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Cody Regional Health Long Term Care Center

707 Sheridan Ave, Cody, WY 82414 · Park County · (307) 578-2434

94 certified beds, about 50 residents a day · Government - Hospital district · Medicare and Medicaid since 1985

Inside a hospital Certified for Medicaid Certified for Medicare
Overall
4 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 535027 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on April 9, 2026, inspectors cited 3 health deficiencies (the Wyoming average is 7.8, the national average 9.2).

None of its 13 health citations since July 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.91 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.

57.9% 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.

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 13 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
3E
2F
Potential for minimal harm
0A
0B
0C
April 9, 2026Standard inspection · 3 citations
  1. F
    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
    F800 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on observation, resident and staff interview, and menu and alternative menu review, the facility failed to consider resident preferences for meals in 2 of 2 dining rooms (main dining room, 2nd floor dining room). The census was 51.
  2. E
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 30, 2026
    Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure adequate monitoring of psychotropic medications for 5 of 5 sample residents (#2, #4, #5, #41, #56) reviewed for unnecessary medications.
  3. D
    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.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2026
    Inspectors wroteBased on medical record review, resident and staff interview, and grievance log review, the facility failed to ensure reasonable care for the protection of the resident's property from loss or theft for 1 of 4 sample residents (#31) reviewed for missing items.
August 22, 2024Standard inspection · 4 citations
  1. E
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on observation, resident record review, staff interview, professional standard review, and policy and procedure review, the facility failed to ensure administered resident medications were taken in the presence of nursing staff for 1 of 2 resident units (200 unit). The census was 58.
  2. E
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on observation, resident record review, staff interview, and policy and procedure review, the facility failed to ensure nursing staff dispensed resident medications according to facility policy and procedure for 1 of 2 resident units (200 unit). The census was 58.
  3. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure care plans were developed and implemented for 1 of 2 sample residents (#34) observed during personal care.
  4. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 10, 2024
    Inspectors wroteBased on observation, medical record review, staff interview, and policy and procedure review, the facility failed to ensure infection prevention practices were implemented for 2 of 2 sample residents (#18, #34) observed during personal care.
February 6, 2024Complaint inspection · 1 citation
  1. D
    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
    F678 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on medical record review, staff interview, incident log review, and incident investigation review the facility failed to ensure basic life support and advance directives were followed in 1 of 5 sample residents (#1) reviewed for advance directives. Corrective measures were implemented by the facility prior to the survey and compliance was determined to be met on [DATE].
July 13, 2023Standard inspection · 5 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on observation, staff interview, review of the US Food Code, and policy and procedure review, the facility failed to ensure the food storage equipment was maintained in a clean and sanitary manner in 1 of 1 kitchens. The census was 52.
  2. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure baths or showers were provided routinely for 1 of 6 sample residents (#109) who required assistance with ADLs.
  3. D
    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
    F756 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on review of medical records, staff interview and policy review, the facility failed to ensure a monthly medication regimen review was performed by a licensed pharmacist at least once monthly for 1 of 5 sample residents (#8) reviewed for unnecessary medications.
  4. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on observation, staff interview, and policy and procedure review, the facility failed to ensure medications were properly labeled to include expiration dates for 1 of 2 medication storage areas (second floor medication cart).
  5. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 4, 2023
    Inspectors wroteBased on observation, staff interview, and policy and procedure review, the facility failed to ensure appropriate infection prevention practices during observations of care for 1 of 8 sample residents (#35).

Fire safety inspections

6 fire safety citations on file: 1 on April 9, 2026, 1 on January 13, 2026, 1 on August 22, 2024, 3 on July 13, 2023.

Every fire safety citation6 citations
  1. 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.
    K 222 · April 9, 2026 · Corrected (the home has a date of correction)
  2. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · January 13, 2026 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · August 22, 2024 · Corrected (the home has a date of correction)
  4. F
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · July 13, 2023 · Corrected (the home has a date of correction)
  5. E
    Meet other general requirements.
    K 100 · July 13, 2023 · Corrected (the home has a date of correction)
  6. E
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 13, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeWyomingUnited States
All nursing staff (RN, LPN and aides)3.913.873.86
Registered nurses0.470.940.69
All nursing staff on weekends3.333.373.42
Nurse aides2.47
Licensed practical nurses0.96
Nursing staff turnover (share who left in a year)57.9%51.8%45.8%
Registered nurse turnover72.7%44.1%42.9%
Administrators who left0

CMS expects 3.19 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 4.14 on weekdays and 3.33 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 27.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.81 in April to June 2025 to 3.91 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.910.474.143.33 27.2%1 of 9050
Oct to Dec 20254.080.484.303.52 25.6%0 of 9247
Jul to Sep 20253.960.614.153.48 31.0%0 of 9249
Apr to Jun 20253.810.744.142.98 23.4%0 of 9152
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Wyoming, Jan to Mar 20263.610.863.803.157.5%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.

MeasureThis homeWyomingUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
19.816.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
6.21.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
7.53.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.14.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
18.415.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
5.24.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
14.921.815.4
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.91.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
4.02.31.8

Owners and operators

Legal business name: WEST PARK HOSPITAL DISTRICT.

NameRoleTypeShareSince
West Park Hospital District5% or greater direct ownership interestOrganization100%02/23/2009
Johnson, AngelaIndirect ownership interestIndividual11/13/2024
Johnson, AngelaManaging control - governing bodyIndividual11/13/2024
Nelson, RichardCorporate directorIndividual06/25/2021
McRae, MaryCorporate officerIndividual10/01/2020
West Park Hospital DistrictOperational/managerial controlOrganization02/23/2009
Deiter Enright, TarraOperational/managerial controlIndividual04/27/2022
McRae, MaryOperational/managerial controlIndividual10/01/2020
Moore, LauraOperational/managerial controlIndividual08/02/2021
Talich, JenniferOperational/managerial controlIndividual11/04/2024
Johnson, AngelaTrustee of the SNFIndividual11/13/2024
Nelson, RichardTrustee of the SNFIndividual01/01/2024
Talich, JenniferTrustee of the SNFIndividual11/13/2024
West Park Hospital DistrictAdp of the SNFOrganization02/03/2009
Deiter Enright, TarraAdp of the SNFIndividual04/27/2022
Johnson, AngelaAdp of the SNFIndividual11/13/2024
McRae, MaryAdp of the SNFIndividual10/01/2020
Moore, LauraAdp of the SNFIndividual08/02/2021
Talich, JenniferAdp of the SNFIndividual11/13/2024

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.

  1. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 22, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on April 9, 2026: "Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs."
  3. When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 22, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on August 22, 2024: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.33 hours per resident per day, below the Wyoming average of 3.37.

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Common questions

What is Cody Regional Health Long Term Care Center's Medicare star rating?
CMS rates Cody Regional Health Long Term Care Center 4 out of 5 stars overall, with 4 for health inspections, 3 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cody Regional Health Long Term Care Center get at its last inspection?
3 health deficiencies at the standard inspection on April 9, 2026. The Wyoming average is 7.8.
Has Cody Regional Health Long Term Care Center been fined?
CMS lists no fines in the last three years.
Does Cody Regional Health Long Term 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 Cody Regional Health Long Term Care Center?
CMS lists 19 owners and managers. Legal business name: WEST PARK HOSPITAL DISTRICT.

Sources

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