Buffalo, WY

Wyoming Veterans' Skilled Nursing Facility

1-star overall rating with 2-star inspections with abuse icon flag with 9 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

700 Veteran's Lane, Buffalo, WY

(307) 684-5511

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

36

Certified beds

Average residents

23

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2024-08-30

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

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission Not Available
10.72%
Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
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
No data were submitted for this measure.
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
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 Not Available
8.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
94.3%
5.7 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3 · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 6.7%
4.8%
1.9 pts worse
3.3%
3.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q4 8.7% · 4Q avg 6.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 2.3%
6.4%
4.1 pts better
11.4%
9.1 pts better
Long Stay · 2024Q4-2025Q3 · Q4 4.8% · 4Q avg 2.3%
Percentage of long-stay residents who lose too much weight 5.1%
6.5%
1.4 pts better
5.4%
0.3 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.8%
16.1%
9.3 pts better
19.6%
12.8 pts better
Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 6.8%
Percentage of long-stay residents who received an antipsychotic medication 43.5%
24.1%
19.4 pts worse
16.7%
26.8 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 43.5% · 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 · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased 24.0%
18.7%
5.3 pts worse
14.9%
9.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q4 27.3% · 4Q avg 24.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.9%
1.9 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 2.5%
3.0%
0.5 pts better
1.7%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 2.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 33.3%
23.6%
9.7 pts worse
19.8%
13.5 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 33.3%
Percentage of long-stay residents with pressure ulcers 13.3%
5.0%
8.3 pts worse
5.1%
8.2 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 13.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2026-01-23 · Fire 2024-07-26

9 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (4 deficiencies)

Cycle 2 Health 2024-07-26 · Fire

7 health deficiencies

Top issue: Resident Rights (3 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-07-26

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-08-08

F · Potential for more than minimal harm 2024-07-26

E37 · Emergency Preparedness Deficiencies

Fire Safety

Establish staff and initial training requirements.

Corrected 2024-07-28

F · Potential for more than minimal harm 2024-07-26

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-08-01

F · Potential for more than minimal harm 2024-07-26

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2024-08-07

F · Potential for more than minimal harm 2024-07-26

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-08-30

F · Potential for more than minimal harm 2024-07-26

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-08-22

F · Potential for more than minimal harm 2024-07-26

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-08-22

F · Potential for more than minimal harm 2024-07-26

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-08-27

Inspection history

Recent health citations

G · Actual harm 2026-01-23

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Not marked corrected

F · Potential for more than minimal harm 2026-01-23

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.

Not marked corrected

F · Potential for more than minimal harm 2026-01-23

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Not marked corrected

D · Potential for more than minimal harm 2026-01-23

F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Not marked corrected

D · Potential for more than minimal harm 2026-01-23

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Not marked corrected

D · Potential for more than minimal harm 2026-01-23

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Not marked corrected

D · Potential for more than minimal harm 2026-01-23

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Not marked corrected

D · Potential for more than minimal harm 2026-01-23

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.

Not marked corrected

D · Potential for more than minimal harm 2026-01-23

F883 · Infection Control Deficiencies

Health

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

Not marked corrected

E · Potential for more than minimal harm 2024-07-26

F574 · Resident Rights Deficiencies

Health

The resident has the right to receive notices in a format and a language he or she understands.

Corrected 2024-08-28

E · Potential for more than minimal harm 2024-07-26

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-08-28

E · Potential for more than minimal harm 2024-07-26

F585 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2024-08-28

E · Potential for more than minimal harm 2024-07-26

F758 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-08-28

E · Potential for more than minimal harm 2024-07-26

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 2024-08-28

E · Potential for more than minimal harm 2024-07-26

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2024-08-28

C · Minimal harm 2024-07-26

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-08-28

Penalties and ownership

What sits behind the stars

Ownership

Allison, Robert

Operational/Managerial Control · Individual

0% 1 facilities 2022-11-03
Johansson, Stefan

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-14
Meredith, Gregory

Operational/Managerial Control · Individual

0% 1 facilities 2024-12-10
State Of Wyoming

Operational/Managerial Control · Organization

0% 3 facilities 2025-01-14
State Of Wyoming

5% Or Greater Security Interest · Organization

0% 3 facilities 2025-01-14

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