THERMOPOLIS REHABILITATION AND WELLNESS

πŸ“ 1210 CANYON HILLS RD, thermopolis, WY 82443 πŸ“ž 3078645591 πŸ›οΈ 60 beds

Overall Rating

⭐⭐
2/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐
3/5

Quality Measures

⭐⭐⭐⭐
4/5

Inspection History Overview

62
Total Violations
7 years of data
$25,152
Total Fines
3 penalties
8
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 3 violations

Tag 0883 D Jun 27, 2024

Develop and implement policies and procedures for flu and pneumonia vaccinations.

βœ“ Corrected: Jul 31, 2024
Tag 0600 G Mar 6, 2024

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Apr 1, 2024
Tag 0610 K Mar 6, 2024

Respond appropriately to all alleged violations.

βœ“ Corrected: Apr 1, 2024

2023 12 violations

Tag 0600 G Aug 22, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Sep 13, 2023
Tag 0623 D Apr 20, 2023

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: May 31, 2023
Tag 0691 D Apr 20, 2023

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

βœ“ Corrected: May 31, 2023
Tag 0758 D Apr 20, 2023

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: May 31, 2023
Tag 0761 D Apr 20, 2023

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: May 31, 2023
Tag 0600 G Mar 10, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Mar 30, 2023
Tag 0684 D Mar 10, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Mar 30, 2023
Tag 0600 J Jan 13, 2023

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

βœ“ Corrected: Feb 9, 2023
Tag 0606 D Jan 13, 2023

Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

βœ“ Corrected: Feb 9, 2023
Tag 0689 G Jan 13, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 13, 2023
Tag 0838 E Jan 13, 2023

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Feb 9, 2023
Tag 0843 D Jan 13, 2023

Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care.

βœ“ Corrected: Feb 9, 2023

2022 6 violations

Tag 0584 E Mar 31, 2022

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: May 14, 2022
Tag 0656 D Mar 31, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: May 14, 2022
Tag 0732 B Mar 31, 2022

Post nurse staffing information every day.

βœ“ Corrected: May 14, 2022
Tag 0758 D Mar 31, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: May 14, 2022
Tag 0812 F Mar 31, 2022

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 14, 2022
Tag 0881 D Mar 31, 2022

Implement a program that monitors antibiotic use.

βœ“ Corrected: May 14, 2022

2021 4 violations

Tag 0660 D Apr 28, 2021

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Jun 12, 2021
Tag 0676 E Apr 28, 2021

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Jun 12, 2021
Tag 0727 F Apr 28, 2021

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Jun 12, 2021
Tag 0758 D Apr 28, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jun 12, 2021

2019 9 violations

Tag 0576 E May 22, 2019

Ensure residents have reasonable access to and privacy in their use of communication methods.

βœ“ Corrected: Jul 6, 2019
Tag 0584 E May 22, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jul 6, 2019
Tag 0637 D May 22, 2019

Assess the resident when there is a significant change in condition

βœ“ Corrected: Jul 6, 2019
Tag 0644 D May 22, 2019

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

βœ“ Corrected: Jul 6, 2019
Tag 0656 E May 22, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jul 6, 2019
Tag 0679 D May 22, 2019

Provide activities to meet all resident's needs.

βœ“ Corrected: Jul 6, 2019
Tag 0727 D May 22, 2019

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Jul 6, 2019
Tag 0812 F May 22, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jul 6, 2019
Tag 0880 D May 22, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jul 6, 2019

2018 16 violations

Tag 0728 E Dec 11, 2018

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

βœ“ Corrected: Jan 25, 2019
Tag 0657 E Sep 6, 2018

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Sep 28, 2018
Tag 0686 D Sep 6, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Sep 28, 2018
Tag 0583 D May 3, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: May 18, 2018
Tag 0697 D May 3, 2018

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: May 18, 2018
Tag 0700 D May 3, 2018

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

βœ“ Corrected: May 18, 2018
Tag 0712 D May 3, 2018

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

βœ“ Corrected: May 18, 2018
Tag 0812 E May 3, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 18, 2018
Tag 0660 D Mar 14, 2018

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Apr 11, 2018
Tag 0677 D Jan 4, 2018

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Feb 8, 2018
Tag 0679 E Jan 4, 2018

Provide activities to meet all resident's needs.

βœ“ Corrected: Feb 8, 2018
Tag 0686 D Jan 4, 2018

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Feb 8, 2018
Tag 0689 D Jan 4, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Feb 8, 2018
Tag 0725 E Jan 4, 2018

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

βœ“ Corrected: Feb 8, 2018
Tag 0728 D Jan 4, 2018

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

βœ“ Corrected: Feb 8, 2018
Tag 0732 E Jan 4, 2018

Post nurse staffing information every day.

βœ“ Corrected: Mar 8, 2018

2017 12 violations

Tag 0150 B May 11, 2017

Meet the legal definition of a skilled nursing facility or nursing facility.

βœ“ Corrected: Jun 12, 2017
Tag 0225 E May 11, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Jun 12, 2017
Tag 0253 E May 11, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: Jun 12, 2017
Tag 0275 D May 11, 2017

Completely assess the resident at least every twelve months.

βœ“ Corrected: Jun 12, 2017
Tag 0280 E May 11, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Jun 12, 2017
Tag 0282 D May 11, 2017

Provide care by qualified persons according to each resident's written plan of care.

βœ“ Corrected: Jun 12, 2017
Tag 0309 D May 11, 2017

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Jun 12, 2017
Tag 0329 E May 11, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Jun 12, 2017
Tag 0371 E May 11, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Jun 12, 2017
Tag 0431 D May 11, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Jun 12, 2017
Tag 0501 E May 11, 2017

Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility.

βœ“ Corrected: Jun 12, 2017
Tag 0520 F May 11, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

βœ“ Corrected: Jun 12, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2023 1 penalties totaling $23,527

$23,527
Fine
January 13, 2023
Average: $23,527 | Range: $23,527 - $23,527

2020 2 penalties totaling $1,625

$975
Fine
November 2, 2020
$650
Fine
June 8, 2020
Average: $813 | Range: $650 - $975

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

June 27, 2024
0.00

Health

March 6, 2024
0.00

Health

August 22, 2023
0.00

Health

April 20, 2023
0.00

Health

March 10, 2023
0.00

Health

January 13, 2023
0.00

Health

March 31, 2022
0.00

Health

April 28, 2021
0.00

Quality Measures

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Ownership Information

For profit - Corporation
Independent (Not part of a chain)
535051
535051
3078645591
Hot Springs

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization