Jackson, WY

St John's Health Sage Living

5-star overall rating with 5-star inspections with 2 recent health deficiencies

625 East Broadway, Building b, Jackson, WY

(307) 739-7661

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

46

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1991-12-07

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Hospital-based

Yes

CMS reports the provider resides in a hospital

Staffing

Hours and turnover

RN hours / resident day

1.77

Registered nurse staffing · state 0.90 · national 0.68

LPN hours / resident day

0.31

Licensed practical nurse staffing · state 0.48 · national 0.87

Aide hours / resident day

2.22

Nurse aide staffing · state 2.46 · national 2.35

Total nurse hours

4.30

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

2.08

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.62

Weekend nurse staffing · state 3.30 · national 3.43

Weekend RN hours

1.20

Weekend registered nurse coverage · state 0.62 · national 0.47

Physical therapist

0.07

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

2.17

CMS adjusted RN staffing hours

Adjusted total hours

5.26

CMS adjusted total nurse staffing hours

Case-mix index

1.12

Higher values indicate more complex resident acuity

RN turnover

16%

Annual RN turnover · state 43% · national 45%

Total nurse turnover

23%

Annual nurse turnover · state 53% · national 46%

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 5 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 4 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage	48.15%	8.2% 40 pts better	Numerator 39 · Denominator 81
Staff flu vaccination coverage	94.81%	42% 52.8 pts better	Numerator 146 · Denominator 154
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.2	1.3 0.1 pts better	1.9 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.0 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.2 1 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.5%	94.3% 5.2 pts better	93.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 97.9% · Q3 100.0% · Q4 100.0% · 4Q avg 99.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.3% 5.7 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	11.4%	4.8% 6.6 pts worse	3.3% 8.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 12.8% · Q3 10.6% · Q4 11.1% · 4Q avg 11.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.4%	6.4% 3 pts better	11.4% 8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 2.3% · Q4 9.3% · 4Q avg 3.4%
Percentage of long-stay residents who lose too much weight	2.8%	6.5% 3.7 pts better	5.4% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.2% · Q3 6.8% · Q4 0.0% · 4Q avg 2.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.9%	16.1% 6.2 pts better	19.6% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.7% · Q2 12.8% · Q3 10.9% · Q4 9.1% · 4Q avg 9.9%
Percentage of long-stay residents who received an antipsychotic medication	20.3%	24.1% 3.8 pts better	16.7% 3.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 19.5% · Q3 22.2% · Q4 23.7% · 4Q avg 20.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.0%	18.5% 12.5 pts better	16.3% 10.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 2.8% · Q3 4.7% · Q4 9.9% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	17.2%	18.7% 1.5 pts better	14.9% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 15.6% · Q3 13.6% · Q4 21.4% · 4Q avg 17.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.3%	1.9% 0.6 pts better	1.0% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.5% · Q4 2.4% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.1%	3.0% 1.9 pts better	1.7% 0.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 0.0% · Q3 0.0% · Q4 2.2% · 4Q avg 1.1% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	22.6%	23.6% 1 pts better	19.8% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 19.1% · Q3 24.5% · Q4 28.6% · 4Q avg 22.6%
Percentage of long-stay residents with pressure ulcers	4.4%	5.0% 0.6 pts better	5.1% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 0.0% · Q3 3.9% · Q4 9.1% · 4Q avg 4.4% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	79.4%	75.7% 3.7 pts better	81.7% 2.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 79.4%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-08 · Fire 2025-05-08

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-02-08 · Fire 2024-02-08

1 health deficiencies

Top issue: Infection Control (1 deficiency)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 3 Health 2023-01-12 · Fire 2023-01-12

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-02-08

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-02-29

D · Potential for more than minimal harm 2024-02-08

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-02-29

D · Potential for more than minimal harm 2023-01-12

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-31

D · Potential for more than minimal harm 2023-01-12

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-01-13

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-05-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-06-01

D · Potential for more than minimal harm 2025-05-08

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2025-05-31

D · Potential for more than minimal harm 2024-02-08

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-03-05

E · Potential for more than minimal harm 2023-01-12

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-02-19

D · Potential for more than minimal harm 2023-01-12

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2023-02-28

Penalties and ownership