CASTLE ROCK CONVALESCENT CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Castle Rock Convalescent Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CASTLE ROCK CONVALESCENT CENTER
1445 UINTA DRIVE
GREEN RIVER, WY 82935
(307) 872-4600

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

98%

Number of Residents and Certified Beds

  • Residents: 58
  • Certified Beds: 59

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Government - Hospital District
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Rock Springs | Evanston | Pinedale

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Castle Rock Convalescent Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 0-552.9%
Total Percent:52.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.9%
ADL Index Range: 6-105.1%
ADL Index Range: 0-519.1%
Total Percent:27.2%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 11-14
- No Signs of depression
3.7%
ADL Index Range: 2-5
- No Signs of depression
2.9%
ADL Index Range: 0-1
- No Signs of depression
2.9%
Total Percent:9.6%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 0-1
- Less restorative nursing
10.3%
Total Percent:10.3%
 

Rating Details For Castle Rock Convalescent Center

Nursing Staff -

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.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours43 Minutes1 Hour and 7 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours35 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 30 Minutes2 Hours and 13 Minutes
Total Licensed Nurse Hours1 Hour and 18 Minutes1 Hour and 47 Minutes
Total Nurse Hours3 Hours and 49 Minutes3 Hours and 60 Minutes

Quality of Care -

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.

This FacilityWyoming Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination82%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%2%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection14%9%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores4%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased7%15%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores6%3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain5%5%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse5%11%
Percent of Long-Stay Residents Who Lose Too Much Weight9%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious18%18%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder68%43%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season84%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination85%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores25%12%
Percent of Short-Stay Residents Who Have Delirium1%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain40%24%

Health Inspection Details -

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 06/09/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Post Nurse Staffing Information.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/16/2009
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 06/09/2011
  • Correction Date: 07/09/2011

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/16/2009

Mistreatment

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.
  • Inspection Date: 06/09/2011
  • Correction Date: 07/11/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/16/2009
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: 06/09/2011
  • Correction Date: 07/09/2011
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 06/09/2011
  • Correction Date: 07/09/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/16/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/16/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/14/2009
  • Correction Date: 06/16/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/01/2010
  • Correction Date: 08/04/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 07/01/2010
  • Correction Date: 08/04/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/01/2010
  • Correction Date: 08/04/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 07/01/2010
  • Correction Date: 08/04/2010

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 06/09/2011
  • Correction Date: 07/09/2011
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.
  • Inspection Date: 06/09/2011
  • Correction Date: 07/09/2011

Resident Rights

Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 06/09/2011
  • Correction Date: 07/09/2011
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 06/09/2011
  • Correction Date: 07/09/2011

Fire Safety

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 Castle Rock Convalescent Center 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 06/07/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 05/12/2009
  • Correction Date: 06/24/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/12/2009
  • Correction Date: 06/24/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/29/2010
  • Correction Date: 08/20/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/07/2011
  • Correction Date: 06/20/2011

Building Service Equipment

Properly Protected Cooking Facilities.
  • Inspection Date: 05/12/2009
  • Correction Date: 06/17/2009

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 05/12/2009
  • Correction Date: 05/15/2009
Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/30/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/29/2010
  • Correction Date: 08/06/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/07/2011
  • Correction Date: 06/09/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/29/2010
  • Correction Date: 08/02/2010
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/07/2011
  • Correction Date: 06/07/2011

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 05/12/2009
  • Correction Date: 05/12/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/07/2011
  • Correction Date: 07/12/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 06/07/2011
  • Correction Date: 06/07/2011

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 06/29/2010
  • Correction Date: 08/20/2010

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 06/29/2010
  • Correction Date: 07/19/2010
Source: Medicare Nursing Home Compare; Office of Health Quality of Wyoming - Retrieved 2011