SeniorHomeViolations
C-
58/100

Laramie Health and Rehabilitation Inspection Report, Violations & Safety Grade (Laramie, Wyoming)

503 S 18th St, Laramie, Wyoming 82070

Phone: 3077423728

CMS Overall:2/5

Overview & Bed Count

Certified Beds
105
Avg Residents/Day
51.6
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Albany
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
Yes

CMS Star Ratings

Overall2/5
Health2/5
Staffing2/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityWyoming AvgDifference
RN Hours per Resident per Day0.620.96-0.33
Total Nurse Hours per Resident per Day3.083.98-0.91
CMS Staffing Rating2/53.4/5-
Nursing Staff Turnover55.2%52.1%-

Health Citation History

29 health citations on record

DateCategoryDescriptionSeverity
2026-06-03Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2026-06-03Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F – Moderate Harm Potential
2026-06-03Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E – Moderate Harm Potential
2026-06-03Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.E – Moderate Harm Potential
2026-06-03Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.E – Moderate Harm Potential
2026-06-03Nutrition and Dietary DeficienciesProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.E – Moderate Harm Potential
2026-06-03Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.D – Moderate Harm Potential
2026-06-03Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D – Moderate Harm Potential
2026-06-03Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2026-06-03Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2026-06-03Nursing and Physician Services DeficienciesPost nurse staffing information every day.D – Moderate Harm Potential
2026-06-03Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2026-02-12Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D – Moderate Harm Potential
2024-10-10Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2024-10-10Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F – Moderate Harm Potential
2024-10-10Resident Rights DeficienciesHonor 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.E – Moderate Harm Potential
2024-10-10Pharmacy Service DeficienciesEnsure 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.E – Moderate Harm Potential
2024-10-10Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2024-10-10Environmental DeficienciesHave enough outside ventilation via a window or mechanical ventilation, or both.E – Moderate Harm Potential
2024-10-10Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential
2024-05-22Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2023-07-27Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G – Actual Harm
2023-07-27Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F – Moderate Harm Potential
2023-07-27Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2023-07-27Infection Control DeficienciesProvide and implement an infection prevention and control program.E – Moderate Harm Potential
2023-07-27Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.E – Moderate Harm Potential
2023-07-27Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-07-27Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.D – Moderate Harm Potential
2023-07-27Pharmacy Service DeficienciesImplement 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.D – Moderate Harm Potential

Fire Safety Citation History

18 fire safety citations on record

DateCategoryDescriptionSeverity
2026-06-03Emergency Preparedness DeficienciesProvide emergency officials' contact information.F – Moderate Harm Potential
2026-06-03Emergency Preparedness DeficienciesProvide primary/alternate means for communication.F – Moderate Harm Potential
2026-06-03Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2026-06-03Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.E – Moderate Harm Potential
2026-06-03Egress DeficienciesMeet other general requirements.D – Moderate Harm Potential
2026-06-03Smoke DeficienciesProvide properly protected cooking facilities.D – Moderate Harm Potential
2026-06-03Smoke DeficienciesHave approved installation, maintenance and testing program for fire alarm systems.D – Moderate Harm Potential
2026-06-03Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2024-10-10Emergency Preparedness DeficienciesConduct testing and exercise requirements.F – Moderate Harm Potential
2024-10-10Construction DeficienciesUse approved construction type or materials.E – Moderate Harm Potential
2024-10-10Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2024-10-10Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.D – Moderate Harm Potential
2024-10-10Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.D – Moderate Harm Potential
2023-07-27Smoke DeficienciesInstall smoke barrier doors that can resist smoke for at least 20 minutes.F – Moderate Harm Potential
2023-07-27Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2023-07-27Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2023-07-27Smoke DeficienciesEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.D – Moderate Harm Potential
2023-07-27Miscellaneous DeficienciesHave restrictions on the use of highly flammable decorations.D – Moderate Harm Potential

Total Penalties & Fines

$35,880
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-05-22Fine$35,880-

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