WESTON COUNTY HEALTH SERVICES

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Wyoming are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 10/15/2010.

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 07/02/2008 Correction Date: 09/19/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 07/02/2008 Correction Date: 08/20/2008
Have a Program to Keep Infection from Spreading. Inspection Date: 07/02/2008 Correction Date: 08/20/2008
Provide Needed Housekeeping and Maintenance. Inspection Date: 10/15/2010 Correction Date: 11/29/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 07/02/2008 Correction Date: 07/05/2008
Hire Enough Skilled Workers to Carry out Dietary Service. Inspection Date: 09/24/2009 Correction Date: 10/30/2009

Pharmacy Service

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. Inspection Date: 07/02/2008 Correction Date: 09/12/2008
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%. Inspection Date: 07/02/2008 Correction Date: 08/20/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 07/02/2008 Correction Date: 09/12/2008
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Inspection Date: 09/24/2009 Correction Date: 10/30/2009
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. Inspection Date: 10/15/2010 Correction Date: 11/29/2010
Properly Mark Drugs and Other Similar Products. Inspection Date: 10/15/2010 Correction Date: 11/29/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 07/02/2008 Correction Date: 08/22/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 07/02/2008 Correction Date: 08/22/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 07/02/2008 Correction Date: 08/20/2008
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 09/24/2009 Correction Date: 10/30/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 09/24/2009 Correction Date: 10/30/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 10/15/2010 Correction Date: 11/29/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 10/15/2010 Correction Date: 11/29/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 10/15/2010 Correction Date: 11/29/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 10/15/2010 Correction Date: 11/29/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 10/15/2010 Correction Date: 11/29/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Inspection Date: 07/02/2008 Correction Date: 08/22/2008

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 07/02/2008 Correction Date: 08/22/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 07/02/2008 Correction Date: 08/22/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 09/24/2009 Correction Date: 10/30/2009
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions. Inspection Date: 09/24/2009 Correction Date: 10/30/2009

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Weston County Health Services had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 10/11/2010.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 07/03/2008 Correction Date: 08/29/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 07/03/2008 Correction Date: 08/29/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/22/2009 Correction Date: 11/08/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 10/11/2010 Correction Date: 11/29/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 07/03/2008 Correction Date: 08/22/2008

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 07/03/2008 Correction Date: 08/29/2008

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 07/03/2008 Correction Date: 09/19/2008

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 07/03/2008 Correction Date: 08/29/2008
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 10/11/2010 Correction Date: 11/23/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 09/22/2009 Correction Date: 10/30/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 10/11/2010 Correction Date: 10/18/2010

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 09/22/2009 Correction Date: 10/30/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 07/03/2008 Correction Date: 08/29/2008
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 09/22/2009 Correction Date: 10/30/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 10/11/2010 Correction Date: 11/25/2010

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 10/11/2010 Correction Date: 11/29/2010
Properly Located and Lighted "Exit" Signs. Inspection Date: 10/11/2010 Correction Date: 11/29/2010

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used. Inspection Date: 09/22/2009 Correction Date: 10/30/2009
Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen. Inspection Date: 09/22/2009 Correction Date: 10/30/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 07/03/2008 Correction Date: 08/29/2008

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 09/22/2009 Correction Date: 10/30/2009