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Deficiency Records for Casper Mountain Rehabilitation and Care Center

A list of the most recent deficiencies for Casper Mountain Rehabilitation and Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Casper Mountain Rehabilitation and Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-06-13 2024-07-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-13 2024-07-08 N
Post nurse staffing information every day. Health 2024-06-13 2024-07-08 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-06-13 2024-07-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-13 2024-07-08 N
Provide and implement an infection prevention and control program. Health 2024-06-13 2024-07-08 N
Keep all essential equipment working safely. Health 2024-06-13 2024-07-08 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-06-13 2024-07-08 Y
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Health 2024-06-13 2024-07-08 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-06-12 2024-07-08 N
Provide emergency officials' contact information. Fire Safety 2024-06-12 2024-07-08 N
Implement emergency and standby power systems. Fire Safety 2024-06-12 2024-07-08 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-06-12 2024-07-08 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-06-12 2024-07-08 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-06-12 2024-07-08 N
Have properly sized and located compartments to protect residents from smoke. Fire Safety 2024-06-12 2024-07-08 N
Meet Health Care Facilities Code mechanical requirements. Fire Safety 2024-06-12 2024-07-08 N
Have power receptacles that are properly grounded. Fire Safety 2024-06-12 2024-07-08 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2024-05-02 2024-05-22 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-03-21 2024-05-03 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-21 2024-05-03 Y
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2023-08-03 2023-08-23 Y
Respond appropriately to all alleged violations. Health 2023-08-03 2023-08-23 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-21 2023-06-26 Y
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-03-21 2023-05-10 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-14 2023-04-18 Y
Respond appropriately to all alleged violations. Health 2023-04-14 2023-04-18 Y
Conduct testing and exercise requirements. Fire Safety 2023-03-21 2023-04-13 N
Implement emergency and standby power systems. Fire Safety 2023-03-21 2023-04-13 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2023-03-21 2023-04-13 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-03-21 2023-04-13 N
Provide properly protected cooking facilities. Fire Safety 2023-03-21 2023-04-13 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2023-03-21 2023-04-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-03-21 2023-04-13 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-03-21 2023-04-13 N
Install an approved automatic sprinkler system. Fire Safety 2023-03-21 2023-04-13 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-03-21 2023-04-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-21 2023-04-13 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-03-21 2023-04-13 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-03-21 2023-04-13 N
Have restrictions on the use of portable space heaters. Fire Safety 2023-03-21 2023-04-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-21 2023-04-13 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-03-21 2023-04-13 N
Have proper medical gas storage and administration areas. Fire Safety 2023-03-21 2023-04-13 N
Ensure proper storage of liquid oxygen. Fire Safety 2023-03-21 2023-04-13 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-03-23 2023-03-23 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-03-23 2023-03-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-23 2023-03-23 N
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2023-03-23 2023-03-23 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2023-03-23 2023-03-23 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-03-23 2023-03-23 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-03-23 2023-03-23 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-11-21 2022-11-22 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-19 2022-11-10 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-10-19 2022-11-10 Y
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2022-05-18 2022-06-16 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-05-18 2022-05-20 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2021-12-16 2022-03-10 N
Provide emergency officials' contact information. Fire Safety 2021-12-16 2022-02-15 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2021-12-16 2022-02-15 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2021-12-16 2022-02-15 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-12-16 2022-02-15 N
Provide properly protected cooking facilities. Fire Safety 2021-12-16 2022-02-15 N
Install an approved automatic sprinkler system. Fire Safety 2021-12-16 2022-02-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-12-16 2022-02-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-12-16 2022-02-15 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2021-12-16 2022-02-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-17 2022-01-19 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-12-17 2022-01-19 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-12-17 2022-01-19 N
Ensure medication error rates are not 5 percent or greater. Health 2021-12-17 2022-01-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-17 2022-01-19 N
Provide and implement an infection prevention and control program. Health 2021-12-17 2022-01-19 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-12-17 2022-01-19 N
Perform COVID19 testing on residents and staff. Health 2021-12-17 2022-01-19 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-12-17 2022-01-19 Y
Provide and implement an infection prevention and control program. Health 2021-11-09 2021-12-10 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-10-15 2021-10-04 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2021-10-15 2021-10-04 Y

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