Granite Rehabilitation and Wellness
3128 Boxelder Drive, Cheyenne WY 82001 · (307) 634-7901 · 75.54% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Granite Rehabilitation and Wellness is a large nursing home located in Cheyenne, Wyoming. This nursing home was given an F, which is definitely concerning in our grading scheme. Cheyenne received a city grade of C, so there are other options in the city worth looking at. We wouldn't blame you if you're ready to stop reading and find another facility. However, if you want to learn more about this place's category grades, inspection reports are discussed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 146 Beds
CCRC :
For profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
Although we gave this facility a terrible overall grade, we awarded it a C for our inspections rating. In fact, the facility received very impressive inspection report this year. Inspection grades take several factors into consideration, including deficiencies, substantiated complaints and federal fines. You can learn more about each of these items by reviewing copies of nursing homes' inspection reports. This nursing home was assessed 3 deficiencies on its inspection report, but none were in any of the categories labeled G through L. This indicates CMS did not consider any of the deficiencies to pose an imminent danger to patient safety or health. Finally, CMS cited this nursing home for possible abuse or neglect. Hopefully, its performance improves in the future, but until then we simply can't recommend this facility.
Short-term Care Quality
Turning to the category of short-term care, this nursing home was given a grade of just D in this area. As it turns out, this ended up being one of its best areas. In computing our short-term care scores, we look at a nursing home's levels of skilled nursing, which includes registered nurses, physical therapists occupational therapists and other highly skilled individuals. This grade is more often than not a reliable assessment of the nursing home's rehabilitation. Based on its weak score in this area, we were not shocked to find that this place offered substantially fewer registered nurse hours per patient than most other nursing homes. The last datapoint we looked at in this area is the percentage of patients who were able to leave the facility and return to the community. We discovered that just 35.8 percent of this facility's patients were able to return home, which is well below average. This statistic was damning for this facility's short-term care grade.
Nurse Quality
We also wanted to point out that this nursing home received an F for its nursing grade. In determining our nursing scores, we factor in both the number of hours nurses spend with residents and the training levels of those nurses. This facility provided just 3.2 hours of nursing care per resident per day. This is a very low total compared to most nursing homes. To go along with its subpar totals in the area of nursing hours per patient, this facility also did not fare as well in the quality-based measures we looked at in determining our nursing grades. We looked at the percent of patients experiencing pressure ulcers and major falls. This facility had more falls and pressure ulcers than the average nursing home.
Long-term Care Quality
Switching gears to the last area, this facility really did not perform well in this category either. Due to a poor grade of F in long-term care, this is about as as uninspiring as it gets. For prospective residents looking for a permanent residence as opposed to rehabilitation, long-term care grades are a key measure. After assessing the amount of care provided by aids and other staff, we then looked at the facility's vaccination statistics. This nursing home vaccinated 94.35897 percent of its patients against pneumonia, which is more than the vast majority of nursing homes. Surprisingly, this nursing home also was not as bad as we expected at keeping its residents out of the hospital. Although it had 1.93 hospitalizations per one thousand long-term resident days, its risk adjusted score wasn't bad since it had more complex patients.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Granite Rehabilitation and Wellness Quality Metrics
Minimizes Pressure Ulcers
This indicates the percentage of residents who sustained a pressure ulcer. Pressure ulcers, which are also referred to as bed sores, are often the result of residents staying in one position for too long. Better nursing protocols can reduce the percentage of residents in a nursing home who sustain pressure ulcers.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This metric is a measure of the percent of long-term stay residents who have had falls which resulted in major injury. This is one of the statistics we use in computing our nursing grades.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This tells you the percentage of residents who sustained a urinary tract infection. UTI's are often linked to facilities with worst hygiene practices. Better hygiene protocols reduces the number likelihood of residents sustaining infections. We want to point out that this metric is affected by by the fact that nursing homes have incongruent reporting standards for urinary tract infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percentage of patients who were given antipsychotic medications. Antipsychotic medications are prescribed to residents for a variety of conditions, including Alzheimer's or other dementias. Unfortunately, in limited situations, increased usage of these drugs may suggest that a nursing home is using these drugs to control patient behavior.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of residents who were given antianxiety medications. Antianxiety drugs are prescribed to patients suffering from anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This is the percent of residents demonstrating signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percent of residents who were given the flu and pneumonia vaccines. Higher vaccination rates should be the norm at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This metric is a measure of the percent of long-term care patients that needed increased assistance with activities of daily living over time. ADL's include activities such as getting dressed and continence. Many argue this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is a measure of the percent of long-term stay residents who were able to retain mobility. Many in the industry argue that the ability to move around is important for patients well-being.
Percentage of Residents
Higher is Better
Hospitalizations
This metric measures the number of times residents are hospitalized per thousand days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This is the number of times residents are rehospitalized per thousand days of short-term care. There is typically a correlation between having fewer hospitalizations and a nursing homes short-term rehabilitation performance.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This indicates the number of emergency room visits per 1,000 days of short-term care. There is typically a correlation between staying out of the emergency room and the overall quality of rehabilitation.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This indicates the percent of short-term care patients that experienced functional improvements, such as with activities of daily living. Higher levels of autonomy with ADL's generally correlates with superior rehabilitation.
Percentage of Resident
Higher is Better