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Shepherd Of The Valley Healthcare Center

Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 192
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: 03/29/2011

Date of last standard health inspection: 03/29/2011
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, 00/03/2011

Mistreatment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Protect each resident from mistreatment 00/03/2011 01/08/2012 Some neglect and misappropriation of personal property.
Develop and implement policies for 1) screening and training employees; and the 2) prevention 00/03/2011 01/08/2012 investigation identification
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. 00/03/2011 01/08/2012 2 Some
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 00/03/2011 01/08/2012 2 Some
Provide care by qualified persons according to each resident's written plan of care. 00/03/2011 01/08/2012 2 Few
Provide necessary care and services to maintain or improve the highest well being of each resident. 00/03/2011 01/08/2012 2 Few
Assist those residents who need help with eating/drinking 00/03/2011 01/08/2012 Few grooming and personal and oral hygiene.
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 00/03/2011 01/08/2012 and that incontinent patients receive proper servi unless medically necessary
Ensure residents maintain acceptable nutritional status. 00/03/2011 01/08/2012 2 Some
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 00/03/2011 01/08/2012 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. 00/03/2011 01/08/2012 2 Some

Inspection, 01/09/2010

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly 01/09/2010 01/06/2011 Some and develop corrective plans of action.
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. 01/09/2010 01/06/2011 3 Few

Inspection, 01/02/2007

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep accurate 01/02/2007 02/06/2008 Few complete and organized clinical records on each re
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. 01/02/2007 02/06/2008 2 Some

Inspection, 02/06/2004

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. 02/06/2004 01/02/2006 2 Few
Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide housekeeping and maintenance services. 02/06/2004 01/02/2006 2 Some
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/06/2004 01/02/2006 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/06/2004 01/02/2006 2 Some
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. 02/06/2004 01/02/2006 2 Some
Have a program that investigates 02/06/2004 01/02/2006 Some controls and keeps infection from spreading.
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. 02/06/2004 01/02/2006 2 Many
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. 02/06/2004 01/02/2006 2 Some
Store, cook, and serve food in a safe and clean way. 02/06/2004 01/02/2006 2 Many
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. 02/06/2004 01/02/2006 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/06/2004 01/02/2006 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. 02/06/2004 01/02/2006 2 Few
Ensure residents maintain acceptable nutritional status. 02/06/2004 01/02/2006 2 Some
Give each resident enough fluids to keep them healthy and prevent dehydration. 02/06/2004 01/02/2006 2 Few
Give each resident enough fluids to keep them healthy and prevent dehydration. 02/06/2004 01/02/2006 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. 02/06/2004 01/02/2006 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/06/2004 01/02/2006 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give residents a notice of rights, rules, services and charges. 02/06/2004 01/02/2006 2 Few
Allow residents to self-administer drugs if determined safe. 02/06/2004 01/02/2006 2 Few

Inspection, 02/09/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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 02/09/2003 00/08/2005 2 Some
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. 02/09/2003 00/08/2005 2 Some
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. 02/09/2003 00/08/2005 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 00/08/2005 2 Few
Have a program that investigates, controls and keeps infection from spreading. 02/09/2003 00/08/2005 2 Many
Put firmly secured handrails on each side of hallways. 02/09/2003 00/08/2005 2 Few
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. 02/09/2003 00/08/2005 2 Few
Have a program that investigates 02/09/2003 00/08/2005 Many controls and keeps infection from spreading.
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 00/08/2005 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 00/08/2005 2 Few
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 02/09/2003 00/08/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/09/2003 00/08/2005 2 Some
Ensure services provided by the nursing facility meet professional standards of quality. 02/09/2003 00/08/2005 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/09/2003 00/08/2005 3 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/09/2003 00/08/2005 2 Few
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. 02/09/2003 00/08/2005 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. 02/09/2003 00/08/2005 3 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. 02/09/2003 00/08/2005 2 Few
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. 02/09/2003 00/08/2005 2 Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being. 02/09/2003 00/08/2005 2 Some
Ensure that each resident who enters the nursing home without a catheter is not given a catheter 02/09/2003 00/08/2005 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. 02/09/2003 00/08/2005 2 Some
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Conduct initial and periodic assessments of each resident's functional capacity. 02/09/2003 00/08/2005 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. 02/09/2003 00/08/2005 3 Few

Inspection, 02/05/2003

Administration Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 02/05/2003 00/09/2005 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. 02/05/2003 00/09/2005 2 Some
Have a program that investigates, controls and keeps infection from spreading. 02/05/2003 00/09/2005 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. 02/05/2003 00/09/2005 2 Few
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. 02/05/2003 00/09/2005 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. 02/05/2003 00/09/2005 2 Few
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. 02/05/2003 00/09/2005 2 Few
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide activities to meet the interests and needs of each resident. 02/05/2003 00/09/2005 2 Some
Provide care by qualified persons according to each resident's written plan of care. 02/05/2003 00/09/2005 2 Some
Provide necessary care and services to maintain or improve the highest well being of each resident. 02/05/2003 00/09/2005 2 Few
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. 02/05/2003 00/09/2005 2 Few
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. 02/05/2003 00/09/2005 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. 02/05/2003 00/09/2005 2 Some
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. 02/05/2003 00/09/2005 2 Few
Allow residents the right to participate in the planning or revision of care and treatment. 02/05/2003 00/09/2005 2 Few
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep residents' personal and medical records private and confidential. 02/05/2003 00/09/2005 2 Few
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. 02/05/2003 00/09/2005 2 Some

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 59 178
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 8 hours 52 minutes 1 hour 9 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 22 minutes
CNA Hours
per Resident per Day
17 hours 46 minutes 9 hours 43 minutes 2 hours 31 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: 03/29/2011

Automatic Sprinkler Systems in all required areas Partial
Date of last standard fire safety inspection: 03/29/2011
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, 02/05/2004

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/05/2004 01/02/2006 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/05/2004 01/02/2006 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Weekly inspections and monthly testing of generators. 02/05/2004 01/02/2006 2 Many
Properly installed electrical wiring and equipment. 02/05/2004 01/02/2006 2 Few
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. 02/05/2004 01/02/2006 2 Many
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/05/2004 01/02/2006 2 Some
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. 02/05/2004 01/02/2006 2 Some
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. 02/05/2004 01/02/2006 2 Many

Inspection, 02/09/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/09/2003 02/00/2004 2 Some
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Approved construction type or materials. 02/09/2003 00/01/2004 2 Few
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Corridor and hallway doors that block smoke. 02/09/2003 00/04/2004 2 Few
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/09/2003 02/00/2004 2 Some
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. 02/09/2003 00/08/2005 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. 02/09/2003 00/04/2004 2 Some
Smoking Regulations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Posted No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed." 02/09/2003 00/08/2005 2 Few

Inspection, 02/04/2003

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Automatic sprinkler systems that have been maintained in working order. 02/04/2003 02/05/2003 2 Many
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Properly installed electrical wiring and equipment. 02/04/2003 02/05/2003 2 Some
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Exits that are accessible at all times. 02/04/2003 01/03/2004 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. 02/04/2003 02/05/2003 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. 02/04/2003 03/00/2003 2 Some
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Smoke barrier doors that can resist smoke for at least 20 minutes. 02/04/2003 02/05/2003 2 Some
 

60 Magnolia
Casper, WY 82604

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