WESTWARD HEIGHTS CARE CENTER

Nursing Home Inspector

150 CARING WAY
LANDER, WY 82520
Fremont County
Phone: 307-332-5560
Provider Number: 535034
Last Inspection: 07/14/2017

About the Nursing Home

Number of Beds: 60
Number of Residents: 53
Beds Available: 7
Percent Occupancy: 88%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Both
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

 

46

Facility
42

County
31

WY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

46

2017
44

2016
28

2015

Medicare Ratings

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

 

Details by Inspection Date

7/14/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Pattern : Potential 3 8/16/2017
 
Failed To: 1) 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. Widespread : Immediate 7 8/16/2017
 
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 8/16/2017
 
Failed To: Completely assess the resident at least every twelve months. Isolated : Minimal 3 8/16/2017
 
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 8/16/2017
 
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 8/16/2017
 
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 8/16/2017
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 8/16/2017
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Actual 4 8/16/2017
 
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 8/16/2017
 
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Isolated : Minimal 3 8/16/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Isolated : Minimal 3 8/16/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 8/16/2017
 

8/11/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Pattern : Potential 3 9/23/2016
 
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 9/23/2016
 
Failed To: Allow residents to self-administer drugs if determined safe. Isolated : Minimal 3 9/23/2016
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 9/23/2016
 
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 9/23/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 9/23/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 9/23/2016
 
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 9/23/2016
 
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 9/23/2016
 
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 9/23/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 9/23/2016
 
Failed To: Make sure that doctors visit residents regularly, as required. Isolated : Minimal 3 9/23/2016
 
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 9/23/2016
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 9/23/2016
 

7/9/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Keep residents' personal and medical records private and confidential. Isolated : Minimal 3 8/22/2015
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 8/22/2015
 
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 8/22/2015
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 8/22/2015
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 8/22/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 8/22/2015
 
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 8/22/2015
 
Failed To: Put firmly secured handrails on each side of hallways. Pattern : Minimal 4 8/22/2015
 

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 53 54.33 63.66
Registered Nurses 1.42 1.20 1.21
Licensed Practical / Vocational Nurses 0.15 0.38 0.36
Certified Nursing Assistants 2.45 2.75 2.29
Total Staff Hours 4.02 4.33 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 5 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 98 66 85
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95 95 95
of long-stay residents experiencing one or more falls with major injury 2 2 4
of long-stay residents who have depressive symptoms 7 5 4
of long-stay residents who lose too much weight 9 5 6
of long-stay residents who received an antianxiety or hypnotic medication 17 16 18
of long-stay residents who received an antipsychotic medication 8 14 13
of long-stay residents who self-report moderate to severe pain 13 9 10
of long-stay residents who were physically restrained 0 2 0
of long-stay residents whose ability to move independently worsened 15 15 16
of long-stay residents whose need for help with daily activities has increased 25 23 16
of long-stay residents with a catheter inserted and left in their bladder 1 3 2
of long-stay residents with a urinary tract infection 7 5 4
of low risk long-stay residents who lose control of their bowels or bladder 60 46 42
of short-stay residents assessed and appropriately given the pneumococcal vaccine 87 52 76
of short-stay residents who had an outpatient emergency department visit 15 16 12
of short-stay residents who made improvements in function 69 71 72
of short-stay residents who newly received an antipsychotic medication 0 2 1
of short-stay residents who self-report moderate to severe pain 19 16 21
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 83 67 78
of short-stay residents who were rehospitalized after a nursing home admission 23 20 17
of short-stay residents who were successfully discharged to the community 27 38 49
of short-stay residents with pressure ulcers that are new or worsened 2 1 1