Life Care Center of Cheyenne

In the surveyor’s words

From the most serious findings on record at Life Care Center of Cheyenne, in the surveyor’s own words.

• Actual harm, isolatedF689Mar 2, 2023

  Based on medical record review, observation, resident representative and staff interview, and review of policy and procedure, the facility failed to ensure adequate interventions were in place to prevent accidents for 1 of 4 sample residents (#199) reviewed for accidents. This failure resulted in harm to resident #199, who sustained fractures after a fall. The findings were: Review of the 8/19/22 comprehensive MDS assessment for resident #199 showed the resident was admitted on [DATE] with diagnoses that included heart failure, arthritis, malnutrition, muscle weakness (generalized), and unsteadiness on feet. The resident had a BIMS score of 9 of 15, indicating moderate cognitive impairment. […]

• Actual harm, isolatedF689Sep 17, 2021

  Based on family interview, staff interview, medical record review, and hospital medical record review, the facility failed to ensure the resident's environment was free of accident hazards for 1 of 6 sample residents (#206) with Alzheimer's and/or dementia diagnoses who suffered falls. This failure resulted in harm to resident #206, who fell from an electric recliner that was not assessed for safety, sustaining multiple bone fractures. The findings were: 1. Review of the 6/17/21 quarterly MDS assessment showed resident #206 was admitted to the facility on [DATE] with diagnoses that included Alzheimer's disease with late onset, dementia without behavioral disturbance, pain, generalized muscle weakness, age-related [CONDITION(S)] without pathological fracture, cognitive communication… […]

• No harm, potential for more than minimal, patternF842Mar 2, 2023

  Based on observation, staff interview, and policy and procedure review, the facility failed to ensure 1 of 2 medical record storage areas (Therapy West) were safeguarded from unauthorized use. The findings were: 1. Observation on 2/27/23 at 1:58 PM of the Therapy West hall showed resident medical records were kept in a cabinet. Both doors of the cabinet were observed to be off the hinges. At that time 12 resident medical records were seen. The storage area was across from the nurses' desk, and a restroom. Further observation showed throughout the four days of the recertification survey the medical records were easily accessible and were available for unauthorized use. 2. Interview with LPN #2 on 2/28/23 at 11:13 AM confirmed the records were available for anyone to access. […]

• No harm, potential for more than minimal, patternF657Jan 26, 2022

  Based on observation, medical record review and staff interview, the facility failed to ensure care plans were developed to include resident-specific activity plans for 3 of 27 sample residents (#13, #15, #91) reviewed. The findings were: 1. Review of the 11/9/21 quarterly MDS assessment showed resident #13 had moderate cognitive impairment with a BIMS score of 10 out of 15, and had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The MDS further showed the resident was totally dependant on 2 staff members for transfers, bathing and toileting. Review of the care plan with a revision date of 11/10/21 showed a care area for activity involvement. The following concerns were identified: a. Observations on 1/23/22 at 10:42 AM and at 2:45 PM showed the resident in bed. […]

• No harm, potential for more than minimal, patternF677Jan 26, 2022

  Based on medical record review, review of bathing documentation, and resident and staff interview, the facility failed to ensure bathing was provided as scheduled for 3 of 7 sample residents (#17, #76, #192) who required assistance with bathing. The findings were: 1. Review of the 1/10/22 significant change MDS assessment showed resident #17 was cognitively intact with a BIMS score of 15 out of 15, and required extensive assistance with 1 person physical assist for bathing. Review of the CNA task documentation for bathing showed the resident was to have showers on Tuesdays and Fridays. The following concerns were identified: a. Interview on 1/23/22 at 10:52 AM with the resident revealed s/he was not receiving baths or showers per the schedule. b. […]