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Deficiency Records for Casper Mountain Rehabilitation and Care Center
View the most recent health deficiencies and inspection results for Casper Mountain Rehabilitation and Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Casper Mountain Rehabilitation and Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-23 | 2026-05-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-04-23 | 2026-05-22 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2026-04-23 | 2026-05-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-04-23 | 2026-05-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-30 | 2026-01-26 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2025-08-27 | 2025-10-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-27 | 2025-10-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-27 | 2025-10-17 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-08-27 | 2025-10-17 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-08-27 | 2025-10-16 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-08-27 | 2025-10-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-08-27 | 2025-10-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-27 | 2025-10-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-08-27 | 2025-10-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-27 | 2025-10-15 | N |
| Meet other general requirements. | Fire Safety | 2025-08-27 | 2025-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-27 | 2025-10-10 | 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 | 2025-08-27 | 2025-10-10 | 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 | 2025-08-27 | 2025-10-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-08-27 | 2025-10-10 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-27 | 2025-10-10 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-08-27 | 2025-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-27 | 2025-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-27 | 2025-10-10 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-27 | 2025-10-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-27 | 2025-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-27 | 2025-10-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-08-27 | 2025-10-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-08-27 | 2025-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-27 | 2025-10-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2025-08-27 | 2025-10-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-27 | 2025-10-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-27 | 2025-10-08 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-08-27 | 2025-10-05 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-27 | 2025-10-03 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2025-08-27 | 2025-10-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-27 | 2025-10-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-27 | 2025-10-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-27 | 2025-10-03 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-27 | 2025-09-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-08-27 | 2025-09-18 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2025-08-27 | 2025-09-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-08-27 | 2025-09-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-27 | 2025-09-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-27 | 2025-09-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-18 | 2025-07-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-16 | 2025-06-30 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-05-16 | 2025-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-16 | 2025-06-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-03-06 | 2025-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-06 | 2025-04-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-06 | 2025-04-11 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2025-03-06 | 2025-04-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-15 | 2025-04-11 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-01-15 | 2025-02-21 | Y |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2024-06-13 | 2024-08-29 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2024-06-13 | 2024-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-13 | 2024-07-22 | 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 |
| 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 |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-13 | 2024-07-08 | Y |
| Keep all essential equipment working safely. | Health | 2024-06-13 | 2024-07-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-07-08 | N |
| 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 |
| 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 |
| 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 | 2023-03-23 | 2023-05-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-23 | 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 | 2023-03-23 | 2023-04-13 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-23 | 2023-04-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-23 | 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 | 2023-03-23 | 2023-04-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-23 | 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 |