Thermopolis Rehab: Care Quality Deficiencies - WY
The resident's physician told inspectors on October 24 she expected notification whenever blood glucose exceeded 400. She was never called about the elevated reading on September 17, eight days after the resident returned from the hospital.
"She was not notified of the discontinuation of insulin and blood glucose monitoring when the resident returned from the hospital on September 9 and she was not notified of the elevated blood glucose on September 17," inspectors wrote.
The doctor emphasized she expected phone calls, not faxes, and that an on-call physician was always available during off hours.
Facility administrators confirmed during interviews that the resident's medications and monitoring stopped following the hospital visit. They told inspectors that physician notification would depend on "nursing judgement" when residents lacked specific notification parameters.
But the resident's doctor had clear expectations. She maintained a history of high blood glucose levels and required notification for readings over 400.
The facility's own emergency kit contained multiple insulin types including lispro, regular, glargine, detemir, and aspart that nurses could have administered. Administrators acknowledged they would expect nurses to assess residents showing signs of changing conditions and notify physicians if conditions worsened.
The facility's hyperglycemia policy, updated in August, recommended notifying providers for blood sugar levels greater than 350 per American Diabetes Association guidelines, though it noted providers might have different parameters.
Administrators told inspectors they expected nurses to call physicians about elevated or low blood sugars according to physician parameters, not send faxes.
The breakdown left a diabetic resident without insulin or monitoring for over a week, with dangerous blood sugar levels unreported to the physician responsible for their care.
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: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 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 physician told inspectors on October 24 she expected notification whenever 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.