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Thermopolis Rehabilitation And Care Center
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Po Box 1325
Thermopolis, WY 82443
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 60 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 03/15/2012
| Date of last standard health inspection: | 03/15/2012 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in WY: | 6 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in WY: | 0 - 12 |
Inspection, 01/07/2012
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Post nurse staffing information/data on a daily basis. | 01/07/2012 | 00/01/2002 | 1 | Some |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | 01/07/2012 | 00/01/2002 | 2 | Few |
| Ensure laboratory services, blood blanks and transfusion services provided on site meet requirements for certified laboratories; or have an agreement to obtain services from an offsite laboratory, that meets the same requirements. | 01/07/2012 | 00/01/2002 | 2 | Some |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 01/07/2012 | 00/01/2002 | 2 | Some |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/07/2012 | 00/01/2002 | 2 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 01/07/2012 | 00/01/2002 | 2 | Some |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 01/07/2012 | 00/01/2002 | 2 | Many |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 01/07/2012 | 00/01/2002 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/07/2012 | 00/01/2002 | 2 | Some |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 01/07/2012 | 00/01/2002 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/07/2012 | 00/01/2002 | 2 | Some |
Inspection, 01/03/2009
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/03/2009 | 02/08/2010 | 2 | Few |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | 01/03/2009 | 02/08/2010 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Allow residents the right to participate in the planning or revision of care and treatment. | 01/03/2009 | 02/08/2010 | 2 | Few |
Inspection, 01/05/2003
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Post nurse staffing information/data on a daily basis. | 01/05/2003 | 02/09/2004 | 1 | Some |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | 01/05/2003 | 02/09/2004 | 2 | Some |
| Keep complete, dated laboratory records in the resident's file. | 01/05/2003 | 02/09/2004 | 2 | Few |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 01/05/2003 | 02/09/2004 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 01/05/2003 | 02/09/2004 | 2 | Some |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | 01/05/2003 | 02/09/2004 | 2 | Some |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 01/05/2003 | 02/09/2004 | 2 | Some |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 01/05/2003 | 02/09/2004 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/05/2003 | 02/09/2004 | 2 | Few |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 01/05/2003 | 02/09/2004 | 2 | Few |
| Assist those residents who need help with eating/drinking | 01/05/2003 | 02/09/2004 | Few | grooming and personal and oral hygiene. |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 01/05/2003 | 02/09/2004 | 2 | Few |
| Allow residents the right to participate in the planning or revision of care and treatment. | 01/05/2003 | 02/09/2004 | 2 | Some |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep residents' personal and medical records private and confidential. | 01/05/2003 | 02/09/2004 | 2 | Few |
| Send unopened mail from residents and promptly deliver unopened mail to residents. | 01/05/2003 | 02/09/2004 | 2 | Some |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/05/2003 | 02/09/2004 | 2 | Some |
| Reasonably accommodate the needs and preferences of each resident. | 01/05/2003 | 02/09/2004 | 2 | Few |
| Keep residents' personal and medical records private and confidential. | 01/05/2003 | 02/09/2004 | 2 | Few |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/05/2003 | 02/09/2004 | 2 | Some |
Inspection, 01/00/2002
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 01/00/2002 | 02/07/2003 | 2 | Some |
| Put firmly secured handrails on each side of hallways. | 01/00/2002 | 02/07/2003 | 2 | Some |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 01/00/2002 | 02/07/2003 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 01/00/2002 | 02/07/2003 | 2 | Few |
| Provide care by qualified persons according to each resident's written plan of care. | 01/00/2002 | 02/07/2003 | 2 | Few |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 01/00/2002 | 02/07/2003 | 2 | Few |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | 01/00/2002 | 02/07/2003 | 2 | Few |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | 01/00/2002 | 02/07/2003 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Review or revise the resident's care plan after any major change in physical or mental health. | 01/00/2002 | 02/07/2003 | 2 | Few |
| Review or revise the resident's care plan after any major change in physical or mental health. | 01/00/2002 | 02/07/2003 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 01/00/2002 | 02/07/2003 | 2 | Few |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/00/2002 | 02/07/2003 | 2 | Some |
| Immediately tell the resident | 01/00/2002 | 02/07/2003 | and a family member of situations (injury/decline/ | the resident's doctor |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in WY | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 4 out of 5 stars |
| Total Number of Residents | 86 | 59 | 49 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
16 hours 19 minutes | 8 hours 26 minutes | 1 hour 22 minutes |
|
RN Hours per Resident per Day |
15 hours 30 minutes | 7 hours 58 minutes | 42 minutes |
|
LPN/LVN Hours per Resident per Day |
15 hours 45 minutes | 7 hours 30 minutes | 39 minutes |
|
CNA Hours per Resident per Day |
17 hours 14 minutes | 9 hours 18 minutes | 2 hours 12 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 03/15/2012
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 03/15/2012 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in WY: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in WY: | 0 - 0 |
Inspection, 01/06/2012
Building Service Equipment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Restrictions on the use of portable space heaters. | 01/06/2012 | 01/06/2012 | 2 | Few |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 01/06/2012 | 02/09/2012 | 2 | Some |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 01/06/2012 | 02/01/2012 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 01/06/2012 | 02/02/2012 | 2 | Some |
Inspection, 01/05/2003
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Automatic sprinkler systems that have been maintained in working order. | 01/05/2003 | 02/09/2004 | 2 | Some |
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 01/05/2003 | 02/09/2004 | 2 | Few |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 01/05/2003 | 02/09/2004 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 01/05/2003 | 02/09/2004 | 2 | Few |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 01/05/2003 | 02/09/2004 | 2 | Some |
Inspection, 00/08/2002
Automatic Sprinkler Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| An approved automatic sprinkler system connected to the fire alarm system. | 00/08/2002 | 02/07/2003 | 2 | Some |
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A properly installed and maintained dumbwaiter or escalator. | 00/08/2002 | 02/07/2003 | 2 | Some |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 00/08/2002 | 02/07/2003 | 2 | Few |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 00/08/2002 | 02/07/2003 | 2 | Some |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 00/08/2002 | 02/07/2003 | 2 | Some |
Illumination and Emergency Power Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper backup exit lighting. | 00/08/2002 | 02/07/2003 | 2 | Some |
| Emergency lighting that can last at least 1 1/2 hours. | 00/08/2002 | 02/07/2003 | 2 | Many |
