LARAMIE CARE CENTER

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

LARAMIE CARE CENTER
503 S 18TH ST
LARAMIE, WY 82070
(307) 742-3728

Nursing Home Ratings

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

Percent of Beds Occupied

70%

Number of Residents and Certified Beds

  • Residents: 74
  • Certified Beds: 105

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Cheyenne | Wheatland | Saratoga

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 Laramie 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: 11-163.2%
ADL Index Range: 6-102.6%
Total Percent:5.8%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1611.3%
ADL Index Range: 6-1011.8%
ADL Index Range: 0-535.4%
Total Percent:58.5%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.3%
ADL Index Range: 6-100.3%
Total Percent:4.6%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.9%
ADL Index Range: 6-1011.1%
Total Percent:12.0%
 

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
- Signs of depression
1.7%
ADL Index Range: 11-14
- No Signs of depression
0.9%
ADL Index Range: 6-10
- Signs of depression
1.7%
ADL Index Range: 6-10
- No Signs of depression
8.0%
ADL Index Range: 2-5
- Signs of depression
1.4%
Total Percent:13.7%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
4.8%
Total Percent:4.8%
 

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: 6-10
- Less restorative nursing
0.7%
Total Percent:0.7%
 

Rating Details For Laramie 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) Hours59 Minutes58 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours22 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 22 Minutes2 Hours and 12 Minutes
Total Licensed Nurse Hours1 Hour and 20 Minutes1 Hour and 36 Minutes
Total Nurse Hours3 Hours and 43 Minutes3 Hours and 48 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 Season86%94%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination60%89%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse12%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%9%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%5%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased19%15%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair1%2%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder30%43%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder4%7%
Percent of Long-Stay Residents Who Were Physically Restrained1%3%
Percent of Long-Stay Residents Who Are More Depressed or Anxious8%18%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores9%8%
Percent of Long-Stay Residents Who Lose Too Much Weight8%9%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination23%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season53%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores10%12%
Percent of Short-Stay Residents Who Have Delirium4%3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain13%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 06/03/2010.

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

Keep Clinical Information Safe, So That It Will Not Be Lost, Destroyed or Used by the Wrong Person.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Have Enough Backup Water Supply for Important Areas of the Nursing Home.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/19/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/19/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/19/2009

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: 03/27/2008
  • Correction Date: 04/30/2008
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010

Quality Care

Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/19/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/19/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/19/2009
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/19/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/19/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 06/04/2009
  • Correction Date: 07/19/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 06/03/2010
  • Correction Date: 07/15/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
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: 06/03/2010
  • Correction Date: 07/15/2010

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/27/2008
  • Correction Date: 04/30/2008

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 Laramie 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 06/02/2010.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 04/14/2008
  • Correction Date: 05/31/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 06/02/2009
  • Correction Date: 07/01/2009

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/21/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/21/2010
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/21/2010

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 04/14/2008
  • Correction Date: 05/02/2008
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/02/2009
  • Correction Date: 07/01/2009
Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/21/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 06/02/2009
  • Correction Date: 07/01/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 06/02/2009
  • Correction Date: 06/12/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/21/2010

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/21/2010

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 04/14/2008
  • Correction Date: 05/31/2008
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 06/02/2009
  • Correction Date: 06/02/2009
Restrictions on the Use of Flammable Curtains.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/21/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 06/02/2009
  • Correction Date: 06/19/2009

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 06/02/2009
  • Correction Date: 06/02/2009

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/21/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed.
  • Inspection Date: 06/02/2010
  • Correction Date: 07/21/2010
Source: Medicare Nursing Home Compare; Office of Health Quality of Wyoming - Retrieved 2011