Laramie Health and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Laramie Health and Rehabilitation, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 3, 2026

  Based on staff interviews, medical record review, and facility investigation and policy review, the facility failed to protect the residents' right to be free from physical abuse by other residents for 1 of 5 sample residents (#3) reviewed for allegations of abuse and neglect, which resulted in actual harm to resident #3. The findings were:The facility had implemented corrective action prior to the survey and was determined to be in substantial compliance as of 4/9/26.1. Review of the quarterly MDS assessment dated [DATE] showed the BIMS assessment for resident #3 wasn't able to be completed which indicated severe cognitive impairment, and included diagnoses of chronic obstructive pulmonary disease, Parkinson's disease, and dementia. […]

• Actual harm, isolatedF600May 22, 2024

  Based on medical record review, staff interview, and review of incident and quality improvement documentation, the facility failed to ensure residents were free from physical abuse by other residents for 2 of 10 sample residents (#2, #5), resulting in harm to resident #5 who suffered a fracture. The findings were: 1. Review of the 2/25/24 admission Minimum Data Set (MDS) assessment showed resident #2 (victim) had a Brief Interview for Mental Status (BIMS) score of 4 out of 15 (significant cognitive impairment). The diagnoses included dementia, COPD, gout, pain and skin cancer. 2. […]

• Actual harm, isolatedF600Jul 27, 2023

  Based on resident representative and staff interview, medical record review, facility incident investigation review, facility performance improvement plan review, and policy and procedure review, the facility failed to protect the resident's right to be free from sexual abuse by a resident for 1 of 3 sample residents (#43). This failure resulted in harm to resident #43 who experienced sexual abuse a reasonable person would have found humiliating, intimidating, demeaning, and degrading. The facility implemented corrective action prior to the survey and was determined to be in substantial compliance as of 7/19/23. The findings were: 1. […]

• Actual harm, isolatedF686Mar 14, 2023

  Based on medical record review, staff interview, hospital record review, hospital staff interview, and policy and procedure review, the facility failed to ensure residents received care and services necessary to prevent pressure ulcers from developing for 1 of 6 sample residents (#1) reviewed for pressure ulcer risk. This failure resulted in harm to resident #1, who was discovered to have multiple pressure injuries upon transfer to the ED. The findings were: Review of the 12/6/22 admission MDS assessment showed the resident was admitted to the facility on [DATE] with diagnoses which included diabetes mellitus II, osteoporosis, and non-Alzheimer's dementia. The review showed the resident was rarely or never understood. […]

• No harm, potential for more than minimal, widespreadF725Jun 3, 2026

  Based on observation, review of the resident council notes, resident interview, staff interview, review of the Facility assessment dated [DATE], PBJ staffing data report review, review of worked staff schedule 10/1/25 through 12/21/25, and review of the Declaration of Nursing Staffing sheets, the facility failed to ensure adequate staff were provided to meet the needs of the residents. The findings were: Review of the facility assessment with a completion date of 12/11/2025 showed for short stay, the average number of residents admitted within past 6 months was 48. The average number discharged within the past 6 months was 45. The long-stay average number of residents admitted within the past 6 months was 29. The average number of residents discharged within the past 6 months was 37. […]