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Wind River Rehabilitaton And Wellness

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Westward Heights Care Center
Lander, WY
22 miles

About Wind River Rehabilitaton And Wellness

General Information

Legal Business NameEmpres At Riverton LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsYes
First Accepted MedicareSeptember 22, 1988 (28 years)
Capacity81
Residents67
Percent Occupied83%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Wind River Rehabilitaton And Wellness

Wind River Rehabilitaton And Wellness
was reviewed by Medicare to have a rating of 2 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

Note that this facility has changed ownership within the past 12 months.

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

November 5, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
GFewActual HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth Inspection1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day.
ESomePotential for HarmHealth InspectionProvide housekeeping and maintenance services.
ESomePotential 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 InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
DFewPotential for HarmHealth InspectionCompletely assess the resident at least every twelve months.
DFewPotential for HarmHealth Inspection1) 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.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

November 3, 2015 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProper medical gas storage and administration areas.
DFewPotential for HarmFire Safety InspectionExits that are accessible at all times.

September 18, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

September 11, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
DFewPotential for HarmHealth InspectionProvide special eating equipment and utensils for each resident who needs them.
DFewPotential for HarmHealth InspectionProvide a tasty and well-balanced diet that meets the nutritional needs of each resident.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmHealth InspectionPut firmly secured handrails on each side of hallways.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Wind River Rehabilitaton And Wellness 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 15min
2hr 15min
ReportedExpected
CNA
35min
35min
ReportedExpected
LPN
40min
55min
ReportedExpected
RN
3hr 25min
3hr 45min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

80.0%
80.6%
80.6%
94.6%
Q1 2015Q2 2015Q3 2015WY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
85.5%
66.7%
62.1%
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
28.3%
20.8%
19.3%
13.2%
Q1 2015Q2 2015Q3 2015WY
Received an Antipsychotic Medication
30.0%
48.9%
16.7%
17.4%
Q1 2015Q2 2015Q3 2015WY
Need for Help with ADLs has Increased
18.8%
12.5%
9.6%
14.4%
Q1 2015Q2 2015Q3 2015WY
Self Report Moderate to Severe Pain
3.6%
7.4%
13.8%
7.7%
Q1 2015Q2 2015Q3 2015WY
Lose Too Much Weight
-
0.0%
3.2%
4.2%
Q1 2015Q2 2015Q3 2015WY
* The data for this facility for some quarters is unavailable.
High Risk Residents With Pressure Ulcers
9.6%
9.3%
8.9%
6.1%
Q1 2015Q2 2015Q3 2015WY
Have Depressive Symptoms
0.0%
3.7%
3.4%
4.8%
Q1 2015Q2 2015Q3 2015WY
With a Urinary Tract Infection
9.1%
9.3%
8.6%
5.4%
Q1 2015Q2 2015Q3 2015WY
Experiencing One or More Falls with Major Injury
2.1%
2.1%
4.9%
3.8%
Q1 2015Q2 2015Q3 2015WY
With a Catheter Inserted and Left in Their Bladder
3.6%
3.7%
1.7%
1.0%
Q1 2015Q2 2015Q3 2015WY
Were Physically Restrained

Quality Measures for Short Stay Residents

51.0%
40.8%
38.2%
79.0%
Q1 2015Q2 2015Q3 2015WY
Assessed and Appropriately Given the Pneumococcal Vaccine
51.1%
46.0%
46.0%
73.4%
Q1 2015Q2 2015Q3 2015WY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
17.2%
21.9%
26.8%
22.6%
Q1 2015Q2 2015Q3 2015WY
Self Report Moderate to Severe Pain
3.2%
0.0%
2.4%
3.2%
Q1 2015Q2 2015Q3 2015WY
Newly Received an Antipsychotic Medication
3.2%
2.1%
3.8%
0.8%
Q1 2015Q2 2015Q3 2015WY
With Pressure Ulcers That Are New or Worsened