2014Licensure
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
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
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
24 Jun 2013Revisit
Investigated the complaint and followed up on corrective actions recorded during the review.
08 May 2013Revisit
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
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
15 Apr 2013Revisit
Found no deficiencies.
28 Feb 2013Licensure
28 Feb 2013Licensure
Identified infection prevention deficiencies and maintenance concerns affecting safety and cleanliness.
—Infection prevention and control deficiencies
28 Feb 2013Licensure
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 A—Smoking and safety procedures for residents with oxygen
28 Feb 2013Licensure
28 Feb 2013Licensure
Found no deficiencies. Confirmed compliance with state requirements.
27 Feb 2013Life Safety
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 Standard; NFPA 70 National Electrical CodeElectrical wiring and receptacle separation
NFPA 101 Life Safety Code StandardPlan of correction / ongoing safety practices
02 Jan 2013Revisit
02 Jan 2013Revisit
Found no deficiencies.
07 Nov 2012Complaint
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
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
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
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
16 Feb 2012Life Safety
Found no deficiencies identified pertaining to the Life Safety Code.
16 Feb 2012Licensure
16 Feb 2012Licensure
Investigated a complaint and found multiple deficiencies related to resident care planning, documentation, and staff practices.
05 Jan 2012Revisit
05 Jan 2012Revisit
Found no deficiencies. Follow-up confirmed corrections completed from a prior survey.
17 Nov 2011Revisit
17 Nov 2011Revisit
Investigated a complaint and identified deficiencies related to residents' rights.
483.10(b)(11)Residents' rights
19 Oct 2011Life Safety
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 A—Fire drills conducted as required
21 Sept 2011Complaint
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
25 Mar 2011Revisit
Investigated a complaint and identified violations requiring follow-up.
25 Mar 2011Revisit
25 Mar 2011Revisit
Investigated the complaint and found no deficiencies. Conducted during a visit in March 2011.
25 Mar 2011Revisit
25 Mar 2011Revisit
Confirmed that all corrective actions from the prior survey were completed during the follow-up visit.
10 Feb 2011Life Safety
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
27 Jan 2011Licensure
An inspection identified several deficiencies in care planning, nutrition, medication management, and safety measures during the survey in early 2011.
Type A—Care 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
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
27 Jan 2011Licensure
Determined that the facility was in compliance with state requirements after a survey conducted January 24–27, 2011.
05 Jan 2010Revisit
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
29 Dec 2009Revisit
Found no deficiencies. All previously reported deficiencies were corrected and verified.
29 Dec 2009Revisit
29 Dec 2009Revisit
Verified corrections were completed after the follow-up visit.
05 Nov 2009Licensure
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
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
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
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
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
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
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
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
24 Sept 2008Revisit
Identified no deficiencies.
05 May 2008Revisit
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
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
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
13 Nov 2007Revisit
Verified corrections were completed after a follow-up visit.
04 Oct 2007Licensure
04 Oct 2007Licensure
Investigated a complaint about resident care and identified several deficiencies in activities, assessments, supervision, and nutrition.
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
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
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
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
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.
483.35(i)(2)Sanitary Conditions - Food Prep & Service
11 Jul 2006Life Safety
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
25 Oct 2005Revisit
Verified corrections completed following prior deficiencies.
483.20(k)(3)(i)
483.20(k)(3)(iii)
20 Oct 2005Revisit
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
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
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
29 Jul 2005Revisit
Found a deficiency involving residents' rights; corrective action completed.
483.13(c)(1)(ii)
06 Jun 2005Complaint
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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