Medilodge of Wyoming

In the surveyor’s words

From the most serious findings on record at Medilodge of Wyoming, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jun 21, 2022

  This citation pertains to intake #MI 122 Based on interview and record review, the facility failed to immediately and thoroughly investigate a suspicious injury of unknown origin and prevent staff to resident sexual abuse for one resident (Resident #101). This deficient practice resulted in an Immediate Jeopardy when beginning on [DATE], and as a result of the facility's failure to implement the facility Abuse Policy and ensure resident safety, Resident #101 was subjected to sexual abuse by a facility employee. This deficient practice resulted in R101's sexual abuse to continue, the potential for an inappropriate staff to resident relationship to go uninvestigated (R104) and placed all residents at risk for serious injury, physical and psychosocial harm, impairment, and/or death. […]

• No harm, potential for more than minimal, widespreadF812May 12, 2022

  Based on observation, interview, and record review the facility failed to: 1. Properly date and discard food product; 2. Properly store ready to eat and raw animal product in a manner to reduce the risk of contamination; and 3. Thoroughly clean food contact surfaces to be clean to sight and touch. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness that affected 75 residents who consume food from the kitchen. Findings Include: 1. During an initial tour of the kitchen, starting at 9:10 AM on 5/10/22, observation of the walk in cooler found a bag of ham chunks dated 4/30 to 5/6, an unopened bag of cole slaw mix with a best by date of 5/7/22, and a container of cream corn dated with a discard date of 5/9. […]

• No harm, potential for more than minimal, patternF550Jul 27, 2023

  Based on interview and record review, the facility failed to treat residents with dignity and respect and failed to provide an environment that promoted and enhanced resident quality of life for 1 resident (Resident #3) and residents attending monthly group meetings, reviewed for dignity, resulting in the potential for feelings of frustration, depression, and loss of self-worth and an overall deterioration of psychological well-being. Findings: Resident #3 (R3) Review of an Admission Record revealed R was an [AGE] year-old female, originally admitted to the facility on [DATE], with pertinent diagnoses which included: multiple sclerosis. […]

• No harm, potential for more than minimal, patternF684Jun 15, 2023

  This citation pertains to intakes #: MI00129767, MI00130369, MI00130422, and MI00137768 Based on interview and record review, the facility failed to 1.) ensure residents received consistent and comprehensive physician ordered care, 2.) notify the physician of abnormal findings, and 3.) ensure residents received care in accordance with professional standards for medication administration, in 5 residents (Resident #22, #24, #25, #27, and #26) reviewed for quality of care, resulting in a delay in treatment and the potential for the worsening of a medical condition and residents not attaining or maintaining his or her highest practicable level of wellbeing. […]

• No harm, potential for more than minimal, patternF880May 12, 2022

  This citation contains two deficient practice statements. DPS #1 Based on observation and interview the facility failed to properly store clean and sanitary items and maintain laundry equipment. These conditions resulted in the increased risk of clean and sanitary items to become contaminated before use, increasing the risk of negative outcomes for the resident population. During a tour of the facility, at 2:05 PM on 5/10/22, observation of the 100 hall clean linen closet found two wash cloths and a gown on the floor. During a tour of the facility, at 2:13 PM on 5/10/22, observation of the 200 hall spa room found eight towels and eight wash cloths laying on the shower bed open and exposed. […]