Kindred Transitional Care And Rehabilitation-Cheye

3128 Boxelder Drive
Cheyenne, WY 82001
Laramie County
Phone: 307-634-7901
Provider Number: 535013
Last Inspection: 08/01/2014

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
146
Number of Residents
Number of
Residents
110
Number of Beds Available
Beds Available
36
Percent Occupancy
Percent Occupancy
75%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
For profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • WY
  • USA
  • 96
  • 51
  • 35
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2014
  • 2013
  • 2012
  • 96
  • 39
  • 34
Lower Numbers are Better

Details by Inspection Date

 

8/1/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Reasonably accommodate the needs and preferences of each resident. Isolated : Minimal 3 9/24/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 9/24/2014
Failed To: Ensure 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. Isolated : Minimal 3 9/24/2014
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 9/24/2014
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Minimal 3 9/24/2014
Failed To: Post nurse staffing information/data on a daily basis. Pattern : Potential 3 9/24/2014
Failed To: 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. Isolated : Minimal 3 9/24/2014
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 9/24/2014
Failed To: Put firmly secured handrails on each side of hallways. Isolated : Minimal 3 9/24/2014
Failed To: Keep signed and dated reports of x-rays and other diagnostic services. Isolated : Minimal 3 9/24/2014
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 9/24/2014
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 9/24/2014
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 9/24/2014
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Pattern : Minimal 4 9/24/2014
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 9/24/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Actual 4 9/24/2014
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Pattern : Minimal 4 9/24/2014
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 9/24/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Immediate 5 9/24/2014
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 9/24/2014
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Pattern : Minimal 4 11/20/2014
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 9/24/2014
Failed To: Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Isolated : Minimal 3 9/24/2014
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated : Minimal 3 9/24/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 9/24/2014
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/24/2014
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 9/24/2014
 

5/9/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 6/23/2013
Failed To: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Isolated : Minimal 3 6/23/2013
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 6/23/2013
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 6/23/2013
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 6/23/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 6/23/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/23/2013
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 6/23/2013
Failed To: Ensure 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. Isolated : Minimal 3 6/23/2013
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 6/23/2013
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 6/23/2013
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 6/23/2013
 

6/21/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 8/5/2012
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 8/5/2012
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 8/5/2012
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 8/5/2012
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 8/5/2012
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 8/5/2012
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 8/5/2012
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated : Minimal 3 8/5/2012
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 8/5/2012
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/5/2012
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 8/5/2012


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

4/23/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 5/17/2014
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 5/17/2014
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 5/17/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 5/17/2014
Failed To: Ensure 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. Isolated : Minimal 3 5/17/2014
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 7/16/2014
 

10/4/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 11/5/2013
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 11/5/2013
Failed To: Ensure 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. Isolated : Minimal 3 11/5/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Immediate 6 11/5/2013
Failed To: Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility Pattern : Potential 3 11/5/2013
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern : Minimal 4 11/5/2013
 

7/23/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern : Minimal 4 8/15/2013
 

2/21/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 4/7/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 4/7/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WY State Avg
Number of Residents 110 86.25 60.03
Registered Nurses 0.69 0.74 0.99
Licensed Practical / Vocational Nurses 0.68 0.42 0.39
Certified Nursing Assistants 2.51 1.57 2.27
Total Staff Hours 3.87 2.73 3.65

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WY State Avg%
High Risk Long Stay Residents With Pressure Ulcers 8 4 4
Long Stay Residents Experiencing One or More Falls with Major Injury 3 3 4
Long Stay Residents Who Have Depressive Symptoms 1 4 6
Long Stay Residents Who Lose Too Much Weight 8 6 7
Long Stay Residents Who Received an Antipsychotic Medication 23 21 15
Long Stay Residents Who Self Report Moderate to Severe Pain 17 12 11
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 17 14 12
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 16 14 3
Long Stay Residents Who Were Physically Restrained 0 0 1
Long Stay Residents Whose Need for Help with ADLs has Increased 8 9 16
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 2 3
Long Stay Residents With a Urinary Tract Infection 9 6 5
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 58 54 41
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 1 2
Short Stay Residents Who Self Report Moderate to Severe Pain 27 28 24
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 42 27 20
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 34 22 19
Short Stay Residents With Pressure Ulcers That Are New or Worsened 0 0 0