| Heritage Home | |
| 550 Fremont Lake Road, Pinedale, Wyoming 82941 | |
| (307) 367-4161 | |
| Name | Heritage Home |
|---|---|
| Location | 550 Fremont Lake Road, Pinedale, Wyoming |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 50 |
| Occupancy Rate | 96.4% |
| Medicare ID (CCN) | 535017 |
| Legal Business Name | Sublette County Hospital District |
| Ownership Type | Government - Hospital District |
| NPI Number | 1689448748 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Sublette County Hospital District |
| Doing Business As | Sublette County Health |
| Address | 550 Fremont Lake Rd, Pinedale, WY 82941 |
| Phone Number | 307-367-4161 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.25 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.37 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.3 | 0.86 |
| Nurse aide hours per resident per day | 2.58 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.61 | 3.42 |
| RN hours per resident per day on the weekend | 0.94 | 0.48 |
| Physical therapist hours per resident per day | 0.02 | 0.07 |
| Total nursing staff turnover | 100% | 45.8% |
| Registered nurse turnover | 100% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $9,718 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 1 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Aug 19, 2025 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Actual harm, isolated | Corrected by Sep 10, 2025 |
| Jun 12, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jul 11, 2025 |
| Jun 12, 2025 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Jul 11, 2025 |
| Jun 12, 2025 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 11, 2025 |
| Apr 17, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 28, 2024 |
| Apr 17, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, isolated | Corrected by May 28, 2024 |
| Feb 23, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Apr 4, 2024 |
| Feb 23, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Mar 20, 2024 |
| Feb 23, 2024 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 20, 2024 |
| Feb 2, 2023 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 28, 2023 |
| Feb 2, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 28, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 17.21 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 4.1 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.54 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 10.37 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 7.75 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 1.43 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.86 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 69.23 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.77 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 22.78 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.69 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.38 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.52 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 37.37 | 15.38 |