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
5
4
3
2
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
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 number
nh-215
Facility type
Nursing Home
Inspection Reports
142
Reports
36
Type A Citations
1
Type B Citations
47
Complaints
21
Years
14 Aug 2025Complaint
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
14 Aug 2025Licensure
Determined that no violations were found and compliance with state requirements was maintained.
12 Aug 2025Life Safety
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 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
19 Feb 2025Revisit
Confirmed no deficiencies were found and all regulations surveyed were in compliance.
18 Dec 2024Complaint
18 Dec 2024Complaint
Investigated a complaint and concluded no deficiencies were identified.
05 Nov 2024Complaint
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
05 Nov 2024Revisit
Found no deficiencies after the follow-up visit; prior deficiencies were corrected.
05 Sept 2024Complaint
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
22 Aug 2024Revisit
Verified all previously identified deficiencies were corrected and compliance restored.
17 Jul 2024Revisit
17 Jul 2024Revisit
Concluded that all previously cited deficiencies were corrected and no new noncompliance was found.
09 May 2024Complaint
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
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
28 Sept 2023Complaint
Found no deficiencies identified during the complaint investigation.
15 Jun 2023Complaint
15 Jun 2023Complaint
Investigated a complaint and found no deficiencies.
01 Jun 2023Revisit
01 Jun 2023Revisit
Verified prior deficiencies were corrected and no new noncompliance was found.
25 Apr 2023Revisit
25 Apr 2023Revisit
Verified that all prior deficiencies were corrected and compliance was achieved.
16 Feb 2023Life Safety
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 99, 11.6.2.3(11)Gas Equipment - Cylinder and Container Storage
16 Feb 2023Licensure
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
16 Feb 2023Licensure
Concluded no deficiencies were found. The survey determined compliance with state requirements.
01 Dec 2022Revisit
01 Dec 2022Revisit
Found no deficiencies.
02 Sept 2022Complaint
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
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
29 Aug 2022Revisit
Concluded all deficiencies were corrected and no new noncompliance was found; in compliance with all regulations surveyed.
21 Jun 2022Complaint
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
24 May 2022Revisit
Verified prior deficiencies were corrected and compliance was restored after the follow-up survey.
29 Apr 2022Revisit
29 Apr 2022Revisit
Verified compliance after a follow-up review; all previously cited deficiencies were corrected.
07 Mar 2022Life Safety
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
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 483.35(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
02 Mar 2022Licensure
Concluded that the facility was in compliance with State requirements. No deficiencies were cited.
27 Apr 2021Revisit
27 Apr 2021Revisit
Concluded that all prior deficiencies were corrected and no new noncompliance was found.
27 Apr 2021Revisit
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
07 Apr 2021Revisit
Verified that prior deficiencies were corrected and compliance restored.
04 Mar 2021Complaint
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.
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
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
13 Nov 2020Complaint
Investigated a complaint and a COVID-19 focused infection-control survey; found no deficiencies.
22 Apr 2020Licensure
22 Apr 2020Licensure
Investigated a COVID-19 focused infection control survey conducted 4/22–4/23; found no deficiencies.
08 Aug 2019Revisit
08 Aug 2019Revisit
Concluded no deficiencies were found after a follow-up visit and confirmed compliance with federal requirements.
17 Jun 2019Revisit
17 Jun 2019Revisit
Verified that prior deficiencies were corrected and life safety compliance was restored.
17 Jun 2019Revisit
17 Jun 2019Revisit
Concluded that all previous deficiencies were corrected and compliance has been restored.
09 May 2019Complaint
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
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
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
14 May 2018Revisit
Investigated a follow-up survey; all previous deficiencies were corrected and no new noncompliance found.
04 May 2018Revisit
04 May 2018Revisit
Confirmed that previous deficiencies were corrected and no new noncompliance was found.
16 Mar 2018Licensure
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
16 Mar 2018Licensure
Determined in compliance with state requirements. Found no deficiencies.
14 Mar 2018Life Safety
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
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
24 Feb 2017Revisit
Concluded compliance after a follow-up review; prior deficiencies were corrected.
—Licensure survey deficiencies from Feb 24, 2017
24 Feb 2017Licensure
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
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
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
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
09 Jun 2016Revisit
Verified that a correction to a previously cited deficiency was completed.
483.25(h)
14 Apr 2016Complaint
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
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
07 Apr 2016Revisit
Identified a Life Safety Code deficiency and noted corrective action completed.
NFPA 101 Life Safety CodeLife Safety Code
07 Apr 2016Revisit
07 Apr 2016Revisit
Verified correction of deficiencies previously reported; follow-up completed.
19 Feb 2016Complaint
19 Feb 2016Complaint
Investigated identified deficiencies across resident care, including assessments, nutrition, infection control, and medication management.
Type A—Mistreatment, neglect or abuse – reporting
Type A—Resident assessment and plan of care (MDS) process
Type A—Activities for residents; monitoring and supervision
Type A—Pressure ulcers prevention and care
Type A—Indwelling catheter use and continence care
Type A—Nutrition services and food procurement
Type A—Infection control program
Type A—Medication error prevention
Type A—Dietary adequacy and food safety
19 Feb 2016Licensure
19 Feb 2016Licensure
Found no deficiencies cited on this page.
17 Feb 2016Life Safety
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
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
19 Nov 2015Revisit
Investigated a complaint and found no deficiencies. No violations were cited.
02 Sept 2015Complaint
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
21 May 2015Revisit
Investigated the revisit and found no deficiencies.
13 May 2015Revisit
13 May 2015Revisit
Verified corrections to previously cited deficiencies; all corrections completed by 04/10/2015.
13 May 2015Revisit
13 May 2015Revisit
Verified corrections completed after a follow-up review and confirmed progress since the prior survey.
26 Feb 2015Licensure
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
26 Feb 2015Licensure
Investigated for safety and care planning concerns with identified issues related to restraints and resident safety measures.
Type A—Continued From page 2
23 Feb 2015Life Safety
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
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
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
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
05 Nov 2014Complaint
Determined that no deficiencies were identified during the investigation prompted by the complaint.
27 Aug 2014Complaint
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
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
13 Feb 2014Revisit
Investigated the follow-up and found no deficiencies; all previously cited items were corrected.
13 Feb 2014Revisit
13 Feb 2014Revisit
Verified prior deficiencies were corrected; follow-up showed corrections completed.
13 Feb 2014Licensure
13 Feb 2014Licensure
Detected multiple deficiencies in nutrition management, medication administration, infection control, and resident rights documentation.
10 Jan 2014Revisit
10 Jan 2014Revisit
Identified deficiencies and noted corrections completed after follow-up.
42 CFR 483.15(a)
42 CFR 483.65
30 Oct 2013Complaint
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
29 Oct 2013Revisit
Verified corrections completed for previously cited deficiencies.
28 Oct 2013Revisit
28 Oct 2013Revisit
Investigated the complaint; findings could not be determined from the provided image.
28 Oct 2013Revisit
28 Oct 2013Revisit
Investigated the previously identified deficiencies and confirmed that corrections were completed. Substantial compliance noted on follow-up.
22 Aug 2013Licensure
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
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
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
12 Apr 2013Revisit
Verified whether corrections from a prior issue were completed during a follow-up visit on 2013-04-12.
21 Feb 2013Complaint
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
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
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.
Determined that no deficiencies were found and compliance with state requirements was confirmed.
26 Jul 2012Licensure
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
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
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
23 Sept 2011Revisit
Concluded that corrections were completed for deficiencies previously reported.
30 Aug 2011Revisit
30 Aug 2011Revisit
Found no deficiencies.
14 Jul 2011Licensure
14 Jul 2011Licensure
An investigation identified multiple deficiencies related to staff background checks, resident assessments and care planning, and infection control practices.
Type A—Background checks
Type A—Resident assessment and care planning
Type A—Care planning and corrective action alignment
Type A—Infection control
Type A—Medication management
14 Jul 2011Licensure
14 Jul 2011Licensure
Concluded there were no deficiencies after a recertification survey conducted July 11-14, 2011.
12 Jul 2011Life Safety
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
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
07 Apr 2011Complaint
Investigated a neglect allegation and found failures to promptly report and thoroughly investigate, creating risk of ongoing abuse.
Identified deficiencies in care practices and life safety compliance with corrective actions recorded.
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28 Dec 2010Revisit
28 Dec 2010Revisit
Investigated a complaint and found deficiencies that were corrected.
02 Dec 2010Revisit
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
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
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
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
04 Oct 2010Revisit
Investigated a follow-up visit after a prior deficiency; corrections were completed for several items on the record.
13 Aug 2010Licensure
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.
483.20(g)(2)(ii)COMPREHENSIVE ASSESSMENT AFTER SIGNIFICANT CHANGE
01 Jul 2010Complaint
01 Jul 2010Complaint
Identified deficiencies in resident care and safety documentation, with multiple items requiring corrective actions.
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01 Jul 2010Licensure
01 Jul 2010Licensure
Investigated recertification and complaint surveys; found no deficiencies.
29 Jun 2010Life Safety
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
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
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
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
01 Jul 2009Revisit
Identified deficiencies and documented corrections; follow-up completed.
14 May 2009Complaint
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
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
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
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.
Investigated a licensing matter and found deficiencies requiring correction; follow-up was performed.
27 Mar 2008Licensure
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
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
11 Jul 2007Revisit
Determined substantial compliance after follow-up; prior deficiencies were corrected.
21 Jun 2007Revisit
21 Jun 2007Revisit
Investigated a licensing issue and followed up to verify corrective actions were completed.
29 May 2007Life Safety
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
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
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
07 Dec 2006Complaint
Investigated the complaint survey conducted on December 7, 2006. Found no deficiencies identified.
07 Dec 2006Revisit
07 Dec 2006Revisit
Found no deficiencies. Follow-up visit occurred on 2006-12-07.
27 Oct 2006Revisit
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
17 Oct 2006Revisit
Investigated a complaint and confirmed corrections were completed.
10 Oct 2006Revisit
10 Oct 2006Revisit
Found no deficiencies.
27 Sept 2006Licensure
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
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
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
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
31 Oct 2005Revisit
Confirmed corrections completed after a prior deficiency finding.
09 Sept 2005Licensure
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
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 Life Safety Code (self-closing doors)Self-closing door requirement
NFPA 70 Life Safety Code (electrical)Electrical receptacles and covers
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