Heritage Home
550 Fremont Lake Road, Pinedale, WY 82941 · Sublette County · (307) 367-4161
50 certified beds, about 48 residents a day · Government - Hospital district · Medicare and Medicaid since 1982
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535017 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 12, 2025, inspectors cited 3 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 11 health citations since February 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $9,718 in the last three years; the largest was $9,718, and the latest is dated August 19, 2025.
Nurses and nurse aides worked 4.25 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 1.37 of those hours.
100.0% 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.
202/23
302/24
204/24
306/25
108/25
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 11 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
7D
3E
0F
Potential for minimal harm
0A
0B
0C
August 19, 2025Complaint inspection · 1 citation
- G Ensure that residents are free from significant medication errors.
Inspectors wroteBased on staff interview, medical record review, incident report review, and facility investigation review, the facility failed to ensure resident's were free from significant medication errors for 1 of 7 sampled residents (#1) reviewed. This failure resulted in harm to resident #1 who was hospitalized following an insulin overdose.
June 12, 2025Standard inspection · 3 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, medical record review, staff interview, and policy and procedure review, the facility failed to ensure proper infection control practices for 1 of 2 sample residents (#10) with foley catheter placement and during 2 meal observations. The census was 35.
- 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, staff interview, and policy and procedure review, the facility failed to ensure adequate monitoring of psychotropic medications for 2 of 6 sample residents (#2, #90) reviewed for unnecessary medications. In addition, the facility failed to ensure as needed (PRN) psychotropic medications were limited to 14 days unless there was a documented rationale for 1 of 6 sample residents (#89) reviewed for unnecessary medications.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on medical record review, staff interview, and review of the CMS RAI manual review, the facility failed to ensure MDS assessments were transmitted within 7 days of completion for 1 of 15 sample residents (#3) reviewed.
April 17, 2024Complaint inspection · 2 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, medical record review, resident and staff interviews, review of the facility's investigation, state survey agency incident database review, and policy and procedure review, the facility failed to protect the resident's right to be free from physical abuse by a staff member for 1 of 1 (#2) sample residents reviewed for abuse allegations.
- 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 incident log, staff interviews, state survey agency incident database review, and policy and procedure review, the facility failed to report all alleged violations of abuse immediately after the occurrence for 1 of 1 sample residents (#2).
February 23, 2024Standard inspection, Complaint inspection · 3 citations
- 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 and resident and staff interview, the facility failed to develop a comprehensive care plan for 4 of 15 sample residents (#4, #9, #12, #20).
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff interview, and review of facility protocol, the facility failed to implement interventions to treat constipation for 3 of 3 sample residents (#4, #10, #20) reviewed for bowel management due to opioid medication use.
- D 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 and staff interview, the facility failed to ensure orders for psychotropic medications were limited to 14 days or the physician documented rationale for an extended order, for 1 of 5 sample residents (#34) reviewed for unnecessary medications.
February 2, 2023Standard inspection · 2 citations
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review, staff interview, and review of facility documentation, the facility failed to ensure the drug regimen was free from unnecessary medications for 1 of 5 sample residents (#6) reviewed for unnecessary medications. Resident #6 received a medication for excessive duration due to the facility's failure to follow the physician's order.
- 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 review, the facility failed to ensure medications available for use were not expired in 1 of 1 medication storage rooms.
Fire safety inspections
8 fire safety citations on file: 1 on June 12, 2025, 1 on February 23, 2024, 6 on February 2, 2023.
Every fire safety citation8 citations
- F Ensure that testing and maintenance of electrical equipment is performed.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Provide properly protected cooking facilities.
- E Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Have properly installed electrical wiring and gas equipment.
- D Have restrictions on the use of portable space heaters.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 19, 2025 | Fine | $9,718 |
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) | 4.25 | 3.87 | 3.86 |
| Registered nurses | 1.37 | 0.94 | 0.69 |
| All nursing staff on weekends | 3.61 | 3.37 | 3.42 |
| Nurse aides | 2.58 | ||
| Licensed practical nurses | 0.30 | ||
| Nursing staff turnover (share who left in a year) | 100.0% | 51.8% | 45.8% |
| Registered nurse turnover | 100.0% | 44.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.20 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 4.50 on weekdays and 3.61 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 29.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.85 in April to June 2025 to 4.25 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 | 4.25 | 1.37 | 4.50 | 3.61 | 29.2% | 0 of 90 | 48 |
| Oct to Dec 2025 | 4.90 | 1.36 | 5.11 | 4.36 | 37.1% | 0 of 92 | 42 |
| Jul to Sep 2025 | 3.50 | 1.21 | 3.74 | 2.88 | 10.0% | 0 of 92 | 37 |
| Apr to Jun 2025 | 3.85 | 1.44 | 4.15 | 3.11 | 13.7% | 0 of 91 | 35 |
| 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 | 17.2 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.5 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 10.4 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 5.0 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.8 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.8 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.4 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 37.4 | 21.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 0.0 | 18.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.0 | 16.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.3 | 1.8 |
Owners and operators
Legal business name: SUBLETTE COUNTY HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Sublette County Hospital District | 5% or greater direct ownership interest | Organization | 100% | 07/01/2021 |
| Patten, William | Corporate officer | Individual | 09/12/2025 | |
| Sublette County Hospital District | Operational/managerial control | Organization | 01/01/2024 | |
| Burnett, William | Operational/managerial control | Individual | 11/29/2023 | |
| Mendes, Marissa | Operational/managerial control | Individual | 08/31/2025 | |
| Patten, William | Operational/managerial control | Individual | 09/12/2025 | |
| Walker, Dawn | Operational/managerial control | Individual | 01/01/2024 | |
| Armstrong, Mark | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/03/2026 | |
| Benander, Cheri | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/03/2026 | |
| Freeman, John | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/03/2026 | |
| Haynes, Julie | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/03/2026 | |
| Hollingsworth, Presley | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/03/2026 | |
| Morkel, Derek | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/03/2026 | |
| St. Charles, Carolyn | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/03/2026 | |
| Wright, Marcella | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/03/2026 | |
| Eide Bailly LLP | Adp of the SNF | Organization | 09/10/2024 | |
| Sublette County Hospital District | Adp of the SNF | Organization | 01/01/2024 | |
| Burnett, William | Adp of the SNF | Individual | 11/29/2023 | |
| Patten, William | Adp of the SNF | Individual | 09/12/2025 | |
| Walker, Dawn | Adp of the SNF | Individual | 01/01/2024 |
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.
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 4 problems in this area, most recently on August 19, 2025: "Ensure that residents are free from significant medication errors."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on June 12, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on June 12, 2025: "Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on June 12, 2025: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
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 Heritage Home's Medicare star rating?
- CMS rates Heritage Home 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Heritage Home get at its last inspection?
- 3 health deficiencies at the standard inspection on June 12, 2025. The Wyoming average is 7.8.
- Has Heritage Home been fined?
- Yes. CMS lists 1 fine totaling $9,718 in the last three years.
- Does Heritage Home 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 Heritage Home?
- CMS lists 20 owners and managers. Legal business name: SUBLETTE COUNTY 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.