Inspection Reports for
Rocky Mountain Care – Summit Ridge Assisted Living OC LLC
1110 Birch Street, Douglas, WY, 82633
Back to Facility ProfileDeficiencies (last 1 years)
Deficiencies (over 1 years)
9 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
165% worse than Wyoming average
Wyoming average: 3.4 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Life Safety
Census: 20
Capacity: 36
Deficiencies: 9
Date: Nov 13, 2025
Visit Reason
A Life Safety Code survey was conducted by Healthcare Licensing and Surveys to assess compliance with fire safety and life safety codes at Summit Ridge Assisted Living and Memo.
Findings
The facility failed to maintain several life safety requirements including a 2-hour fire rated fire barrier, means of egress reliability, delayed-egress locking arrangements, fire door assemblies with self-closing devices, maintenance and testing of engineered smoke control systems, fire alarm system testing, water-based fire protection system testing, emergency power system inspection and maintenance, and emergency egress and relocation drills.
Deficiencies (9)
Failed to maintain a 2-hour fire rated fire barrier at the secured entry doors for the Memory Care unit.
Failed to maintain means of egress reliability; storage of water bottles in exit vestibule obstructed egress.
Failed to ensure delayed-egress locking arrangements were properly installed and provided required signage on doors.
Failed to maintain fire door assemblies with self-closing devices; doors failed to close and latch properly.
Failed to provide evidence of maintenance and testing of engineered smoke control systems for the atrium.
Failed to provide evidence of testing and maintenance of the fire alarm system as required.
Failed to provide evidence of testing and maintenance of the water-based fire protection system including quarterly waterflow alarm and dry system low air pressure alarm tests.
Failed to implement emergency power system inspection, testing, and maintenance including monthly testing of lead-acid batteries for the emergency generator.
Failed to properly conduct emergency egress and relocation drills at least twelve times per year with documentation of drills conducted at night when residents were sleeping.
Report Facts
Licensed beds: 36
Residents present: 20
Delayed-egress doors affected: 3
Emergency egress drills required: 12
Completion dates: Various corrective action completion dates range from 12/4/2025 to 1/12/2026
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