Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

South Lincoln Nursing Center

Kemmerer, WY · 24 certified beds · Last Life Safety survey July 10, 2025

CMS Certification Number 53A051 · first certified July 1999

Ownership

Independently operated (no chain recorded by CMS) · Government - Hospital district

No change of ownership on CMS record since January 1, 2016, when the records begin.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within WY

35 citations — more than 97% of the 36 certified nursing homes in WY. Compared within WY rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 19 citations; the earlier surveys in the window averaged 8. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: July 2026 to December 2026. This facility’s last Life Safety survey was July 2025. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 consecutive surveys in the last two years of CMS records. WY has too few recent surveys to measure on its own, so the national interval is used.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

15 of the 35 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 35 Life Safety citations above. The Physical Environment Index

F-0880 Provide and implement an infection prevention and control program.
F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

How that compares

Citations on file over three years

Compared with the median facility in WY, and nationally. Surveyors differ markedly between states, so the WY figure is the meaningful one.

Citations on file over three years, compared
Measure	Citations
This facility	35
Median facility in WY	17
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
January 26, 2023	11
March 28, 2024	5
July 10, 2025	19

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2025-07-10
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	2	2024-03-28
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	2	2025-07-10
E-0006	Conduct risk assessment and an All-Hazards approach.	2	2025-07-10
E-0031	Provide emergency officials' contact information.	2	2024-03-28
K-0324	Provide properly protected cooking facilities.	1	2025-07-10
E-0020	Establish policies and procedures including evacuation.	1	2025-07-10
E-0034	Provide a means of sharing information on occupancy/needs.	1	2024-03-28

What the citations cover

Citations by CMS category

Emergency Preparedness Deficiencies 15
Smoke Deficiencies 8
Miscellaneous Deficiencies 4
Egress Deficiencies 4
Other 4

Citations by CMS category
Category	Citations
Emergency Preparedness Deficiencies	15
Smoke Deficiencies	8
Miscellaneous Deficiencies	4
Egress Deficiencies	4
Gas, Vacuum, and Electrical Systems Deficiencies	2
Services Deficiencies	2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

July 10, 2025 — 19 citations

Citations issued on July 10, 2025
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (August 15, 2025)
E-0013	Develop Emergency Preparedness policies and procedures.	Deficient, Provider has date of correction (August 15, 2025)
E-0015	Address subsistence needs for staff and patients.	Deficient, Provider has date of correction (August 15, 2025)
E-0020	Establish policies and procedures including evacuation.	Deficient, Provider has date of correction (August 15, 2025)
E-0022	Establish policies and procedures for sheltering.	Deficient, Provider has date of correction (August 15, 2025)
E-0035	Provide family notifications of emergency plan.	Deficient, Provider has date of correction (August 15, 2025)
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (August 15, 2025)
E-0037	Establish staff and initial training requirements.	Deficient, Provider has date of correction (August 15, 2025)
E-0039	Conduct testing and exercise requirements.	Deficient, Provider has date of correction (August 15, 2025)
K-0231	Provide large enough exits.	Deficient, Provider has date of correction (September 9, 2025)
K-0291	Install emergency lighting that can last at least 1 1/2 hours.	Deficient, Provider has date of correction (September 9, 2025)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (September 9, 2025)
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has date of correction (September 9, 2025)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (September 17, 2025)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (September 9, 2025)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (September 9, 2025)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (September 9, 2025)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (September 9, 2025)
K-0921	Ensure that testing and maintenance of electrical equipment is performed.	Deficient, Provider has date of correction (September 9, 2025)

March 28, 2024 — 5 citations

Citations issued on March 28, 2024
Tag	What the surveyor checks	Status
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (April 18, 2024)
E-0034	Provide a means of sharing information on occupancy/needs.	Deficient, Provider has date of correction (April 18, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (April 16, 2024)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (May 26, 2024)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (May 26, 2024)

January 26, 2023 — 11 citations

Citations issued on January 26, 2023
Tag	What the surveyor checks	Status
E-0006	Conduct risk assessment and an All-Hazards approach.	Deficient, Provider has date of correction (January 31, 2023)
E-0009	Include a process for Emergency Preparedness collaboration.	Deficient, Provider has date of correction (January 31, 2023)
E-0026	Establish roles under a Waiver declared by secretary.	Deficient, Provider has date of correction (January 31, 2023)
E-0031	Provide emergency officials' contact information.	Deficient, Provider has date of correction (January 31, 2023)
K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.	Deficient, Provider has date of correction (March 1, 2023)
K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width.	Deficient, Provider has date of correction (February 14, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (March 1, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (March 1, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (March 1, 2023)
K-0753	Have restrictions on the use of highly flammable decorations.	Deficient, Provider has date of correction (March 1, 2023)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (January 30, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.