Polaris Rehab: Staffing Deficiencies Found - WY
Nobody at the top of the facility could explain why.
Inspectors who visited in October found the resident had been prescribed three medications simultaneously — valproic acid, olanzapine, and melatonin — each of which increases sedation and drowsiness. A drug interaction check conducted by inspectors flagged the combination as significant, requiring physician monitoring. The nurses' progress notes from July contained no documentation of when the decline began or what triggered it.
A CNA who had cared for the resident told inspectors on October 22 that the resident had been ambulatory upon admission, with aggressive behaviors, and had declined after seizures began. An RN interviewed the day before confirmed the resident had been mobile at admission but said she did not know what caused the drop from independent to fully dependent.
A nurse's note from August 17 recorded that the resident's son had approached staff and asked to take his parent off valproic acid. The nurse documented educating the son about seizure risk and the son agreeing to accept that risk, requesting a different medication as an alternative. The note said a nurse practitioner had been notified and orders were pending.
By the time inspectors arrived, the resident had improved. The same RN who couldn't explain the decline noted the resident had gotten better since being taken off valproic acid. The CNA said the resident could now communicate in complete sentences.
When inspectors sat down with the Director of Nursing and the Nursing Home Administrator on October 24, both said they had not been at the facility in July. They said they did not know what had happened with the medications or the resident during that period. Both acknowledged they had identified a need to provide better quality of care.
The resident spent months bed-bound, turned every hour, unable to sit up in a wheelchair.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Polaris Rehabilitation and Care Center from 2025-10-24 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: August 5, 2026 · Our methodology
Polaris Rehabilitation and Care Center in Cheyenne, WY was cited for violations during a health inspection on October 24, 2025.
Nobody at the top of the facility could explain why.
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.