I'm very happy with this resident-focused community - the staff are friendly, smiling, kind and knowledgeable (Nurse Natlie and the CNAs go above and beyond). Rehab, therapy, activities and food are exceptional, and the positive, collaborative atmosphere makes it a wonderful place close to home. I'd recommend it, with just a little room to improve.
Current/former resident
Jul 2026
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Healthcare staffing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Transportation
Community operated transportation
Transportation arrangement
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
3.96·(24)
Overall rating
5
4
3
2
1
Care
2.6
Staff
3.7
Meals
5.0
Amenities
4.0
Value
4.0
Pros
Compassionate CNAs and nursing staff
Strong rehabilitation and therapy program
Engaging activities program
High-quality dining and meal service
Resident-focused, collaborative staffing
Knowledgeable and helpful frontline staff
Supportive, positive community atmosphere
Convenient, close-to-home location
Staff members recognized for exceptional individual care
Cons
Inconsistent staff professionalism and conduct
Poor responsiveness to telephone and family communication
Weak clinical communication among nursing, management, and physicians
Inconsistent medication administration and pain-management processes
Delays in diagnostic testing and therapy scheduling
Property security and inventory-control weaknesses
Laundry service reliability issues
Sanitation and pressure-injury prevention concerns
Management accountability and professionalism gaps
Unclear end-of-life care coordination and comfort-management practices
Summary of reviews
Wind River Rehabilitation and Wellness elicits a mixed set of impressions. Many families and residents praise the facility for its strong rehabilitation focus, attentive frontline caregivers, and a positive community atmosphere. Therapy staff, activities programming, and meal service receive frequent commendation; several comments emphasize that rehabilitation, engagement, and dining are strengths that meet residents' day-to-day needs.
Clinical-care quality appears uneven. Positive notes about caring CNAs and nurses coexist with concerns about inconsistent medication administration, pain-management processes, and delays in timely diagnostic testing and therapy. Reviewers described clinical decline in some cases (weight loss, acute events) and raised concerns about how those conditions were identified and managed. Several accounts specifically raised questions about end-of-life comfort measures and coordination following a resident's death.
Staff behavior and communication present a clear pattern of variability. Many frontline employees are described as helpful, knowledgeable, and willing to assist; individual caregivers are singled out for exemplary efforts. At the same time, families cite inconsistent professionalism, concerns about conduct and tone, and instances of perceived biased or nonprofessional interactions. Communication deficits appear in two main areas: responsiveness to family phone calls and internal clinical communication among nursing, management, and attending physicians. A few reviewers also mentioned staff conduct outside the facility (social-media interactions) as a source of concern about professionalism.
Dining, activities, and rehabilitation services are regularly listed as strengths. Comments depict the facility as rehab-focused with engaging activities and generally high-quality meals. These programmatic areas seem to contribute positively to residents' daily experience and community feel.
Operational and facility-level issues merit attention. Multiple reviewers described problems with personal property handling and inventory control, including missing items and inconsistent tracking. Laundry-service reliability and sanitation-related concerns (including pressure-injury prevention and wound care practices) were also raised. Several families identified gaps in management accountability, including failure to return calls and uneven follow-through on complaints or care plans.
Taken together, the pattern suggests a facility with substantive programmatic strengths in therapy, activities, and frontline caregiving, alongside operational and clinical consistency issues that affect some residents' experiences. Prospective residents and families would benefit from direct inquiries into communication protocols, medication- and pain-management procedures, physician oversight and escalation pathways, property-security policies, wound-prevention practices, and the facility's approach to end-of-life comfort care when touring or interviewing staff and administrators.
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Medicare Ratings
2·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Wind River Rehabilitation and Wellness is located at 1002 Forest Dr, Riverton, WY, 82501.
About Wind River Rehabilitation and Wellness
Wind River Rehabilitation and Wellness is dedicated to providing comprehensive care in a tranquil and supportive environment, focusing on both short-term rehabilitation and long-term care. This community is recognized for its commitment to excellence, creating a warm atmosphere that feels as welcoming and comfortable as possible. Every resident receives individualized care shaped by personal preferences, whether that means custom meal choices, engaging daily activities, or specialized therapy services.
The core of Wind River Rehabilitation and Wellness is its skilled nursing and rehabilitation therapy programs, which are meticulously designed to help residents regain mobility, strength, independence, and overall well-being. Patients recovering from illness, injury, or surgery benefit from personalized therapy plans that address their unique needs. Physical therapy targets improved strength, balance, and mobility, while also working to reduce pain and prevent falls. Occupational therapy assists residents in reclaiming essential daily living skills such as dressing, grooming, and meal preparation by employing adaptive tools and techniques tailored to each individual's circumstances. Speech and language therapy is also available to support communication, cognitive function, and swallowing, thereby restoring confidence and enhancing quality of life.
Support for residents with Alzheimer’s disease and other dementia-related conditions is a particular focus at Wind River Rehabilitation and Wellness. The Memory Support program provides a safe, structured, and nurturing environment curated by compassionate care teams. They strive to deliver stability and personalized support through engaging activities designed to bolster well-being and help preserve independence for as long as possible. The staff understands the unique challenges faced by families caring for loved ones with memory loss and is dedicated to offering resources, education, and expert guidance to ensure the highest quality of life for everyone involved.
In addition to long-term and memory care, Wind River Rehabilitation and Wellness offers respite stay options for those in need of temporary care solutions. Whether the need arises from post-hospital recovery or simply a family caregiver in need of time to recharge, respite care provides a safe and welcoming environment with skilled nursing services available around the clock. This program is ideal for short-term stays, offering families peace of mind and residents an opportunity to receive exceptional, compassionate care.
Hospice care is another service pillar at Wind River Rehabilitation and Wellness. The hospice program emphasizes compassionate support for individuals facing life-limiting illnesses, with a strong focus on managing pain and addressing both emotional and spiritual needs. Residents and their families are encouraged to make informed decisions about the care provided, with the team working closely alongside them and their physicians to develop a personalized plan. The ultimate goal is to support the highest possible quality of life through every stage of the hospice journey.
Complementing the primary care services, Wind River Rehabilitation and Wellness provides a variety of supplementary care options to address more specialized healthcare needs. These offerings include wound care, IV therapy, pain management, catheter care, an enteral feeding program, off-site dialysis coordination, post-hospital extended care, and access to dental, vision, and audiology appointments. When a required service exceeds the facility's scope, the team is committed to connecting residents with the best available resources in the community, ensuring seamless continuity of care.
The community at Wind River Rehabilitation and Wellness is also a place where dedicated professionals have the opportunity to make a meaningful difference through careers in nursing, therapy, administration, and support roles. Staff members benefit from an environment built on compassion and excellence, with avenues for career advancement and personal growth.
Residents and their families are invited to stay connected and engaged through the community’s user-friendly online portal. This platform enables convenient management of payments, event updates, and team introductions, as well as the chance to take a virtual tour and experience the distinct culture of Wind River Rehabilitation and Wellness. The commitment of the community is unwavering: to enhance healthcare, strengthen relationships, and improve the quality of life for all residents and their families with the highest standards of compassionate, individualized service.
People often ask...
Wind River Rehabilitation and Wellness offers assisted living, memory care, and skilled nursing.
There are 6 photos of Wind River Rehabilitation and Wellness on Mirador.
The full address for this community is 1002 Forest Dr, Riverton, WY 82501.
No, Wind River Rehabilitation and Wellness 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
nh-210
Facility type
Nursing Home
Inspection Reports
137
Reports
22
Type A Citations
0
Type B Citations
50
Complaints
21
Years
09 Sept 2025Revisit
09 Sept 2025Revisit
Verified that previously cited deficiencies were corrected and no new noncompliance was found.
28 Aug 2025Revisit
28 Aug 2025Revisit
Concluded that all prior deficiencies were corrected and no new noncompliance existed.
26 Jun 2025Complaint
26 Jun 2025Complaint
Identified multiple deficiencies across resident rights, environment, activities, safety, medication administration, infection control, and food service during a 6/26/2025 assessment.
CFR 483.10(e)(3)Right to reside and receive services with reasonable accommodations
Identified multiple life safety and emergency preparedness deficiencies, including failure to test and maintain emergency lighting, cooking exhaust hood, fire alarm, sprinkler system, essential electrical system, and patient-care electrical equipment.
NFPA 72; NFPA 70? The text shows NFPA 72 9.6.1.3, 9.6.1.5Fire Alarm System - Testing and Maintenance
NFPA 25 14.2.1Sprinkler System - Maintenance and Testing
NFPA 99 6.4.1.1.6.1; NFPA 110 8.3.7.1Electrical Systems - Essential Electric System
NFPA 99 10.3Electrical Equipment - Testing and Maintenance
31 Dec 2024Revisit
31 Dec 2024Revisit
Verified prior deficiencies were corrected and no new noncompliance was found.
14 Nov 2024Complaint
14 Nov 2024Complaint
Investigated complaints identified abuse by a resident against another and multiple care deficiencies, including wound care, weight monitoring, and medication changes not implemented.
CFR: 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
CFR: 483.25Quality of Care
CFR: 483.25(b)(1)(i)(ii)Skin Integrity
CFR: 483.45Pharmacy Services
16 May 2024Revisit
16 May 2024Revisit
Concluded that prior deficiencies were corrected and no new noncompliance was found.
30 Apr 2024Revisit
30 Apr 2024Revisit
Found no deficiencies after a Life Safety Code revisit.
14 Mar 2024Complaint
14 Mar 2024Complaint
Regulators cited multiple deficiencies across resident rights, grievances, care, nutrition, infection control, and environmental safety due to failures in dignity, timely response to changes in condition, proper wound and pain management, dietary practices, and sanitation.
CFR(s): 483.10(a)(1) (2); 483.10(b)(1) (2)Resident Rights/Exercise of Rights
CFR(s): 483.10(j)(1)-(4)Grievances
CFR(s): 483.25Quality of Care
CFR(s): 483.25(b)(1)-(2)Quality of Care - Pressure Ulcers
CFR(s): 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
Identified multiple life safety and electrical deficiencies, including damaged fire-resistive construction, obstructed exits, non-illuminated exit signs, compromised hazardous areas, sprinkler and door maintenance issues, and improper use of power strips and cords.
NFPA 101 19.1.1.1.3, 4.6.12.1General Requirements - Other
NFPA 101 19.2.3.4(5)Aisle, Corridor, or Ramp Width
NFPA 101 19.2.3.4(5)Exit Signage
NFPA 101 19.3.2.1.2Hazardous Areas - Enclosure
NFPA 25 5.2.2.2Sprinkler System - Maintenance and Testing
Investigated complaints and found multiple deficiencies in grievances, care planning, daily care, staffing, medications, infection control, immunizations, food safety, and environmental safety.
§483.10(j)Grievances
§483.21(b)(1)-(3)Comprehensive Care Plans
§483.21(b)(2)Care Plan Timing and Revision
§483.24(a)(2)ADL Care Provided for Dependent Residents
§483.80(d)Influenza and Pneumococcal Immunizations
08 Dec 2022Life Safety
08 Dec 2022Life Safety
Identified numerous deficiencies in emergency preparedness and life safety systems, including failure to update plans, missing collaboration and contact processes, training and testing gaps, and multiple equipment maintenance issues.
CFR 483.73(a)Develop Emergency Preparedness Plan, Review and Update Annually
CFR 483.73(a)(4)Local, Tribal Collaboration with Emergency Officials
CFR 483.73(c)(1)Emergency Communications Plan – Names and Contacts
CFR 483.73(d)(1)Emergency Preparedness Training Program
NFPA 99 6.4.1.1.6.1; NFPA 110 8.3.7.1Electrical Systems - Essential Electric System
13 Oct 2022Complaint
13 Oct 2022Complaint
Identified no deficiencies related to the complaint investigation.
09 Sept 2022Revisit
09 Sept 2022Revisit
Verified compliance after a follow-up visit; prior deficiencies were corrected and no new noncompliance was found.
22 Jul 2022Complaint
22 Jul 2022Complaint
Investigated a complaint alleging infection control issues and found widespread PPE misuse and inadequate masking and screening.
CFR 483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
07 Mar 2022Revisit
07 Mar 2022Revisit
Verified that all deficiencies were corrected and compliance was restored.
10 Feb 2022Revisit
10 Feb 2022Revisit
Found no deficiencies. Previous issues were corrected and full compliance was achieved.
27 Jan 2022Revisit
27 Jan 2022Revisit
Concluded that prior deficiencies were corrected and compliance was restored.
06 Jan 2022Complaint
06 Jan 2022Complaint
Found no deficiencies identified during the complaint investigation and the COVID-19 focused infection control review.
09 Dec 2021Licensure
09 Dec 2021Licensure
Identified deficiencies included failures to provide written transfer/discharge notices and ombudsman notification, PASRR coordination gaps, incomplete care planning, and lapses in infection prevention practices. The findings indicated multiple deficient practices across several areas.
§483.15(c)(3)-(6)(8)Notice Requirements Before Transfer/Discharge
§483.20(e)(1)(2)Coordination of PASARR and Assessments
§483.21(b)(1)Develop/Implement Comprehensive Care Plan
§483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
09 Dec 2021Life Safety
09 Dec 2021Life Safety
Identified a fire separation deficiency when a storage shed was located about 1 foot from the building exterior, lacking sprinkler protection and requiring 30-foot separation or 1-hour fire-rated protection.
2006 IBC 602.1, Table 602Fire separation distance
09 Dec 2021Life Safety
09 Dec 2021Life Safety
Identified deficiencies in ramp handrails, hazardous-area enclosures, and improper use of power strips for patient-care electrical equipment.
NFPA 101 19.2.2.6.1, 7.2.5.2Ramps and Other Exits
NFPA 101 19.3.2.1.3Hazardous Areas - Enclosure
NFPA 99 10.2.3.6Electrical Equipment - Power Cords and Extension Cords
09 Dec 2021Licensure
09 Dec 2021Licensure
Determined that the provider was in compliance with state requirements. No deficiencies were cited.
17 Mar 2021Complaint
17 Mar 2021Complaint
Investigated a complaint and infection control review; found no deficiencies identified.
10 Feb 2021Complaint
10 Feb 2021Complaint
Found no deficiencies identified in the COVID-19 focused infection control complaint review conducted on February 10–11, 2021.
19 Jan 2021Revisit
19 Jan 2021Revisit
Verified that prior deficiencies were corrected and no new noncompliance was found.
19 Jan 2021Revisit
19 Jan 2021Revisit
Verified compliance after a follow-up revisit; all previously cited deficiencies were corrected.
20 Nov 2020Licensure
20 Nov 2020Licensure
Investigated a COVID-19 focused infection control issue that found failures in disinfection practices and adherence to required dwell times.
42 CFR 483.80Infection Prevention & Control
15 Oct 2020Revisit
15 Oct 2020Revisit
Determined the provider was in compliance with Federal requirements after a follow-up visit.
06 Apr 2020Licensure
06 Apr 2020Licensure
Found no deficiencies after a COVID-19 focused infection control survey conducted on 2020-04-06.
12 Mar 2020Complaint
12 Mar 2020Complaint
Investigated a complaint and found that a resident’s treatment notifications were not sent to the designated representative, and housekeeping lapses led to dirty bathrooms and stained furniture across units.
483.10(c)(1)(4)(5)Right to be Informed/Make Treatment Decisions
Found no deficiencies identified during the complaint investigation.
14 Jan 2020Complaint
14 Jan 2020Complaint
Investigated a complaint and found no deficiencies.
31 Dec 2019Revisit
31 Dec 2019Revisit
Verified no deficiencies were found and all prior issues corrected.
04 Dec 2019Revisit
04 Dec 2019Revisit
Concluded that all previously cited deficiencies were corrected and no new noncompliance was found; in compliance with Emergency Preparedness Rules.
04 Dec 2019Revisit
04 Dec 2019Revisit
Found no deficiencies; all prior deficiencies were corrected and no new noncompliance was found.
24 Oct 2019Licensure
24 Oct 2019Licensure
Investigated deficiencies found across discharge notifications, MDS accuracy, activity programming, psychotropic medication documentation, and antibiotic stewardship.
§483.15(c)(3)-(6)(8)Notice before transfer/discharge
§483.20(g)Accuracy of Assessments
§483.24(c)(1)Activities
§483.45(e)Free from Unnecessary Psychotropic Meds/PRN Use
§483.80(a)(3)Antibiotic Stewardship Program
24 Oct 2019Licensure
24 Oct 2019Licensure
Found no deficiencies. The review concluded compliance with state requirements.
22 Oct 2019Life Safety
22 Oct 2019Life Safety
Identified multiple life-safety deficiencies during the inspection, including failures to test and maintain fire alarm and water-based fire protection systems and insufficient emergency preparedness training.
NFPA 101Fire Alarm System - Testing and Maintenance
NFPA 25Water-based Fire Protection Systems - Inspection, Testing, and Maintaining
CFR 483.73(d)(1)EP Training Program
22 Oct 2019Licensure
22 Oct 2019Licensure
Identified deficiencies in emergency preparedness training and testing, including lack of staff knowledge validation and required drills.
CFR 483.73(d)(1)Emergency preparedness training program
CFR 483.73(d)(2)Emergency preparedness testing
16 Oct 2019Revisit
16 Oct 2019Revisit
Investigated follow-up of previous deficiencies; all deficiencies have been corrected, and no new noncompliance was found.
19 Sept 2019Complaint
19 Sept 2019Complaint
Investigators found deficiencies in providing routine dental care and related services for at least one resident, with gaps in documentation and policy adherence.
42 CFR 483.55Dental services
27 Feb 2019Complaint
27 Feb 2019Complaint
Investigated a complaint survey and found no deficiencies.
30 Jan 2019Revisit
30 Jan 2019Revisit
Follow-up determined substantial compliance after earlier deficiencies.
30 Jan 2019Revisit
30 Jan 2019Revisit
Determined substantial compliance after a follow-up survey for deficiencies cited on 11/8/18.
24 Jan 2019Complaint
24 Jan 2019Complaint
Found no deficiencies identified in the complaint investigation.
24 Jan 2019Revisit
24 Jan 2019Revisit
Found no deficiencies and confirmed compliance with all regulations surveyed.
17 Jan 2019Revisit
17 Jan 2019Revisit
Conducted a follow-up survey and found all previously cited deficiencies corrected with no new noncompliance.
21 Dec 2018Complaint
21 Dec 2018Complaint
Investigated a complaint and found inadequate pain management after a change in condition, leading to hospital transfer for the resident involved.
CFR 483.25(k)Pain Management
08 Nov 2018Complaint
08 Nov 2018Complaint
Investigated a survey and identified multiple deficiencies across resident rights, care planning, wound care, nutrition, medications, and infection control.
Investigated deficiencies found in emergency preparedness planning, evacuation and information sharing, and multiple fire-safety-related systems, with failures to test, maintain, and properly document equipment and policies.
NFPA 101 Life Safety CodeMeans of Egress - General
NFPA 72; NFPA 10Fire Alarm System - Testing and Maintenance
NFPA 101Portable Fire Extinguishers CFR(s): NFPA 101
42 CFR 483.73(b)(3)Policies for Evacuation and Primary/Alt. Communications
—Preparedness Plan
—LTC and ICF/IID Sharing Plan with Patients CFRs
NFPA 101; NFPA 110/111Electrical Systems - Essential Electric System
22 Feb 2018Complaint
22 Feb 2018Complaint
Investigated a complaint and found no deficiencies.
09 Jan 2018Revisit
09 Jan 2018Revisit
Verified that all previous deficiencies were corrected and no new noncompliance was found.
04 Jan 2018Revisit
04 Jan 2018Revisit
Found no deficiencies. Previous deficiencies were corrected.
07 Nov 2017Life Safety
07 Nov 2017Life Safety
Identified multiple life-safety deficiencies during a survey, including incomplete fire barriers, inadequate egress signage, sprinkler maintenance gaps, and improper storage and handling of gas equipment.
2012 NFPA 101 Life Safety Code2-hour fire barrier separation and egress
2012 NFPA 101 Life Safety CodeMeans of Egress - No Exit signage
2012 NFPA 101 Life Safety CodeUtilities - Gas and Electric
2012 NFPA 101 Life Safety CodeGas Equipment - Cylinder and Container Storage
2012 NFPA 101 Life Safety CodeSprinkler System - Maintenance and Testing
02 Nov 2017Licensure
02 Nov 2017Licensure
Investigated a deficiency in dietary supervision; the dietary manager did not meet the required qualifications.
Type ACh 11 Sec 11 (a)(i) Dietetic ServicesDietetic Services
02 Nov 2017Complaint
02 Nov 2017Complaint
Investigated a complaint and found multiple deficiencies in resident rights, medication management, housekeeping, assessments, infection control, and nutrition services.
483.10(f)(4)(i)-(vi)Visitation rights
483.10(c)(7)Self-administration of medications
483.10(i)(2)Housekeeping & Maintenance Services
483.20(b)(1)Comprehensive Assessments
483.60(b) or relatedCare planning/Diagnostics (facility-wide)
483.60(c)(1)-(7)Menus/nutrition services
483.80(a)-(f)Infection prevention and control
483.60(c)(1)-(7)Menu planning and nutritional adequacy
483.60(i)(1)-(3)Procurement and storage of foods
20 Jan 2017Revisit
20 Jan 2017Revisit
Concluded no deficiencies were cited after the follow-up review. All required items were completed or waived.
09 Jan 2017Revisit
09 Jan 2017Revisit
Verified corrections of prior deficiencies; all required actions completed.
483.16(b)(1)
483.15(h)(2)
483.20(k)(3)(ii)
483.40(c)(1)-(2)
483.60(a),(b)
483.60(b),(d),(e)
09 Jan 2017Revisit
09 Jan 2017Revisit
Confirmed that previously reported deficiencies were corrected.
Ch 11 Sec 6 (a)(iv)Regulation deficiency
03 Nov 2016Licensure
03 Nov 2016Licensure
Found hot water temperatures exceeding 110 degrees Fahrenheit in multiple resident rooms.
Investigative findings showed multiple deficiencies in resident care and facility conditions, including deteriorated flooring and sanitation issues and problems with medication handling.
—Continued From page 3 - Flooring/sanitation deficiencies
02 Nov 2016Life Safety
02 Nov 2016Life Safety
Investigated deficiencies related to fire safety systems, hazardous areas, and electrical safety, with notes on missing sprinkler components and improper equipment wiring.
—Continued From page 7 - Installation of Sprinkler Systems
—Hazardous Areas - Enclosure
—Electrical Safety - Power Cords/Extension Cords
02 Sept 2016Revisit
02 Sept 2016Revisit
Verified a previously cited deficiency was corrected and the corrective action completed.
483.13(c)(1)(ii)-(iii), (c)(2)-(4)
07 Jun 2016Complaint
07 Jun 2016Complaint
Investigated a resident abuse incident and identified deficiencies in recognizing and reporting the allegation, with a plan to correct the procedures.
—Continued From page 4 - Deficiencies related to reporting and investigation
12 Jan 2016Revisit
12 Jan 2016Revisit
Identified two deficiencies cited under state regulations; corrections completed by 12/14/2015.
Chapter 11 Sec 5(b)(iv)
Chapter 11 Sec 6(a)(iv)
12 Jan 2016Revisit
12 Jan 2016Revisit
Corrections from previous findings were completed and verified.
08 Jan 2016Revisit
08 Jan 2016Revisit
Investigated potential deficiencies and found corrections completed; follow-up confirmed compliance.
08 Jan 2016Revisit
08 Jan 2016Revisit
Investigated a revisit and found that previously reported deficiencies were corrected and completed.
05 Nov 2015Licensure
05 Nov 2015Licensure
Investigated a water-temperature issue and found temperatures in several resident areas exceeded 110°F, including a sink registering 120°F.
Ch 11 Sec 6 (Physical Environment)Water temperatures not to exceed 110 degrees Fahrenheit
05 Nov 2015Complaint
05 Nov 2015Complaint
Investigated allegations of deficient resident care and safety; findings showed multiple problems with care planning, monitoring, and staff practices that affected residents.
483.25Care plan development and implementation
483.20(b)Comprehensive assessments and reassessments
483.25Comprehensive assessments and care planning
03 Nov 2015Life Safety
03 Nov 2015Life Safety
Found deficiencies in life-safety egress hardware and in the storage/handling of medical gases.
NFPA 101 Life Safety Code Standardegress/door hardware
NFPA 99 / NFPA 101 Life Safety Code Standard (medical gas storage and egress)Oxygen storage and medical gas storage
03 Nov 2015Life Safety
03 Nov 2015Life Safety
Investigated and found deficiencies in maintaining plumbing systems and safety equipment, including ventilation and temperature-actuated mixing valves.
WDH Chapter 3 Construction Rules and Regulations for Healthcare Facilities; ANSI Z358.1; 2006 IPC, Sections 411, 608.6General plumbing and safety deficiencies
2006 IPC, Sections 411, and 608.6 (continued); WDH Chapter 3 Construction Rules and Regulations; ANSI Z358.1Continued from page 2
30 Apr 2015Complaint
30 Apr 2015Complaint
Investigated a complaint and found no deficiencies.
04 Dec 2014Revisit
04 Dec 2014Revisit
Verified prior deficiencies were corrected and no new deficiencies were identified.
26 Nov 2014Revisit
26 Nov 2014Revisit
Concluded corrections were completed for prior deficiencies after a follow-up review.
483.10(b)(11)
483.15(h)(2)
483.20(b)(1)
483.20(d)(3)
483.26(c)
483.25(m)(1)
483.20(d)(3)
483.20(k)(3)(i)
483.70(h)
483.70(h)(3)
20 Nov 2014Complaint
20 Nov 2014Complaint
Investigated a complaint and found no deficiencies.
14 Nov 2014Revisit
14 Nov 2014Revisit
Verified corrections completed for life-safety/code deficiencies identified in a prior survey, upon follow-up.
NFPA 101Life Safety Code deficiency
LSCLife Safety Code deficiency K0018
LSCLife Safety Code deficiency K0147
14 Nov 2014Revisit
14 Nov 2014Revisit
Verified that corrections for previously cited deficiencies were completed during the follow-up visit. No new deficiencies were identified.
14 Nov 2014Revisit
14 Nov 2014Revisit
Verified corrections to deficiencies were completed.
17 Oct 2014Life Safety
17 Oct 2014Life Safety
Inspected for life-safety compliance and found deficiencies related to door hardware/closing devices and occupant load. Noted several doors not closing or locking properly and occupancy limits that required adjustment.
Type ANFPA 101 Life Safety Code StandardDoor hardware not functioning; multiple release actions required
Type ANFPA 101 Life Safety Code StandardDoor closures; self-closing devices
Type ANFPA 101 Life Safety Code StandardSelf-locking door hardware
Type ANFPA 101 Life Safety Code StandardStrike/door hardware modifications
Type ANFPA 101 Life Safety Code StandardDead bolt removal and cover modification
Type ANFPA 101 Life Safety Code StandardOccupant load planning
Type ANFPA 101 Life Safety Code StandardOccupant load limit
Type ANFPA 101 Life Safety Code StandardFacility modifications to meet fire safety standards
18 Sept 2014Life Safety
18 Sept 2014Life Safety
Identified life-safety and electrical safety deficiencies, including improper storage in the electrical room and use of extension cords, along with several doors that would not properly close. These issues created potential risks to residents and staff.
NFPA 101 Life Safety Code StandardLife Safety Code – corridor door requirements
NFPA 101 Life Safety Code StandardElectrical safety and workspace clearance
18 Sept 2014Life Safety
18 Sept 2014Life Safety
Identified plumbing and ventilation deficiencies, including uncapped waste piping and lack of backflow prevention on mop service basins, and an air intake too close to a flue vent.
IMC Life Safety - Intl Mechanical CodeIMC Life Safety - Intl Mechanical Code
IPC 2006, Section 704IPC Life Safety - Intl Plumbing Code
11 Sept 2014Licensure
11 Sept 2014Licensure
Investigated a complaint and identified multiple deficiencies in care planning, resident assessments, monitoring, and infection control practices.
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11 Sept 2014Licensure
11 Sept 2014Licensure
Investigated and found several deficiencies in notifying residents of status changes, wound assessment, care planning, and nutrition.
Type A—Notification of changes in resident status
—Care planning and corrective action
—Monitoring
—Prevent/Heal pressure sores - diet and nutrition
—Medication error rates
11 Sept 2014Licensure
11 Sept 2014Licensure
Found no deficiencies. The survey concluded compliance with state requirements.
23 Apr 2014Complaint
23 Apr 2014Complaint
Investigated the complaint; found no deficiencies identified.
03 Sept 2013Revisit
03 Sept 2013Revisit
Investigated corrections after prior deficiencies and verified that corrective actions were completed.
18 Jul 2013Licensure
18 Jul 2013Licensure
Investigated reported deficiencies in resident care and rights; found failures in dignity, medication management, and nursing care.
Dignity and Respect of ResidentsDignity and Respect of Residents
Freedom from Abuse, Neglect, and ExploitationFreedom from Abuse, Neglect, and Exploitation
Nursing ServicesNursing Services
Dietary Services/Meal ServiceDietary Services
Quality of Care / Personal CareQuality of Care / Personal Care
Staff Training & StaffingStaff Training & Staffing
Investigated deficiencies found in care planning adherence and the handling of investigations, with multiple examples of care and documentation failures affecting several residents.
Type A—Care plan adherence / CNA following
Type A—Investigation of alleged deficiencies
Type A—Nursing / medication monitoring
Type A—Nursing/therapeutic services — instruction and oversight
Type A—Medication administration
Type A—Medication administration / orders
18 Jul 2013Licensure
18 Jul 2013Licensure
Concluded that the provider was in compliance with State requirements.
18 Jul 2013Licensure
18 Jul 2013Licensure
Determined the facility was in compliance with state requirements after a survey conducted from 2013-07-15 through 2013-07-18.
17 Jul 2013Life Safety
17 Jul 2013Life Safety
Investigated a life-safety concern and found deficiencies related to doors failing to resist smoke and failing to close properly, posing smoke-spread risks.
NFPA 101 Life Safety Code StandardCorridor doors not smoke resistant
Type ANFPA 101 Life Safety Code StandardDoor hardware preventing proper closure
Type ANFPA 101 Life Safety Code StandardHazardous-area doors not fully closed/secured
17 Jul 2013Life Safety
17 Jul 2013Life Safety
The investigation found multiple life-safety deficiencies, including smoke resistance and closure of corridor doors, improper separation of hazardous areas, and electrical code issues.
NFPA 101 Life Safety Code Standard (2000 edition)Corridor doors not smoke resistant and failing to close
NFPA 101 Life Safety Code Standard (2000 edition)Hazardous areas not adequately separated from patient use areas
NFPA 70, National Electrical CodeElectrical hazards—outlets and wiring not installed to code
NFPA 70, National Electrical CodeElectrical code violations identified in later pages
14 Aug 2012Revisit
14 Aug 2012Revisit
Verified that corrections were completed for prior deficiencies after a follow-up visit.
18 Jul 2012Revisit
18 Jul 2012Revisit
Identified no deficiencies during a follow-up visit conducted on 2012-07-18.
31 May 2012Life Safety
31 May 2012Life Safety
Investigated a verified set of life-safety deficiencies including issues with exit access, door hardware, sprinkler protection, and emergency power testing.
NFPA 101 LIFE SAFETY CODE STANDARDNFPA 101 Life Safety Code Standard
NFPA 101 LIFE SAFETY CODE STANDARDNFPA 101 Life Safety Code Standard
NFPA 101 LIFE SAFETY CODE STANDARDNFPA 101 LIFE SAFETY CODE STANDARD
NFPA 101 LIFE SAFETY CODE STANDARDNFPA 101 LIFE SAFETY CODE STANDARD
24 May 2012Complaint
24 May 2012Complaint
An investigation found multiple deficiencies related to resident care, safety, and infection control, including problems with care planning, documentation, and staff practices.
—Continued From page 3 – Observation and care documentation
—Continued From page 8 – MDS assessments/comprehensive reviews
—Continued From page 11 – Intervention for resident safety
—Continued From page 12 – Care planning and safety interventions
—Continued From page 15 – Care plan updates for safety measures
—Continued From page 22 – Infection prevention and hand hygiene
21 Jul 2011Revisit
21 Jul 2011Revisit
Investigated a complaint and found deficiencies; corrections completed on follow-up.
14 Apr 2011Licensure
14 Apr 2011Licensure
Inspected following a complaint/investigation and identified deficiencies in infection control, equipment/ventilation, and medication practices.
—Hood above range grease accumulation
—Infection control and linen handling
—Ventilation system inadequate
—Drug regimen review / administration
—Continued deficiencies in resident monitoring and care
14 Apr 2011Life Safety
14 Apr 2011Life Safety
Investigated life-safety concerns and found doors that do not close completely and hazardous electrical conditions creating trip hazards.
NFPA 101 Life Safety Code StandardLife Safety Code Standard
NFPA 101 Life Safety Code StandardLife Safety Code Standard
NFPA 101 Life Safety Code StandardLife Safety Code Standard
14 Apr 2011Revisit
14 Apr 2011Revisit
Verified corrections from a prior survey were completed during the follow-up visit. The follow-up confirmed that the cited deficiencies were addressed.
14 Apr 2011Licensure
14 Apr 2011Licensure
Investigated a recertification survey and found the facility in compliance with State Rules and Regulations.
27 May 2010Revisit
27 May 2010Revisit
Investigated identified deficiencies and corrections completed for multiple CMS regulations by 04/16/2010.
483.10(n)
483.15(a)
483.15(i)(2)(iv)
483.25(i)
483.70(h)
483.75(e)(5)-(7)
483.75(i)(2)(iv)
483.25(i)(2)
483.25(d)
483.70(f)
27 May 2010Revisit
27 May 2010Revisit
Found life-safety code deficiencies during a follow-up visit and required corrections.
NFPA 101Life Safety Code deficiency
NFPA 101Life Safety Code deficiency
NFPA 101Life Safety Code deficiency
NFPA 101Life Safety Code deficiency
27 May 2010Revisit
27 May 2010Revisit
Identified deficiencies related to Life Safety Code standards with several items needing correction.
NFPA 101Life Safety Code
NFPA 101Life Safety Code
NFPA 101Life Safety Code
NFPA 101Life Safety Code
27 May 2010Revisit
27 May 2010Revisit
Investigated a follow-up and confirmed corrections were completed for the cited deficiencies.
31 Mar 2010Life Safety
31 Mar 2010Life Safety
Identified noncompliance with emergency power systems due to failure to maintain EPSS and ensure rapid transfer of power within the required time.
NFPA 110: Emergency and Standby Power SystemsEmergency power supply/EPSS
11 Mar 2010Life Safety
11 Mar 2010Life Safety
Found life-safety deficiencies due to corridor doors obstructed in multiple smoke compartments and exit access not properly maintained.
K038 Life Safety Code StandardCorridor doors unobstructed; exit access
11 Mar 2010Licensure
11 Mar 2010Licensure
Found deficiencies in physical environment rules, including unsafe water temperatures and a pet dog in the secured dining area during meals.
Wyoming Rules and Regulations for Nursing Care Facilities, Chapter 11, Section 6 (Physical Environment)Physical Environment
11 Mar 2010Complaint
11 Mar 2010Complaint
Investigated and identified multiple deficiencies in medication safety, resident dignity, activities, housekeeping, and overall care planning.
42 CFR 483.10(n)Self-Administration of Drugs
483.15(a)Dignity and Respect
—Activities Interests/Needs
—Housekeeping and Maintenance Services
—Provide Care/Services for the Highest Well Being
—No Catheter, Prevent UTI, Restore Bladder
—Free of Accident Hazards/ Supervision/ Devices
—Drug Regimen is Free of Unnecessary Drugs
16 Apr 2009Revisit
16 Apr 2009Revisit
Investigated a complaint; deficiencies were cited and corrected.
483.20, 483.20(b)Resident rights
483.20(k)(3)(i)Care planning / resident rights related requirement
483.25Quality of life
483.25(a)(3)Quality of life - activities
26 Mar 2009Revisit
26 Mar 2009Revisit
Investigated a revisit and cited life-safety code deficiencies.
NFPA 101 Life Safety Code
NFPA 101 Life Safety Code
NFPA 101 Life Safety Code
NFPA 101 Life Safety Code
NFPA 101 Life Safety Code
05 Feb 2009Complaint
05 Feb 2009Complaint
Identified deficiencies in resident assessments and care planning, including incomplete MDS assessments and gaps in quality of care and daily living support.
483.20, 483.20(b)Comprehensive Assessments
483.25Comprehensive Care Plans
483.25Quality of Care
05 Feb 2009Licensure
05 Feb 2009Licensure
Concluded that the provider was in compliance with state requirements after a survey conducted from 02/02/09 through 02/05/09.
03 Feb 2009Life Safety
03 Feb 2009Life Safety
Investigated multiple life-safety deficiencies, including egress headroom, nonfunctional hold-open devices, and portable heaters; identified issues with door closings.
NFPA 101 Life Safety Code StandardHeadroom requirements for egress areas
NFPA 101 Life Safety Code StandardMagnetic hold-open devices not functioning
NFPA 101 Life Safety Code StandardPortable space heating devices
NFPA 101 Life Safety Code StandardDoor closings for the dumbwaiter system
13 Aug 2007Revisit
13 Aug 2007Revisit
Investigated a complaint and found deficiencies related to resident rights and quality of care; corrective actions completed.
483.60(a),(b)Resident Rights
483.65(b)(3)483.65(b)(3)
02 Aug 2007Complaint
02 Aug 2007Complaint
Concluded that no deficiencies were identified.
31 May 2007Complaint
31 May 2007Complaint
Identified deficiencies in pharmacy services and infection control related to improper medication handling and inadequate hand hygiene.
483.60(a),(b)PHARMACY SERVICES
483.65(b)(3)PREVENTING SPREAD OF INFECTION
19 Dec 2006Complaint
19 Dec 2006Complaint
Found no deficiencies identified during the complaint investigation conducted on December 19, 2006.
29 Sept 2005Revisit
29 Sept 2005Revisit
Concluded that corrective actions were completed for all identified deficiencies and substantial compliance was achieved.
483.10(d)(3)
483.10(i)(1)
483.15(b)
29 Sept 2005Revisit
29 Sept 2005Revisit
Verified corrections completed for previously cited deficiencies and confirmed follow-up results. The follow-up visit indicated all required corrections were completed.
483.35(h)(1)
483.35(h)(2)
483.40(b)(1)-(3)
483.65(a)(1)-(3)
483.70(b)(1)-(3)
483.70(h)(3)
483.75(b)
483.75(i)(1)-(3)
29 Sept 2005Complaint
29 Sept 2005Complaint
Investigated a complaint; deficiencies from a federal survey were brought back into compliance, and no new deficiencies were cited.
16 Sept 2005Revisit
16 Sept 2005Revisit
Cited multiple deficiencies in regulatory areas and corrections completed.
483.15(h)(2)
483.20(k)
483.20(k)(3)(i)
483.60(d)
483.25(h)(2)
483.35(h)(2)
30 Jun 2005Licensure
30 Jun 2005Licensure
Inspector identified deficiencies in resident rights, protection from abuse, quality of life, and assessment/planning processes. Several issues required follow-up actions.
Type A483.10(d)Free Choice
Type A483.10(b)Abuse
Type A483.15(a)Quality of Life
Type A483.20(k)(2)Resident Assessment
03 Jun 2005Licensure
03 Jun 2005Licensure
An investigation found multiple deficiencies in housekeeping and maintenance, resident assessments, dietary and medication management, and administration.
483.15(h)(2)ENVIRONMENT
483.20(k)(3)(i)RESIDENT ASSESSMENT
483.60(d)DIETARY SERVICES
483.60(d)PHARMACY SERVICES
483.75(b)ADMINISTRATION
483.75(i)(2)ADMINISTRATION
04 May 2005Life Safety
04 May 2005Life Safety
Investigations found fire-safety and storage-related deficiencies, including sprinkler system maintenance and improper storage/clearance practices.
NFPA 13, 5-6.3Sprinkler system maintenance
NFPA Life Safety Code / storage clearance standardsStorage clearance/limits
NFPA 101 Life Safety CodeLife Safety Code – sprinkler system maintenance
27 Jan 2005Complaint
27 Jan 2005Complaint
Investigated the complaint and found no deficiencies.
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