STAR VALLEY CARE CENTER

Nursing Home Inspector

110 HOSPITAL LANE
AFTON, WY 83110
Lincoln County
Phone: 307-885-5900
Provider Number: 53A050
Last Inspection: 02/24/2017

About the Nursing Home

Number of Beds: 24
Number of Residents: 20
Beds Available: 4
Percent Occupancy: 83%
Insurance Accepted: Medicaid
Types of Councils: Resident
Ownership: Government - Hospital district
Within Hospital?: YES

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

 

22

Facility
36

County
31

WY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

22

2017
12

2016
19

2015

Medicare Ratings

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

 

Details by Inspection Date

2/24/2017 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 4/1/2017
 
Failed To: Develop 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. Isolated : Minimal 3 4/1/2017
 
Failed To: Provide housekeeping and maintenance services. Pattern : Minimal 4 4/1/2017
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 4/1/2017
 
Failed To: Make sure that doctors visit residents regularly, as required. Isolated : Minimal 3 4/1/2017
 
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 4/1/2017
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 4/1/2017
 

3/10/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
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. Pattern : Minimal 4 4/20/2016
 
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Pattern : Minimal 4 4/20/2016
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 4/20/2016
 

2/26/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. Pattern : Minimal 4 4/12/2015
 
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. Pattern : Minimal 4 4/12/2015
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 4/12/2015
 
Failed To: Use a registered nurse at least 8 hours a day, 7 days a week. Widespread : Potential 4 3/30/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Isolated : Minimal 3 4/12/2015
 

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 20 18.50 63.66
Registered Nurses 1.34 0.67 1.21
Licensed Practical / Vocational Nurses 0.29 0.14 0.36
Certified Nursing Assistants 3.55 1.78 2.29
Total Staff Hours 5.18 2.59 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 7 6 5
of long-stay residents assessed and appropriately given the pneumococcal vaccine 97 89 85
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100 98 95
of long-stay residents experiencing one or more falls with major injury 4 2 4
of long-stay residents who have depressive symptoms 9 6 4
of long-stay residents who lose too much weight 14 8 6
of long-stay residents who received an antianxiety or hypnotic medication 26 15 18
of long-stay residents who received an antipsychotic medication 7 3 13
of long-stay residents who self-report moderate to severe pain 21 17 10
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 16 23 16
of long-stay residents whose need for help with daily activities has increased 15 22 16
of long-stay residents with a catheter inserted and left in their bladder 0 0 2
of long-stay residents with a urinary tract infection 3 5 4
of low risk long-stay residents who lose control of their bowels or bladder 54 36 42
of short-stay residents assessed and appropriately given the pneumococcal vaccine 92 92 76
of short-stay residents with pressure ulcers that are new or worsened 0 Not Available   12