Sheridan Green House Living

    2311 Shirley Cove, Sheridan, WY 82801
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

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

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

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

    Room

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

    Transportation

    • Transportation arrangement (medical)
    • Transportation to doctors appointments

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Scheduled daily activities

    Reviews

    4.31·(13)

    Overall rating

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

      3.7
    • Staff

      4.4
    • Meals

      4.3
    • Amenities

      5.0
    • Value

      4.3

    Pros

    • Attentive, caring staff
    • Individualized support for residents
    • Staff engagement in shared living areas
    • Family accommodation
    • Cottage-style, home-like setting
    • Attractive decor and well-built surroundings
    • Central living and kitchen areas
    • Piano, games, television, and group activities
    • Manicures and other personal-care activities
    • Outdoor deck and pleasant walking or wheeling areas
    • Secure outdoor access

    Cons

    • Reported gaps in follow-up on staff-conduct concerns

    Summary of reviews

    Feedback about care is largely positive. Family members describe residents as safe and well cared for, and praise staff for individualized attention and willingness to accommodate both residents and families. One reviewer, however, raised a concern about a nurse’s conduct and felt that management did not adequately address the complaint. This is a single account in the material provided, so it does not establish a broader pattern, but it is a point for families to ask about when evaluating the facility’s complaint-response process.

    The setting is repeatedly described as attractive and less institutional than a traditional long-corridor layout. Reviews mention cottage-style living, central shared living and kitchen areas, upscale decor, and a pleasant outdoor environment. A deck connected to the living area offers a place to sit outside, with access described as secured. The grounds also include safe places to walk or wheel around.

    Activities and social engagement appear to be part of daily life. One visitor observed staff interacting with residents around a shared table, including manicures, and noted a piano, games, and a large television in the common area. A family member also praised staff for individualized care. The reviews do not provide substantive information about meals, menus, dining quality, or dining-service routines.

    Overall, the comments emphasize a welcoming physical environment, engaged and caring staff, and a cottage-based approach to senior living. Most feedback is favorable, while the concern about complaint follow-up stands apart from the positive accounts. The available reviews offer little detail about clinical services, staffing consistency, or management practices beyond that individual concern.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Sheridan Green House Living is located at 2311 Shirley Cove, Sheridan, WY, 82801.

    About Sheridan Green House Living

    Sheridan Green House Living sits in Sheridan County, Wyoming, and folks will notice it doesn't look or feel like a big nursing home, because it's made up of four smaller Green House cottages where each person gets a private room and a private bathroom, so they can hang their own photos and make the space feel like home, and you'll see big gathering rooms where people can spend time together, maybe playing cards, watching a movie, or just talking, and each cottage even has a salon and a whirlpool tub right there for comfort and beauty needs, which folks like so they don't have to go far for a haircut or a soak. Meals come from a real kitchen, and the chef prepares food that fits special diets, like for people who can't have gluten or need diabetes-friendly options, and snacks are always available, so nobody goes hungry. Laundry gets done for everyone, and housekeeping keeps things clean, even offering dry cleaning, and there's cable in each room, so folks can keep watching their shows, with all kinds of activities set up to help people keep busy, from arts and movie nights to gardening and walking paths outside the cottages where you can get some sun and move a bit.

    Sheridan Green House Living stands as the first community in the nation to open Green House homes through local support, backed by a nonprofit called Alternative Elder Living, Inc. (AEL), and this setup means community folks got together to make sure it exists, so it really grew out of citizen care. The place takes Medicaid and Medicare, and the fees can change depending on insurance, so new residents can sit down with staff during admission to talk about what fits. The heart of the place is a belief in treating everyone with respect, letting elders and staff build meaningful relationships, and focusing on making everyone feel like equal partners in everyday life. Someone's always around, with 24-hour supervision, and care staff help with medicine, bathing, dressing, and getting around, plus they coordinate with doctors and help with appointments, even arranging van rides to medical visits set up by Green House Living. Security gets a boost from emergency alert systems in all the rooms, and everything is wheelchair friendly, so nobody gets left behind.

    Residents take part in weekly beauty and barber services in their own cottages, get help moving in, and can join in meals together in the dining area or find quiet if that's what they need. Activities fill the schedule, and there are garden spots, a central living room for games or hobbies, and outside walking paths for exercise or fresh air. This community makes a point of supporting connections between residents, families, staff, and even folks stopping by from town, so daily life feels active and full of friendship. It's part of a national movement in the Green House Project, and their goal stays clear: provide dignified long-term care in homes where everyone belongs, with comfort, safety, and meaning at the core. Services run Monday through Friday from 8:00am to 5:00pm, and you can find more information or engage with them through social media links like Facebook and Instagram, since they believe in staying connected in whatever ways work best for residents and their loved ones. Physical therapy, occupational therapy, telephone, oxygen, or pharmacy services aren't included, but Medicaid can handle those if people need them, and medical supplies are provided right there. It's a place where being part of a caring group matters, with life kept as simple, safe, and familiar as possible for everyone who calls it home.

    People often ask...

    Sheridan Green House Living offers assisted living, memory care, and skilled nursing.

    There are 4 photos of Sheridan Green House Living on Mirador.

    The full address for this community is 2311 Shirley Cove, Sheridan, WY 82801.

    No, Sheridan Green House Living does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Wyoming, the Department of Health's Healthcare Licensing & Surveys program licenses care facilities and publishes licensure, complaint, and life-safety findings.

    License numbernh-268
    StatusOpen
    Facility typeNursing Home

    Inspection Reports

    85

    Reports

    37

    Type A Citations

    0

    Type B Citations

    21

    Complaints

    14

    Years

    22 Apr 2026Revisit
    Verified that all previously cited deficiencies were corrected and no new noncompliance was found.
    03 Feb 2026Complaint
    Investigated a complaint and identified deficiencies in neglect prevention, accuracy of assessments, and care plan updates.
    • §483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • §483.20(g)(h)(i)(j)Accuracy of Assessments
    • §483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
    19 Nov 2025Complaint
    Found inadequate supervision and delayed call-light response contributed to an unwitnessed bathroom fall and subsequent death.
    • §483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    30 Jun 2025Revisit
    Verified no deficiencies were found after follow-up for previously cited items.
    23 Apr 2025Revisit
    Concluded compliance with life safety and emergency preparedness requirements after follow-up reviews; all previously cited deficiencies were corrected.
    13 Mar 2025Complaint
    Identified widespread deficiencies in how residents' rights, activities, nutrition, staffing, dementia care, medications, infection prevention, and immunizations were managed. The findings indicate several areas where care and safety were not properly provided.
    • CFR 483.10Resident Rights
    • CFR 483.24Activities Meet Interest/Needs
    • CFR 483.25(g)Nutrition/Hydration Status Maintenance
    • CFR 483.35(a)Sufficient Nursing Staff
    • CFR 483.35(d)Nurse Aide Registry Verification, Retraining
    • CFR 483.40(b)(3)Treatment/Service for Dementia
    • CFR 483.45(d)Drug Regimen Free from Unnecessary Drugs
    • CFR 483.60(d)Nutritive Value/Appearance, Palatable/Preferred Temp
    • CFR 483.80(a)(3)Antibiotic Stewardship Program
    • CFR 483.80(b)Infection Preventionist Qualifications/Role
    • CFR 483.80(d)Immunizations
    13 Mar 2025Life Safety
    Cited deficiencies in emergency preparedness and life-safety compliance. The issues included tracking of staff and residents during emergencies, volunteer staffing, means of egress, testing and maintenance of fire alarm and sprinkler systems, fire drills, essential electrical systems, and oxygen cylinder storage.
    • 42 CFR 483.73(b)(2)Emergency preparedness - Procedures for Tracking of Staff and Patients
    • 42 CFR 483.73(b)(6)Emergency preparedness - Volunteers and staffing
    • NFPA 101, 2012 Edition; Means of Egress - General (19.2.1; 7.1.10.1)Means of Egress - General
    • NFPA 101; NFPA 72Fire Alarm System - Testing and Maintenance
    • NFPA 101; NFPA 25Sprinkler System - Maintenance and Testing
    • NFPA 101, 2012 Edition; Fire Drills (19.7.1.6)Fire Drills
    • NFPA 110; 8.4, 8.3.7.1Electrical Systems - Essential Electric System
    • NFPA 99; 6.4.4.1.2.1Electrical Systems - Main and Feeder Circuit Breakers
    • NFPA 101; NFPA 99 (11.3.x, 11.6.5)Gas Equipment - Cylinder and Container Storage
    30 Sept 2024Complaint
    Found no deficiencies. The complaint investigation identified no regulatory deficiencies.
    01 May 2024Revisit
    Confirmed all prior deficiencies were corrected and found no new noncompliance.
    17 Apr 2024Revisit
    Investigated a deficiency found that the facility failed to perform the required four-hour test of the emergency electrical system and lacked documentation for the test in the last 36 months; staff acknowledged the deficiency.
    • NFPA 101 Life Safety Code (2012): 19.7.6; 8.3.3.1; NFPA 80 (2010): 6.2.1Maintenance, inspection and testing of emergency power systems
    04 Apr 2024Complaint
    Investigated a complaint about unsafe environmental conditions and found heating/cooling malfunctions that could harm residents.
    • CFR 483.90(i)Environmental conditions
    20 Mar 2024Complaint
    Identified deficiencies related to nurse staffing data posting and related documentation; the posted staffing information was incomplete across multiple days.
    • Type A§483.25(g)(2)Posting nurse staffing data
    06 Mar 2024Revisit
    An on-site Life Safety Code revisit found multiple deficiencies related to fire safety and building systems, including inadequate testing and maintenance of the fire alarm, doors, sprinkler system, and electrical systems.
    • 42 CFR 483.90Life Safety Code – Testing and Maintenance
    • NFPA 101Maintenance, Inspection & Testing - Doors
    • NFPA 101Electrical Systems – Essential Electric System
    • NFPA 101 and NFPA 80Sprinkler System – Maintenance and Testing
    01 Feb 2024Licensure
    Investigated and found deficiencies in mail delivery and infection control practices during the survey.
    • §483.10(g)(8)Right to mail
    • §483.80Infection prevention and control
    30 Jan 2024Life Safety
    Identified multiple deficiencies in emergency preparedness and life-safety systems, including failures to test and document emergency plans and maintenance of critical systems.
    • 42 CFR 483.73(d)(2)Emergency Preparedness – testing requirements
    • 42 CFR 483.73(d)(2)Emergency Preparedness – testing requirements
    • NFPA 72Fire Alarm System – Testing and Maintenance
    • NFPA 25Sprinkler System – Maintenance and Testing
    • NFPA 80Doors – Maintenance and Testing
    • NFPA 101Electrical Systems – Maintenance and Testing
    • NFPA 70; NFPA 110; NFPA 111; NFPA 101Electrical Systems – Maintenance and Testing (additional)
    17 Nov 2023Licensure
    Identified multiple deficiencies across transfer/discharge Notices, bed-hold policies, pressure ulcer care planning, transfer safety, psychotropic medication management, infection control, antibiotic stewardship, COVID-19 vaccination policies, and QAPI oversight.
    • §483.15(c)(3)-(6)(8)Notice Requirements Before Transfer/Discharge
    • §483.15(d)(1)-(2)Notice of Bed-Hold Policy Before/Upon Transfer
    • §483.21(b)(1)-(3)Develop/Implement Comprehensive Care Plan
    • §483.25(d)(1)-(2)Free from Accident Hazards/Supervision/Devices
    • §483.45(c)(3)-(e)(1)-(5)Free from Unnecessary Psychotropic Meds/PRN Use
    • §483.75(a)-(i)QAPI Program/Plan
    • §483.80(a)(1)-(2)(4)(e)(f)Infection Prevention & Control
    • §483.80(a)(3)Antibiotic Stewardship Program
    • §483.80(i)(1)-(3)(i)-(x)COVID-19 Vaccination of Facility Staff
    22 Aug 2023Complaint
    Found no deficiencies related to the complaint.
    15 May 2023Revisit
    Verified no deficiencies were found and all prior issues were corrected.
    31 Mar 2023Complaint
    Found deficiencies in timely access to residents' medical records and in transfer/discharge processes, including missing written notices.
    • 42 CFR 483.10(g)(2)-(3)Right to Access/Purchase Copies of Records
    • 42 CFR 483.15(c)(1)-(2)Transfer and Discharge Requirements
    • 42 CFR 483.15(c)(3)-(8)Notice Requirements Before Transfer/Discharge
    31 Jan 2023Revisit
    Investigated a revisit survey; found all prior deficiencies corrected and no new noncompliance.
    13 Jan 2023Revisit
    Found no deficiencies. All previous deficiencies have been corrected.
    22 Nov 2022Life Safety
    Identified multiple deficiencies in emergency preparedness and life-safety systems, showing failures in planning, testing, and maintenance across various critical areas. Violations were found in collaboration processes, drills, power systems, fire safety, HVAC, and doors.
    • §483.73(a)(4)Local, State, Tribal Collaboration Process
    • §483.73(d)(2)EP Testing Requirements
    • §483.73(e)Emergency and standby power systems
    • NFPA 101 19.3.4.1; NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
    • NFPA 101 9.7.5; 9.7.7; 9.7.8; NFPA 25Sprinkler System - Maintenance and Testing
    • NFPA 101 19.5.2; 9.2.1; NFPA 90A 5.4.8.1; NFPA 80 5.2.1HVAC
    • NFPA 101 19.7.6; 8.3.3.1; NFPA 80 5.2.1, 5.2.3Maintenance, Inspection & Testing - Doors
    • NFPA 110; NFPA 99; NFPA 70; NFPA 111Electrical Systems - Essential Electric System
    17 Nov 2022Licensure
    Determined that no deficiencies were cited. The survey concluded compliance with state requirements.
    07 Feb 2022Revisit
    Verified that all prior deficiencies were corrected and found no new noncompliance.
    07 Feb 2022Revisit
    Verified compliance with all regulations; prior deficiencies were corrected.
    29 Dec 2021Revisit
    Verified that no deficiencies remained and that compliance was restored.
    07 Dec 2021Complaint
    Investigated a complaint and found abuse of an elder by a staff member; the staff member was terminated after investigation.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    28 Oct 2021Licensure
    Evidence showed several deficiencies in survey accessibility, Medicare/Medicaid notices, resident activities, quality of care, food safety, and infection control.
    • 483.10(g)(10)(11)Right to Survey Results/Advocate Agency Info
    • 483.10(g)(17)-(18)Medicaid/Medicare Coverage/Liability Notice
    • 483.24(c)Activities
    • 483.25Quality of Care
    • 483.60(i)Food safety
    • 483.80Infection Prevention & Control
    28 Oct 2021Life Safety
    Identified multiple deficiencies in emergency preparedness, staff tracking, drills, and safety storage. The issues included an outdated plan, lack of tracking for on-duty staff, missing testing requirements, and unsafe handling of power strips and oxygen storage.
    • CFR 483.73(a)Develop Emergency Plan; Review and Update Annually
    • CFR 483.73(b)(2)Procedures for Tracking of Staff and Patients
    • CFR 483.73(d)(2)EP Testing Requirements
    • NFPA 99 10.2.3.6Electrical Equipment - Power Cords and Extension Cords
    • NFPA 99 11.3.2.3Gas Equipment - Cylinder and Container Storage
    30 Sept 2020Revisit
    Verified that all previously cited deficiencies were corrected and no new noncompliance was found.
    08 Apr 2020Licensure
    Determined that no deficiencies were identified in the COVID-19 focused infection control survey.
    04 Mar 2020Revisit
    Found no deficiencies. All previously cited items were corrected and no new noncompliance was found.
    15 Jan 2020Life Safety
    Identified life-safety and emergency-readiness deficiencies, including issues with cooking facilities and the fire alarm system, plus gaps in emergency planning.
    • NFPA 101 19.3.2.5.3(10); NFPA 96 Table 11.4Cooking Facilities
    • NFPA 101; NFPA 72; NFPA 70Fire Alarm System – Testing and Maintenance
    • —Emergency Preparedness – Initial Comments
    • —Emergency Preparedness Plan
    15 Jan 2020Licensure
    Found deficiencies in resident care involving medication management, wound care, and nutrition.
    19 Sept 2019Revisit
    Verified that all prior deficiencies were corrected and no new noncompliance was found.
    02 Jul 2019Complaint
    Identified deficiencies in discharge planning and resident care practices, including issues with discharge notices and related documentation.
    • Type A—Nonpayment and discharge procedures
    • Type A—Discharge planning/notification requirements
    • —Care plan/Quality of care improvements
    11 Jun 2019Revisit
    Concluded that all prior deficiencies were corrected and no new noncompliance was found; the operation was in compliance with all surveyed regulations.
    17 Apr 2019Revisit
    Concluded that prior deficiencies were corrected and no new noncompliance was found; regulations surveyed were met.
    05 Mar 2019Life Safety
    An inspection identified several life-safety deficiencies, including problems with means of egress, maintenance and testing of the fire alarm and sprinkler systems, and gaps in emergency preparedness efforts.
    • NFPA 101 Life Safety Code; 2012 NFPA 101 19.2.1, 7.2.1.15.2Means of Egress - General
    • NFPA 72; NFPA 101; NFPA 80Fire Alarm System - Testing and Maintenance
    • NFPA 101; NFPA 13Sprinkler System - Maintenance and Testing
    • 42 CFR 483.73(d)(2); NFPA 101 Life Safety Code; NFPA 25Emergency Preparedness
    28 Feb 2019Licensure
    Identified deficiencies in abuse reporting and investigations, transfer and bed-hold communications, medication safety, psychotropic drug monitoring, and infection control.
    • 483.12(c)(1)(4)Reporting of Alleged Violations
    • 483.12(c)(2)-(4)Investigate/Prevent/Correct Alleged Violation
    • 483.15(c)(3)-(6)(8)Notice Requirements Before Transfer/Discharge
    • 483.15(d)(1)-(2)Notice of Bed Hold Policy Before/Upon Transfer
    • 483.45(a)-(b)(3)Pharmacy Services
    • 483.45(e)(1)-(5)Psychotropic Drugs
    • 483.80(a)-(f)Infection Control
    28 Feb 2019Licensure
    Found no deficiencies. The survey concluded compliance with state requirements.
    21 Mar 2018Revisit
    Concluded no deficiencies were found. Prior deficiencies were corrected, and compliance with all regulations surveyed was achieved.
    15 Mar 2018Revisit
    Found no deficiencies; prior deficiencies were corrected and compliance with all surveyed regulations was achieved.
    05 Mar 2018Revisit
    Concluded that all previous deficiencies were corrected and no new noncompliance was found.
    11 Jan 2018Licensure
    Identified deficiencies included failure to provide ABN for Medicare Part A non-coverage, inaccurate MDS wandering coding, and cracked/chipped tableware affecting sanitation.
    • §483.10(g)(17)-(18)Medicaid/Medicare Coverage/Liability Notice
    • §483.20(g)Accuracy of Assessments
    • §483.60(i)(1)-(2)Food safety requirements - Procurement/Storage/Preparation/Service
    11 Jan 2018Licensure
    Determined that required dietetic services credentials were not met; the dietetic manager was not certified and the final examination for the training program had not been completed.
    • Ch 11 Sec 11 (a)(i) Dietetic ServicesDietetic Services
    10 Jan 2018Life Safety
    Several deficiencies were found in fire safety testing documentation, emergency preparedness, and the facility’s emergency communications planning.
    • NFPA 72Two-year smoke detector sensitivity testing
    • NFPA 101Four-year fire damper testing
    • 42 CFR 483.73(b)(6)Policies/Procedures—Volunteers and Staffing
    • —Development of Communication Plan
    10 Feb 2017Revisit
    Identified multiple deficiencies requiring correction. Corrections have been completed.
    • 483.12(a)(3)(4)(c)(1)-(4)
    • 483.10(a)(1)
    • 483.10(i)(2)
    • 483.20(g)-(j)
    • 483.25(d)(1)(2)(n)(1)-(3)
    • 483.10(a)(1)(2)(4)(e)(f)
    • 483.70(j)(1)(5)
    • 483.75(m)(1)
    • 483.75(g)(1)(i)-(iii)(2)(i)(ii)(h)(i)
    10 Feb 2017Revisit
    Verified that previously reported deficiencies were corrected by the follow-up visit; corrective actions were completed.
    • Ch 11 Sec 6 (a)(iv)Ch 11 Sec 6 (a)(iv)
    31 Jan 2017Revisit
    Verified that previously cited deficiencies were corrected; no new deficiencies were found.
    • NFPA 101Life Safety Code
    31 Jan 2017Revisit
    Verified that deficiencies previously reported were corrected and corrective actions completed.
    07 Dec 2016Life Safety
    Found non-compliance with NFPA 70 due to missing electrical receptacles.
    • NFPA 70 (National Electrical Code)Electrical receptacles not in compliance (NFPA 70)
    07 Dec 2016Life Safety
    Found noncompliant electrical receptacles not installed in accordance with NFPA 70; observed a floor-mounted receptacle near a bathtub in the spa area.
    • 42 CFR 483.70(a)Life Safety Code requirements
    • NFPA 70Electrical receptacles (National Electrical Code)
    03 Dec 2016Licensure
    Investigated dietary manager qualifications and found that required training and certification were not met.
    • —Dietary manager qualifications and training not met
    01 Dec 2016Licensure
    Observed hot water temperatures at multiple fixtures accessible to residents exceeded the safe limit, indicating improper temperature control.
    • Ch 11 Sec 6 (a)(iv) Physical EnvironmentPhysical Environment
    01 Dec 2016Licensure
    Investigated findings identified deficiencies in handling resident dignity and the investigation of abuse allegations.
    • Type A483.10(a)(1)DIGNITY AND RESPECT OF INDIVIDUALITY
    01 Aug 2016Revisit
    Found no deficiencies.
    02 Mar 2016Revisit
    Cited multiple deficiencies requiring correction across several regulatory standards.
    • 483.10(b)(11)
    • 483.13(c)(1)(ii)-(iii), (c)(2)
    • 483.15(a)
    • 483.20(b)(1)
    • 483.20(d)(3), 483.10(k)
    • 483.25(c)
    • 483.25(h)
    • 483.35(i)
    • 483.65(a)
    19 Jan 2016Revisit
    Observed deficiencies in life-safety and NFPA 101 compliance during post-certification revisits; corrective actions were completed on multiple dates.
    • LSCLife Safety Code deficiency
    • NFPA 101Life Safety Code deficiency
    • LSCLife Safety Code deficiency
    • NFPA 101Life Safety Code deficiency
    • LSCLife Safety Code deficiency
    03 Dec 2015Licensure
    Determined that dietary manager qualifications did not meet requirements.
    • Ch 11 Sec 11(a)(1) Dietetic ServicesDietetic services; dietary manager qualifications
    03 Dec 2015Licensure
    An investigation identified several deficiencies in care planning, notification of changes, wound care documentation, infection control, and food safety practices. The findings show failures to notify physicians and relatives, incomplete assessments, and inadequate infection prevention measures.
    • Type A42 CFR 483.15(e)(2)Notification of changes in room assignment
    • Type A42 CFR 483.10(b)(1)Notification of changes in resident condition
    • —Care Area Assessments (CAAs) / MDS
    • —Wound care / care planning
    • —Food procurement / safety practices
    • 42 CFR 483.80Infection control
    02 Dec 2015Life Safety
    Found multiple safety deficiencies related to life-safety systems and storage of medical gases, including lack of sprinkler protection for an exterior exit, an unposted certificate, and inadequate protection of oxygen storage.
    • —Certificate posting
    • —Exterior exit overhang sprinkler protection
    • NFPA 101 Life Safety Code; NFPA 99; NFPA 70; NFPA 72Life safety systems and medical gas storage standards
    • NFPA standardsOxygen storage area protection
    09 Jan 2015Revisit
    Investigated a complaint; deficiencies cited for multiple federal requirements.
    • 483.10(b)(11)Resident rights
    • 483.13(e)(1)(ii)-(iii), (ce)(2)-(4)Freedom from abuse, neglect, and exploitation
    22 Oct 2014Complaint
    The inspection found multiple deficiencies in abuse prevention policies, investigations, care planning, and record-keeping, indicating noncompliance with several regulatory requirements.
    • Type A—DEVELOP/IMPLEMENT ABUSE/NEGLECT POLICIES
    • Type A—INVESTIGATION/REPORTING OF ALLEGATIONS
    • Type A—PROVISION OF MEDICALLY RELATED SERVICES
    • Type A—CARE PLANNING
    • Type A—RECORDS/ACCURATE/ACCESSIBLE
    • Type A—QUALITY ASSURANCE/IMPROVEMENT
    22 Oct 2014Complaint
    Investigated findings identified multiple deficiencies related to resident protection, abuse policies, and care planning, with required corrective actions noted.
    • Type A483.13(c)DEVELOP/IMPLEMENT ABUSE/NEGLECT, ETC POLICIES
    • Type A—ABUSE/NEGLECT POLICY TIMELINES AND IMPLEMENTATION
    12 Sept 2014Revisit
    Verified corrections were completed for previously cited deficiencies.
    12 Sept 2014Revisit
    Found no deficiencies. No violations were cited.
    12 Sept 2014Revisit
    Investigated the prior deficiency and completed a revisit; no deficiencies were cited.
    08 Jul 2014Life Safety
    Found noncompliance with plumbing system maintenance and backflow protection, including an interconnection created by a hose connection to a chemical dispenser.
    • 102.3; 102.4Maintenance of plumbing systems; backflow prevention
    08 Jul 2014Life Safety
    Identified a life-safety deficiency: combustible decorations were not flame retardant; observed a fabric banner without flame-retardant labeling.
    • NFPA 101 Life Safety Code StandardLife Safety Code - Flame retardant decorations
    14 Jan 2014Complaint
    Investigated a complaint and found no deficient practices were identified.
    07 Aug 2013Life Safety
    Found deficiencies related to life-safety system maintenance and egress controls, including inadequate battery testing for the fire alarm system and gates that could impede exit.
    • Type ANFPA 101 LIFE SAFETY CODE STANDARDFire alarm system maintenance/testing
    • Type ANFPA 101 LIFE SAFETY CODE STANDARDPadlock system on patio gates
    27 Jun 2013Complaint
    Identified multiple deficiencies in resident assessments, care planning, infection control, and quality assurance.
    • Type A—Resident assessment and care planning deficiencies
    • Type A—Assessment by RN
    • Type A—Hazardous chemicals/chemical safety
    • Type A—Quality Assurance and Performance Improvement program
    • Type A—Laboratory results management
    • Type A—Medication management
    27 Jun 2013Complaint
    Identified multiple deficiencies related to care planning and monitoring, medication administration, and infection control, along with gaps in the facility's QA program.
    • —Timely administration of medications
    • —Quality Assurance and Performance Improvement (QAPI)
    • —Quality assessment and assurance program (continued)
    • —Hazards/Supervision/Devices
    27 Jun 2013Licensure
    Concluded that no deficiencies were found. The survey determined compliance with state requirements.
    27 Jun 2013Licensure
    Concluded that the facility was in compliance with state requirements.
    26 Jun 2013Life Safety
    An inspection identified smoke barrier and door issues, including cross‑corridor barrier doors not closing properly and gaps in smoke barriers. Several Life Safety Code deficiencies were cited with corrective actions noted.
    • NFPA 101 Life Safety Code StandardCorridor walls and ceilings barrier
    • NFPA 101 Life Safety Code StandardCross-corridor smoke barrier doors
    • NFPA 101 Life Safety Code StandardHazardous areas separation
    • NFPA 101 Life Safety Code StandardDoor openings in smoke barriers
    26 Jun 2013Life Safety
    Identified life-safety deficiencies related to smoke barriers and door closures during a survey.
    • NFPA 101 Life Safety Code, 2000 editionCross-corridor smoke barrier door closure
    26 Jun 2013Life Safety
    Identified life-safety deficiencies related to smoke barriers and sprinkler system maintenance, including doors not closing properly and missing protective hardware.
    • Type ANFPA 101 Life Safety Code, 2000 editionCorridor smoke barrier doors not closing
    • Type ANFPA 101 Life Safety Code, 2000 editionHazardous areas separation between use areas
    • Type ANFPA 101 Life Safety Code, 2000 editionCorridor walls and ceilings barrier requirements
    • Type ANFPA 101 Life Safety Code, 2000 editionSprinkler system maintenance and inspections
    • Type ANFPA 101 Life Safety Code, 2000 editionAdditional life-safety deficiencies related to smoke barriers
    01 Aug 2012Revisit
    Investigated life-safety code deficiencies and documented corrective actions completed in June 2012.
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    • NFPA 101 Life Safety CodeLife Safety Code deficiency
    01 Aug 2012Revisit
    Investigated door hardware deficiencies that did not meet NFPA 101 life safety requirements, specifically issues with releasing devices and egress door hardware.
    • 7.2.1.5.4A latch or other fastening device on a door shall be provided with releasing device
    • 18.2.2.2.4Doors within a required means of egress shall not be equipped with a latch or lock that requires the use of a tool or key from the egress side.
    26 Jul 2012Revisit
    Investigated safety and supervision concerns with resident care; multiple deficiencies cited related to environment, supervision, and resident rights.
    • 483.10(n)Resident environment and supervision to prevent accidents
    • 483.13(c)(1)(i)(ii)-(iii), (c)(2)-(4)Quality of life; rights related deficiencies
    • 483.25(h)Free of accident hazards; supervision and devices
    • 483.20(d), 483.20(k)(1)Resident rights; safety and supervision
    • 483.25(i)Need for supervision/adequate safety measures
    • 483.25(k)Resident safety and environmental controls
    • 483.75(i)(2)(iv)Recertification/Inspect; facility safety and operation
    • 483.75(i)Resident rights and safety processes
    10 May 2012Licensure
    Investigated the facility for issues in medication administration, resident safety, and policy implementation; multiple deficiencies were identified during the survey conducted in May 2012.
    • Type A—Observe/monitor medication administration
    • Type A—Continued from page 3 - incontinence and toileting care
    • Type A—Abuse/Neglect policies
    • Type A—Quality Assurance/Improvement
    • Type A—Transfers/Admissions - policies
    • Type A—Laboratory/Medication documentation
    10 May 2012Licensure
    Determined that the provider was in compliance with state requirements after a survey.
    08 May 2012Life Safety
    An investigation identified multiple life-safety deficiencies, including improper exit hardware, inadequate egress protections, and missing or noncompliant signage. Numerous items required corrections.
    • Type ANFPA 101 Life Safety Code Standard, 2000 EditionContinued From page 2 — single action egress hardware required
    • Type ANFPA 101 Life Safety Code Standard, 2000 Edition; 18.5.2.2.4Doors within a required means of egress
    • Type ANFPA 90A; NFPA 101 Life Safety Code Standard; 9.2 and related sectionsMechanical/HVAC systems meet code
    • Type ANFPA 101 Life Safety Code Standard; NFPA 99; 8.6.4.2Signage and safety signs (non-smoking/oxygen areas)

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