Crook County Hospital & Long Term Care

    Crook Cnty Hospital & Long Term Care, 713 E Oak St, Sundance, WY 82729
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Excellent, responsive care; welcoming facility

    I had a very good experience - staff were kind, attentive and professional, nurses and doctors gave excellent, responsive care (even during an emergency), and the facility was very clean and welcoming to my autistic family member. I would return and recommend their long-term care and ER services.

    Loved one of resident
    Jul 2026

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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

    4.45·(20)

    Overall rating

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

      4.6
    • Staff

      4.6
    • Meals

      4.5
    • Amenities

      1.0
    • Value

      4.5

    Pros

    • Compassionate nursing staff
    • Attentive emergency department care
    • Knowledgeable caregiving team
    • Responsive acute-care clinicians
    • Comforting family support during emergencies
    • Inclusive support for neurodiverse family members
    • Clean, well-regarded long-term care unit
    • Small-community, hospitable staff
    • Quick and professional ER services

    Cons

    • Sanitation inconsistencies in resident rooms and some common areas
    • Inconsistent medication-administration timing and clinical-response gaps
    • Billing and price-transparency shortcomings
    • Signage and wayfinding deficiencies
    • Perceived administrative communication and trust gaps
    • Inconsistent infection-control practices

    Summary of reviews

    Overall impression: Review content reflects a facility with strong bedside strengths but notable operational inconsistencies. Many families and patients praised the clinical team — nurses, physicians, and emergency staff — for being compassionate, attentive, professional and effective in acute situations. The long-term care unit receives specific positive mention for cleanliness and quality care, and several accounts highlight the facility's small-town hospitality and inclusive approach to families, including support for neurodiverse visitors.

    Care and staff: Clinical care and direct caregiving are the facility's clear strengths. Reviewers repeatedly describe nursing and caregiving staff as kind, knowledgeable, and responsive; the emergency department is characterized as quick and professional. Families noted helpful communication and emotional support during medical events. These positive themes suggest reliable bedside care and a team-oriented culture among clinical staff.

    Facilities and cleanliness: Feedback on facility condition is mixed. Several accounts praise the long-term care unit as very clean and well maintained, but other accounts raise sanitation concerns in resident rooms and some common areas (including cleaning and waste-removal consistency). This variability suggests that housekeeping standards may differ by unit or shift; prospective families should verify current cleaning schedules and unit-specific maintenance during a tour.

    Clinical oversight and safety: While many reviewers commend clinical responsiveness, there are also important concerns about medication timing and clinical-response gaps. A small number of serious critiques reference medication delays and adverse outcomes, and at least one comment raised concerns following a resident's death. Additionally, there are mentions of inconsistent infection-control or COVID-19 management. These are substantial issues for prospective residents to explore — ask about medication-administration protocols, incident-response procedures, staffing levels for higher-acuity needs, and infection-control policies.

    Management, billing, and navigation: Administrative areas drew recurrent criticism. The billing office and price transparency were singled out as problematic; families described unclear charges and unhelpful billing interactions that negatively affected their overall trust. Signage and wayfinding, especially for visitors trying to locate the ER, were also noted as needing improvement. Taken together, these administrative weaknesses can undermine otherwise positive clinical experiences.

    Dining and activities: Review content provides little specific information about dining quality or activity programming. The absence of repeated comments on meals or recreational programming means prospective residents should request sample menus, activity calendars, and opportunities to observe or participate prior to making placement decisions.

    Notable patterns and guidance: The dominant pattern is a strong clinical and interpersonal culture at the bedside contrasted with operational variability in housekeeping, medication timing, infection-control consistency, and administrative transparency. For families considering this facility, recommended due diligence includes touring the specific unit of interest, meeting shift nursing staff, asking for written cleaning and medication-administration protocols, requesting an itemized estimate and billing contact, and observing signage and parking/entry flow. These steps will help confirm that the specific unit and day-to-day operations meet the family's expectations.

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    Medicare Ratings

    3·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

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

    Location

    Map showing location of Crook County Hospital & Long Term Care

    Crook County Hospital & Long Term Care is located at Crook Cnty Hospital & Long Term Care, 713 E Oak St, Sundance, WY, 82729.

    About Crook County Hospital & Long Term Care

    Crook County Hospital & Long Term Care sits at 713 E Oak St in Sundance, Wyoming, and it's operated by Crook County Medical Services District, making it a public facility where folks can get a range of health and supportive services without too much fuss. The main building's got a 16-bed hospital for emergencies and acute care and a 32-bed long term care facility for people who need more daily help. People living there get personal care plans after a careful assessment, so staff focus on what residents can do and give help with what they can't, covering things like bathing, dressing, transfers, and medication management, and it all happens with respect, dignity, and compassion like they say in their philosophy. There's around-the-clock nursing from licensed nurses, licensed practical nursing assistants, and certified nursing assistants, and the place covers medical care, wound care, rehab, and specialized memory care for folks with Alzheimer's and dementia, giving supervision, memory-boosting activities, and secure spaces so everyone's safe. Seniors can stay there full-time or use respite care for a short break if caregivers need one, and there's also short-term rehab with "swing bed" care for people who need to get back on their feet between the hospital and home. Daily life's set up to give community engagement, with inside and outside common areas like gardens, daily activities, and events, and they've got meals tailored for diabetes and special diets, with kitchenettes, meals, and snacks, and the rooms come ready with cable, wi-fi, housekeeping, linen services, and even phones so nobody feels left out. Transportation's available for medical appointments, so no one misses seeing the doctor, and residents don't have to worry about getting someone to drive them. The hospital has a wellness gym, emergency room, and clinic all at the main campus for folks who need more than just long-term care, with the emergency department even certified for trauma cases. On the technology side, there's a patient portal for people who like to check things online or need to talk with staff, and coordination between care providers happens so nobody falls through the cracks. In addition to regular hospital and long-term care, services cover home health, lab work, radiology like X-rays and mammograms, surgeries from biopsies to gall bladder or hernia work, cancer therapies, cardiac and psychiatric care, and even outpatient services like physical therapy, occupational therapy, and support with speech or swallowing. There's mental health outpatient clinics, preventative care, and vaccinations, supported by a fully equipped Advanced Life Support ambulance service, and they don't leave out smaller communities since they also run satellite clinics in Hulett and Moorcroft so everybody in Crook County can get some level of care. The administration focuses on affordable, convenient, and quality health services, and though the place is pretty complete, with healthcare staffing handled through something called Nursa for flexible shifts, there's never any promise that everything will be perfect, but the staff seem to work hard to keep people comfortable, safe, and as independent as possible.

    People often ask...

    Crook County Hospital & Long Term Care offers assisted living, memory care, and skilled nursing.

    There are 12 photos of Crook County Hospital & Long Term Care on Mirador.

    The full address for this community is Crook Cnty Hospital & Long Term Care, 713 E Oak St, Sundance, WY 82729.

    No, Crook County Hospital & Long Term Care 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-215
    Facility typeNursing Home

    Inspection Reports

    142

    Reports

    36

    Type A Citations

    1

    Type B Citations

    47

    Complaints

    21

    Years

    14 Aug 2025Complaint
    Found safety and infection control deficiencies related to bed rail risk assessment, RN coverage, and catheter care practices.
    • §483.25(n)Bed Rails
    • §1919(b)(4)(C)(i)General requirements - RN on duty 8 hours daily, 7 days a week
    • §483.80Infection Prevention & Control
    14 Aug 2025Licensure
    Determined that no violations were found and compliance with state requirements was maintained.
    12 Aug 2025Life Safety
    Identified multiple life safety and emergency preparedness deficiencies, including ceiling/spread of heat around sprinklers, egress door locking issues, hazardous room door closure, kitchen hood maintenance, sprinkler maintenance/testing, flame-retardant curtain documentation, essential electrical system testing, and gaps in emergency planning and training.
    • NFPA 101, 2012 edition; NFPA 13, 2010 editionGeneral Requirements - Ceiling Construction
    • NFPA 101, 2012 edition; 7.2.1.6.1; 19.2.2.2.4Egress Doors - Delayed-Egress Locking
    • NFPA 101, 2012 edition; 19.2.2.2.7; 19.2.2.2.8; 18.2.2.2.7; 18.2.2.2.8Doors with Self-Closing Devices
    • NFPA 101, 2012 edition; NFPA 96, 2011 edition; NFPA 96, Sections 11.4, 11.5Cooking Facilities
    • NFPA 101, 2012 edition; NFPA 25, 2010 editionSprinkler System - Maintenance and Testing
    • NFPA 101, 2012 edition; NFPA 701; NFPA 10.3.1Draperies, Curtains, and Loosely Hanging Fabrics
    • NFPA 99, 2012 edition; NFPA 25, 2010 editionElectrical Systems - Essential Electric System
    • 42 CFR 483.73(b)(8)Roles Under a Waiver
    • 42 CFR 483.73(c)(2)Emergency Officials Contact Information
    • 42 CFR 483.73(d)(1)EP Training Program
    • 42 CFR 483.73(e); NFPA 110; NFPA 99Emergency Power
    19 Feb 2025Revisit
    Confirmed no deficiencies were found and all regulations surveyed were in compliance.
    18 Dec 2024Complaint
    Investigated a complaint and concluded no deficiencies were identified.
    05 Nov 2024Complaint
    Investigated allegation of abuse and found the investigation results were not reported within the required timeframe.
    • CFR 483.12(b)(5)(i)(A)(B)(c)(1)(4); 483.12(c)Reporting of Alleged Violations
    05 Nov 2024Revisit
    Found no deficiencies after the follow-up visit; prior deficiencies were corrected.
    05 Sept 2024Complaint
    Investigators found a resident assaulted another, causing a facial injury, and identified inadequate dementia care planning and interventions for residents with dementia.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • CFR 483.40(b)(3)Treatment/Services for Dementia
    22 Aug 2024Revisit
    Verified all previously identified deficiencies were corrected and compliance restored.
    17 Jul 2024Revisit
    Concluded that all previously cited deficiencies were corrected and no new noncompliance was found.
    09 May 2024Complaint
    Found multiple deficiencies across accuracy of assessments, care planning, staffing postings, food safety, payroll reporting, and infection prevention.
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.21(b)Care Plan Timing and Revision
    • CFR 483.35(g)Posted Nurse Staffing Information
    • CFR 483.60(i)Food Safety and Sanitation
    • CFR 483.70(q)Payroll Based Journal
    • CFR 483.80Infection Prevention & Control
    07 May 2024Life Safety
    Found deficiencies in fire alarm testing documentation and electrical system testing, with missing device-specific test results and no proof of required testing.
    • NFPA 101 Sec. 19.3.4.1; 9.6.1.3; NFPA 72 Table 14.4.5Fire Alarm System - Testing and Maintenance
    • NFPA 99 Ch.10 Sec. 4.4.1.2Main and feeder circuit breakers testing/maintenance
    28 Sept 2023Complaint
    Found no deficiencies identified during the complaint investigation.
    15 Jun 2023Complaint
    Investigated a complaint and found no deficiencies.
    01 Jun 2023Revisit
    Verified prior deficiencies were corrected and no new noncompliance was found.
    25 Apr 2023Revisit
    Verified that all prior deficiencies were corrected and compliance was achieved.
    16 Feb 2023Life Safety
    Identified multiple fire-safety deficiencies, including outdated fire alarm certification, missing fire door inspections, a portable heater in a dining area, and an unsecured oxygen cylinder.
    • 2012 NFPA 101 sections 19.3.4.1; 9.6.1.3; 2010 NFPA 72 section 26.3.4.3Fire Alarm System - Testing and Maintenance
    • 2012 NFPA 101, 19.7.6; 8.3.3.1; 2010 NFPA 80, 5.2; 5.2.3Maintenance, Inspection & Testing - Doors
    • 2012 NFPA 101, 19.7.8Portable Space Heaters
    • 2012 NFPA 99, 11.6.2.3(11)Gas Equipment - Cylinder and Container Storage
    16 Feb 2023Licensure
    The evaluation identified multiple deficiencies across resident rights, safety, staffing, medications, data reporting, and infection control, indicating non-compliance with several federal requirements.
    • §483.10(g)(12)Advance Directives
    • §483.12(c)Reporting of Alleged Violations
    • §483.15(c)(3)-(8)Notice Before Transfer/Discharge
    • §483.15(d)(1)-(2)Bed-Hold Notice
    • §483.20(g)Accuracy of Assessments
    • §483.25(d)Accidents
    • §483.35(b)RN Hours/Director of Nursing
    • §483.35(g)Public Posting of Nurse Staffing
    • §483.45(e)(5)PRN Psychotropic Medications
    • §483.70(q)Payroll-Based Journal
    • §483.75Quality Assurance and Performance Improvement
    • §483.80(a)-(f)Infection Prevention and Control
    16 Feb 2023Licensure
    Concluded no deficiencies were found. The survey determined compliance with state requirements.
    01 Dec 2022Revisit
    Found no deficiencies.
    02 Sept 2022Complaint
    Identified failures to protect residents from abuse and to implement comprehensive care plans for residents involved in altercations, with multiple incidents of verbal and physical aggression documented.
    • CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
    • CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
    02 Sept 2022Complaint
    Identified serious deficiencies in preventing abuse/neglect and in developing and updating residents’ care plans.
    • Type ACFR 483.12(a)(1)Freedom from abuse, neglect, and exploitation
    • Type ACFR 483.21(b)(1)Comprehensive care planning
    29 Aug 2022Revisit
    Concluded all deficiencies were corrected and no new noncompliance was found; in compliance with all regulations surveyed.
    21 Jun 2022Complaint
    Identified that two residents' care plans lacked individualized, person-centered interventions to address behaviors and safety related to resident-to-resident altercations.
    • 42 CFR 483.21(b)(1)Comprehensive Care Plans
    24 May 2022Revisit
    Verified prior deficiencies were corrected and compliance was restored after the follow-up survey.
    29 Apr 2022Revisit
    Verified compliance after a follow-up review; all previously cited deficiencies were corrected.
    07 Mar 2022Life Safety
    Identified deficiencies in emergency preparedness planning and multiple life safety code areas. Violations were cited for egress, doors, corridors, decorations, and maintenance.
    • §483.73(a)Emergency Plan
    • §483.73(a)(1)-(2)Plan Based on All-Hazards Risk Assessment
    • §483.73(c)(2)Emergency Officials Contact Information
    • §483.73(d)(2)Emergency Plan Testing Requirements
    • NFPA 101 7.1.10.2.1Means of Egress - General
    • NFPA 101 19.2.2.2.1; 7.2.1.8.1Doors with Self-Closing Devices
    • NFPA 101 19.3.6.2Corridors - Construction of Walls
    • NFPA 101 19.7.5.6Combustible Decorations
    • NFPA 101 19.2.2.5; 7.2.4.3.1; 8.3.3.1; 8.3.3.2Maintenance, Inspection & Testing - Doors
    02 Mar 2022Licensure
    Regulatory findings identified deficiencies in staff background checks, RN coverage, psychotropic medication management, and visitor COVID-19 screening. Corrective actions were required for each area.
    • 42 CFR 483.12(a)(3)-(4)Not Employ/Engage Staff w/ Adverse Actions
    • 42 CFR 483.35(b)(1)-(3)RN 8 Hrs/7 days/Wk, Full Time DON
    • 42 CFR 483.45(e)Free from Unnec Psychotropic Meds/PRN Use
    • 42 CFR 483.80Infection Prevention & Control
    02 Mar 2022Licensure
    Concluded that the facility was in compliance with State requirements. No deficiencies were cited.
    27 Apr 2021Revisit
    Concluded that all prior deficiencies were corrected and no new noncompliance was found.
    27 Apr 2021Revisit
    Concluded all previously cited deficiencies were corrected and no new noncompliance was found. The site remained in compliance with all regulations surveyed.
    07 Apr 2021Revisit
    Verified that prior deficiencies were corrected and compliance restored.
    04 Mar 2021Complaint
    Identified failures in addressing advance directives in care plans, improper catheter management for residents with indwelling catheters, and insufficient infection prevention practices.
    • CFR 483.10(c)(6)-(8); CFR 483.10(g)(12)Advance Directives
    • CFR 483.25(e)Incontinence
    • CFR 483.80Infection Prevention & Control
    04 Mar 2021Licensure
    Found significant infection control deficiencies, including failure to enforce mask use, social distancing, and proper hand hygiene.
    • Ch 11 Sec 9 (a)(ii)(B) Nursing ServicesInfection control; source control and hand hygiene
    02 Mar 2021Life Safety
    Investigated a deficiency in maintaining the fire alarm system and testing of horn and strobe devices; could not verify that annual inspections were completed in the prior year.
    • 2012 NFPA 101 Life Safety Code; NFPA 72Life Safety Code – Fire Alarm Systems
    13 Nov 2020Complaint
    Investigated a complaint and a COVID-19 focused infection-control survey; found no deficiencies.
    22 Apr 2020Licensure
    Investigated a COVID-19 focused infection control survey conducted 4/22–4/23; found no deficiencies.
    08 Aug 2019Revisit
    Concluded no deficiencies were found after a follow-up visit and confirmed compliance with federal requirements.
    17 Jun 2019Revisit
    Verified that prior deficiencies were corrected and life safety compliance was restored.
    17 Jun 2019Revisit
    Concluded that all previous deficiencies were corrected and compliance has been restored.
    09 May 2019Complaint
    An inspection identified deficiencies in abuse screening, PASARR, care planning, quality of care, and safety areas. The findings included issues with food safety and antibiotic stewardship.
    • CFR(s): 483.12(b)(1)-(3)Abuse/Neglect Policies
    • CFR(s): 483.20(k)(1)-(3)PASARR Screening for MD & ID
    • CFR(s): 483.21(b)(1)Develop/Implement Comprehensive Care Plan
    • CFR(s): 483.25Quality of Care
    • CFR(s): 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
    • CFR(s): 483.60(i)(1)-(2)Food Procurement, Store/Prepare/Serve-Sanitary
    • CFR(s): 483.80(a)(3)Antibiotic Stewardship Program
    09 May 2019Licensure
    Determined the provider was in compliance with state requirements; no deficiencies were found.
    07 May 2019Life Safety
    Identified deficiencies related to emergency lighting and extension cords; actions were taken to correct the issues.
    • 2012 NFPA 101, Sections: 19.2.9.1; 7.9.3; 10.2.3.6 (NFPA 99); 10.2.4 (NFPA 99); 400-8 (NFPA 70); 590.3(D) (NFPA 70) TBIA 12-5Emergency Lighting
    • 2012 NFPA 101; NFPA 70 (and related sections cited in the narrative) including 10.2.3.6; 10.2.4Electrical Equipment - Power Cords and Extension Cords
    07 May 2019Life Safety
    Identified a life-safety deficiency related to potable water; aerators were found on sinks throughout the facility.
    • REF: WDH Chapter 3 Section 5 (b)(iv)(E)State Miscellaneous Life Safety
    14 May 2018Revisit
    Investigated a follow-up survey; all previous deficiencies were corrected and no new noncompliance found.
    04 May 2018Revisit
    Confirmed that previous deficiencies were corrected and no new noncompliance was found.
    16 Mar 2018Licensure
    Identified multiple deficiencies affecting resident safety, care planning, and infection control with required corrective actions and ongoing monitoring.
    • Type A§483.12(a)(2)Residents free from restraints
    • Type A§483.20(b)(2)(ii)Comprehensive Assessment After Significant Change
    • Observation/Documentation of care and safety events
    • Type A§483.60(i)(1)-(2)Food safety requirements
    • Type A§483.80Infection prevention and control
    16 Mar 2018Licensure
    Determined in compliance with state requirements. Found no deficiencies.
    14 Mar 2018Life Safety
    Identified deficiencies in life-safety code compliance: no annual fire door inspections and improper smoking regulations near an exterior exit.
    • Type ANFPA 80; NFPA 101 (2012) Section 7.2.1.15Fire door inspection/maintenance
    • Type ANFPA 101 (2012) Sections 7.2.1.15; 18.7.4; 19.7.4Smoking regulations near exterior exit doors
    24 Feb 2017Licensure
    The investigation identified several deficiencies related to resident care documentation, environmental safety, medication handling, and ongoing facility procedures.
    • Continued From page 2
    • Continued From page 4
    • Continued From page 3
    • Continued From page 9
    • Continued From page 11
    24 Feb 2017Revisit
    Concluded compliance after a follow-up review; prior deficiencies were corrected.
    • Licensure survey deficiencies from Feb 24, 2017
    24 Feb 2017Licensure
    Found hot water temperatures exceeded the allowed limit in multiple rooms; readings ranged from about 111 to 114 degrees Fahrenheit and a valve adjustment was noted.
    • Ch 11 Sec 6 (a)(iv) Physical EnvironmentPhysical Environment - hot water temperature exceeding limit
    24 Feb 2017Revisit
    Identified deficiencies from a health recertification survey and later brought back into compliance.
    • Life Safety/Health recertification deficiencies
    22 Feb 2017Life Safety
    The inspection identified multiple life-safety deficiencies, including missing exit signs at courtyard exits and improper storage of oxygen and gas inventory, along with electrical labeling issues.
    • NFPA 101 Life Safety Code (2012 edition)Continued From page 2 - Egress signage
    • NFPA 101 Life Safety Code (2012 edition)Continued From page 3 - Exit signage deficiency
    • NFPA 70 / NFPA 101 Life Safety Code (2012 edition)Continued From page 4 - Electrical labeling
    • NFPA 101 Utilities – Gas and ElectricContinued From page 5 - Utility storage
    • NFPA 99 Health Care Facilities / NFPA 101 – Gas EquipmentContinued From page 6 - Cylinder and container storage
    • NFPA 101 - Gas Equipment / Precautions for Handling OxygenContinued From page 7 - Handling Oxygen Cylinders
    22 Feb 2017Revisit
    Concluded the provider was back in compliance after addressing deficiencies identified in earlier Life Safety Code and health surveys.
    09 Jun 2016Revisit
    Verified that a correction to a previously cited deficiency was completed.
    • 483.25(h)
    14 Apr 2016Complaint
    Investigated a fall-related concern; documented multiple falls with injuries and inadequate follow-up and updates to fall prevention plans.
    • Falls prevention/fall risk management deficiencies (continued from prior page)
    14 Apr 2016Revisit
    Verified corrections completed for several prior deficiencies identified in CMS regulations.
    • 483.13(c)(1)(i)(ii)(c)(2)(-4)
    • 483.20(b)(1)
    • 483.25(a)(3)
    • 483.25(c)
    • 483.25(d)
    • 483.25(m)(1)
    • 483.35(d)(1)-(2)
    • 483.35(i)
    • 483.65(m)(1)
    07 Apr 2016Revisit
    Identified a Life Safety Code deficiency and noted corrective action completed.
    • NFPA 101 Life Safety CodeLife Safety Code
    07 Apr 2016Revisit
    Verified correction of deficiencies previously reported; follow-up completed.
    19 Feb 2016Complaint
    Investigated identified deficiencies across resident care, including assessments, nutrition, infection control, and medication management.
    • Type AMistreatment, neglect or abuse – reporting
    • Type AResident assessment and plan of care (MDS) process
    • Type AActivities for residents; monitoring and supervision
    • Type APressure ulcers prevention and care
    • Type AIndwelling catheter use and continence care
    • Type ANutrition services and food procurement
    • Type AInfection control program
    • Type AMedication error prevention
    • Type ADietary adequacy and food safety
    19 Feb 2016Licensure
    Found no deficiencies cited on this page.
    17 Feb 2016Life Safety
    Identified a deficiency requiring continuous mechanical exhaust ventilation in the bath and tub room.
    • WDH Chapter 3 Guidelines, Section 5(b)(iii)(B)Mechanical exhaust ventilation in bath and tub rooms
    17 Feb 2016Life Safety
    Observed deficiencies related to exit access not being readily accessible in smoke compartments.
    • NFPA 101 Life Safety Code, 7.1.19.2.1Exit access readily accessible in smoke compartments
    19 Nov 2015Revisit
    Investigated a complaint and found no deficiencies. No violations were cited.
    02 Sept 2015Complaint
    Investigated a complaint and found deficiencies related to abuse reporting and required monitoring actions.
    • State regulations on abuse reporting and corrective action following a complaintContinued from page 1; timely investigation and corrective action following a complaint
    21 May 2015Revisit
    Investigated the revisit and found no deficiencies.
    13 May 2015Revisit
    Verified corrections to previously cited deficiencies; all corrections completed by 04/10/2015.
    13 May 2015Revisit
    Verified corrections completed after a follow-up review and confirmed progress since the prior survey.
    26 Feb 2015Licensure
    Identified deficiencies in infection control reporting; influenza outbreak was reported to the state health department later than required.
    • Ch 11 Sec 6 (b)(iii)Infection control reporting and outbreak notification
    26 Feb 2015Licensure
    Investigated for safety and care planning concerns with identified issues related to restraints and resident safety measures.
    • Type AContinued From page 2
    23 Feb 2015Life Safety
    Found a deficiency related to a nonfunctional water softener and related plumbing; the system was removed and plumbing corrected.
    • 2006 IPC, Section 102.3Continued From page 1
    23 Feb 2015Life Safety
    Identified life-safety deficiencies during a survey on March 20, 2015, including doors that would not latch and lack of a remote-stop on the emergency generator, along with missing documentation and requests for waivers related to the generator work.
    • NFPA 101 Life Safety Code, Section 19.3.2.1Door hardware not functioning; doors failed to latch
    • NFPA 101 Life Safety Code, Section 7.2.1.4.5; NFPA 101; NFPA 99; NFPA 70Missing documentation; emergency generator remote stop
    • 1999 NFPA 72; NFPA 101 Life Safety Code StandardMissing documentation; time waiver for generator modifications
    • NFPA 110; NFPA 70; NFPA 99Time waiver for generator changes
    05 Nov 2014Revisit
    Corrected deficiencies identified in the prior survey; follow-up verified corrections were completed.
    • 483.12(a)(3)
    • 483.15(a)
    • 483.20(d) & 483.20(k)(1)
    • 483.20(k)(3)(i)
    • 483.25
    05 Nov 2014Complaint
    Determined that no deficiencies were identified during the investigation prompted by the complaint.
    27 Aug 2014Complaint
    Investigated a deficiency in discharge documentation; a handwritten progress note was used to document discharge without the physician's signature, and no discharge summary could be located.
    • Discharge documentation incomplete
    13 Feb 2014Life Safety
    Found a deficiency requiring weekly logging of electrolyte levels in emergency generator standby batteries.
    • NFPA 101; NFPA 110; 42 CFR 483.70(a); 6.3.6Maintenance of electrolyte levels in standby generator batteries
    13 Feb 2014Revisit
    Investigated the follow-up and found no deficiencies; all previously cited items were corrected.
    13 Feb 2014Revisit
    Verified prior deficiencies were corrected; follow-up showed corrections completed.
    13 Feb 2014Licensure
    Detected multiple deficiencies in nutrition management, medication administration, infection control, and resident rights documentation.
    10 Jan 2014Revisit
    Identified deficiencies and noted corrections completed after follow-up.
    • 42 CFR 483.15(a)
    • 42 CFR 483.65
    30 Oct 2013Complaint
    Investigated a complaint and found deficiencies in dignity/respect for residents and in infection control related to catheter bag management.
    • 483.15(a)Dignity and respect of individuality
    • 483.65Infection control program; prevent spread of infection
    29 Oct 2013Revisit
    Verified corrections completed for previously cited deficiencies.
    28 Oct 2013Revisit
    Investigated the complaint; findings could not be determined from the provided image.
    28 Oct 2013Revisit
    Investigated the previously identified deficiencies and confirmed that corrections were completed. Substantial compliance noted on follow-up.
    22 Aug 2013Licensure
    Verified failures to provide adequate social services and complete resident assessments, affecting multiple residents and their care planning.
    • 483.20(b)(1)Comprehensive Assessments
    22 Aug 2013Licensure
    Investigated TB testing compliance and dental services; TB testing was not completed before resident contact and there was insufficient in-service training on oral hygiene.
    • Ch 11 Sec 5 (b)(iv) Organization and AdministrationTuberculin testing
    • Ch 11 Sec 14(a) Dental ServicesDental Services
    20 Aug 2013Life Safety
    Identified life-safety and electrical safety deficiencies, including an inadequately smoke-resistant smoke barrier and unsafe use of electrical power taps.
    • NFPA 101 Life Safety Code StandardSmoke barrier wall not smoke resistant
    • NFPA 70 National Electrical CodeElectrical wiring and equipment
    • NFPA 70 National Electrical CodeElectrical wiring and equipment
    12 Apr 2013Revisit
    Verified whether corrections from a prior issue were completed during a follow-up visit on 2013-04-12.
    21 Feb 2013Complaint
    Investigated a fall-related safety issue and found inadequate supervision and safety measures to prevent accidents.
    • 483.25(h)Free of accident hazards/supervision/devices
    06 Feb 2013Revisit
    Identified deficiencies related to resident rights and care standards; corrections completed.
    • 483.12(a)(4)-(6)
    • 483.13(c)(1)(ii)-(iii), (c)(2)-(4)
    • 483.13(c)
    • 483.15(g)(1)
    • 483.25(m)(2)
    • 483.75(o)(1)
    05 Dec 2012Complaint
    The facility was found to have deficiencies related to discharge/transfer notices and to the handling, investigation, and reporting of alleged abuse and resident incidents.
    • Discharge/transfer notice requirements (resident discharge)
    • Discharge/transfer notice requirements (continued)
    • Investigation of alleged abuse/neglect
    • Incident reporting and abuse prevention training
    26 Jul 2012Licensure
    Determined that no deficiencies were found and compliance with state requirements was confirmed.
    26 Jul 2012Licensure
    Investigated a complaint and found deficiencies related to residents' rights and care-related information during a site visit.
    25 Jul 2012Life Safety
    Investigated a complaint and identified deficiencies in life-safety door maintenance and electrical safety.
    • NFPA 101 Life Safety CodeCorridor doors not maintained to prevent smoke spread
    • NFPA 70 National Electrical CodeElectrical safety – improper electrical outlets and surge protector use
    03 Jul 2012Complaint
    Investigated deficiencies in how abuses and injuries were handled, and in residents' rights and care planning. Found failures in investigating an unknown-origin injury, upholding residents' rights, and establishing a timely care plan.
    • Type A483.13(c)INVESTIGATION/REPORT ALLEGATIONS/INDIVIDUALS
    • Type A483.10RESIDENT RIGHTS
    • Type A483.20PLAN OF CARE / CARE PLANNING
    23 Sept 2011Revisit
    Concluded that corrections were completed for deficiencies previously reported.
    30 Aug 2011Revisit
    Found no deficiencies.
    14 Jul 2011Licensure
    An investigation identified multiple deficiencies related to staff background checks, resident assessments and care planning, and infection control practices.
    • Type ABackground checks
    • Type AResident assessment and care planning
    • Type ACare planning and corrective action alignment
    • Type AInfection control
    • Type AMedication management
    14 Jul 2011Licensure
    Concluded there were no deficiencies after a recertification survey conducted July 11-14, 2011.
    12 Jul 2011Life Safety
    Identified multiple life-safety and facilities deficiencies during a survey, including issues with sprinkler inspection practices, kitchen hood suppression, and electrical safety measures.
    • NFPA 101 Life Safety Code StandardKitchen hood suppression system
    • NFPA 25, 1998 editionSprinkler system annual inspection
    • NFPA 101 Life Safety Code Standard; NFPA 96Cooking facilities protections
    • NFPA 101 Life Safety Code StandardContinued from page 4
    05 May 2011Revisit
    Identified a deficiency related to residents' rights that was corrected.
    • 483.13(c)(1)(ii)-(iii), (ci)(2)-(4)Rights of residents—Protection from abuse, neglect, and exploitation
    07 Apr 2011Complaint
    Investigated a neglect allegation and found failures to promptly report and thoroughly investigate, creating risk of ongoing abuse.
    • 483.13(c)(1)(i)(ii), (c)(2)-(4)INVESTIGATE/REVIEW ALLEGATIONS/INDIVIDUALS
    28 Dec 2010Revisit
    Identified deficiencies in care practices and life safety compliance with corrective actions recorded.
    28 Dec 2010Revisit
    Investigated a complaint and found deficiencies that were corrected.
    02 Dec 2010Revisit
    Identified deficiencies in care planning, resident assessments, infection control, and quality-assurance processes during the inspection.
    • Discharge planning and plan of correction documentation
    • Medication administration timing and pharmacy procedures
    • Quality Assurance/Quality Improvement program
    • Infection control practices and clinical standards
    • Infection control/antimicrobial stewardship
    • Staff training and corrective action for identified deficiencies
    • Resident care planning and professional standards
    02 Dec 2010Revisit
    Investigative findings showed several deficiencies in care planning, medication administration, resident hygiene, and safety practices, indicating problems with quality of care.
    • SERVICES PROVIDED MEET PROFESSIONAL STANDARDS
    • CARE PLANS
    • MEDICATION ADMINISTRATION
    • RESIDENT CARE/HYGIENE
    • QUALITY ASSURANCE PROGRAM
    19 Oct 2010Revisit
    During the survey, multiple deficiencies were identified across care, safety, documentation, and governance areas. Investigative and corrective actions were not fully completed at the time of the visit.
    • Investigation of alleged violations
    • Quality Assurance/Improvement monitoring
    • Plan of correction / correction action
    • Timely completion of plan of correction
    • Corrective actions for residents’ care
    • Medication and care provision
    • Care plan implementation
    • Staffing and supervision for care
    • Resident care records
    • Staffing and qualification standards
    • Infection control and prevention
    • QA/QI program and staff training
    19 Oct 2010Revisit
    Investigated a deficiency in resident assessments and care planning; evidence indicated comprehensive, standardized assessments were not consistently performed and a plan of correction was not fully in place.
    • Assessment of resident needs
    04 Oct 2010Revisit
    Investigated a follow-up visit after a prior deficiency; corrections were completed for several items on the record.
    13 Aug 2010Licensure
    Investigation found multiple deficiencies related to neglect/abuse investigations, policy development, resident dignity, and reassessment after significant changes. These findings indicate non-compliance with several regulatory requirements.
    • 483.13(c)(1)(ii)-(iii)INVESTIGATE/REPORT ALLEGATIONS/INDIVIDUALS
    • 483.13(c)DEVELOP/IMPROVE ABUSE/NEGLIGENCE POLICIES
    • 483.15(a)DIGNITY AND RESPECT OF INDIVIDUALITY
    • 483.20(g)(2)(ii)COMPREHENSIVE ASSESSMENT AFTER SIGNIFICANT CHANGE
    01 Jul 2010Complaint
    Identified deficiencies in resident care and safety documentation, with multiple items requiring corrective actions.
    01 Jul 2010Licensure
    Investigated recertification and complaint surveys; found no deficiencies.
    29 Jun 2010Life Safety
    Identified life-safety deficiencies: two corridor doors were not smoke resistant and fire drill/alarm procedures, including the PA system, were not properly followed.
    • NFPA 101 Life Safety Code StandardSmoke resistance of corridor doors
    • NFPA 101 Life Safety Code StandardFire drills and alarm system
    17 Jul 2009Revisit
    Identified multiple deficiencies in required resident care and regulatory compliance during the revisit.
    • 483.15(g)(1)
    • 483.20, 483.20(b)
    • 483.20(k)(3)(i)
    • 483.25
    • 483.25(d)
    • 483.25(h)
    • 483.60(c)
    • 483.60(b), (d), (e)
    • 483.65(a)
    • 483.75(o)(1)
    17 Jul 2009Revisit
    Investigated deficiencies and confirmed corrections were completed during the revisit.
    • 483.20(b)(2)(ii)
    • 483.20(d), 483.20(k)(1)
    01 Jul 2009Complaint
    Identified deficiencies in resident assessment timing and in updating care plans to reflect current dining needs for a resident.
    • 483.20(b)(2)(ii)Resident assessment - when required
    • 483.20(d), 483.20(k)(1)Comprehensive Care Plans
    01 Jul 2009Revisit
    Identified deficiencies and documented corrections; follow-up completed.
    14 May 2009Complaint
    The agency identified deficiencies in providing medically-related social services and addressing a resident's psychosocial needs, including lack of interventions for a resident who expressed a wish to die.
    • 483.15(g)(1)SOCIAL SERVICES
    14 May 2009Licensure
    Found no deficiencies. The licensee was presumed to be in substantial compliance with Wyoming State rules and regulations as of the survey completion date.
    13 May 2009Life Safety
    Found multiple life-safety and electrical-code deficiencies; some items were corrected and others remained out of compliance.
    • NFPA 101 Life Safety Code StandardFire drill procedures and announcements
    • NFPA 72Fire alarm system maintenance
    • NFPA 101 Life Safety CodeFire alarm system testing
    • NFPA 13-19.7.6; NFPA 25-9.7.5; NFPA 101 Life Safety CodeSprinkler/escutcheon gaps and testing
    • NFPA 96; NFPA 10Kitchen hood protection and portable extinguishers
    • NFPA 70; NFPA 72Electrical-code compliance
    • Missing face-plate
    12 Jun 2008Revisit
    Identified multiple regulatory deficiencies during a follow-up review and noted required corrections. Corrections were documented for several items with follow-up dates.
    • 483.10(c)(2)-(5)Regulatory deficiency (CMS 483.10(c)(2)-(5))
    • 483.10(e), 483.75(i)(4)Regulatory deficiency (CMS 483.10(e); 483.75(i)(4))
    • 483.10(i)Regulatory deficiency (CMS 483.10(i))
    • 483.10(n)Regulatory deficiency (CMS 483.10(n))
    • 483.60(b),(d),(e)Regulatory deficiency (CMS 483.60(b),(d),(e))
    • 483.65(b)(3)Regulatory deficiency (CMS 483.65(b)(3))
    • 483.60(c)Regulatory deficiency (CMS 483.60(c))
    01 May 2008Revisit
    Investigated a licensing matter and found deficiencies requiring correction; follow-up was performed.
    27 Mar 2008Licensure
    The provider was found to have multiple deficiencies relating to resident privacy, handling of resident funds, medication management, and overall facilities practices.
    • 483.10(c)(2)-(5) PROTECTION OF RESIDENT FUNDSProtection of resident funds
    • 483.10(e); 483.75(i)(4) PRIVACY AND CONFIDENTIALITYPrivacy and confidentiality
    • 483.10(i)(1) MAILPrivacy in mail
    • 483.20 RAP (Resident Assessment Protocols) / 42 CFR RAPResident assessment protocols
    • 483.60(b), (d), (e) PHARMACY SERVICESPharmacy services
    25 Mar 2008Life Safety
    Identified life-safety deficiencies including an inadequately rated fire barrier and missing or inappropriate signage related to smoking and oxygen use.
    • NFPA 101 Life Safety Code Standard 19.1.4.1, 19.1.4.2Fire barrier wall not 2-hour rated
    • NFPA 101 Life Safety Code Standard 19.3.7.3, 19.3.7.5, 8.3, 19.1.6.3, 19.1.6.4Penetrations in fire barrier not sealed; maintenance inspections
    • NFPA 99 8.6.4.2; NFPA 101 Life Safety Code Standard 19.3.7.3, 19.3.7.5Oxygen usage areas lack proper signage; smoking policy
    • NFPA 101 Life Safety Code Standard 19.3.2.4; 19.1.6.4; 8.6.4.2No smoking facility signage at major entrances
    11 Jul 2007Revisit
    Determined substantial compliance after follow-up; prior deficiencies were corrected.
    21 Jun 2007Revisit
    Investigated a licensing issue and followed up to verify corrective actions were completed.
    29 May 2007Life Safety
    Identified life-safety deficiencies; exit signs were not properly illuminated and maintained, and some maintenance practices did not meet NFPA 101 standards.
    • NFPA 101 LIFE SAFETY CODE STANDARDLIFE SAFETY CODE STANDARD
    03 May 2007Licensure
    An investigation found multiple deficiencies in resident rights, care planning, medication administration, and documentation, with several examples of incomplete assessments and inadequate care practices.
    • Type A
    • Type A483.13(a) PHYSICAL RESTRAINTSPHYSICAL RESTRAINTS
    • Type B483.13(a) PHYSICAL RESTRAINTSPHYSICAL RESTRAINTS
    • Type A
    • Type A
    • Type A
    • Type A
    • Type A
    • Type A
    03 May 2007Licensure
    Identified a violation of medication storage rules by keeping non-drug items in the medication refrigerator.
    • State Rules and Regulations for Nursing Care FacilitiesState Rules and Regulations
    07 Dec 2006Complaint
    Investigated the complaint survey conducted on December 7, 2006. Found no deficiencies identified.
    07 Dec 2006Revisit
    Found no deficiencies. Follow-up visit occurred on 2006-12-07.
    27 Oct 2006Revisit
    Found deficiencies in infection control due to improper hand hygiene during direct resident care; observations showed staff did not consistently wash hands or change gloves properly.
    • 483.65(b)(3)Preventing Spread of Infection
    17 Oct 2006Revisit
    Investigated a complaint and confirmed corrections were completed.
    10 Oct 2006Revisit
    Found no deficiencies.
    27 Sept 2006Licensure
    Investigated TB testing for staff and found that tuberculin screening was required on hire and annually, with documentation gaps in personnel files and updates to guidelines noted.
    • Tuberculin testing for employees; organization and administrationTuberculin testing for employees
    27 Sept 2006Licensure
    Identified deficiencies in housekeeping/maintenance, and in resident assessments and care planning that affected resident care and safety.
    • Type A483.15(h)(2)HOUSEKEEPING/MAINTENANCE
    • Type A483.20, 483.20(b)COMPREHENSIVE ASSESSMENTS
    22 Aug 2006Life Safety
    Identified multiple life-safety deficiencies across construction, door operations, emergency lighting, sprinklers, fire drills, exit signage, and generator infrastructure.
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 1
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 2
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 2
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 3
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 6
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 6
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 4
    • NFPA 110 / NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 7
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 7
    • NFPA 101 LIFE SAFETY CODE STANDARDContinued From page 5
    14 Nov 2005Revisit
    Investigated deficiencies from a prior survey; corrective actions completed by 10/31/2005; follow-up occurred on 11/14/2005.
    • 483.10(c)(7)
    • 483.13(c)
    • 483.20(some subpart shown on form)
    • 483.25(d)
    • 483.25(e)(2)
    • 483.25(h)(2)
    • 483.25(h)(2)
    • 483.65(a)
    31 Oct 2005Revisit
    Confirmed corrections completed after a prior deficiency finding.
    09 Sept 2005Licensure
    Investigation found multiple deficiencies related to financial security, resident assessments and care planning, medication handling, infection control, and related procedures.
    • 483.10(c)(7)Assurance of Financial Security
    • 483.20, 483.20(b)Comprehensive Assessments
    • Pre-employment Screening
    • Medication Handling
    • Urinary Incontinence/Documentation
    • Comprehensive Care Plans
    • Restorative Therapy
    • Infection Control
    06 Sept 2005Life Safety
    Identified multiple life-safety deficiencies, including corridor doors not smoke resistant and failures to properly test and maintain fire alarm and electrical systems.
    • NFPA 101 Section 19.3.6.3Corridor doors/Smoke resistance
    • NFPA 72 Table 7-3.2(23)Fire alarm system testing
    • NFPA 101 Life Safety Code (self-closing doors)Self-closing door requirement
    • NFPA 70 Life Safety Code (electrical)Electrical receptacles and covers

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