POWDER RIVER MANOR
State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.
Serious inspection findings
2025-03-13 — ACTUAL HARM (tag F0726, severity G)
Nursing and Physician Services Deficiencies · correction not recorded in CMS data
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
2024-03-14 — ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Staffing, from payroll records
Nursing hours / resident / day
4.49
state median 3.36
Weekend staffing gap
−10%
fewer nursing hours on weekends · state median −8%
RN hours / resident / day
0.85
registered nurses only
Contract (agency) staff
26%
share of all nursing hours
Nursing staff turnover
39%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $52,551 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-03-13 | Fine | $12,438 |
| 2024-03-14 | Fine | $35,880 |
| 2023-08-07 | Fine | $4,233 |
Ownership
Ownership type: Government - County.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-22 | F0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2026-04-22 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-04-22 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-04-22 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2025-09-10 | F0577 | Resident Rights Deficiencies | D | not recorded |
| 2025-09-10 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-13 | F0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-13 | F0621 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-13 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-13 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-13 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-13 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-13 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-13 | F0726 | Nursing and Physician Services Deficiencies | G | not recorded |
| 2025-03-13 | F0759 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-03-13 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-03-13 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-03-13 | F0887 | Infection Control Deficiencies | D | not recorded |
| 2024-12-31 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2024-03-14 | F0656 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-03-14 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-14 | F0686 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-03-14 | F0727 | Nursing and Physician Services Deficiencies | F | not recorded |
| 2024-03-14 | F0758 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-03-14 | F0921 | Environmental Deficiencies | F | not recorded |