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Complaint Investigation

Worland Health And Rehabilitation

February 26, 2026 · Worland, WY · 1901 Howell Ave
Citations 2
CMS Rating 1/5
Beds 87
Provider ID 535048
Healthcare Facility
Worland Health And Rehabilitation
Worland, WY  ·  View full profile →
Inspection Summary

Worland Health and Rehabilitation in Worland, WY — inspection on February 26, 2026.

Found 2 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

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

Review of the facility policy, Freedom from Abuse, Neglect, Corporal Punishment, Involuntary Seclusion, Mistreatment, Misappropriation of Resident Property, and Exploitation updated March 2025 showed .Each resident has the right to be free from abuse, including verbal, mental, sexual or physical abuse .The Center implements policies and processes so that residents are not subjected to abuse by staff, other residents .

535048 02/26/2026

Worland Health and Rehabilitation 1901 Howell Ave Worland, WY 82401

Observation in the dining room on 2/25/26 at 7:40 AM showed resident #10 independently obtained

jeopardy to resident health or the cup in one hand while pushing his/her walker with the other.

Further observation showed the safety resident spilled coffee on him/her and the table when trying to set it down.

There was no evidence of injury from spilling on him/herself.6.

Observation in the dining room on 2/25/26 at 11:30 AM showed

without a lid, and mixed it with a packet of cocoa.

The resident ambulated back to his/her seat holding the cocoa in his/her right hand, pushing his/her walker with his/her left hand.7.

Observation in the dining room on 2/25/26 at 11:32 AM showed resident #9 independently obtained hot water from the coffee machine water spout and walked back to his/her table. 8.

Observation in the dining room on 2/25/26 at 11:40 AM showed CNA #2 obtained a cup of water from the coffee machine water spout and checked the temperature, which was 168.7 degrees Fahrenheit.9.

Interview with cook #1 on 2/24/26 at 3:25 PM revealed water from the coffee machine was never to be given to residents.10.

Interview with dietary aid #1 on 2/24/26 at 5:05 PM revealed coffee and water temperatures were checked in the kitchen and were never to be served directly from the coffee machine.11.

Interview with CNA #2 on 2/25/26 at 10:27 AM revealed residents were allowed to independently obtain beverages but they try to help everyone they can.

She revealed there was supposed to be two aides in the dining room for meals a half hour prior to meal times for resident assistance; however, there was usually only one.

She revealed she was unaware of any interventions in place to keep residents from filling cups with water from coffee machine and residents did not like waiting for an extended time which resulted in them obtaining items independently.

Further interview revealed specialty items, such as cups, plates, and utensils were identified on meal trays; however, beverages were usually provided to residents prior to those coming out.12. On 2/25/26 at 2:59 PM the regional clinical director, interim administrator, and administrator were informed of an immediate jeopardy related to a failure to identify and remove accident/hazard risks to residents.13.

The facility submitted a removal plan on 2/25/26 at 4:41PM which included:a.

The hot beverage machine being taken out of service on 2/25/26 at 3:30 PM.b.

Adaptive equipment audits on all residents on 2/25/26 by 7:00 PM. c.

Implementation of access to the hot beverage machine only by dietary staff on 2/25/26 by 3:30 PM.d.

Signage posted to ask for assistance with beverages 2/25/26 by 3:50 PMe.

Education provided for all staff on hot beverages and all the above interventions 2/25/26 by 7:00 PM.14.

The removal plan was accepted on 2/25/26 at 5:13 PM.15.

The implementation of the removal plan was verified and immediacy was removed on 2/26/26 at 9:05 AM; however, deficient practice remained at a scope and severity of G.

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 Worland, 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 Worland Health and Rehabilitation or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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