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New Horizons Care Center

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About New Horizons Care Center

General Information

Legal Business NameNorth Big Horn Hospital
Ownership TypeGovernment - Hospital District
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 13, 1988 (29 years)
Capacity85
Residents71
Percent Occupied84%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for New Horizons Care Center

New Horizons Care Center
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Wyoming Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

April 9, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
HSomeActual HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
FManyPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
ESomePotential for HarmHealth InspectionChoose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.
DFewPotential for HarmHealth InspectionMake sure that special or therapeutic diets are ordered by the attending doctor.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

April 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionRestrictions on the use of highly flammable decorations.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionCorridors that are separated from use areas by walls constructed to limit the passage of smoke.
DFewPotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.

October 14, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

February 13, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionReview or revise the resident's care plan after any major change in physical or mental health.

February 11, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionCorridors that are separated from use areas by walls constructed to limit the passage of smoke.
ESomePotential for HarmFire Safety InspectionExits that are accessible at all times.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
DFewPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of New Horizons Care Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 30min
2hr 15min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
55min
45min
ReportedExpected
RN
3hr 60min
3hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 1min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
94.7%
94.7%
94.6%
Q1 2015Q2 2015Q3 2015WY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
85.8%
Q1 2015Q2 2015Q3 2015WY
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
42.6%
Q1 2015Q2 2015Q3 2015WY
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
7.2%
5.6%
5.6%
13.2%
Q1 2015Q2 2015Q3 2015WY
Received an Antipsychotic Medication
11.9%
2.8%
8.6%
17.4%
Q1 2015Q2 2015Q3 2015WY
Need for Help with ADLs has Increased
14.6%
17.0%
19.8%
14.4%
Q1 2015Q2 2015Q3 2015WY
Self Report Moderate to Severe Pain
4.3%
9.6%
9.7%
7.7%
Q1 2015Q2 2015Q3 2015WY
Lose Too Much Weight
0.0%
4.8%
9.1%
4.2%
Q1 2015Q2 2015Q3 2015WY
High Risk Residents With Pressure Ulcers
10.4%
11.9%
4.5%
6.1%
Q1 2015Q2 2015Q3 2015WY
Have Depressive Symptoms
8.6%
2.7%
11.1%
4.8%
Q1 2015Q2 2015Q3 2015WY
With a Urinary Tract Infection
11.4%
12.3%
12.5%
5.4%
Q1 2015Q2 2015Q3 2015WY
Experiencing One or More Falls with Major Injury
3.3%
3.9%
1.8%
3.8%
Q1 2015Q2 2015Q3 2015WY
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
1.0%
Q1 2015Q2 2015Q3 2015WY
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
-
79.0%
Q1 2015Q2 2015Q3 2015WY
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
73.4%
Q1 2015Q2 2015Q3 2015WY
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
22.6%
Q1 2015Q2 2015Q3 2015WY
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
3.2%
Q1 2015Q2 2015Q3 2015WY
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
0.8%
Q1 2015Q2 2015Q3 2015WY
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened