Thermopolis Rehabilitation and Wellness

In the surveyor’s words

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

• Immediate jeopardy, patternF610Mar 6, 2024

  Based on observation, staff interview, and review of staffing schedules, review of the facility grievance log, and review of policy and procedure, the facility failed to respond to an allegation of abuse and protect the resident's right to be free from verbal abuse by a staff member for 1 of 1 sample resident (#1) reviewed. This failure resulted in a delay in an investigation which left the residents unprotected, and a determination of immediate jeopardy. The census was 28. The findings were: 1. Review of a grievance form, provided by staff #1 and written by CNA #1, showed I witnessed [CNA #2] tell [the resident] [s/he] smelled wrong and [s/he] needed to come with him. [The resident] told him [his/her] pants were dry and was refusing. […]

• Immediate jeopardy, isolatedF600Jan 13, 2023

  Based on observation, medical record review, review of an incident timeline, family and facility staff interview, interview with hospital staff, policy and procedure review, review of an emailed update, and review of professional standards, the facility failed to protect the resident's right to be free from neglect. Specifically, the facility failed to provide timely interventions consistent with professional standards for 1 of 1 residents with significant burns (#1). This failure resulted in a delay in transfer to a burn center for assessment and intervention by qualified staff, and a determination of immediate jeopardy. The census was 45. The findings were: 1. […]

• Actual harm, isolatedF600Mar 6, 2024

  Based on medical record review, staff interview, facility grievance log review, policy and procedure review, and State Survey Agency incident database review, the facility failed to protect the resident's right to be free from verbal abuse by a staff member for 1 of 3 sample residents (#1) reviewed for abuse. This failure resulted in actual harm to resident #1 who experienced verbal abuse a reasonable person would have found humiliating, intimidating, demeaning, and degrading. The findings were: 1. Review of the 12/13/23 quarterly MDS assessment showed resident #1 had a mood score of 00 and did not exhibit any behaviors, wandering, or rejection of care during the 7-day look-back period. […]

• Actual harm, isolatedF600Aug 22, 2023

  Based on observation, medical record review, staff interview, review of facility incident reports and investigations, and facility policy review, the facility failed to protect the resident's right to be free from physical abuse by a resident for 1 of 5 residents (#1) reviewed for abuse. This failure resulted in harm to resident #1, who sustained facial bruising after being struck by another resident. The findings were: Review of the 7/10/23 annual MDS assessment for resident #1 showed the resident was rarely/never understood, wandered daily during the lookback period, and walked with a walker with staff supervision. The resident had diagnoses of arthritis, and Alzheimer's disease. […]

• Actual harm, isolatedF600Mar 10, 2023

  Based on review of facility medical records and hospital medical records, review of facility incident reports, review of the facility grievance logs, resident and staff interview, and review of facility policy and procedure, the facility failed to protect the resident's right to be free from deprivation of goods and services necessary to avoid physical harm and pain for 1 of 8 sample residents (#1) reviewed for abuse and neglect, and further failed to protect the resident's right to be free from verbal or mental abuse by a staff member for 1 of 8 sample residents (#2) reviewed for abuse and neglect. This failure resulted in harm to resident #1, who required evaluation at the emergency department and admission to the hospital for an indwelling urinary catheter that was degraded. […]