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Complaint Investigation

Casper Mountain Rehabilitation And Care Center

December 30, 2025 · Casper, WY · 4305 S Poplar
Citations 1
CMS Rating 1/5
Beds 120
Provider ID 535024
Healthcare Facility
Casper Mountain Rehabilitation And Care Center
Casper, WY  ·  View full profile →
Inspection Summary

Casper Mountain Rehabilitation and Care Center in Casper, WY — inspection on December 30, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of the orthopedic physician's note dated 6/26/25 showed the resident had reported right ankle and leg pain after getting his/her foot caught on the facility door. b.

Review of the resident's X-ray results of his/her right tibia and fibula dated 7/1/25 showed.1. An acute, nondisplaced oblique fracture through the distal tibial diaphysis.2.

Review of a skin injury note dated 10/28/25 and timed 12:30 PM showed the resident had sustained a large bruise to his/her left calf after bumping his/her leg into a bed.

Interview with the resident on 12/29/25 at 3:33 PM confirmed that s/he had hit his/her leg on his/her bed in October while in an electric wheelchair.3.

Interview with the Physical and Occupational Therapy Director on 12/30/25 at 1:35 PM revealed there was not a wheelchair skill, or safety assessment completed on the resident, following the right leg fracture in June 2025, or after bumping his/her left leg on 10/28/25.4.

Review of the care plan dated 11/6/25 showed the resident mobilized independently in a motorized w/c. An intervention to educate the resident on the proper use of mobility devices was initiated on 5/29/25.

There were no additional interventions to address w/c safety.5.

Interview with RN # 8 on 12/29/25 at 3 PM confirmed that safety assessments should have been completed on all residents who required power wheelchairs.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

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Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Casper, WY, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Casper Mountain Rehabilitation and Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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