Thermopolis Rehabilitation And Wellness
Inspection Findings
F-Tag F0580
F 0580 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
have been able to administer to the resident. h. Review of the emergency kit content list showed the available medications included insulin lispro, insulin NHP [intermediate acing insulin], insulin regular, insulin glargine, insulin detemir, and insulin aspart.i. Interview with the administrator, DON, regional clinical director #1 and regional clinical director #2 on 10/23/25 at 9:37 AM revealed if a resident was displaying signs or symptoms or a change in condition, they would expect the nurse to assess the resident and monitor. If the condition worsened, they would expect the nurse to notify the physician. They revealed if a resident was experiencing elevated or low blood sugars, they would expect the physician to be notified per the physician's parameters and they would expect the nurse to call the physician and not send a fax. j. Interview with the administrator and regional clinical director #1 on 10/23/25 at 11:32 AM confirmed the resident's medications and monitoring was discontinued following the hospital visit. Further they revealed notification of the physician would be based on nursing judgement if the resident did not have notification parameters.k.
Interview with the resident's physician on 10/24/25 at 9:42 AM revealed the resident had a history or high blood glucose levels and she would expect the facility to notify her if the blood glucose was greater than
- 400. She revealed she was not notified of the discontinuation of insulin and blood glucose monitoring when
the resident returned from the hospital on 9/9/25 and she was not notified of the elevated blood glucose on 9/17/25. Further she revealed she would expect the facility to call and not fax and there was always an on-call physician during off hours.2. Review of the facility policy titled Hypoglycemia/Hyperglycemia Recommended Guidelines last updated August 2025 showed .3. Recommended provider notification parameters are blood sugar < [less than] 70 or > [greater than] 350 per American Diabetic Association however, providers may have varied parameters for notification .
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
10/23/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Thermopolis Rehabilitation and Wellness
1210 Canyon Hills Rd Thermopolis, WY 82443
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0684
F 0684 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
nurse to assess the resident and monitor. If the condition worsened, they would expect the nurse to notify
the physician. They revealed if a resident was experiencing elevated or low blood sugars, they would expect
the physician to be notified per the physician's parameters and they would expect the nurse to call the physician and not send a fax. 3. Interview with the administrator and regional clinical director #1 on 10/23/25 at 11:32 AM confirmed the resident's medications and monitoring was discontinued following the hospital visit. Further they revealed notification of the physician would be based on nursing judgement if the resident did not have notification parameters.4. Interview with the administrator and regional clinical director #1 on 10/23/25 at 12:10 PM revealed a continuous glucose monitor had not been implemented since admission.5. Interview with the resident's physician on 10/24/25 at 9:42 AM revealed the resident had a history or high blood glucose levels and she would expect the facility to notify her if the blood glucose was greater than 400. She revealed she was not notified of the discontinuation of insulin and blood glucose monitoring when the resident returned from the hospital on 9/9/25 and she was not notified of the elevated blood glucose on 9/17/25.She revealed she would expect the facility to call and not fax and there was always an on-call physician during off hours. Further interview revealed she thought the resident was receiving blood glucose monitoring through a continuous glucose monitor.6. Review of the facility policy titled Hypoglycemia/Hyperglycemia Recommended Guidelines last updated August 2025 showed .3.
Recommended provider notification parameters are blood sugar < [less than] 70 or > [greater than] 350 per American Diabetic Association however, providers may have varied parameters for notification .
Event ID:
Facility ID:
If continuation sheet
Thermopolis Rehabilitation and Wellness in Thermopolis, WY inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Thermopolis, 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 Thermopolis Rehabilitation and Wellness or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.