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Rock Springs Young at Heart

(307) 352-67372400 Reagan Ave, Rock Springs, WY 82901
CMS Certification Number 537074 · Non-Profit · Medicare-certified since 04/11/2007
14deficiencies since 2018
0serious
4inspections
n/aCMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2024-08-15

· Recertification · 3 deficiencies · CMS source report (PDF)
Moderate Infection Control

The agency failed to ensure the correct cleaning product was used to ensure clean equipment.

Source: CMS Form 2567, inspection 2024-08-15, tag G0684 · view on CMS
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Minor Receive All Services In Plan Of Care

The agency failed to provide all services outlined in the plan of care for 1 of 7 patients (#2).

Source: CMS Form 2567, inspection 2024-08-15, tag G0436 · view on CMS
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Minor Plan Of Care Must Include The Following

The agency failed to revise the plan of care to reflect the correct information related to advance directives for 1 of 7 patients (#2).

Source: CMS Form 2567, inspection 2024-08-15, tag G0574 · view on CMS
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Inspection 2021-08-05

· Recertification · 4 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The agency failed to implement measures to prevent infection during 1 of 3 home visit observations (patient #1).

Source: CMS Form 2567, inspection 2021-08-05, tag G0682 · view on CMS
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Moderate Infection Control

Agency failed to maintain a program for the surveillance, and identification of infectious and communicable diseases during 1 of 3 home visit observations (patient #5).

Source: CMS Form 2567, inspection 2021-08-05, tag G0684 · view on CMS
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Minor Receive All Services In Plan Of Care

The agency failed to ensure patients received service according to the POC for 2 of 7 sample patients (#4, #6) reviewed for frequency of home visits.

Source: CMS Form 2567, inspection 2021-08-05, tag G0436 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The agency failed to ensure HHA supervisory visits were completed every 14 days for 5 of 7 sample patients (#1, #2, #3, #4, #6) who received HHA services.

Source: CMS Form 2567, inspection 2021-08-05, tag G0808 · view on CMS
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Inspection 2018-01-11

· Other-Fed · no deficiencies cited · CMS source report (PDF)

Inspection 2018-01-11

· Recertification · 7 deficiencies · CMS source report (PDF)
Moderate Patient Rights

The agency failed to promote the privacy rights of patients for 1 of 10 sample patients (#2).

Source: CMS Form 2567, inspection 2018-01-11, tag G0101 · view on CMS
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Moderate Confidentiality Of Medical Records

The facility failed to ensure patients' medical information was protected against potential for unauthorized access.

Source: CMS Form 2567, inspection 2018-01-11, tag G0111 · view on CMS
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Moderate Compliance W/ Accepted Professional Std

The agency failed to ensure medical supplies available for patient use were within the manufacturer's recommended dates in 1 of 1 supply locations (administrative office).

Source: CMS Form 2567, inspection 2018-01-11, tag G0121 · view on CMS
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Moderate Administrator

The agency failed to ensure a qualified backup administrator was designated in writing.

Source: CMS Form 2567, inspection 2018-01-11, tag G0137 · view on CMS
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Moderate Personnel Hourly/Per Visit Contract

The agency failed to ensure a current contract was in place for 1 of 1 contract employees reviewed (physical therapist [PT] #1).

Source: CMS Form 2567, inspection 2018-01-11, tag G0142 · view on CMS
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Moderate Plan Of Care

Staff interview the agency failed to develop a comprehensive POC including all pertinent information for 3 of 10 sample patients (#4, #8, #9).

Source: CMS Form 2567, inspection 2018-01-11, tag G0159 · view on CMS
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Moderate Competency Evaluation & In-Service Trai

The agency failed to ensure HHAs employed by the agency were competent to provide services for 1 of 9 sample patients (#4) with home health aide services reviewed.

Source: CMS Form 2567, inspection 2018-01-11, tag G0212 · view on CMS
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