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Medicare Ratings
4·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Platte County Legacy Home is located at 100 19th St, Wheatland, WY, 82201.
About Platte County Legacy Home
Platte County Legacy Home sits in Wheatland, Wyoming, about seventy miles north of Cheyenne, and is the only nursing home in Platte County, so folks don't have to leave town when they need help or want to stay close to family, and the building's on 100 19th Street with over 49,947 square feet of space, built in 2016, though the facility itself has served the community for more than 40 years. The home's connected to Platte County Memorial Hospital and is managed by Rural Health Development of Nebraska, while the local Hospital District and Board of Trustees owns and operates it, always working as a non-profit for charitable, scientific, and educational purposes. The whole place has 50 nursing home beds and 16 assisted living beds, with the nursing part offering both semi-private and private rooms, and the assisted living has cozy apartments for singles or couples. People get choices for care, too - assisted living, skilled nursing, outpatient rehabilitation, short-term respite care, and even restorative nursing, all aimed at giving seniors as much independence as they can handle with the help they need when things get hard like moving, bathing, dressing, or managing medicine.
The staff includes about 50 full and part-timers and they work in teams like administration, nursing, social services, activities, dietary, maintenance, and infection control, and if residents need more, there's a director of nursing, a facility administrator, and a social services director overseeing daily care. The team makes personalized care plans for each person, so whether someone needs skin and wound care, therapy for speech or movement, medication help, or just a little bit of support with daily tasks, the team aims to meet those needs. People at the home can book appointments by phone, which makes it easier on families, and there are regular rankings in extended care, as well as systems for tracking infections and accidents after surgery, so the safety and well-being of residents is always monitored.
Rooms come furnished, with options for private or shared rooms, and there are extras like arts rooms, a garden, activity programs, menu choices, laundry, and a barber or beauty salon. Seniors can spend time in the new resident lounge or private dining room, watch movies with neighbors, go for walks along the paths, and take part in community events. Each unit has emergency alert systems and phone access, which can give peace of mind, and the building's recently been updated with new flooring, a fresh bath unit, and the Arial Call-Light paging system for better response. Everything's wheelchair accessible, with non-ambulatory help available, and there's transportation service for doctor visits or outings. The care facility's run with a sense of community, encouraging social connections, and focusing on keeping residents comfortable, respected, and involved, with activities and support for both body and mind. The home doesn't rely on fancy claims, but focuses on the simple mission of delivering care in a spirit of love, respect, and compassion, always working to give seniors a good quality of life, decent choices, and dependable support through every stage of aging.
People often ask...
Platte County Legacy Home offers assisted living and skilled nursing.
There are 1 photos of Platte County Legacy Home on Mirador.
The full address for this community is 100 19th St, Wheatland, WY 82201.
No, Platte County Legacy Home 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-218
Facility type
Nursing Home
Inspection Reports
113
Reports
17
Type A Citations
1
Type B Citations
19
Complaints
21
Years
12 Sept 2024Revisit
12 Sept 2024Revisit
Concluded compliance after follow-up visit; all prior deficiencies were corrected and no new noncompliance was found.
27 Aug 2024Revisit
27 Aug 2024Revisit
Verified all prior deficiencies were corrected and compliance restored.
25 Jul 2024Life Safety
25 Jul 2024Life Safety
Found that the main and feeder circuit breakers were not tested annually and no testing documentation was available.
NFPA 99, Ch.10 Sec. 4.4.1.2Testing and maintenance of electrical main and feeder circuit breakers
25 Jul 2024Complaint
25 Jul 2024Complaint
Identified deficiencies in bathing/personal hygiene, ROM/restorative care, medication labeling, PBJ reporting, and infection control.
CFR(s): 483.24(a)(2)ADL Care Provided for Dependent Residents
CFR §483.25(c)Increase/Prevent Decrease in ROM/Mobility
CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
CFR 483.70(q)Payroll Based Journal
CFR 483.80Infection Prevention & Control
28 Jul 2023Revisit
28 Jul 2023Revisit
Verified that previously cited deficiencies were corrected and no new noncompliance was found. Overall, compliance with all regulations was maintained.
05 Jun 2023Revisit
05 Jun 2023Revisit
Verified all deficiencies were corrected and compliance was achieved.
04 May 2023Licensure
04 May 2023Licensure
Investigated deficiencies found missing resident notices, inadequate reporting of abuse, and improper dishwashing sanitation documentation.
42 CFR §483.10(g)(4)(i)-(vi)Required Notices and Contact Information
§483.12(b)(5)(i)(A)(B)(c)(1)(4) and §483.12(c)(4)Reporting of Alleged Violations
NFPA 101 (2012) 19.3.4.1; 9.6.1.3; NFPA 72 (2010) 26.3.4.3Fire alarm system - testing and maintenance
23 Nov 2022Complaint
23 Nov 2022Complaint
Found no deficiencies.
14 Sept 2022Revisit
14 Sept 2022Revisit
Found no deficiencies; compliance with applicable regulations was confirmed.
14 Sept 2022Revisit
14 Sept 2022Revisit
Verified compliance after a follow-up visit; previously identified deficiencies were corrected.
21 Jul 2022Licensure
21 Jul 2022Licensure
Identified multiple deficiencies in care planning for pain management, quality of care, medication labeling and storage, medication self-administration, and infection prevention.
CFR 483.21(b)(1)Develop/Implement Comprehensive Care Plan
CFR 483.25Quality of Care
CFR 483.25(k)Pain Management
CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
CFR 483.80(a)(1)-(4); 483.80(e); 483.80(f)Infection Prevention & Control
19 Jul 2022Life Safety
19 Jul 2022Life Safety
Identified that a courtyard delayed-egress door failed to function as required, lacking an audible alarm and a 15-second opening sign.
Verified all prior deficiencies were corrected and no new noncompliance was found.
12 Jul 2021Revisit
12 Jul 2021Revisit
Verified that prior deficiencies were corrected and no new noncompliance was found.
28 May 2021Life Safety
28 May 2021Life Safety
Identified deficiencies in emergency preparedness contact information and in fire alarm system testing/maintenance.
§483.73(c)(2)Emergency Officials Contact Information
NFPA 72 (2010 edition) and NFPA 70Fire Alarm System – Testing and Maintenance
27 May 2021Licensure
27 May 2021Licensure
Identified deficiencies in resident medication self-administration oversight and infection prevention practices. Observations showed unattended medications during self-administration events and cross-contamination risks from urinal placement and inadequate hand hygiene.
Verified compliance with all regulations; no deficiencies were found.
12 Mar 2019Revisit
12 Mar 2019Revisit
Verified that prior life safety deficiencies were corrected and compliance was restored.
17 Jan 2019Complaint
17 Jan 2019Complaint
Found deficiencies across multiple areas including PASRR accuracy, care planning, activities, nutrition monitoring, and medication handling. Also observed food-temperature concerns and infection-control issues.
CFR 483.20(g)Accuracy of Assessments
CFR 483.21(b)(1)Comprehensive Care Plans
CFR 483.24(c)(1)Activities
CFR 483.25(g)(1)-(3)Nutrition/Hydration Status Maintenance
Investigated the complaint and found no deficiencies.
19 Jul 2018Complaint
19 Jul 2018Complaint
Found no deficiencies identified during the complaint investigation.
24 May 2018Revisit
24 May 2018Revisit
Concluded that all previous deficiencies were corrected and no new noncompliance was found.
07 Mar 2018Complaint
07 Mar 2018Complaint
Investigated transfer and bed-hold notices; found residents and their representatives did not receive the required bed-hold notification before a transfer.
§483.15(c)(3)Notice before transfer
§483.15(d)(2)Bed-hold notice upon transfer
26 Feb 2018Revisit
26 Feb 2018Revisit
Found all previously cited deficiencies corrected, and no new noncompliance was found.
26 Jan 2018Revisit
26 Jan 2018Revisit
Concluded that all prior deficiencies were corrected and no new noncompliance was found.
07 Dec 2017Licensure
07 Dec 2017Licensure
Investigated found multiple deficiencies in discharge notifications, data reporting, resident goals and care planning, safety, social services, antibiotic stewardship, and immunizations.
483.10(g)(17)-(18)(i)-(v)Notice of Medicare Non-Coverage (NOMNC) and discharge notifications
483.20(f)Transmitting resident assessment data
—Resident goals and care planning
483.25(d)Safety: free from accidents/hazards
483.40Social services and care planning
483.40(d)Medically related social services
—Care planning and coordination
483.80(a)(3)Antibiotic stewardship
483.80(d)Immunizations
07 Dec 2017Licensure
07 Dec 2017Licensure
Concluded that the facility was in compliance with State requirements. No deficiencies were cited.
05 Dec 2017Life Safety
05 Dec 2017Life Safety
Identified multiple life-safety deficiencies, including missing or outdated exit signage, inadequate maintenance of fire doors, and gaps in evacuation/relocation planning.
NFPA 101 - Life Safety Code, Means of Egress - General (2012 edition)The Means of Egress - General
NFPA 101 (2012), Sections 7.10 and 19.2.10.1; NFPA 72 (2010) – Fire Alarm System Testing & MaintenanceExit Signage
NFPA 101 (2012), Sections 19.3.4.4; 9.6.3; 2010 NFPA 72, Section 14.2.2.2; Fire Alarm System - Testing and Maintenance CFR(s): NFPA 101Fire Alarm System - Testing and Maintenance
NFPA 101 (2012), Evacuation and Relocation Plan CFR(s)Evacuation and Relocation Plan
05 Dec 2017Life Safety
05 Dec 2017Life Safety
Found no deficiencies. Emergency preparedness survey determined compliance with all requirements.
29 Sept 2017Revisit
29 Sept 2017Revisit
Concluded that all prior deficiencies were corrected and no new noncompliance was found.
27 Jul 2017Complaint
27 Jul 2017Complaint
Identified deficiencies in investigating and reporting abuse allegations and in following abuse-prevention policy.
483.12(a)Abuse prevention and reporting
02 May 2017Revisit
02 May 2017Revisit
Concluded that compliance was restored after follow-up surveys. Deficiencies from prior surveys were corrected.
02 Mar 2017Licensure
02 Mar 2017Licensure
Investigated a complaint finding deficiencies in grievance information posting; required information was missing and needed updating.
—Grievance procedures and posting requirements
02 Mar 2017Revisit
02 Mar 2017Revisit
Confirmed the home was brought back into compliance after follow-up surveys addressing deficiencies from prior health and life-safety surveys.
02 Mar 2017Licensure
02 Mar 2017Licensure
Concluded that there were no deficiencies. Compliance with state requirements was achieved after a re-licensure survey conducted Feb 27–Mar 2, 2017.
28 Feb 2017Life Safety
28 Feb 2017Life Safety
Identified deficiencies in delayed egress signage, emergency lighting in the generator area, and maintenance/testing of portable fire extinguishers.
2012 NFPA 101 Life Safety Code sections 9.7.4.1; 9.7.5; NFPA 101 Emergency LightingEmergency lighting in generator transfer room
2012 NFPA 101 Life Safety Code sections 9.7.4.1; 9.7.5; 9.7.7; 9.7.8; NFPA 10; NFPA 25Portable fire extinguishers testing/maintenance
08 Aug 2016Revisit
08 Aug 2016Revisit
Identified a deficiency related to resident rights during a revisit.
483.15(a)Resident rights protection
08 Aug 2016Revisit
08 Aug 2016Revisit
Concluded that two prior deficiencies were corrected and verified during the revisit.
483.13(c)(1)(ii)-(iii), (c)(2)-(4)
483.35(e)
14 Jun 2016Revisit
14 Jun 2016Revisit
Found deficiencies in abuse reporting and in the management of thickened liquids/therapeutic diets.
—Allegations of abuse reporting
—Therapeutic diets and thickened liquids
14 Jun 2016Revisit
14 Jun 2016Revisit
Found deficiencies related to dignity and respect of individuality, including issues with dining utensils being inaccessible and used improperly during meals.
483.15(a)Dignity and respect of individuality
14 Jun 2016Revisit
14 Jun 2016Revisit
Confirmed that deficiencies previously reported were corrected. No new deficiencies were cited.
18 Apr 2016Revisit
18 Apr 2016Revisit
Identified no deficiencies during the follow-up visit.
15 Apr 2016Licensure
15 Apr 2016Licensure
The inspection found deficiencies in medication management, care planning, and resident dignity, with several residents showing changes in condition that were not adequately documented or acted upon.
Type A—Medication management and notification of changes
Type A—Dignity and respect of resident
—Significant changes in resident status and MDS updates
—Resident diagnoses documented and reflected in care plans
—Audits of medication administration
—Physician notified of abnormal glucose levels
—Dining room seating adjusted to assist residents
03 Mar 2016Complaint
03 Mar 2016Complaint
Investigated deficiencies in resident care, nutrition, medication monitoring, and documentation, resulting in multiple corrective actions required.
483.10(b)(4)Right to refuse; formulate advance directives
—Provider's plan of correction / grievance handling
—Behavior monitoring for residents on psychotropic meds
—Weight/nutrition monitoring
—Resident care / physician oversight
—Administration oversight of care
—Medication monitoring
—Lab orders / medical testing
—Dietary/nutritional documentation
03 Mar 2016Licensure
03 Mar 2016Licensure
Investigated deficiencies found in tuberculosis employee screening policies and in nutrition/dietary management for residents; corrective actions were documented to update policies and strengthen nutritional interventions.
—Tuberculosis Employee Screening Policy
—Nutrition/Dietary Services and Weight Loss
01 Mar 2016Life Safety
01 Mar 2016Life Safety
Investigated the oxygen storage area and found the storage room door could not be secured against unauthorized entry, not meeting NFPA requirements.
2000 NFPA 101, Sections 19.3.5.6 and 9.7.4.1; 1998 NFPA 10, Sections 1-6, 10; NFPA 101 Life Safety Code Standard; NFPA 99 for Health Care FacilitiesOxygen storage area not secured; inadequate protection per NFPA standards
2000 NFPA 101, Sections 19.3.5.6 and 9.7.4.1; NFPA 99 for Health Care FacilitiesOxygen storage area secured by locked door hardware
21 May 2015Revisit
21 May 2015Revisit
Verified corrections were completed after the follow-up visit.
29 Apr 2015Revisit
29 Apr 2015Revisit
Identified deficiencies in post-fall care, including lack of timely neurological assessments and inadequate fall documentation; policy was revised.
—Falls policy and neurological assessment deficiencies
02 Apr 2015Revisit
02 Apr 2015Revisit
Investigated a fall-related concern and found deficiencies in neurological assessments after falls and an updated falls policy.
—Falls policy and neurological assessment after falls
06 Mar 2015Revisit
06 Mar 2015Revisit
Found no deficiencies. Follow-up to a prior survey confirmed compliance.
06 Mar 2015Revisit
06 Mar 2015Revisit
Verified that previously reported deficiencies were corrected.
23 Jan 2015Licensure
23 Jan 2015Licensure
Found no deficiencies. The survey determined the facility was in compliance with state requirements.
23 Jan 2015Licensure
23 Jan 2015Licensure
Identified multiple deficiencies related to resident care, safety practices, and facility operations during a survey. The findings indicate several areas needing improvement and oversight.
20 Jan 2015Life Safety
20 Jan 2015Life Safety
Identified a deficiency related to NFPA signage for a medical gas storage area; signage did not meet NFPA 99 requirements.
Investigated a life safety deficiency involving extension cords used on exhaust fans; cords were removed and the fans wired to the electrical system.
—Extension cords not to be used as a substitute for fixed wiring
22 Apr 2014Revisit
22 Apr 2014Revisit
Found no deficiencies cited after the post-certification revisit.
04 Apr 2014Revisit
04 Apr 2014Revisit
Identified three deficiencies in compliance with federal requirements. Corrections were completed by 03/10/2014.
483.20(k)(3)(i)
483.35(i)
483.75(i)(1)
24 Jan 2014Licensure
24 Jan 2014Licensure
Identified deficiencies in medication management, documentation, and safety practices during a recent assessment, including issues with discontinuing medications, MAR accuracy, and safeguarding of records.
Type A—Medication orders and MAR reconciliation
Type A—Safe food handling practices
Type A—Medication administration records and safeguards
Type A—Safeguarding clinical records
24 Jan 2014Licensure
24 Jan 2014Licensure
Investigated a licensure survey conducted January 21-24, 2014. Found no deficiencies.
21 Jan 2014Life Safety
21 Jan 2014Life Safety
Investigated life-safety deficiencies with smoke barrier integrity, signage, and electrical wiring. The findings indicate noncompliance with applicable life-safety codes.
NFPA 101 Life Safety Code StandardSmoke barrier penetration and damper testing
NFPA 101 Life Safety Code StandardExit signs and directional signs
NFPA 101 Life Safety Code StandardEmergency signage for exits
NFPA 101 Life Safety Code StandardElectrical wiring and power taps
28 Jan 2013Revisit
28 Jan 2013Revisit
Cited multiple deficiencies during the revisit, indicating violations of regulatory standards.
Investigated follow-up on previously reported deficiencies and confirmed corrective actions completed for two Life Safety Code issues.
15 Nov 2012Life Safety
15 Nov 2012Life Safety
Identified life-safety deficiencies related to smoke-detection/exit access and incomplete fire-drill compliance.
NFPA 101 Life Safety Code StandardLife Safety Code—Smoke detection and corridor doors
NFPA 101 Life Safety Code StandardLife Safety Code—Fire drills
15 Nov 2012Licensure
15 Nov 2012Licensure
Found deficiencies relating to residents' right to participate in care planning and the timely development of care plans; not all care plans were properly developed or updated.
483.20(d)(3), 483.10(k)(2)RIGHT TO PARTICIPATE PLANNING CARE-REVISE CP
15 Nov 2012Licensure
15 Nov 2012Licensure
Investigated a licensing survey and determined the facility was in compliance with state requirements.
06 Jan 2012Licensure
06 Jan 2012Licensure
Identified multiple deficiencies related to resident care planning, activity programming, and safety practices. Documented failures included inadequate Sunday activities, incomplete care plans after significant changes, and backflow safety concerns.
—Continued from page 2 – Activities on Sundays
—Continued from page 3 – Care planning after significant change
—Continued from page 4 – Grooming and observation
—Continued from page 8 – Backflow prevention
06 Jan 2012Licensure
06 Jan 2012Licensure
Investigated a licensure survey; no deficiencies were identified.
04 Apr 2011Revisit
04 Apr 2011Revisit
Found no deficiencies.
04 Mar 2011Revisit
04 Mar 2011Revisit
Found no deficiencies.
27 Jan 2011Licensure
27 Jan 2011Licensure
An investigation identified deficiencies in resident rights and care processes, including failure to address grievances and ensure proper care planning and actions.
483.15(c)(6)Grievance/Recommendation
27 Jan 2011Licensure
27 Jan 2011Licensure
Investigated a deficiency in state rules and regulations for a facility providing ongoing care; the survey concluded noncompliance was claimed in the findings.
—LIC REGS FOR NURSING HOMES
24 Jan 2011Life Safety
24 Jan 2011Life Safety
Identified life-safety deficiencies: a smoke barrier wall above the ceiling tile was incomplete and sprinkler coverage in the east shower room was inadequate.
NFPA 101 LIFE SAFETY CODE STANDARDSmoke barrier wall not complete above ceiling tiles
NFPA 101 LIFE SAFETY CODE STANDARDAutomatic sprinkler coverage incomplete in east shower room
21 Jan 2010Revisit
21 Jan 2010Revisit
Identified deficiencies during the revisit; corrections appeared to have been completed.
12 Jan 2010Revisit
12 Jan 2010Revisit
Investigated deficiencies identified in a prior survey and verified corrections; follow-up completed.
19 Nov 2009Licensure
19 Nov 2009Licensure
Identified deficiencies in resident care planning and related documentation, showing that care plans did not reflect residents' current needs and status.
Type A483.20(k)(3)(ii) COMPREHENSIVE CARE PLANSComprehensive Care Plans
19 Nov 2009Licensure
19 Nov 2009Licensure
Identified a physical environment deficiency because hot water temperatures in several resident rooms exceeded the allowed maximum of 110 degrees Fahrenheit. Observations on 11/17/09 found temperatures of 118, 117, and 119 degrees Fahrenheit, with logs showing 99-125 degrees F.
Section 6. Physical EnvironmentLicensing regulations for nursing homes
17 Nov 2009Life Safety
17 Nov 2009Life Safety
Identified life-safety deficiencies, including walls not smoke resistant in a smoke compartment and related fire-protection concerns.
NFPA 101 Life Safety Code StandardInitial Comments
03 Apr 2009Complaint
03 Apr 2009Complaint
Investigated a complaint; found no deficiencies.
29 Dec 2008Revisit
29 Dec 2008Revisit
Identified deficiencies related to residents' rights and Life Safety Code; corrections completed.
483.15(h)(2)
483.25(e)(2)
483.65(a)
483.75(o)(1)
01 Dec 2008Revisit
01 Dec 2008Revisit
Identified life-safety code deficiencies that were addressed with completed corrections.
Type ANFPA 101 Life Safety CodeLife safety code deficiency
Type ANFPA 101 Life Safety CodeLife safety code deficiency
Type ANFPA 101 Life Safety CodeLife safety code deficiency
Type ANFPA 101 Life Safety CodeLife safety code deficiency
Type ANFPA 101 Life Safety CodeLife safety code deficiency
09 Oct 2008Licensure
09 Oct 2008Licensure
Investigated deficiencies found in housekeeping/maintenance and quality assurance processes, with inadequate monitoring of infections and restorative care practices identified through resident records and staff interviews.
Type A483.15(h)(2)HOUSEKEEPING/MAINTENANCE
Type A483.75Quality Assurance and Performance Improvement
Found no deficiencies identified in the State Licensure Survey.
08 Oct 2008Life Safety
08 Oct 2008Life Safety
Identified multiple life-safety deficiencies including gaps in smoke barriers, issues with the fire alarm and sprinkler systems, obstructed pull stations, and loose electrical face plates.
NFPA 101 LIFE SAFETY CODE STANDARDSmoke barrier/partition maintenance
NFPA 101 LIFE SAFETY CODE STANDARDFire alarm system maintenance
NFPA 72 / NFPA 70Pull stations unobstructed and accessible
NFPA 70 NATIONAL ELECTRICAL CODEFace plates securely attached to electrical boxes
NFPA 25Fire sprinkler system maintenance
05 Dec 2006Revisit
05 Dec 2006Revisit
Identified multiple regulatory deficiencies during the revisit, covering several governing requirements.
483.10(n)
483.15(h)(2)
483.20(b)
483.20(k)(3)(i)
483.20(k)(3)(ii)
483.20(d)
483.20(k)(3)(i)
483.20(k)(3)(ii)
483.25(d)(1)-(2)
483.25(a)(2)
483.35(d)(1)-(2)
483.60(d)
483.65(b)(3)
483.75(b)
483.75(d)(1)-(2)
10 Oct 2006Revisit
10 Oct 2006Revisit
Investigated deficiencies identified during a prior survey; corrections completed.
14 Sept 2006Licensure
14 Sept 2006Licensure
Inspectors identified deficiencies in medication handling, noting that residents were not accurately assessed for self-administration of medications and related documentation was incomplete.
Type A483.10(n)SELF ADMINISTRATION OF DRUGS
14 Sept 2006Licensure
14 Sept 2006Licensure
Found that an administrator identified during the visit did not have a license. The administrator had served for about 60 days without licensure.
Wyoming Rules and Regulations for Nursing Care Facilities, Chapter 11, Section 5 (Organization and Administration)State Rules and Regulations for Program Administration of Nursing Care Facilities
21 Aug 2006Life Safety
21 Aug 2006Life Safety
Identified multiple life-safety deficiencies, including an impeded corridor door and issues with sprinkler and electrical systems, with plans to relocate an area and correct the problems.
42 CFR 483.70(a)Initial Comments
NFPA 101 LIFE SAFETY CODE STANDARDLife Safety Code Standard
NFPA 101 LIFE SAFETY CODE STANDARDLife Safety Code Standard
NFPA 101 LIFE SAFETY CODE STANDARDLife Safety Code Standard
NFPA 70 NATIONAL ELECTRICAL CODEElectrical wiring and equipment standard
26 May 2006Complaint
26 May 2006Complaint
Found no deficiencies identified during a May 26, 2006 complaint investigation.
10 Feb 2006Complaint
10 Feb 2006Complaint
Investigated a licensing survey found deficiencies in medication management and administration and noted required corrections.
Type BSection 12: Medications (b)Medications
Type ASection 12: Medications (a)Medications
Type ASection 12: Medications (a) - 3Medications
30 Dec 2005Revisit
30 Dec 2005Revisit
Identified a life safety code deficiency and documented that the correction was completed.
483.75(b)Life Safety Code deficiency
28 Nov 2005Revisit
28 Nov 2005Revisit
Investigated and identified corrections for Life Safety Code deficiencies; two items were corrected during follow-up.
NFPA 101 Life Safety CodeLife Safety Code deficiency
NFPA 101 Life Safety CodeLife Safety Code deficiency
28 Nov 2005Revisit
28 Nov 2005Revisit
Verified corrections were completed and substantial compliance achieved.
23 Nov 2005Revisit
23 Nov 2005Revisit
Identified multiple deficiencies requiring corrective actions; corrections were completed.
483.10(n)
483.15(h)(2)
483.20(k)(3)(ii)
483.25(m)(1)
483.60(e)
483.25(h)(1)
23 Nov 2005Complaint
23 Nov 2005Complaint
Investigated staffing information and found a deficiency due to inaccurate posting of staff numbers available to provide resident care.
483.75(b)Administration
23 Nov 2005Revisit
23 Nov 2005Revisit
Investigated deficiencies cited under federal regulations; corrections completed by 2005-11-21.
483.10(m)
483.15(h)(2)
483.20(k)(3)(ii)
483.25(h)(1)
483.25(m)(1)
07 Oct 2005Life Safety
07 Oct 2005Life Safety
Investigated a life-safety issue and identified multiple deficiencies in fire protection and egress features, including incomplete sprinkler coverage, a smoke-barrier door not latching, and a combustible exterior roof.
NFPA 101 Life Safety Code StandardDoor openings in smoke barriers
NFPA 101 Life Safety Code StandardLife Safety Code deficiencies related to egress/doors
NFPA 101 Life Safety Code StandardSprinkler coverage and exterior construction
07 Oct 2005Licensure
07 Oct 2005Licensure
The facility was cited for multiple deficiencies including inadequate self-administration of medications, poor housekeeping and maintenance, incomplete care planning, and unsafe medication storage and handling.
483.10(n)SELF ADMINISTRATION OF DRUGS
483.15(h)(2)HOUSEKEEPING/MAINTENANCE
483.20(k)(3)(ii)COMPREHENSIVE CARE PLANS
483.25QUALITY OF CARE
483.60(e)STORAGE OF DRUGS AND BIOLOGICALS
07 Oct 2005Life Safety
07 Oct 2005Life Safety
Identified life-safety deficiencies involving door hardware, door closures, and roof construction. Observed doors that did not latch, doors propped open, and combustible roofing lacking sprinkler coverage.
NFPA 101 Life Safety Code StandardDoor openings in smoke barriers
NFPA 101 Life Safety Code StandardPropping of doors
NFPA 101 Life Safety Code StandardSprinkler coverage; combustible materials
07 Oct 2005Licensure
07 Oct 2005Licensure
The inspection identified several deficiencies in medication self-administration, housekeeping and maintenance, resident assessments, care planning interventions, medication error handling, and storage of drugs and biologicals.
483.10(n)Self administration of medications
483.15(h)(2)Housekeeping/maintenance
483.20(k)(3)(ii)Comprehensive Assessments
483.25(k)(3)(ii)Interventions to implement plan of care
483.25(m)(1)Medication errors
483.25(m)(1)Storage of drugs and biologicals
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