Laramie Health and Rehabilitation in Laramie, WY was fined $43,618 by CMS across 2 separate penalties following 26 deficiency citations identified during federal surveys.

Laramie Health and Rehabilitation (Laramie, WY) — $43,618 in CMS Fines

Outcome: Laramie Health and Rehabilitation in Laramie, WY was fined $43,618 by CMS across 2 separate penalties following 26 deficiency citations identified during federal surveys.

Deficiency areas cited:

• Honor 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.


• 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.


• Ensure 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.


• Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.


• Provide and implement an infection prevention and control program.


• Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.


• Have enough outside ventilation via a window or mechanical ventilation, or both.


• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.