Cody Regional Health Long Term Care Center

In the surveyor’s words

From the most serious findings on record at Cody Regional Health Long Term Care Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF880Aug 26, 2021

  Based on observation, staff interview, review of professional standards, review of manufacturer recommendations, and policy and procedure review, the facility failed to ensure appropriate infection control practices were implemented. Specifically, the facility failed to ensure blood glucose monitors were disinfected between uses during 1 of 5 observations (resident #2). This failure resulted in an unacceptable risk to resident health and a determination of immediate jeopardy. In addition, the facility failed to ensure appropriate infection prevention practices during 1 of 1 observations of wound dressing changes (which affected resident #111). The findings were: Regarding blood glucose monitoring: 1. […]

• No harm, potential for more than minimal, widespreadF800Apr 9, 2026

  Based on observation, resident and staff interview, and menu and alternative menu review, the facility failed to consider resident preferences for meals in 2 of 2 dining rooms (main dining room, 2nd floor dining room). The census was 51. The findings were:1. Interview with resident #7 on 4/6/26 at 4:05 PM revealed residents were not offered choices for meals and they get what is served. S/he revealed residents could choose an alternative sandwich to eat if they did not want the main meal. 2. Interview with resident #36 on 4/6/26 at 4:41 PM revealed s/he did not feel she could make choices at the facility and there were not alternative meal options given if s/he did not like the food. 3. […]

• No harm, potential for more than minimal, widespreadF812Jul 13, 2023

  Based on observation, staff interview, review of the US Food Code, and policy and procedure review, the facility failed to ensure the food storage equipment was maintained in a clean and sanitary manner in 1 of 1 kitchens. The census was 52. The findings were: 1. Observation on 7/11/23 at 7:04 AM showed the top of the [NAME] oven, Rational Self-Cooking Center, and the Metro c5 1 series proofing cabinet were soiled with dark discolored dust and grime. Further observation showed extra racks were stored on top of the rational self-cooking center and a cookie sheet was stored on top of the [NAME] oven, and had discolored dust and grime on them. 2. […]

• No harm, potential for more than minimal, widespreadF838Aug 26, 2021

  Based on the facility assessment review and staff interview the facility failed to conduct the annual assessment for 1 of 1 facility. The findings were: Review of facility assessments showed the facility completed assessments for the years of 2018, 2019, and partially completed the assessment for 2021. Further review showed the facility failed to complete the assessment for 2020. Interview with the administrator on 8/26/21 at 9:40 AM revealed the last facility assessment was completed in 2019. Further interview revealed she had just finished the 2021 facility assessment.

• No harm, potential for more than minimal, patternF605Apr 9, 2026

  Based on medical record review, staff interview, and policy and procedure review, the facility failed to ensure adequate monitoring of psychotropic medications for 5 of 5 sample residents (#2, #4, #5, #41, #56) reviewed for unnecessary medications. The findings were:1. Review of the quarterly MDS assessment dated [DATE] showed resident #41 had a BIMS score of 11 out 15, which indicated moderate cognitive impairment, and diagnoses which included anxiety disorder and depression. Further review showed the resident displayed no behaviors and received antidepressant and hypnotic medication. […]