Optalis Health & Rehabilitation of Wyoming

Inspectors wroteThis citation is related to intake # 3045819 Based on interview and record review, the facility failed to complete physician ordered care and treatments for one of three residents (R101) reviewed for wound care.

Inspectors wroteThis citation is related to intake # 3034407 Based on interview and record review, the facility failed to provide standard professional care to one of one resident's (Resident #102) reviewed for Intravenous (IV) access and fluids.

Inspectors wroteThis citation pertains to intake # 3034407 Based on interview and record review, the facility failed to administer antibiotics and monitor labs per physician orders for one of three residents (Resident #102) reviewed for antibiotic stewardship.

Inspectors wroteThis citation pertains to intake # 3034407 Based on observation, interview, and record review, the facility failed to monitor and assess one of three resident's (Resident #102) reviewed for ostomy care.

Inspectors wroteThis citation pertains to Intake 2975792Based on interview and record review, the facility failed to provide thorough, effective quality care to treat and prevent recurrence of a pressure sore for one facility Resident (R108) of five residents reviewed for quality of care.

Inspectors wroteThis citation pertains to intake #2719938 Based on interview and record review, the facility failed to 1.) promptly identify and treat a resident in hypoglycemic crisis for 1 resident (Resident #1) and 2.) ensure medications were administered in accordance with physician orders for diabetic residents for 3 residents (Resident #1, #2, and #3) out of 3 residents reviewed for competent nursing staff.

Inspectors wroteBased on interview and record review, the facility failed to treat a urinary tract infection in a timely manner for one of one resident's (Resident #1) reviewed for the quality of care.

Inspectors wroteBased on interview and record review, the facility failed to prevent a fall in two of two residents (Resident #1 and Resident #51) and secure hazardous materials and biologicals in one of one salon and for one resident (Resident #43) reviewed for accidents and hazards, resulting in fractures for R1 and R51 residents and the potential for R43 to ingest hazardous materials. Findings Include: Resident #1 (R1) Review of an admission Record revealed R1 was a [AGE] year-old male, last admitted to the facility on [DATE], with pertinent diagnoses of pneumonia and repeated falls. Review of a Facility Investigation initiated for R1 after a fall with a major injury on 12/30/25 concluded the following: the evening of 12/30/25 Certified Nurse Aide (CNA) LL was in R1's room providing care. [...]

Inspectors wroteThis citation pertains to Intake 2629685Based on observation, interview, and record review, the facility failed to maintain best practices in the food service area resulting in the potential to spread food borne illness to all residents that consume food from the kitchen. Findings Include:On 01/05/2026 at 9:06 AM, observed hand towels were not readily available at the handsink in the dishwashing room. This is the only designated handsink for the kitchen. According to the 2022 FDA Food Code section 6-301.12 Hand Drying Provision. Each HANDWASHING SINK or group of adjacent HANDWASHING SINKS shall be provided with:(A) Individual, disposable towels; Pf (B) A continuous towel system that supplies the user with a clean towel; Pf or (C) A heated-air hand drying device; [...]

Inspectors wroteBased on observation, interview, and record review, the facility failed to 1.) provide care following professional standards of practice and facility policy to prevent the development of a injuries and 2.) assess, monitor, and provide ordered treatment for residents with pressure injuries/wounds for 2 residents (Resident #58 and #43) out of 18 residents reviewed for pressure injury prevention/management.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure fluids were within reach for one of three residents (Resident #43) reviewed for hydration.

Inspectors wroteBased on observation, interview, and record review, the facility failed to follow physician orders for one of two resident's (Resident #93) reviewed for tube feeding.

Inspectors wroteThis citation pertains to intake #2665891Based on observation, interview, and record review, the facility failed to follow professional guidelines for two of two resident's (resident #72 and Resident #91) reviewed for peripheral and central intravenous fluids.

Inspectors wroteBased on interview and record review, the facility failed to account for controlled substances in one of one medication carts reviewed for narcotic reconciliation.

Inspectors wroteBased on interview and record review, the facility failed to 1) implement an effective and current system of surveillance of staff illnesses to identify possible communicable diseases and infections to prevent the spread of an illness/outbreak, 2.) ensure appropriate personal protective equipment (PPE) for a resident in contact precautions, and 3.) ensure residents at risk of MDRO (multi-drug resistant organisms) acquisition were placed in enhanced barrier precautions for 3 residents (Resident #36, #58, and #40) out of 18 residents reviewed for infection prevention and control.

Inspectors wroteBased on observation, interview, and record review, the facility failed to maintain general cleanliness and repair of ceilings and ventilation covers of resident restrooms 11, 12 and 13. Findings Include:On 01/15/2026 at 2:00PM, observed cobwebs on the vent's cover in the restrooms for rooms 11,12,13. Record review of Healthcare Services Group, Housekeeping schedule, states, Cleaning resident rooms using the 5 and 7 step cleaning process. The 5 and 7 step cleaning process lists what needs to be cleaned and cleaning methods for those steps, such as horizontal surfaces, vertical surfaces, dust mop and damp mop. On 1/05/2025 at 2:00PM, observed in room [ROOM NUMBER]'s restroom, the ceiling tile is sagging and partially off the ceiling grid tracks allowing for an accessible space of half inch between the tile and the track. [...]

Inspectors wroteThis citation is related to intake #2674209Based on interview and record review, the facility failed to treat one resident (Resident # 72) in a dignified manner, out of three residents reviewed for dignity and respect.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure call lights remained within reach for three of three resident's (Resident #43, Resident #93, and Resident #10) reviewed for accommodation of needs.

Inspectors wroteThis citation pertains to intake #: 2664254Based on interview and record review, the facility failed to notify the provider of 1.) a change in condition and 2.) abnormal vital signs for 2 of 18 residents (Resident #90 and #81) reviewed for notification of change.

Inspectors wroteThis citation pertains to intake #: 2641157Based on interview and record review, the facility failed to 1.) prevent misappropriation of resident medication and 2.) monitor and investigate the potential/ongoing misappropriation of resident narcotic medication for 2 residents (Resident #38 and #41) out of 7 residents reviewed for the misappropriation of medications, resulting in the diversion of medications and the potential for ongoing diversion of medications.

Inspectors wroteBased on interview and record review, the facility failed to adequately monitor and ensure residents were free from adverse drug reactions for 1 of 5 residents (Resident #41) reviewed for psychotropic medication use.

Inspectors wroteBased on observation, interview, and record review, the facility failed to update a care plan for 1 of 18 sampled residents (R40).

Inspectors wroteBased on interview and record review, the facility failed to ensure that weights were obtained in accordance with physician orders for 3 of 5 residents (Resident #11, #23, and #55), reviewed for the provision of nursing services.

Inspectors wroteBased on interview and record review, the facility failed to initiate bowel protocol for one of two resident's (Resident #43) reviewed for constipation.

Inspectors wroteBased on interview and record review, the facility failed to implement physician-approved pharmacy recommendations for 1 of 5 residents (R60) review for monthly medication regimen reviews.

Inspectors wroteBased on interview and record review, the facility failed to adequately monitor vital signs and ensure medications were administered in accordance with physician orders for 2 residents (Residents #6 and #10) out of 18 residents reviewed for unnecessary medication.

Inspectors wroteBased on interview and record review, the facility failed to ensure laboratory tests were completed and laboratory results were obtained for 3 of 18 residents (Resident #81, #101 and #10) reviewed for laboratory services.

Inspectors wroteThis citation refers to Intake 2643393. Based on interview and record review, the facility failed to maintain complete and accurate medical records for 1 of 18 sampled residents (R74).

Inspectors wroteBased on interview and record review, the facility failed to implement the antibiotic stewardship program for 2 of 7 residents (Resident #25 and #81) reviewed for antibiotic use.

Inspectors wroteThis citation pertains to intake 2640739Based on observation, interview, and record review, the facility failed to thoroughly investigate an allegation of neglect for one resident (R1) out of four residents reviewed for abuse and neglect.

Inspectors wroteThis citation pertains to intake 2640739Based on interview and record review, the facility failed to review and revise care plans for 3 residents (R1, R2, & R4) out of four residents reviewed for care planning. Findings Include:Resident #1 (R1)Review of a facility admission Record reflected R1 admitted to the facility on [DATE] with diagnosis that included hemiplegia and hemiparesis following cerebral infarction, vascular dementia, muscle weakness, lack of coordination, and unspecified abnormalities of gait and mobility. Review of a General Progress Note dated 6/8/2025 reflected R1 had a hospital LOA (leave of absence) in order to have a MRI magnetic resonance imaging, and the hospital called, . [...]

Inspectors wroteThis citation pertains to intake 2640739 Based on observation, interview, and record review, the facility failed to fully implement policy and procedure to prevent elopements and appropriately respond to an elopement incident for one resident (R1) out of four residents reviewed for elopement.

Inspectors wroteBased on interview and record review, the facility failed to ensure that only trained staff paused and restarted enteral feeding (feeding directly into the gastrointestinal tract through a tube) for 1 resident (R102) of 4 residents reviewed for nursing services.

Inspectors wroteThis citation pertains to intake #MI00148807 Based on observation, interview, and record review, the facility failed to ensure call lights were within reach for one of five residents (Resident #305 and the resident residing in bed 104-A) reviewed for accommodation of needs.

Inspectors wroteThis citation pertains to intake #MI00148807 Based on interview and record review, the facility failed to adhere to professional standards for one of three residents (Resident #307) reviewed for medication administration of narcotics.

Inspectors wroteThis citation has 2 separate Deficient Practice Statements (DPS) #1 and #2. DPS #1 Based on observation, interview and record review the facility failed to ensure Enhanced Barrier Precautions (EBP) and Contact-Based Precautions were implemented for three residents (R23, R68 and R69) of 80 residents reviewed for infection control and follow policies and procedures for IV (intravenous) administration for 1 (R225) of 1 resident reviewed for IV antibiotics.

Inspectors wroteBased on observation, interview, and record review, the facility failed to perform a resident assessment, obtain a physician order for the self-administration of a breathing treatment for 1 (R225) of 4 residents reviewed for medication administration, resulting in a resident self-administering a nebulizer treatment without appropriate supervision and assessments.

Inspectors wroteBased on observation, interview and record review, the facility failed to monitor and assess the use of psychotropic medications for 1 (R19) of 5 residents reviewed for psychotropic medications.

Inspectors wroteBased on observation, interview, and record review, the facility failed to label and date mark opened medications, dispose of expired medications, and secure a medication cart in 2 of 3 medication carts reviewed, in a total of 5 medication carts and stored personal belongings in 1 of 2 medication rooms reviewed.

Inspectors wroteBased on observations, interviews, and record review, the facility failed to provide collaborative hospice care for 2 Residents (R16 and R41) of 2 Residents reviewed for hospice care, resulting in a lack of coordinated care and the potential for care needs to be unmet.

Inspectors wroteBased on interview and record review, the facility failed to administer the pneumococcal vaccine to one resident (Resident #29) of 5 residents reviewed for immunizations.

Inspectors wroteBased on observation, interview and record review, the facility failed to prevent the development and worsening of pressure injuries for 1 resident (Resident #6), out of 3 residents reviewed for pressure injuries, resulting in the worsening of a pressure injury and prolonged healing time without new interventions added to the treatment/care plan to address pressure reduction to the affected area and areas at risk for pressure injury.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure care planned interventions were in place to prevent the worsening of contractures for 1 resident (Resident #11), out of 2 residents reviewed for limited mobility, resulting in the potential for avoidable worsening of contractures.

Inspectors wroteBased on observation and interview, the facility failed to keep essential kitchen equipment in a state of repair that would allow for the machine's operational requirements to be met. This deficient practice has the potential to increase the risk of contamination to items sanitized by the dish machine. During a tour of the kitchen, at 9:25 AM on 10/22/23, observation of the dish machine found that it would only achieve five pounds per square inch (psi) for the final rinse pressure. An interview with Dietary Aide E found that a vendor comes out to check and set up the chemicals but doesn't think anyone regularly services the dish machine. Over the course of running the dish machine another three loads, all observed rinse pressures would show five psi when engaged. A review of the dish machines data plate found that it requires 20 psi +/- 5 psi. [...]