SHEPHERD OF THE VALLEY CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Shepherd of the Valley Care 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

SHEPHERD OF THE VALLEY CARE CENTER
60 MAGNOLIA
CASPER, WY 82604
(307) 234-9381

Nursing Home Ratings

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

Percent of Beds Occupied

78%

Number of Residents and Certified Beds

  • Residents: 149
  • Certified Beds: 192

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Douglas | Rawlins | Wheatland

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 "Very 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 Shepherd of the Valley Care 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

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-164.2%
ADL Index Range: 6-105.7%
ADL Index Range: 0-51.8%
Total Percent:11.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.4%
ADL Index Range: 6-1012.0%
ADL Index Range: 0-520.0%
Total Percent:40.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1618.3%
ADL Index Range: 6-104.6%
ADL Index Range: 0-50.7%
Total Percent:23.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-167.3%
ADL Index Range: 6-109.3%
ADL Index Range: 0-52.6%
Total Percent:19.1%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.1%
Total Percent:0.1%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-14
- No Signs of depression
0.1%
ADL Index Range: 6-10
- Signs of depression
1.3%
ADL Index Range: 6-10
- No Signs of depression
0.1%
ADL Index Range: 2-5
- Signs of depression
0.1%
ADL Index Range: 2-5
- No Signs of depression
2.6%
Total Percent:4.1%
 

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: 15-16
- No Signs of depression
0.3%
ADL Index Range: 11-14
- No Signs of depression
0.4%
ADL Index Range: 0-1
- No Signs of depression
0.1%
Total Percent:0.8%
 

Rating Details For Shepherd of the Valley Care 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) Hours50 Minutes1 Hour and 1 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours23 Minutes39 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 51 Minutes2 Hours and 22 Minutes
Total Licensed Nurse Hours1 Hour and 14 Minutes1 Hour and 40 Minutes
Total Nurse Hours4 Hours and 4 Minutes4 Hours and 2 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 Who Were Assessed and Given Pneumococcal Vaccination90%89%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased10%15%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%8%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder46%43%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection10%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%11%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair3%2%
Percent of Long-Stay Residents Who Are More Depressed or Anxious13%18%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%7%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores1%3%
Percent of Long-Stay Residents Who Were Physically Restrained3%3%
Percent of Long-Stay Residents Who Lose Too Much Weight11%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain6%5%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination65%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season72%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain12%24%
Percent of Short-Stay Residents Who Have Delirium1%3%
Percent of Short-Stay Residents Who Have Pressure Sores6%12%

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 03/29/2011.

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

Give or Get Lab Tests by a Certified Laboratory.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011
Give or Get Lab Tests by a Certified Laboratory.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/04/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/04/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/04/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/04/2009
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/04/2009
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: 03/25/2010
  • Correction Date: 05/09/2010
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
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: 03/29/2011
  • Correction Date: 05/08/2011
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/04/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/04/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011
Properly Care for Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, and Prostheses.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/04/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
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: 03/25/2010
  • Correction Date: 05/09/2010
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 04/23/2009
  • Correction Date: 06/04/2009
Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/25/2010
  • Correction Date: 05/09/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Shepherd of the Valley Care Center, as well as complaints by residents or their family in the previous three years.

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
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Have a Program to Keep Infection from Spreading.
  • Complaint Filed: 03/29/2011
  • Correction Date: 05/08/2011
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 03/29/2011
  • Correction Date: 05/08/2011

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/18/2010
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/18/2010

Nutrition and Dietary

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.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/18/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/18/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/18/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/18/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/18/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/18/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/18/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/18/2010
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Complaint Filed: 03/29/2011
  • Correction Date: 05/08/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Complaint Filed: 03/29/2011
  • Correction Date: 05/08/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 11/03/2010
  • Correction Date: 12/18/2010

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 Shepherd of the Valley Care 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 03/29/2011.

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: 04/22/2009
  • Correction Date: 06/04/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/22/2009
  • Correction Date: 06/04/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/24/2010
  • Correction Date: 03/25/2010
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/29/2011
  • Correction Date: 04/20/2011

Building Construction

A Two-Hour-Resistant Firewall in Common Walls.
  • Inspection Date: 04/22/2009
  • Correction Date: 06/04/2009
Approved Construction Type or Materials.
  • Inspection Date: 03/29/2011
  • Correction Date: 04/01/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/22/2009
  • Correction Date: 06/04/2009
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/29/2011
  • Correction Date: 04/04/2011

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/22/2009
  • Correction Date: 06/04/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/24/2010
  • Correction Date: 03/25/2010
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 03/29/2011
  • Correction Date: 04/20/2011

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 04/22/2009
  • Correction Date: 06/04/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 03/24/2010
  • Correction Date: 04/13/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/24/2010
  • Correction Date: 03/25/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/22/2009
  • Correction Date: 06/04/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/24/2010
  • Correction Date: 03/30/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011

Medical Gases and Anesthetizing Areas

No-Smoking Signs Where Oxygen is Used.
  • Inspection Date: 04/22/2009
  • Correction Date: 06/04/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 04/22/2009
  • Correction Date: 06/04/2009
Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 03/24/2010
  • Correction Date: 03/25/2010
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/29/2011
  • Correction Date: 04/04/2011

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 03/29/2011
  • Correction Date: 05/08/2011
Source: Medicare Nursing Home Compare; Office of Health Quality of Wyoming - Retrieved 2011