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Deseret Health And Rehab At Rock Springs Llc

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 101
Continuing Care? No
Resident Council? Yes
Family Council? Yes
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: 03/29/2012

Date of last standard health inspection: 03/29/2012
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, 02/09/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 02/09/2003 01/03/2005 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/09/2003 01/03/2005 2 Some
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. 02/09/2003 01/03/2005 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/09/2003 01/03/2005 2 Many
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/09/2003 01/03/2005 2 Many
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/09/2003 01/03/2005 2 Few
Have a program that investigates 02/09/2003 01/03/2005 Many controls and keeps infection from spreading.
Mistreatment Deficiencies
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. 02/09/2003 01/03/2005 1 Some
1) Hire only people with no legal history of abusing 02/09/2003 01/03/2005 neglect or mistreatment of residents. neglecting or mistreating residents; or 2) report
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and serve food in a safe and clean way. 02/09/2003 01/03/2005 2 Many
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. 02/09/2003 01/03/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide care by qualified persons according to each resident's written plan of care. 02/09/2003 01/03/2005 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2003 01/03/2005 2 Some
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/09/2003 01/03/2005 2 Some
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. 02/09/2003 01/03/2005 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/09/2003 01/03/2005 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2003 01/03/2005 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. 02/09/2003 01/03/2005 2 Few
Assess in a timely manner the resident when the resident enters the nursing home. 02/09/2003 01/03/2005 2 Few
Review or revise the resident's care plan after any major change in physical or mental health. 02/09/2003 01/03/2005 2 Few
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. 02/09/2003 01/03/2005 2 Few
Make sure that doctors visit residents regularly, as required. 02/09/2003 01/03/2005 2 Few
Resident Rights Deficiencies
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. 02/09/2003 01/03/2005 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/09/2003 01/03/2005 2 Some

Inspection, 01/07/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Ensure the activities program is directed by a qualified professional. 01/07/2003 02/06/2003 1 Some
Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. 01/07/2003 03/00/2004 2 Few
Keep complete, dated laboratory records in the resident's file. 01/07/2003 03/00/2004 2 Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards. 01/07/2003 03/00/2004 2 Few
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 01/07/2003 03/00/2004 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 01/07/2003 03/00/2004 Some and develop corrective plans of action.
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. 01/07/2003 03/00/2004 2 Some
Have a program that investigates, controls and keeps infection from spreading. 01/07/2003 03/00/2004 2 Some
Have a program that investigates 01/07/2003 03/00/2004 Some controls and keeps infection from spreading.
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from all abuse, physical punishment, and involuntary separation from others. 01/07/2003 03/00/2004 2 Some
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 01/07/2003 03/00/2004 2 Some
Store, cook, and serve food in a safe and clean way. 01/07/2003 03/00/2004 2 Many
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. 01/07/2003 03/00/2004 2 Few
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/07/2003 03/00/2004 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. 01/07/2003 03/00/2004 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/07/2003 03/00/2004 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 01/07/2003 03/00/2004 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/07/2003 03/00/2004 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. 01/07/2003 03/00/2004 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/07/2003 03/00/2004 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 01/07/2003 03/00/2004 3 Few
Assist those residents who need help with eating/drinking 01/07/2003 03/00/2004 Few grooming and personal and oral hygiene.
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/07/2003 03/00/2004 2 Few
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 01/07/2003 03/00/2004 and that incontinent patients receive proper servi unless medically necessary
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 01/07/2003 03/00/2004 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that doctors visit residents regularly, as required. 01/07/2003 03/00/2004 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 01/07/2003 03/00/2004 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 01/07/2003 01/05/2004 2 Few
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. 01/07/2003 03/00/2004 2 Some
Reasonably accommodate the needs and preferences of each resident. 01/07/2003 03/00/2004 2 Few

Inspection, 01/01/2002

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates, controls and keeps infection from spreading. 01/01/2002 02/08/2003 2 Some
Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 01/01/2002 02/08/2003 2 Few
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. 01/01/2002 02/08/2003 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 01/01/2002 02/08/2003 2 Some
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. 01/01/2002 02/08/2003 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/01/2002 02/08/2003 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 01/01/2002 02/08/2003 2 Few
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 01/01/2002 02/08/2003 2 Few
Ensure each resident receives an accurate assessment by a qualified health professional. 01/01/2002 02/08/2003 2 Some
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. 01/01/2002 02/08/2003 2 Some

Inspection, 01/07/2001

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Have a program that investigates 01/07/2001 03/01/2001 Some controls and keeps infection from spreading.

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 60
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 8 hours 52 minutes 1 hour 13 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 8 hours 25 minutes 46 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 7 hours 55 minutes 27 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 9 hours 43 minutes 2 hours 3 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: 03/27/2012

Automatic Sprinkler Systems in all required areas Yes
Date of last standard fire safety inspection: 03/27/2012
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, 02/07/2003

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. 02/07/2003 00/05/2004 2 Few
Automatic sprinkler systems that have been maintained in working order. 02/07/2003 01/03/2005 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/07/2003 02/09/2003 2 Few
Hazardous Area Deficiencies
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. 02/07/2003 02/08/2003 2 Few
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Emergency lighting that can last at least 1 1/2 hours. 02/07/2003 00/03/2004 2 Many
Properly located and lighted Exit" signs." 02/07/2003 01/03/2005 2 Some

Inspection, 01/06/2003

Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 01/06/2003 00/01/2004 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 01/06/2003 00/01/2004 2 Few
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 01/06/2003 03/00/2004 2 Some
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 01/06/2003 00/01/2004 2 Few
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Restrictions on the use of flammable curtains. 01/06/2003 01/06/2003 2 Few
Hazardous Area Deficiencies
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. 01/06/2003 03/00/2004 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. 01/06/2003 00/01/2004 2 Some

Inspection, 00/09/2002

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 00/09/2002 02/08/2003 2 Some
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 00/09/2002 02/08/2003 2 Some
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Record of quarterly fire drills for each shift under varying conditions. 00/09/2002 03/00/2003 2 Many
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
An approved installation, maintenance and testing program for fire alarm systems. 00/09/2002 02/02/2003 2 Many
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. 00/09/2002 01/01/2002 2 Some
 

1325 Sage Street
Rock Springs, WY 82901

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