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Complaint Investigation

Polaris Rehabilitation And Care Center

August 28, 2025 · Cheyenne, WY · 2700 E 12th Street
Citations 3
CMS Rating 1/5
Beds 105
Provider ID 535025
Healthcare Facility
Polaris Rehabilitation And Care Center
Cheyenne, WY  ·  View full profile →
Inspection Summary

Polaris Rehabilitation and Care Center in Cheyenne, WY — inspection on August 28, 2025.

Found 3 citations. 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

FF0677
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of the facility policy titled Resident Showers provided by the facility on 8/28/25 showed .1.

Residents will be provided showers as per request or as per facility schedule protocols and based upon resident safety .

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Polaris Rehabilitation and Care Center

2700 E 12th Street Cheyenne, WY 82001

SUMMARY STATEMENT OF DEFICIENCIES

regional clinical director on 8/28/25 at 4:45 PM confirmed the facility continued to have staffing challenges and confirmed the bathing was not being performed as it should be.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/28/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Polaris Rehabilitation and Care Center

2700 E 12th Street Cheyenne, WY 82001

SUMMARY STATEMENT OF DEFICIENCIES

Based on daily staff posting review and staff interview the facility failed to ensure the total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift: RN, LPN, CNA were documented on the posting.

The census was

  • The findings were:1.

Review of the daily staff postings from 7/28/25 through 8/28/25 showed staff names, position worked, and number of hours individual staff worked; however, the posting failed to identify the total hours worked for all RNs, LPNs, and CNAs.2.

Interview with the administrator on 8/28/25 at 2:47 PM confirmed the daily staff posting did not give the total number of hours for the RNs, LPNs, and the CNAs.

Facility ID:

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 Cheyenne, 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 Polaris Rehabilitation and Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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