US Nursing Home Finder: CASTLE ROCK CONVALESCENT CENTER GREEN RIVER WY

General Information: CASTLE ROCK CONVALESCENT CENTER
Nursing home name	CASTLE ROCK CONVALESCENT CENTER
Address	1445 UINTA DRIVE GREEN RIVER, WY 82935
Phone number	(307) 872-4600
Located within a hospital	No
Type of ownership	Government - Hospital district
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	59
Total number of residents	49
Perc of occupied beds	83
Sprinkler status	fully sprinklered
Last health survey date	05/14/2009
Fire survey date:	05/12/2009

Ratings Summary: CASTLE ROCK CONVALESCENT CENTER
Overall rating	4 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	3 out of 5 stars
Health Inspections	4 out of 5 stars
Quality Measures	2 out of 5 stars

Nursing Home Staffing Info: CASTLE ROCK CONVALESCENT CENTER
	National Average	CASTLE ROCK CONVALESCENT CENTER
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	3 out of 5 stars
Total Number of Residents	94.2	49
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.69 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.67 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	1.02 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.67 hours

Health Inpections: CASTLE ROCK CONVALESCENT CENTER
Inspection Results: 05/14/2009
Corrected	Category	Deficiency	Severity
06/16/2009	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D
06/16/2009	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
06/16/2009	Administration Deficiencies	post nurse staffing information.	B
06/16/2009	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
06/16/2009	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
06/16/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
Inspection Results: 03/13/2008
Corrected	Category	Deficiency	Severity
04/23/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
04/23/2008	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
04/23/2008	Nutrition and Dietary Deficiencies	1) Provide 3 meals daily at regular times; or 2) serve breakfast within 14 hours after dinner; or 3) offer a snack at bedtime each day.	E
04/23/2008	Administration Deficiencies	post nurse staffing information.	B
04/23/2008	Resident Assessment Deficiencies	Check and update (if needed) each resident's assessment every 3 months.	D
04/23/2008	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D
Inspection Results: 02/23/2007
Corrected	Category	Deficiency	Severity
04/09/2007	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
04/09/2007	Administration Deficiencies	Follow all laws and professional standards.	D
04/09/2007	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	E
04/09/2007	Administration Deficiencies	Keep complete, dated lab records in the resident's file.	D
04/09/2007	Quality Care Deficiencies	Develop/implement required procedures for the administration of immunizations.	C
04/09/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
04/09/2007	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
04/09/2007	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
04/09/2007	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
04/09/2007	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
04/09/2007	Resident Rights Deficiencies	Send and promptly deliver unopened mail to residents.	C
04/09/2007	Resident Rights Deficiencies	Keep each resident's personal and medical records private and confidential.	D

Fire Safety Inpections: CASTLE ROCK CONVALESCENT CENTER
Inspection Results: 05/12/2009
Corrected	Category	Deficiency	Severity
05/15/2009	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
06/17/2009	Building Service Equipment Deficiencies	properly protected cooking facilities.	F
06/24/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	E
06/24/2009	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	D
05/12/2009	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	D
Inspection Results: 03/10/2008
Corrected	Category	Deficiency	Severity
04/18/2008	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	F
04/18/2008	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
04/18/2008	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	D
04/18/2008	Automatic Sprinkler Systems Deficiencies	back-up procedures in place for a faulty automatic sprinkler system.	F
04/18/2008	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	D
04/18/2008	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D
04/18/2008	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	D
04/18/2008	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	D
Inspection Results: 02/21/2007
Corrected	Category	Deficiency	Severity
03/19/2007	Automatic Sprinkler Systems Deficiencies	back-up procedures in place for a faulty automatic sprinkler system.	F
04/03/2007	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	E
04/06/2007	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	D
04/04/2007	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
03/14/2007	Building Construction Deficiencies	a two-hour-resistant firewall in common walls.	E

Resident Complaints: CASTLE ROCK CONVALESCENT CENTER
Date Complaint Substantiated: 04/24/2007
Corrected	Category	Deficiency	Severity
06/08/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
06/08/2007	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
Date Complaint Substantiated: 01/25/2007
Corrected	Category	Deficiency	Severity
03/11/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
03/11/2007	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
03/11/2007	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	D

Quality Measures: CASTLE ROCK CONVALESCENT CENTER
Quality Measures	National Average	CASTLE ROCK CONVALESCENT CENTER
Overall quality rating	Not Available	2 out of 5 stars
Long-Stay Residents
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who are more depressed or anxious	14%	17%
Percent of high-risk long-stay residents who have pressure sores	11%	5%
Percent of long-stay residents whose need for help with daily activities has increased	14%	12%
Percent of long-stay residents who have moderate to severe pain	3%	10%
Percent of long-stay residents who had a urinary tract infection	9%	11%
Percent of long-stay residents who lose too much weight	8%	7%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	66%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	6%
Percent of long-stay residents who were physically restrained	3%	9%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	8%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	81%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	9%
Percent of low-risk long-stay residents who have pressure sores	2%	0%
Short-Stay Residents
Percent of short-stay residents given influenza vaccination during the flu season	83%	74%
Percent of short-stay residents who had moderate to severe pain	19%	35%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	75%
Percent of short-stay residents who have delirium	2%	4%
Percent of short-stay residents who have pressure sores	13%	12%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: CASTLE ROCK CONVALESCENT CENTER GREEN RIVER WY