cms_WY: 29
Data source: Big Local News · About: big-local-datasette
rowid | facility_name | facility_id | address | city | state | zip | inspection_date | deficiency_tag | scope_severity | complaint | standard | eventid | inspection_text | filedate |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
29 | GRANITE REHABILITATION AND WELLNESS | 535013 | 3128 BOXELDER DRIVE | CHEYENNE | WY | 82001 | 2017-10-04 | 520 | E | 0 | 1 | GX9L11 | Based on staff interview, review of the CMS (Centers for Medicare and Medicaid) 2567 Statement of Deficiencies, and review of the facility's quality assessment and assurance information, the facility failed to ensure the quality assessment and assurance program developed and implemented appropriate interventions to effectively resolve and sustain compliance with previously identified deficient practice. The facility census was 110. The findings were: 1. Review of the of the 9/9/16 CMS 2567 Statement of Deficiencies, and quality assessment and assurance program showed the facility failed to resolve and/or maintain compliance with the following deficient practices: a. Issues with the facility's grievance resolution measures were cited during the 9/9/16 survey. A plan of correction was developed and monitored through the facility's quality assessment and assurance program, but the facility was unable to sustain compliance. Issues related to grievance resolution were again cited during the current survey (F244). b. Issues with failing to maintaining a clean environment were cited during the 9/9/16 survey. A plan of correction was developed and monitored through the facility's quality assessment and assurance program, but the facility was unable to sustain compliance regarding environmental issues. This issue was again cited during the current survey (F253). c. Issues with failing to provide necessary care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being address, specifically failure to complete timely assessments, were cited during the 9/9/16 survey. A plan of correction was developed and monitored through the facility's quality assessment and assurance program, but the facility was unable to sustain compliance. Issues related to this failure were again cited during the current survey (F309). d. Issues with the food service not provided accordance with professional standards for food service safety were cited during the 9/9/16 survey. A plan of correction was developed and monitored through the facility's quality assessment and assurance program, but the facility was unable to sustain compliance. Issues related to food temperatures were cited during the current survey (F371). 2. Interview with the administrator on 10/4/17 at 2 PM revealed the facility had been working to address problems they had identified through the quality assessment and assurance process; and determined one of the reasons they were unable to effectively resolve recurrent problems was possibly due to resident and family perceptions. She further stated the plan was to utilize the quality assessment and assurance process to implement measures that would improve resident and family perceptions. | 2020-09-01 |