Wyoming Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF600Mar 27, 2024

  Based on record review, observation, and staff interview, the facility failed to ensure residents were free from physical, sexual, and verbal abuse. Multiple incidents took place in which Resident #213 inappropriately touched and verbally and physically assaulted other residents. The facility failed to properly document, investigate, or report these incidents of abuse. The facility was unable to identify any victims of the abuse due to the failure to properly document and investigate each incident of abuse. Resident identifier: 213. Facility census: 55. The state agency (SA) determined these failures caused the victims of Resident #213's abuse to suffer physical and psychosocial harm. Because the victims were unable to be identified, the reasonable person standard was applied. […]

• Immediate jeopardy, isolatedF684Jun 16, 2021

  Based on observation, record review, family interview, and staff interviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the physician orders. The facility failed to ensure care was delivered for residents who are at high risk of aspiration. This is true for one (1) or one (1) residents who have orders for no straws. This failure was determined to be an immediate jeopardy (IJ) to Resident #45. The facility was notified of the IJ at 2:28 p.m. on 06/15/21. The facility submitted their first abatement plan of correction (APOC) at 4:02 p.m., and the state agency (SA) requested changes. A second APOC was submitted at 4:39 p.m. the SA again requested changes. […]

• No harm, potential for more than minimal, widespreadF801Mar 27, 2024

  Based on record review and staff interview, the facility failed to employ qualified dietary staff by failing to have each member of the dietary staff obtain food handlers cards before working in the dietary department. This has the potential to affect more than a limited number of residents. Facility census: 55. Findings include: A) Culinary Aide (CA) #62 At approximately 9:00 AM on 03/27/24, an interview was conducted with the Culinary Director (CD). The CD provided a list of employees with food handlers cards. Upon review, it was determined that CA #62 did not have a food handlers card and had been employed in dietary since 01/02/24. The CD stated They just work weekends and I never see them, so it has been hard to get them to get the food handlers card. […]

• No harm, potential for more than minimal, widespreadF812Mar 27, 2024

  Based on observation and staff interview, the facility failed to store food in a safe and sanitary manner and maintain sanitary equipment. This had the ability to affect more than a limited number of residents. Facility census: 55. Findings included: a) Temperature logs At approximately 11:07 AM on [DATE], during a tour of the kitchen, it was discovered that the breakfast temperature logs were incomplete. [NAME] #59 stated the temperature logs were not done due to new employee training. The Culinary Director (CD) confirmed the temperature logs were not done. CD stated the employee must have put the temperature logs on a separate sheet of paper somewhere to show the trainee how to fill out the logs, and just forgot to fill out the logs. […]

• No harm, potential for more than minimal, widespreadF868Mar 27, 2024

  Based on record review and staff interview the facility failed to have the appropriate members of the quality assessment and assurance committee attend the quarterly meetings. This failed practice had the potential to affect all residents residing at the facility. Facility census: 55. Findings included: Record Review of the Quality Assurance and Performance Sign in Sheet showed the facility's Medical Director did not attend the second quarter meeting for 2023. On 03/27/24 at 3:55 PM the Director of Nursing (DON) verified the medical director was not in attendance at the second quarter meeting in 2023