CHEYENNE REGIONAL MEDICAL CENTER TRANSITIONAL CARE UNIT

The information listed below provides an in-depth look into the type and quality of care offered at Cheyenne Regional Medical Center Transitional Care Unit. 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

CHEYENNE REGIONAL MEDICAL CENTER TRANSITIONAL CARE UNIT
214 EAST 23RD STREET
CHEYENNE, WY 82001
(307) 633-7365

Nursing Home Ratings

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

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 14
  • Certified Beds: 16

This Facility Accepts

  • Medicare

Operational Details

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

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This FacilityFor-ProfitNon-ProfitGovt

Nearby Cities:

Laramie | 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 "Medium 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 Cheyenne Regional Medical Center Transitional Care Unit. 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

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.9%
ADL Index Range: 6-105.4%
Total Percent:7.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-160.8%
ADL Index Range: 6-1023.1%
ADL Index Range: 0-58.1%
Total Percent:32.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-164.3%
ADL Index Range: 6-1019.6%
ADL Index Range: 0-513.4%
Total Percent:37.3%
 

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: 15-16
- Signs of depression
1.8%
ADL Index Range: 2-5
- Signs of depression
1.8%
ADL Index Range: 2-5
- No Signs of depression
8.4%
Total Percent:12.0%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-5
- No Signs of depression
2.8%
Total Percent:2.8%
 

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: 6-10
- Signs of depression
1.7%
ADL Index Range: 2-5
- Signs of depression
1.8%
ADL Index Range: 2-5
- No Signs of depression
3.4%
ADL Index Range: 0-1
- Signs of depression
0.6%
ADL Index Range: 0-1
- No Signs of depression
1.0%
Total Percent:8.5%
 

Rating Details For Cheyenne Regional Medical Center Transitional Care Unit

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) Hours5 Hours and 12 Minutes1 Hour and 41 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours43 Minutes59 Minutes
Certified Nursing Assistant (CNA) Hours3 Hours and 37 Minutes2 Hours and 23 Minutes
Total Licensed Nurse Hours5 Hours and 55 Minutes2 Hours and 40 Minutes
Total Nurse Hours9 Hours and 31 Minutes5 Hours and 3 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

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination72%79%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season60%83%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores26%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain48%24%
Percent of Short-Stay Residents Who Have Delirium-3%

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 05/26/2011.

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

Hire a Qualified Activities Director.
  • Inspection Date: 07/22/2009
  • Correction Date: 08/24/2009
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/02/2009
Meet the Definition of a Skilled Nursing Facility or Nursing Facility, According to Law.
  • Inspection Date: 05/26/2011
  • Correction Date: 06/24/2011

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/04/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/04/2009
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/31/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/04/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/31/2011

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/04/2009
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 06/15/2010
  • Correction Date: 07/02/2010
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/31/2011

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/04/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/04/2009
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/04/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/04/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/04/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/04/2009
Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/15/2011

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: 05/26/2011
  • Correction Date: 07/31/2011
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: 05/26/2011
  • Correction Date: 06/24/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 07/22/2009
  • Correction Date: 09/04/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/26/2011
  • Correction Date: 07/31/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Cheyenne Regional Medical Center Transitional Care Unit, 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

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Complaint Filed: 08/12/2008
  • Correction Date: 09/25/2008

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 Cheyenne Regional Medical Center Transitional Care Unit 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 05/25/2011.

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

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/04/2009

Building Construction

Approved Construction Type or Materials.
  • Inspection Date: 07/23/2009
  • Correction Date: 07/23/2009
Approved Construction Type or Materials.
  • Inspection Date: 05/25/2011
  • Correction Date: 06/24/2011

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/04/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 07/23/2009
  • Correction Date: 09/04/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
  • Inspection Date: 05/25/2011
  • Correction Date: 06/24/2011

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility.
  • Inspection Date: 05/25/2011
  • Correction Date: 06/30/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 07/23/2009
  • Correction Date: 07/23/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 05/25/2011
  • Correction Date: 06/24/2011
Source: Medicare Nursing Home Compare; Office of Health Quality of Wyoming - Retrieved 2011