Wyoming Retirement Center - Basin Nursing Home

General Information

UPDATE
Federal Provider Number
535021
Provider Name
WYOMING RETIREMENT CENTER
Provider Address
890 US HWY 20 SOUTH
BASIN, WY 82410
Provider Phone Number
(307) 568-2431
Provider SSA County
10
Provider County Name
Big Horn
Provider Website
Provider Description
Ownership Type
Government - State
Number of Certified Beds
90
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STATE OF WYOMING
Date First Approved to Provide Medicare and Medicaid services
1984-09-12
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72817
Reported LPN Staffing Hours per Resident per Day
0.18099
Reported RN Staffing Hours per Resident per Day
0.95704
Reported Licensed Staffing Hours per Resident per Day
1.13803
Reported Total Nurse Staffing Hours per Resident per Day
3.86620
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00282
Expected CNA Staffing Hours per Resident per Day
1.93887
Expected LPN Staffing Hours per Resident per Day
0.55758
Expected RN Staffing Hours per Resident per Day
0.73556
Expected Total Nurse Staffing Hours per Resident per Day
3.23202
Adjusted CNA Staffing Hours per Resident per Day
3.45258
Adjusted LPN Staffing Hours per Resident per Day
0.26942
Adjusted RN Staffing Hours per Resident per Day
0.97218
Adjusted Total Nurse Staffing Hours per Resident per Day
4.82184
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-12-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
91.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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