Rocky Mountain Care - Riverton

In the surveyor’s words

From the most serious findings on record at Rocky Mountain Care - Riverton, in the surveyor’s own words.

• Actual harm, isolatedF760Aug 19, 2021

  Based on interview and record review it was determined, for 2 of 22 sample residents, that the facility did not ensure each resident was free of significant medication errors. Specifically, a resident with a known allergy was administered a medication she was allergic to and required [MEDICATION(S)]. This finding resulted in a harm level deficiency. In addition, another resident that required medication with food was not administered medication with food. Resident identifiers: 28 and 195. Findings include: HARM 1. Resident 195 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . On 8/16/21 at 12:00 PM, an interview was conducted with resident 195. Resident 195 stated that facility staff over medicated and dehydrated her. […]

• No harm, potential for more than minimal, widespreadF801Sep 26, 2024

  Based on interview, the facility did not employ a clinically qualified full-time dietitian or another clinically qualified nutrition professional to serve as the director of nutrition services. Specifically, the facility did not employ a full time Registered Dietitian (RD) and the Dietary Manager (DM) did not meet the requirements to serve as the director of nutrition services. Findings included: On 9/23/24 at 8:51 AM, an initial walk-through of the kitchen was completed. An interview was conducted with the DM who stated she had not completed the training required to serve as the DM. The DM stated she was ServeSafe certified and had taken the RD consulting company's menu training. […]

• No harm, potential for more than minimal, widespreadF812Sep 26, 2024

  Based on observation and interview, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety. Specifically, the dish machine was not running properly to sanitize the dishes after meals. Findings included: On 9/23/24 at 8:51 AM, an initial walk-through of the kitchen was conducted. On 9/23/24 at 9:17 AM, an observation was made of the dish machine. The Dietary Manager (DM) was running dishes through the dish machine, three racks had gone through the machine, and were on the belt. A fourth rack was inside the dish machine. The wash cycle was running at a temperature of 160 degrees Fahrenheit. After the wash cycle finished, no water entered the dish machine for a rinse cycle. […]

• No harm, potential for more than minimal, patternF880Sep 26, 2024

  Based on observation, interview, and record review, the facility did not establish an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. Specifically, for 3 out of 22 sampled residents, staff were not using the appropriate personal protective equipment (PPE) for residents on Enhanced Barrier Precautions (EBP). In addition, a resident with a physician's order for EBP did not have signage posted on their door and PPE was not readily available. Resident identifiers: 21, 84, and 85. Findings included: 1. […]

• No harm, potential for more than minimal, patternF804Aug 19, 2021

  Based on observation and interview it was determined, for 5 of 22 sample residents, that the facility did not provide each resident with food and drink that was palatable, attractive, and at a safe and appetizing temperatures. Specifically, residents complained that the food was not palatable and the test tray was not attractive and palatable. Resident identifiers: 5, 17, 25, 28 and 191. Findings include: 1. On 8/16/21 at 1:44 PM, an interview was conducted with resident 5. Resident 5 stated the cook cannot cook vegetables. Resident 5 stated the food was awful and the pasta was overcooked. Resident 5 stated the meatballs were frozen and the spaghetti sauce looked like brown gravy. On 8/19/21 at 1:30 PM, a follow up interview was conducted with resident 5. […]