THERMOPOLIS REHABILITATION AND CARE CENTER

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 Thermopolis Rehabilitation and Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Medium Rehabilitation

Clinically Complex

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

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

Short-Term Stay Preventive Actions

Short-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 02/10/2011.

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 11/19/2008 Correction Date: 02/18/2009
Post Nurse Staffing Information. Inspection Date: 12/17/2009 Correction Date: 02/01/2010
Get Services Outside the Nursing Home That Meet Professional Standards. Inspection Date: 12/17/2009 Correction Date: 02/01/2010
Give or Get Lab Tests by a Certified Laboratory. Inspection Date: 12/17/2009 Correction Date: 02/01/2010
Set Up or Keep a Group of People to Review and Ensure Quality. Inspection Date: 12/17/2009 Correction Date: 02/01/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 11/19/2008 Correction Date: 01/15/2009
Keep Sound Levels Comfortable. Inspection Date: 11/19/2008 Correction Date: 01/15/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 11/19/2008 Correction Date: 01/15/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 11/19/2008 Correction Date: 01/15/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 11/19/2008 Correction Date: 01/15/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 12/17/2009 Correction Date: 02/01/2010
Have a Program to Keep Infection from Spreading. Inspection Date: 12/17/2009 Correction Date: 02/01/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 02/10/2011 Correction Date: 03/27/2011
Put Firmly Secured Handrails on Each Side of Hallways. Inspection Date: 02/10/2011 Correction Date: 03/27/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Inspection Date: 11/19/2008 Correction Date: 01/15/2009

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 11/19/2008 Correction Date: 01/15/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 12/17/2009 Correction Date: 02/01/2010

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: 11/19/2008 Correction Date: 02/18/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 11/19/2008 Correction Date: 01/15/2009
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: 12/17/2009 Correction Date: 02/01/2010
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: 02/10/2011 Correction Date: 03/27/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 11/19/2008 Correction Date: 02/19/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 11/19/2008 Correction Date: 01/15/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 11/19/2008 Correction Date: 02/16/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 11/19/2008 Correction Date: 01/15/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 12/17/2009 Correction Date: 02/01/2010
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 12/17/2009 Correction Date: 02/01/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/10/2011 Correction Date: 03/27/2011
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 02/10/2011 Correction Date: 03/27/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 02/10/2011 Correction Date: 03/27/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 02/10/2011 Correction Date: 03/27/2011
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 02/10/2011 Correction Date: 03/27/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 11/19/2008 Correction Date: 01/15/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 02/10/2011 Correction Date: 03/27/2011

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

Administration

Set Up or Keep a Group of People to Review and Ensure Quality. Complaint Filed: 06/10/2009 Correction Date: 07/03/2009

Quality Care

Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Complaint Filed: 11/19/2008 Correction Date: 01/15/2009
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being. Complaint Filed: 11/19/2008 Correction Date: 01/15/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 06/10/2009 Correction Date: 07/03/2009

Resident Assessment

Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health. Complaint Filed: 02/10/2011 Correction Date: 03/27/2011

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Complaint Filed: 12/17/2009 Correction Date: 02/01/2010
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged. Complaint Filed: 02/10/2011 Correction Date: 03/27/2011

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 Thermopolis Rehabilitation and 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 02/08/2011.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 11/18/2008 Correction Date: 01/15/2009
An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 02/08/2011 Correction Date: 03/27/2011

Building Service Equipment

Restrictions on the Use of Portable Space Heaters. Inspection Date: 12/16/2009 Correction Date: 12/16/2009
A Properly Installed and Maintained Dumbwaiter or Escalator. Inspection Date: 02/08/2011 Correction Date: 03/27/2011

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 12/16/2009 Correction Date: 12/29/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 12/16/2009 Correction Date: 12/21/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/08/2011 Correction Date: 03/27/2011

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 02/08/2011 Correction Date: 03/27/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 11/18/2008 Correction Date: 01/15/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/08/2011 Correction Date: 03/27/2011

Illumination and Emergency Power

Proper Backup Exit Lighting. Inspection Date: 02/08/2011 Correction Date: 03/27/2011
Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 02/08/2011 Correction Date: 03/27/2011

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas. Inspection Date: 11/18/2008 Correction Date: 01/15/2009
No-Smoking Signs Where Oxygen is Used. Inspection Date: 11/18/2008 Correction Date: 01/15/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 12/16/2009 Correction Date: 12/22/2009