Loft Rehab of Rock Springs, The

In the surveyor’s words

From the most serious findings on record at Loft Rehab of Rock Springs, The, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Feb 22, 2024

  Based on observation, interview, and record review the facility failed to implement a facility wide system to account for residents exiting and returning to the facility and failed to provide adequate supervision for two residents (R1, R2) of three residents reviewed for elopement in a sample list of three residents. These failures resulted in (R1) eloping from the facility without knowledge of facility staff as to (R1's) whereabouts for over 20 hours. R1 was located at (R1's) former residence, 0.3 Miles (per Internet Map) from the facility, which required R1 to cross an undivided four-lane roadway. The Immediate Jeopardy began on 2/1/24 at 9:29PM when R1 left the facility, unattended, in the dark and in the cold. […]

• Actual harm, isolatedF684Mar 19, 2025

  Based on observation, interview, and record review the facility failed to implement a physician order STAT (immediate) for orthopedic consult appointment, in a timely manner, for a resident (R1) with a right Humerus fracture. This failure resulted in a six day delay, which caused severe pain and swelling before the application of a cast could occur. This failure affected one of three residents (R1) reviewed for falls/physician orders on the sample list of six. Findings include: R1's Minimum Data Set (MDS) dated [DATE] documents the following: Brief Interview of Mental Status (BIMS) score of 15, out of a possible 15, indicating no cognitive impairment. […]

• Actual harm, isolatedF689Mar 19, 2025

  Based on observation, interview, and record review the facility failed to provide a safe environment and implement fall interventions which resulted in R3 falling out of bed and hitting her head on the bedside dresser on two separate occasions, both required emergency medical attention for head lacerations requiring closer with staples. The facility also failed to provide adequate assistance and a safe environment during resident ambulation, resulting in R1 sustaining a right arm fracture. These failures affected two of three residents (R1, R3) reviewed for falls on the sample list of six. Findings Include: 1. […]

• Actual harm, isolatedF697Jan 30, 2024

  Based on interview and record review, the facility failed to administer prescribed pain medication to a resident in a timely manner. This failure affects one resident (R1) on the sample of eleven residents reviewed for abuse/medications. This failure resulted in R1 experiencing excruciating pain for twelve hours in the facility following a partial foot amputation requiring hospitalization for pain management and medical treatment. Findings include: R1's Nurses Notes dated 1/12/24 document R1 was admitted to the facility on [DATE] from (local hospital) at 6:49 PM. R1 had his left toes removed due to a prior bone infection and poor blood circulation in his foot. […]

• Actual harm, isolatedF686May 4, 2023

  Based on observation, interview and record review the facility failed to complete accurate and thorough wound assessments, notify physician of wound development, obtain treatment orders, administer physician ordered treatments and implement pressure ulcer prevention measures for three of six residents (R303, R7 and R8) reviewed for pressure ulcers on the total sample list of 62. This failure resulted in R303 not receiving any treatment measures to a Stage IV pressure ulcer for 3 days, then developing a wound infection. […]