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LARAMIE CARE CENTER
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854615955
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Details
Costs
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 04/19/2007 Health Survey for LARAMIE CARE CENTER
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Hire a qualified activities director. | Pattern | Minimal harm or potential for actual harm |
| Keep accurate and appropriate medical records. | Isolated | Minimal harm or potential for actual harm |
| Give or get x-rays and other tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm |
| Keep signed and dated reports of x-rays and other tests. | Isolated | Minimal harm or potential for actual harm |
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Provide needed housekeeping and maintenance. | Isolated | Minimal harm or potential for actual harm |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable. | Isolated | Minimal harm or potential for actual harm |
| Have enough outside airflow. | Widespread | Potential for minimal harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Isolated | Minimal harm or potential for actual harm |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Isolated | Minimal harm or potential for actual harm |
| 1) Hire only people who have 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. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Pattern | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Provide social services for related medical problems to help each resident achieve the highest possible quality of life. | Isolated | Actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm |
| Provide activities to meet the needs of each resident. | Pattern | Minimal harm or potential for actual harm |
| offer Flu or Pneumococal vaccine to some residents. | Pattern | Minimal harm or potential for actual harm |
| Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm |
| Make sure that a resident does not become withdrawn, angry or depressed if these problems did not exist before. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| 1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan. | Isolated | Minimal harm or potential for actual harm |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide proof that all residents' personal money which is deposited with the nursing home, is secure. | Pattern | Minimal harm or potential for actual harm |
| Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm |
| Try to resolve each resident's complaints quickly. | Isolated | Minimal harm or potential for actual harm |
| Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. | Isolated | Minimal harm or potential for actual harm |
- 04/16/2007 Fire Safety Survey for LARAMIE CARE CENTER
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. | Pattern | Minimal harm or potential for actual harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Pattern | Minimal harm or potential for actual harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| properly protected cooking facilities. | Pattern | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Isolated | Minimal harm or potential for actual harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| weekly inspections and monthly testing of generators. | Widespread | Minimal harm or potential for actual harm |
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Isolated | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved installation, maintenance and testing program for fire alarm systems. | Isolated | Minimal harm or potential for actual harm |
| Furnishings and Decorations | ||
| Deficiency | Scope | Level of Harm |
| properly sized and located linen or trash receptacles. | Pattern | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Pattern | Minimal harm or potential for actual harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| properly located and lighted Exit signs. | Pattern | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Pattern | Minimal harm or potential for actual harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Isolated | Minimal harm or potential for actual harm |
- 10/26/2006 Health Survey for LARAMIE CARE CENTER
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Follow all laws and professional standards. | Isolated | Minimal harm or potential for actual harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| 1) Hire only people who have 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. | Pattern | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| 1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day. | Pattern | Minimal harm or potential for actual harm |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Pattern | Potential for minimal harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Provide activities to meet the needs of each resident. | Pattern | Minimal harm or potential for actual harm |
| offer Flu or Pneumococal vaccine to some residents. | Pattern | Minimal harm or potential for actual harm |
| Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. | Isolated | Minimal harm or potential for actual harm |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Make a complete assessment that covers all questions for areas that are listed in official regulations. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Pattern | Minimal harm or potential for actual harm |
- 09/20/2006 Fire Safety Survey for LARAMIE CARE CENTER
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| back-up procedures in place for a faulty automatic sprinkler system. | Widespread | Minimal harm or potential for actual harm |
| portable fire extinguishers. | Isolated | Minimal harm or potential for actual harm |
| Building Service Equipment | ||
| Deficiency | Scope | Level of Harm |
| properly protected cooking facilities. | Isolated | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Isolated | Minimal harm or potential for actual harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| properly installed electrical wiring and equipment. | Isolated | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved installation, maintenance and testing program for fire alarm systems. | Widespread | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Isolated | Minimal harm or potential for actual harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| smoke barrier doors that can resist smoke for at least 20 minutes. | Isolated | Minimal harm or potential for actual harm |
- 11/10/2005 Health Survey for LARAMIE CARE CENTER
| Administration | ||
| Deficiency | Scope | Level of Harm |
| Give or get lab tests to meet the needs of residents. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion. | Pattern | Minimal harm or potential for actual harm |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Pattern | Minimal harm or potential for actual harm |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Make sure that doctors visit residents regularly, as required. | Isolated | Minimal harm or potential for actual harm |
- 09/19/2005 Fire Safety Survey for LARAMIE CARE CENTER
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Widespread | Minimal harm or potential for actual harm |
| automatic sprinkler systems that have been maintained in working order. | Isolated | Minimal harm or potential for actual harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Isolated | Minimal harm or potential for actual harm |
| Emergency Plans and Fire Drills | ||
| Deficiency | Scope | Level of Harm |
| record of quarterly fire drills for each shift under varying conditions. | Isolated | Minimal harm or potential for actual harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| exits that are accessible at all times. | Isolated | Minimal harm or potential for actual harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| a fire alarm system that can be heard throughout the facility. | Isolated | Minimal harm or potential for actual harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| construction that can resist fire for one hour or an approved fire extinguishing system. | Isolated | Minimal harm or potential for actual harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| emergency lighting that can last at least 1 1/2 hours. | Widespread | Minimal harm or potential for actual harm |
| Medical Gases and Anesthetizing Areas | ||
| Deficiency | Scope | Level of Harm |
| proper medical gas storage and administration areas. | Isolated | Minimal harm or potential for actual harm |
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