Casper Mountain Rehabilitation and Care Center
4305 S Poplar, Casper, WY 82601 · Natrona County · (307) 237-2561
120 certified beds, about 79 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984
Special Focus Facility candidate Ownership changed in the last 12 months Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535024 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 27, 2025, inspectors cited 17 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 53 health citations since March 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $62,647 in the last three years; the largest was $62,647, and the latest is dated August 27, 2025.
Nurses and nurse aides worked 2.80 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.
64.8% of nursing staff left within the year CMS measured (Wyoming average 51.8%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
603/23
203/24
105/24
906/24
201/25
403/25
104/25
305/25
1708/25
112/25
404/26
307/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 53 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
33D
12E
4F
Potential for minimal harm
0A
1B
1C
July 8, 2026Complaint inspection · 3 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, resident and staff interview, medical record review, and policy review, the facility failed to ensure call lights were accessible for 2 of 4 sample residents (#1, #2) reviewed for call lights within reach.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on medical record review, staff interview, medical records request log review, and policy review, the facility failed to ensure the right to secure and confidential medical records in 1 of 3 sample residents (#4) reviewed.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident and staff interview, medical record review, and policy review, the facility failed to ensure timely incontinence care for 1 out of 4 residents (#1) reviewed for ADL care.
April 23, 2026Complaint inspection · 4 citations
- D Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Inspectors wroteBased on resident representative and staff interview, medical record review, medical records request log, and policy review, the facility failed to provide a complete copy of medical records after they were requested for 1 of 3 sample residents (#1) reviewed. The census was 82.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review, and staff interview, the facility failed to ensure the comprehensive care plan was implemented for 1 of 3 sample residents (#5) reviewed for care plans.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, staff interview, and policy and procedure review, the facility failed to ensure a safe environment during mechanical lift transfers for 1 of 3 sample residents (#5) reviewed.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, medical record review, and policy and procedure review, the facility failed to ensure infection prevention practices, including personal protective equipment (PPE), was used during wound care for 2 of 3 sample residents (#2, #26) reviewed for enhanced barrier protection (EBP).
December 30, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteThis requirement was not met as evidenced by: Based on medical record review, and staff, and resident interview, the facility failed to evaluate hazards and risks or identify and implement measures to reduce the hazards/risks as much as possible for 1 (#15) of 6 sample residents.
August 27, 2025Standard inspection, Complaint inspection · 17 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on resident representative and staff interview, and medical record review, the facility failed to provide services to prevent, treat, and heal pressure ulcers for 1 of 4 sampled residents (#98) reviewed for pressure ulcers. This failure resulted in actual harm to resident #98 who developed pressure ulcers.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, review of the facility Outbreak Investigation Tool, State Licensing incident database review, and policy and procedure review, the facility failed to implement a water management program to prevent, detect, and control the risk of water-borne pathogens, failed to report an outbreak of infectious disease involving 14 residents, and failed to ensure effective infection control practices were followed during 2 random observations. The census was 82.
- E Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Inspectors wroteBased on resident and staff interview, medical record review, and policy and procedure review, the facility failed to include residents in the care planning process for 3 of 5 sample residents (#12, #30, #84) reviewed.
- E Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to provide a notice of transfer prior to a facility-initiated hospital transfer and provide written information on the bed-hold policy to the resident or the resident's representative for 3 of 5 sample residents (#6, #89, #94) reviewed for facility-initiated transfers. In addition, the facility failed to send a copy of the transfer notice to a representative of the Office of the State Long-Term Care Ombudsman.
- E Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Inspectors wroteBased on observation and staff interview, the facility failed to employ a sufficient number of staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition services. The census was 82.
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure a sanitary environment in 1 of 1 food preparation area. The census was 82.
- E Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on medical record review, staff interview, and review of policy and procedures, the facility failed to have a system in place to maintain documentation residents were provided education regarding the benefits and potential side effects of the COVID-19 vaccination and documentation of the consent or refusal of the immunization for 4 of 4 sample residents (#9, #10, #59, #84) reviewed for immunizations.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure the advanced directive was formulated and accurate for 2 of 28 sample residents (#84, #93) reviewed.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure residents were free from unnecessary medications for 2 of 5 residents (#9, #20) reviewed for unnecessary medications.
- D Assess the resident when there is a significant change in condition
Inspectors wroteBased on medical record review, staff interview, and review of the MDS RAI manual, the facility failed to ensure a significant change MDS assessment was completed for 1 of 28 sample residents (#10).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review, staff interview, and review of the MDS RAI manual, the facility failed to ensure MDS assessments were accurate for 3 of 28 sample residents (#10, #12, #55).
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure an environment was free from accident hazards for 2 of 3 residents (#7, #9) reviewed for smoking.
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on record review, staff interview, and policy and procedure review, the facility failed to ensure residents with mental disorders received the necessary behavioral health care and services to attain or maintain the highest practicable physical, mental, and psychosocial well-being for 1 of 3 sample residents (#30) reviewed for behavioral and emotional needs.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on medical record review, staff interview, and review of the interim DON's pharmacist monthly medication review binder, the facility failed to have a system in place to ensure the pharmacist's monthly medication reviews and recommendations were acted upon and documented in the resident's record for 1 of 5 sample residents (#9) reviewed for unnecessary medications.
- D 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.
Inspectors wroteBased on observation, staff interview, and manufacture instructions, the facility failed to label medications with the date opened in 1 of 4 medication storage areas (400 hall medication cart).
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on medical record review, staff interview, and review of facility policies, the facility failed to have a system in place to maintain documentation residents were provided education regarding the benefits and potential side effects of the pneumococcal and influenza vaccines and documentation of the consent or refusal of the immunization for 1 of 4 sample residents (#59) reviewed for immunizations.
- B Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure the appropriate Notice of Medicare Provider Non-Coverage (NOMNC) and Skilled Nursing Facility (SNF) Advance Beneficiary Notice of Non-coverage (ABN) were issued correctly for 2 of 3 sample residents (#13, #32).
May 16, 2025Complaint inspection · 3 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, medical record review, staff interview, and policy and procedure review, the facility failed to implement treatment to maintain or improve conditions for 1 of 4 sample residents (#1) reviewed with non-pressure wound care. This failure resulted in actually harm to resident #1 who was transferred to the hospital and treated for an infection related to the wound.
- D 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.
Inspectors wroteBased on observation, medical record review, staff interview, and scope of practice review, the facility failed to ensure staff provided care appropriate for their scope of practice for 2 of 6 sample residents (#1, #14) reviewed for wound care.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and policy and procedure review, the facility failed to ensure enhanced barrier precautions were implemented for 1 of 2 sample residents (#14) during wound care.
April 18, 2025Complaint inspection · 1 citation
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on medical record review, family, resident, physician and staff interview, and policy and procedure review, the facility failed to give medications according to physician instruction for 1 of 3 sample residents (#1) reviewed.
March 6, 2025Complaint inspection · 4 citations
- D Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Inspectors wroteBased on resident, friend and staff interviews, and review of policies and procedures and incident reports, the facility failed to ensure the resident had the right to receive visitors of his/her choosing for 1 of 5 sample residents (#7) reviewed for residents rights/visitation.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, and staff and family interview, the facility failed to ensure the resident's physician was notified of a significant change in condition for 1 of 3 sample residents (#4) reviewed for changes in condition.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff and family interviews, and review of policies and procedures, the facility failed to ensure care was provided in accordance with physician orders and professional standards for non pressure-related wounds for 2 of 3 sample residents (#4, #7) reviewed for wounds.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review, and staff and family interview, the facility failed to ensure the drug regimen was free from unnecessary drugs for 1 of 3 sample residents (#5) reviewed for medications. Resident #5 received a drug without adequate indication for its use.
January 15, 2025Complaint inspection · 2 citations
- D Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Inspectors wroteBased on medical record review, resident representative and staff interview, review of grievance logs, and policy and procedure review, the facility failed to ensure prompt efforts were made to resolve grievances for 1 of 4 sample residents (#1). The following concerns were identified: 1. Review of the quarterly minimum data set (MDS) assessment dated [DATE] showed resident #1 had a brief interview for mental status (BIMS) score of 10 out of 15, which indicated s/he had moderately impaired cognition, and diagnoses which included Alzheimer's dementia. The social services assessment note dated 8/5/24 showed the residents hearing was marked as highly impaired. 2. Review of a care conference note dated 9/14/23 showed resident #1's family had voiced concerns about his/her missing hearing aids. 3. [...]
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure the comprehensive care plan was implemented for 1 of 3 sample residents (#1) reviewed for care plans.
June 13, 2024Standard inspection, Complaint inspection · 9 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, manufacturer's instructions review, facility cleaning schedule review, facility policy and procedure review, and 2022 FDA Food Code review, the facility failed to ensure a sanitary environment in 1 out of 1 food preparation area (kitchen). The census was 74.
- F Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Inspectors wroteBased on observation and staff interview, the facility failed ensure a licensed administrator was responsible for the management of the facility. The census was 74.
- F Keep all essential equipment working safely.
Inspectors wroteBased on observation, staff interview, and review of the dishwasher temperature log sheets, manufacturer's instructions and the 2022 FDA Food code, the facility failed to ensure essential equipment was in safe operating condition in 1 of 1 food preparation areas (kitchen). The census was 74.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and policy and procedure review, the facility failed to ensure infection prevention guidelines were followed during meal service for 1 of 2 dining areas (sunflower).
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on review of beneficiary protection notice information, staff interview, and policy and procedure review, the facility failed to ensure the Notice of Medicare Provider Non-Coverage (NOMNC) and the Skilled Nursing Facility-Advanced Beneficiary Notice of Non-coverage (SNF-ABN) forms were issued to the resident or the resident's representative in a timely manner for 1 of 3 sample residents (#76) reviewed.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on medical record review, and staff interview, the facility failed to ensure a pre-admission screening and resident review (PASARR) Level II was performed for 1 of 3 sample residents (#54) with a qualifying diagnosis.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, medical record review, staff interview, and policy and procedure review, the facility failed to ensure residents received assistance with activities of daily living for 1 of 4 sample residents (#36) reviewed during dining.
- D 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.
Inspectors wroteBased on observation, staff interview, policy and procedure, and manufactory recommendation review the facility failed to ensure expired medication were not available for use in 1 of 3 medication storage units (200 hall medication cart).
- C Post nurse staffing information every day.
Inspectors wroteBased on observation, staff posting review, and staff interview, the facility failed to provide accurate data on the daily staff postings for a 2 week look back period.
May 2, 2024Complaint inspection · 1 citation
- E Employ staff that are licensed, certified, or registered in accordance with state laws.
Inspectors wroteBased on review of personnel records, staff interview, and medical record review, the facility failed to ensure the director of nursing was licensed by the State of Wyoming before providing nursing care to facility residents for 5 of 13 (#1, #2, #3, #4, #5) residents reviewed. The facility census was 74.
March 21, 2024Complaint inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on medical record review, resident and staff interview, and policy and procedure review, the facility failed to ensure residents received necessary services to maintain good personal hygiene for 2 of 5 sample residents (#1, #3).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff interview, and compliant investigation review, the facility failed to ensure residents received care according to professional standards for 1 of 5 sample residents (#1).
March 23, 2023Standard inspection · 6 citations
- E Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review and staff interview, the facility failed to provide a written transfer notice to the resident and/or the resident's representative for 3 of 6 sample residents (#6, #47, #51) who were hospitalized .
- E Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to provide written notice of the bed-hold policy to the resident and the resident's representative for 3 of 6 sample residents (#6, #47, #51) who were hospitalized .
- E Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure a person-centered care plan was developed for 4 of 27 sample residents (#2, #21, #60, #76).
- E 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.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure residents were free from unnecessary medications for 7 of 8 residents (#2, #19, #21, #24, #46, #76, #77).
- E Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, review of the menus, production sheets, and diet order reports, and staff interview, the facility failed to ensure the menu was followed during 1 of 1 observation of trayline service.
- D 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.
Inspectors wroteBased on observation, staff interview, and policy and procedure review, the facility failed to ensure medications were not expired for 1 of 4 medication storage units ( 400 hall medication cart).
Fire safety inspections
51 fire safety citations on file: 23 on August 27, 2025, 9 on June 13, 2024, 19 on March 23, 2023.
Every fire safety citation51 citations
- F Conduct risk assessment and an All-Hazards approach.
- F Conduct testing and exercise requirements.
- F Implement emergency and standby power systems.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F Have simulated fire drills held at unexpected times.
- F Have restrictions on the use of flammable curtains.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Have properly installed electrical wiring and gas equipment.
- E Ensure proper usage of power strips and extension cords.
- D Meet other general requirements.
- D Have exits that are accessible at all times.
- D Have properly located and lighted "Exit" signs.
- D Provide properly protected cooking facilities.
- D Construct fire resistant interior walls.
- D Install an approved automatic sprinkler system.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have proper medical gas storage and administration areas.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Provide emergency officials' contact information.
- F Implement emergency and standby power systems.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Meet Health Care Facilities Code mechanical requirements.
- D Have properly located and lighted "Exit" signs.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have properly sized and located compartments to protect residents from smoke.
- D Have power receptacles that are properly grounded.
- F Conduct testing and exercise requirements.
- F Implement emergency and standby power systems.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have simulated fire drills held at unexpected times.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E 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.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Install an approved automatic sprinkler system.
- E Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- E Have restrictions on the use of portable space heaters.
- D Provide properly protected cooking facilities.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D Have properly installed electrical wiring and gas equipment.
- D Ensure proper usage of power strips and extension cords.
- D Have proper medical gas storage and administration areas.
- D Ensure proper storage of liquid oxygen.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 27, 2025 | Fine | $62,647 |
| April 18, 2025 | Payment Denial | 11 days from July 18, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Wyoming | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.80 | 3.87 | 3.86 |
| Registered nurses | 0.68 | 0.94 | 0.69 |
| All nursing staff on weekends | 2.44 | 3.37 | 3.42 |
| Nurse aides | 2.01 | ||
| Licensed practical nurses | 0.11 | ||
| Nursing staff turnover (share who left in a year) | 64.8% | 51.8% | 45.8% |
| Registered nurse turnover | 60.0% | 44.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.88 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.95 on weekdays and 2.44 on weekends, 17% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.81 in April to June 2025 to 2.80 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.80 | 0.68 | 2.95 | 2.44 | 0.1% | 0 of 90 | 79 |
| Oct to Dec 2025 | 2.87 | 0.65 | 3.00 | 2.56 | 1.3% | 0 of 92 | 79 |
| Jul to Sep 2025 | 3.00 | 0.60 | 3.16 | 2.59 | 1.8% | 0 of 92 | 84 |
| Apr to Jun 2025 | 2.81 | 0.55 | 2.94 | 2.48 | 0.9% | 0 of 91 | 85 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wyoming, Jan to Mar 2026 | 3.61 | 0.86 | 3.80 | 3.15 | 7.5% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wyoming | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 9.3 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.3 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.3 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.9 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.3 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.2 | 21.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.4 | 18.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.9 | 16.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.8 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 2.3 | 1.8 |
Owners and operators
Legal business name: NORTH BIG HORN HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Morrison, Robert | Managing control - governing body | Individual | 10/01/2025 | |
| Simmons, Benjamin | Managing control - governing body | Individual | 10/01/2025 | |
| Connell, Eric | Corporate officer | Individual | 01/01/2023 | |
| Casper Opco LLC | Operational/managerial control | Organization | 10/01/2025 | |
| Casper Propco LLC | Operational/managerial control | Organization | 10/01/2025 | |
| Connell, Eric | Operational/managerial control | Individual | 10/01/2025 | |
| Doner, Brian | Operational/managerial control | Individual | 10/01/2025 | |
| Katz, Ahron | Operational/managerial control | Individual | 10/01/2025 | |
| Morrison, Robert | Operational/managerial control | Individual | 10/01/2025 | |
| Simmons, Benjamin | Operational/managerial control | Individual | 10/01/2025 | |
| Stanco, Tina | Operational/managerial control | Individual | 10/01/2025 | |
| Winterholler, David | Operational/managerial control | Individual | 10/01/2025 | |
| Casper Opco LLC | Adp of the SNF | Organization | 10/01/2025 | |
| Casper Propco LLC | Adp of the SNF | Organization | 10/01/2025 | |
| Connell, Eric | Adp of the SNF | Individual | 10/01/2025 | |
| Doner, Brian | Adp of the SNF | Individual | 10/01/2025 | |
| Katz, Ahron | Adp of the SNF | Individual | 10/01/2025 | |
| Simmons, Benjamin | Adp of the SNF | Individual | 10/01/2025 | |
| Stanco, Tina | Adp of the SNF | Individual | 10/01/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 13 problems in this area, most recently on July 8, 2026: "Reasonably accommodate the needs and preferences of each resident."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 11 problems in this area, most recently on July 8, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on August 27, 2025: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on April 23, 2026: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.44 hours per resident per day, below the Wyoming average of 3.37.
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Life Care Center of Casper Casper, 0.1 mi · 2 of 5 stars · 14 citations
- Shepherd of the Valley Rehabilitation and Wellness Casper, 3.2 mi · 1 of 5 stars · 43 citations
Wyoming contacts for a concern about a nursing home
These are the official offices in Wyoming. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Wyoming Department of Health, Healthcare Licensing and Surveys, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Wyoming Long-Term Care Ombudsman Program, 307-287-7757. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Wyoming HLS Newest Facility Inspection Reports, where Wyoming publishes its own records on licensed homes.
Common questions
- What is Casper Mountain Rehabilitation and Care Center's Medicare star rating?
- CMS rates Casper Mountain Rehabilitation and Care Center 1 out of 5 stars overall, with 1 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Casper Mountain Rehabilitation and Care Center get at its last inspection?
- 17 health deficiencies at the standard inspection on August 27, 2025. The Wyoming average is 7.8.
- Has Casper Mountain Rehabilitation and Care Center been fined?
- Yes. CMS lists 1 fine totaling $62,647 in the last three years.
- Does Casper Mountain Rehabilitation and Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Casper Mountain Rehabilitation and Care Center?
- CMS lists 19 owners and managers. Legal business name: NORTH BIG HORN HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.