MISSION AT CASTLE ROCK REHABILITATION CENTER

Nursing Home Inspector

1445 UINTA DRIVE
GREEN RIVER, WY 82935
Sweetwater County
Phone: 307-872-4600
Provider Number: 535033
Last Inspection: 01/20/2017

About the Nursing Home

Number of Beds: 59
Number of Residents: 57
Beds Available: 2
Percent Occupancy: 97%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: Non profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: 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.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

15

Facility
37

County
31

WY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

15

2017
6

2016
13

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

1/20/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 3/6/2017
 
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Isolated : Minimal 3 3/6/2017
 
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 3/6/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 3/6/2017
 

1/28/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 3/13/2016
 
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 3/13/2016
 

11/20/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide housekeeping and maintenance services. Isolated : Minimal 3 12/19/2014
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 12/30/2014
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 11/25/2014
 
Failed To: Keep all essential equipment working safely. Pattern : Minimal 4 12/30/2014
 

Complaint Investigation Deficiencies

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

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg WY State Avg
Number of Residents 57 51.50 63.66
Registered Nurses 0.71 0.70 1.21
Licensed Practical / Vocational Nurses 0.54 0.37 0.36
Certified Nursing Assistants 2.12 2.01 2.29
Total Staff Hours 3.36 3.08 3.86

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% WY State Avg%
of high risk long-stay residents with pressure ulcers 9 9 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 50 74 85
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 97 95
of long-stay residents experiencing one or more falls with major injury 7 7 4
of long-stay residents who have depressive symptoms 3 5 4
of long-stay residents who lose too much weight 12 9 6
of long-stay residents who received an antianxiety or hypnotic medication 23 26 18
of long-stay residents who received an antipsychotic medication 2 5 13
of long-stay residents who self-report moderate to severe pain 6 5 10
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 29 23 16
of long-stay residents whose need for help with daily activities has increased 17 18 16
of long-stay residents with a catheter inserted and left in their bladder 2 3 2
of long-stay residents with a urinary tract infection 12 10 4
of low risk long-stay residents who lose control of their bowels or bladder 57 60 42
of short-stay residents assessed and appropriately given the pneumococcal vaccine 57 74 76
of short-stay residents who had an outpatient emergency department visit 11 11 12
of short-stay residents who made improvements in function 66 74 72
of short-stay residents who newly received an antipsychotic medication 0 0 1
of short-stay residents who self-report moderate to severe pain 10 10 21
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 75 79 78
of short-stay residents who were rehospitalized after a nursing home admission 9 13 17
of short-stay residents who were successfully discharged to the community 59 54 49
of short-stay residents with pressure ulcers that are new or worsened 0 0 1