Thermopolis Rehab: Notification Failures - WY
The resident's doctor told inspectors on October 24 she expected Thermopolis Rehabilitation and Wellness to notify her if blood glucose exceeded 400. She was never called about an elevated reading on September 17, and staff never informed her they had stopped the resident's insulin and monitoring after a hospital visit on September 9.
"She would expect the facility to call and not fax and there was always an on-call physician during off hours," according to the inspection report.
The facility's own emergency medication kit contained multiple insulin types, including insulin lispro, regular insulin, insulin glargine, insulin detemir, and insulin aspart. But staff made no effort to continue the resident's diabetes management.
When inspectors interviewed administrators and clinical directors on October 23, they confirmed the resident's medications and monitoring had been discontinued following the hospital visit. They said notification of physicians would depend on "nursing judgement" if residents didn't have specific notification parameters.
The facility's hyperglycemia policy, updated in August, recommends notifying providers when blood sugar exceeds 350, following American Diabetic Association guidelines. Individual physicians may set different thresholds.
The resident had a documented history of high blood glucose levels. The physician's expectation that she be notified of readings over 400 was never communicated to nursing staff, who failed to establish any monitoring protocol after the hospital discharge.
Administrators told inspectors they would expect nurses to assess residents showing signs of changing conditions, monitor their status, and notify physicians if conditions worsened. They specifically said they expected physicians to be called, not sent faxes, when residents experienced elevated or low blood sugars.
The breakdown occurred despite clear expectations from both the facility's leadership and the resident's physician about proper diabetes management and communication protocols.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Thermopolis Rehabilitation and Wellness from 2025-10-23 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 19, 2026 · Our methodology
Thermopolis Rehabilitation and Wellness in Thermopolis, WY was cited for violations during a health inspection on October 23, 2025.
The resident's doctor told inspectors on October 24 she expected Thermopolis Rehabilitation and Wellness to notify her if blood glucose exceeded 400.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.