WESTWARD HEIGHTS CARE CENTER Nursing Home


WESTWARD HEIGHTS CARE CENTER (CCN: 535034) is a Non profit - Corporation facility located in LANDER, WY (82520). The facility has an overall rating of 5/5, health inspection rating of 5/5, and a staffing rating of 4/5. It offers 60 certified beds and maintains an average of 50.7 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.92738 total hours per resident per day. It has been certified since January 1, 1990 and the last listed health inspection was on November 3, 2022, The facility is located in Fremont county and provides senior and nursing home care.

WESTWARD HEIGHTS CARE CENTER Summary


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Provider Name: WESTWARD HEIGHTS CARE CENTER

Address: 150 CARING WAY, LANDER, WY 82520

Phone: (307) 332-5560

County: Fremont (060)

Ownership Type: Non profit - Corporation

Certified Beds: 60

Average Residents Per Day: 50.7 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: WESTWARD HEIGHTS CORP

First Approved Date: January 1, 1990

Affiliated Entity: ()

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 5 ()

Health Inspection Rating: 5 ()

QM Rating: 3 ()

Long Stay QM Rating: 4 ()

Short Stay QM Rating: 3 ()

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.74861, LPN Staff Hours Per Day: 0.1413, RN Staff Hours Per Day: 1.0374, Licensed Staff Hours Per Day: 1.1787

Total Nurse Staff Hours Per Day, per resident: 3.92738

Weekend Nurse Staff Hours: 3.47008, Weekend RN Staff Hours: 0.6646

PT Staff Hours Per Day, per resident: 0.0980

Nurse Staff Turnover: 57.6, Nurse Turnover Note:

RN Turnover: 29.4, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 1.9443, Case Mix LPN Hours Per Day: 0.6473, Case Mix RN Hours Per Day: 0.2756

Adjusted Nurse Aide Hours Per Day, per resident: 2.87993, Adjusted LPN Hours Per Day: 0.1611, Adjusted RN Hours Per Day: 1.4181

Total Adjusted Nurse Hours Per Day, per resident: 4.31736

Adjusted Weekend Nurse Hours Per Day, per resident: 3.81465

Health Survey Dates and Scores: Cycle 1: 2022-11-03 (Score: 4), Cycle 2: 2021-10-14 (Score: 12), Cycle 3: 2019-07-24 (Score: 4)

Total Weighted Health Score: 6.667

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations: 0

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 150 CARING WAY,LANDER,WY,82520 (42.8281, -108.722)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2022-11-03

Type: Health, Deficiency: 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.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-12-01

Citation on 2022-11-03

Type: Health, Deficiency: Ensure staff are vaccinated for COVID-19

Severity: C - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-12-01

Citation on 2021-10-14

Type: Health, Deficiency: Ensure each resident receives an accurate assessment.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-14

Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-14

Type: Health, Deficiency: Post nurse staffing information every day.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2019-07-24

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-23


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2022-11-02

Type: Fire Safety, Tag: 0324, Version: New

Description: Provide properly protected cooking facilities.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-12-18

Citation on 2022-11-02

Type: Fire Safety, Tag: 0345, Version: New

Description: Have approved installation, maintenance and testing program for fire alarm systems.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-12-16

Citation on 2022-11-02

Type: Fire Safety, Tag: 0918, Version: New

Description: Have generator or other power source capable of supplying service within 10 seconds.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-12-18

Citation on 2021-10-13

Type: Fire Safety, Tag: 0022, Version: New

Description: Establish policies and procedures for sheltering.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-13

Type: Fire Safety, Tag: 0037, Version: New

Description: Establish staff and initial training requirements.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-13

Type: Fire Safety, Tag: 0039, Version: New

Description: Conduct testing and exercise requirements.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-13

Type: Fire Safety, Tag: 0100, Version: New

Description: Meet other general requirements.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-13

Type: Fire Safety, Tag: 0321, Version: New

Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-13

Type: Fire Safety, Tag: 0753, Version: New

Description: Have restrictions on the use of highly flammable decorations.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2021-10-13

Type: Fire Safety, Tag: 0920, Version: New

Description: Ensure proper usage of power strips and extension cords.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-11-19

Citation on 2019-07-25

Type: Fire Safety, Tag: 0920, Version: New

Description: Ensure proper usage of power strips and extension cords.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-23

Citation on 2019-07-25

Type: Fire Safety, Tag: 0923, Version: New

Description: Have proper medical gas storage and administration areas.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-23