Goshen Healthcare Community
2009 Laramie St., Torrington, WY 82240 · Goshen County · (307) 532-4038
103 certified beds, about 78 residents a day · For profit - Corporation · Medicare and Medicaid since 2017
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535057 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 24, 2025, inspectors cited 5 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 25 health citations since January 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $29,617 in the last three years; the largest was $29,617, and the latest is dated July 24, 2025.
Nurses and nurse aides worked 3.05 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
45.8% 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.
401/23
209/23
112/23
201/24
604/24
302/25
106/25
507/25
110/25
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 25 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
17D
6E
1F
Potential for minimal harm
0A
0B
0C
October 2, 2025Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on medical record review, resident and staff interview, facility investigation review, and policy review, the facility failed to protect the residents right to be free from physical abuse by another resident for 1 of 3 sample residents (#1) reviewed for abuse.
July 24, 2025Standard inspection · 5 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, resident and staff interview, and policy and procedure review, the facility failed to ensure personal protective equipment (PPE) was used for 2 of 9 sample residents (#8, #63) reviewed for infection prevention. In addition, the facility failed to report an outbreak of infectious disease involving 13 residents. The census was 74.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on staff interview and policy and procedure review, the facility failed to ensure a system to monitor antibiotic usage. The census was 74.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on record review, staff interview, and policy and procedure review, the facility failed to provide a bed hold policy for 1 of 3 sample residents (#10) reviewed for discharge.
- 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 medial record review, the facility failed to ensure adequate supervision for 1 of 8 sample residents (#56) reviewed for accident hazards.
- 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 policy and procedure review, the facility failed to follow the pharmacist's recommendations for 1 of 5 sample residents (#55) reviewed for (MRR) medication review regimen.
June 17, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of the facility's abuse investigations forms, State Survey Agency incident database review, policy and procedure review, and staff interview, the facility failed to implement their policy and procedure for ensuring the reporting of a reasonable suspicion of a crime was made in a timely manner for 4 of 10 abuse allegations reviewed.
February 4, 2025Complaint inspection · 3 citations
- E Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on review of facility investigations, review of the state agency facility reported incidents, staff interview, and review of the Wyoming Board of Nursing license verification portal, the facility failed to provide services which met professional standards of practice. The facility census was 69 of which 19 residents resided in the secure unit. The facility implemented corrective action prior to the survey and was determined to be in substantial compliance as of 12/19/24.
- 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, review of the facility's investigation report, review of the state agency incident report, staff interview, and policy and procedure review, the facility failed to ensure residents were free from chemical restraints intentionally imposed for staff convenience for 2 of 8 sample residents (#7, #8).
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on review of the facility's investigation report, medical record review, staff interview, and review of policy and procedure, the facility failed to complete and maintain documentation for 1 of 3 allegations of abuse investigations reviewed.
April 18, 2024Standard inspection, Complaint inspection · 6 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, and 2022 U.S. Public Health Food Code review, the facility failed to ensure a sanitary equipment and failed to ensure food was stored under safe conditions in 1 of 2 food storage, preparation, and service areas (main kitchen). The census was 62.
- E Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Inspectors wroteBased on personnel record review, and staff interview, the facility failed to ensure the CNA abuse registry was verified for 1 of 3 sample CNAs (#1) prior to resident contact.
- 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 and procedure review, the facility failed to ensure target symptoms were identified and monitoring of target symptoms was completed for 3 of 5 sample residents (#14, #20, #32) with psychotropic medication use.
- 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 review of the resident rights the facility failed to ensure resident advance directives were accurate for 1 of 18 sample residents (#46).
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, staff interview, and medical record review, the facility failed to ensure residents received oral care per the plan of care for 1 of 2 sample residents (#4), who were unable to independently carry out activities of daily living.
- 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 appropriate infection control techniques were implemented to prevent cross contamination during 2 of 4 observations of perineal care. The census was 62.
January 23, 2024Complaint 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 grievance log review, staff interview, and policy and procedure review, the facility failed to ensure resident grievances were resolved for 2 of 3 sample residents (#2, #3).
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, resident and staff interview, and resident rights review, the facility failed to ensure residents received care in accordance with the care plan for 1 of 5 sample residents (#1).
December 13, 2023Complaint inspection · 1 citation
- D 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 and resident representative interviews, and review of incident reports and facility policies, the facility failed to ensure a resident's choice to refuse COVID-19 vaccination was honored for 1 of 6 sample residents (#6).
September 20, 2023Complaint inspection · 2 citations
- D Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on medical record review and resident representative and staff interviews, the facility failed to ensure resident choices were honored for 1 of 5 sample residents (#2) reviewed for resident rights.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, medical record review, staff interview, and policy review, the facility failed to ensure residents were free from physical restraints used for staff convenience or not required to treat a medical condition for 1 of 2 sample residents (#1) reviewed for physical restraint use.
January 26, 2023Standard inspection · 4 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, resident and staff interview. medical record review, and policy review, the facility failed to ensure residents received adequate supervision and assessment for 1 of 1 sample residents (#72) reviewed for accident hazards.
- E Ensure the activities program is directed by a qualified professional.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure the activities program was directed by a qualified professional. The census was 69.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on resident and staff interview, medical record review, and professional standard review the facility failed to administer medications as physician ordered for 1 of 1 sample residents reviewed (#32) for pain management.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and policy review the facility failed to ensure infection control procedures were followed during an observation of wound care for 1 of 1 sample resident (#65) observed.
Fire safety inspections
33 fire safety citations on file: 17 on July 24, 2025, 4 on April 18, 2024, 12 on January 26, 2023.
Every fire safety citation33 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Install an approved automatic sprinkler system.
- 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 Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Install a fire alarm system that can be heard throughout the facility.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Have restrictions on the use of flammable curtains.
- D Have exits that are accessible at all times.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- 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.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- D Have exits that are accessible at all times.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Establish policies and procedures for volunteers.
- F Implement emergency and standby power systems.
- F Meet requirements for the installation and maintenance of electrical systems.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Provide properly protected cooking facilities.
- D Install an approved automatic sprinkler system.
- D Have properly installed electrical wiring and gas equipment.
- D Have restrictions on the use of highly flammable decorations.
- D Meet requirements for the use of electrical equipment.
- D Ensure proper usage of power strips and extension cords.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| July 24, 2025 | Payment Denial | 53 days from October 24, 2025 |
| April 18, 2024 | Fine | $29,617 |
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) | 3.05 | 3.87 | 3.86 |
| Registered nurses | 0.47 | 0.94 | 0.69 |
| All nursing staff on weekends | 2.81 | 3.37 | 3.42 |
| Nurse aides | 1.96 | ||
| Licensed practical nurses | 0.62 | ||
| Nursing staff turnover (share who left in a year) | 45.8% | 51.8% | 45.8% |
| Registered nurse turnover | 71.4% | 44.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.25 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 3.15 on weekdays and 2.81 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 5.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.32 in April to June 2025 to 3.05 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 | 3.05 | 0.47 | 3.15 | 2.81 | 5.2% | 0 of 90 | 78 |
| Oct to Dec 2025 | 3.08 | 0.50 | 3.17 | 2.86 | 4.2% | 2 of 92 | 76 |
| Jul to Sep 2025 | 3.20 | 0.56 | 3.32 | 2.91 | 4.3% | 0 of 92 | 75 |
| Apr to Jun 2025 | 3.32 | 0.55 | 3.44 | 3.01 | 6.0% | 0 of 91 | 72 |
| 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 | 17.1 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 7.1 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 4.7 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.9 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.9 | 21.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 11.4 | 18.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 33.3 | 16.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 2.3 | 1.8 |
Owners and operators
Legal business name: VETRAS TORRINGTON SNF LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Vetras Healthcare LLC | 5% or greater direct ownership interest | Organization | 99% | 01/18/2019 |
| Vetras, Inc. | Direct ownership interest | Organization | 02/01/2019 | |
| Contris, Paul | Indirect ownership interest | Individual | 02/01/2019 | |
| Contris, Paul | Corporate officer | Individual | 01/18/2019 | |
| Murray, Paula | Corporate officer | Individual | 06/01/2022 | |
| Vetras Healthcare LLC | Operational/managerial control | Organization | 02/01/2019 | |
| Bowers, Amy | Operational/managerial control | Individual | 02/01/2019 | |
| Bruno, Susan | Operational/managerial control | Individual | 02/04/2025 | |
| Burry, Kimberly | Operational/managerial control | Individual | 04/11/2025 | |
| Contris, Paul | Operational/managerial control | Individual | 01/18/2019 | |
| Evert, Misty | Operational/managerial control | Individual | 04/02/2025 | |
| Kattaneh, Breezy | Operational/managerial control | Individual | 11/18/2024 | |
| Mathson, Jennifer | Operational/managerial control | Individual | 02/01/2019 | |
| Matlock, Gregory | Operational/managerial control | Individual | 05/02/2024 | |
| Murray, Paula | Operational/managerial control | Individual | 06/01/2022 | |
| Schultz, Mackayleigh | Operational/managerial control | Individual | 01/16/2025 | |
| Smith, Marion | Operational/managerial control | Individual | 02/01/2024 | |
| Vetras Healthcare LLC | Adp of the SNF | Organization | 02/01/2019 | |
| Burry, Kimberly | Adp of the SNF | Individual | 04/11/2025 | |
| Smith, Marion | Adp of the SNF | Individual | 02/01/2019 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 5 problems in this area, most recently on October 2, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 5 problems in this area, most recently on July 24, 2025: "Provide and implement an infection prevention and control program."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on July 24, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 4 problems in this area, most recently on July 24, 2025: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.81 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
- Mitchell Care Center Mitchell, 22.5 mi · 3 of 5 stars · 20 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 Goshen Healthcare Community's Medicare star rating?
- CMS rates Goshen Healthcare Community 3 out of 5 stars overall, with 3 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Goshen Healthcare Community get at its last inspection?
- 5 health deficiencies at the standard inspection on July 24, 2025. The Wyoming average is 7.8.
- Has Goshen Healthcare Community been fined?
- Yes. CMS lists 1 fine totaling $29,617 in the last three years.
- Does Goshen Healthcare Community 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 Goshen Healthcare Community?
- CMS lists 20 owners and managers. Legal business name: VETRAS TORRINGTON SNF LLC.
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.