Granite Rehabilitation and Wellness
CMS
Actual Harm
Infection Control
Medication Error
Nutrition Care
Penalty
$15,548
Outcome
Granite Rehabilitation and Wellness in Cheyenne, WY was fined $15,548 by CMS following 25 deficiency citations identified during federal surveys.
Details
Granite Rehabilitation and Wellness (Cheyenne, WY) — $15,548 in CMS Fines
Outcome: Granite Rehabilitation and Wellness in Cheyenne, WY was fined $15,548 by CMS following 25 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Provide activities to meet all resident's needs.
- Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
- 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.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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