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Laramie Health and Rehabilitation

503 S 18th St., Laramie, WY 82070 · Albany County · (307) 742-3728

105 certified beds, about 52 residents a day · For profit - Corporation · Medicare and Medicaid since 1991

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
3 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 535043 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on June 3, 2026, inspectors cited 12 health deficiencies (the Wyoming average is 7.8, the national average 9.2).

Of 29 health citations since July 2023, 3 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $35,880 in the last three years; the largest was $35,880, and the latest is dated May 22, 2024.

Nurses and nurse aides worked 2.89 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.54 of those hours.

51.8% of nursing staff left within the year CMS measured (Wyoming average 51.8%).

CMS links it to Evergreen Healthcare Group, an affiliated group of 43 nursing homes.

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 29 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
11D
10E
5F
Potential for minimal harm
0A
0B
0C
June 3, 2026Standard inspection, Complaint inspection · 12 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on staff interviews, medical record review, and facility investigation and policy review, the facility failed to protect the residents' right to be free from physical abuse by other residents for 1 of 5 sample residents (#3) reviewed for allegations of abuse and neglect, which resulted in actual harm to resident #3.
  2. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, review of the resident council notes, resident interview, staff interview, review of the Facility assessment dated [DATE], PBJ staffing data report review, review of worked staff schedule 10/1/25 through 12/21/25, and review of the Declaration of Nursing Staffing sheets, the facility failed to ensure adequate staff were provided to meet the needs of the residents.
  3. E
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    F628 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to provide a notice of transfer/discharge prior to a facility-initiated hospital transfer for 4 of 5 sample residents (#6, #23, #30, #31).
  4. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, staff interview, and medical record review, the facility failed to ensure bathing was performed per the plan of care for 2 of 3 residents (#31, #59) reviewed for bathing.
  5. E
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, resident, staff, and representative interviews, medical record review, and activity calendar review, the facility failed to ensure individual activities of preference were provided to 4 or 4 sample residents (#4, #8, #23, #30) , and weekend activities were provided to 5 of 5 sample residents (#4, #8, #23, #30, #40) reviewed for activities. This was verified at the confidential resident council meeting.
  6. E
    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, pattern · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, resident interview, staff interview and review of meeting notes and grievance documentation, the facility failed to provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs, taking into consideration resident preferences. The census was 58.
  7. D
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, and staff interview, the facility failed to ensure recertification and complaint survey reports, and any plans of correction, during the 3 preceding years, were available for any individual to review upon request.
  8. 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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on resident interview, staff interview, and record review, the facility failed to properly obtain grievances and maintain evidence demonstrating the appropriate action and issuance of the grievance decision for 4 of 8 residents (#4,#40,#47,#15) reviewed for grievances.
  9. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on resident interview, staff interview, and review of investigation documentation, the facility failed to ensure a thorough investigation of an allegation of physical abuse for 1 of 5 sample residents (#47).
  10. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, medical record review, and staff and resident interview, the facility failed to ensure the MDS assessment was accurate in reflecting the resident's status for 1 of 22 sample residents (#10).
  11. D
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 10, 2026
    Inspectors wroteBased on observation, and staff interview the facility failed to ensure the daily staff posting data was posted in a prominent place readily accessible to residents, staff, and visitors for 1 of 4 days (Sunday).
  12. 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) July 10, 2026
    Inspectors wroteBased on observation, staff interview and policy and professional standards review, the facility failed to ensure standard precaution implementation and semi-critical items were cleaned prior to use for 1 of 8 sample residents (#8) reviewed for infection control.
February 12, 2026Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · 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, facility incident investigation review, facility performance improvement plan review, and staff interview, the facility failed to protect the resident's right to be free from verbal abuse by a resident for 1 of 3 incidents of resident-to-resident allegations of abuse reviewed. This failure affected resident #13. The facility implemented corrective action prior to the survey and was determined to be in substantial compliance as of 6/12/25.
October 10, 2024Standard inspection, Complaint inspection · 7 citations
  1. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 1, 2024
    Inspectors wroteBased on staff interview, the facility failed to ensure the dietary manager met the required qualifications. The facility census was 48.
  2. F
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 24, 2024
    Inspectors wroteBased on staff interview and policy and procedure review, the facility failed to ensure a qualified individual was designated as the facility infection preventionist. The facility Census was 48.
  3. E
    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, pattern · Corrected (the home has a date of correction) November 24, 2024
    Inspectors wroteBased on observation and resident and staff interview, the facility failed to ensure a clean environment for 1 of 3 sample residents (#5) reviewed for bowel and bladder incontinence and activities of daily living.
  4. E
    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, pattern · Corrected (the home has a date of correction) November 24, 2024
    Inspectors wroteBased on observation, staff interview, and policy and procedure review, the facility failed to ensure medications were labeled with an open date or not expired in 2 of 5 medication storage areas (100 hall medication cart, 200 hall medication cart).
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) November 8, 2024
    Inspectors wroteBased on observation, medical record review, staff interview, and policy review, the facility failed to ensure infection control procedures were implemented for 4 of 4 sample residents (#2, #14, #23, #41) who required enhanced barrier precautions.
  6. E
    Have enough outside ventilation via a window or mechanical ventilation, or both.
    F923 · Environmental · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 24, 2024
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure ventilation was working in 7 of 10 resident rooms observed. The census was 48.
  7. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 24, 2024
    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 1 of 5 sample residents (#2) reviewed for unnecessary psychotropic medications.
May 22, 2024Complaint inspection · 1 citation
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) June 13, 2024
    Inspectors wroteBased on medical record review, staff interview, and review of incident and quality improvement documentation, the facility failed to ensure residents were free from physical abuse by other residents for 2 of 10 sample residents (#2, #5), resulting in harm to resident #5 who suffered a fracture.
July 27, 2023Standard inspection · 8 citations
  1. G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on resident representative and staff interview, medical record review, facility incident investigation review, facility performance improvement plan review, and policy and procedure review, the facility failed to protect the resident's right to be free from sexual abuse by a resident for 1 of 3 sample residents (#43). This failure resulted in harm to resident #43 who experienced sexual abuse a reasonable person would have found humiliating, intimidating, demeaning, and degrading. The facility implemented corrective action prior to the survey and was determined to be in substantial compliance as of 7/19/23.
  2. F
    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
    F801 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) August 24, 2023
    Inspectors wroteBased on staff interview, the facility failed to ensure the dietary manager met the required qualifications. The facility census was 53.
  3. 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 24, 2023
    Inspectors wroteBased on observation, temperature log review, manufacturer instruction review, staff interview, and policy and procedure review, the facility failed to ensure the sanitization level of the automatic dishwasher was checked for 10 of 63 meals reviewed. In addition, the facility failed to ensure a sanitary environment during 2 of 2 kitchen observations and safe food temperatures during 1 of 1 meal preparation observations. The census was 53.
  4. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 24, 2023
    Inspectors wroteBased on observation, staff interview, and policy and procedure review, the facility failed to ensure infection control techniques were utilized during 1 of 2 dining observations. The census was 53.
  5. E
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) August 24, 2023
    Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure vaccinations were administered to 2 of 5 sample residents (#25, #42) reviewed for immunizations.
  6. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 24, 2023
    Inspectors wroteBased on medical record review, State Survey Agency incident report log review, policy review, and staff interview, the facility failed to develop and/or implement policies and procedures for ensuring the reporting of the reasonable suspicion of a crime in accordance with Section 1150B of the Act for 1 of 3 sample residents (#9) reviewed for allegations of abuse.
  7. 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 24, 2023
    Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure pharmacist recommendations were addressed by the attending physician for 1 of 5 sample residents (#8) reviewed for medications.
  8. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 24, 2023
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure medication-specific target symptoms were identified and appropriate monitoring in place for 2 of 5 sample residents (#8, #9) reviewed for psychotropic medication use.

Fire safety inspections

18 fire safety citations on file: 8 on June 3, 2026, 5 on October 10, 2024, 5 on July 27, 2023.

Every fire safety citation18 citations
  1. F
    Provide emergency officials' contact information.
    E 31 · June 3, 2026 · deficient, provider has
  2. F
    Provide primary/alternate means for communication.
    E 32 · June 3, 2026 · deficient, provider has
  3. 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 · June 3, 2026 · deficient, provider has
  4. 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 · June 3, 2026 · deficient, provider has
  5. D
    Meet other general requirements.
    K 200 · June 3, 2026 · Past noncompliance: already fixed when inspectors found it
  6. D
    Provide properly protected cooking facilities.
    K 324 · June 3, 2026 · deficient, provider has
  7. D
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 3, 2026 · deficient, provider has
  8. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 3, 2026 · deficient, provider has
  9. F
    Conduct testing and exercise requirements.
    E 39 · October 10, 2024 · Corrected (the home has a date of correction)
  10. E
    Use approved construction type or materials.
    K 161 · October 10, 2024 · Waiver
  11. D
    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 · October 10, 2024 · Corrected (the home has a date of correction)
  12. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 10, 2024 · Corrected (the home has a date of correction)
  13. D
    Ensure proper usage of power strips and extension cords.
    K 920 · October 10, 2024 · Corrected (the home has a date of correction)
  14. F
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · July 27, 2023 · Corrected (the home has a date of correction)
  15. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · July 27, 2023 · Corrected (the home has a date of correction)
  16. D
    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 · July 27, 2023 · Corrected (the home has a date of correction)
  17. D
    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 27, 2023 · Corrected (the home has a date of correction)
  18. D
    Have restrictions on the use of highly flammable decorations.
    K 753 · July 27, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
May 22, 2024Fine $35,880

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.

MeasureThis homeWyomingUnited States
All nursing staff (RN, LPN and aides)2.893.873.86
Registered nurses0.540.940.69
All nursing staff on weekends2.403.373.42
Nurse aides1.60
Licensed practical nurses0.76
Nursing staff turnover (share who left in a year)51.8%51.8%45.8%
Registered nurse turnover50.0%44.1%42.9%
Administrators who left1

CMS expects 3.61 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 3.09 on weekdays and 2.40 on weekends, 22% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 2.89 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.890.543.092.40 0.0%0 of 9052
Oct to Dec 20253.070.533.242.63 0.0%0 of 9251
Jul to Sep 20253.140.503.322.69 0.0%1 of 9255
Apr to Jun 20253.670.533.923.05 0.0%1 of 9149
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.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Wyoming

JobMedianMiddle halfEmployed
Wyoming, all employers
CNAs (nursing assistants)$18.83$17.88 to $22.762,830
LPNs and LVNs$30.51$28.27 to $34.06480
Registered nurses$40.27$37.45 to $48.615,330
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For Laramie Health and Rehabilitation. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

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		 17.416.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1		 0.51.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1		 3.13.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1		 3.54.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1		 1.51.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1		 17.315.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1		 6.64.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1		 13.521.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231		 19.818.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231		 13.916.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231		 1.41.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231		 1.62.31.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Laramie Health and Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (48.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

48.6% this home

No different from the national rate

US median of homes 51.5% · Wyoming: 4 better, 5 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 102 eligible stays.

Potentially preventable readmissions

9.4% this home

No different from the national rate

US median of homes 10.7% · Wyoming: 0 better, 0 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 117 eligible stays.

Infections that led to a hospital stay

6.7% this home

No different from the national rate

US median of homes 7.1% · Wyoming: 0 better, 0 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 91 eligible stays.

Self-care and mobility at discharge

53.9% this home

Median of homes: Wyoming57.4% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 65 residents counted.

Falls with major injury

1.1% this home

Median of homes: Wyoming1.0% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 89 residents counted.

New or worsened pressure ulcers

1.3% this home

Median of homes: Wyoming1.6% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 89 residents counted.

Medication list given at discharge

97.5% this home

Median of homes: Wyoming93.5% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 40 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: NORTH BIG HORN HOSPITAL DISTRICT. CMS links this home to Evergreen Healthcare Group, a group of 43 nursing homes averaging 2.4 stars overall.

NameRoleTypeShareSince
Morrison, RobertManaging control - governing bodyIndividual09/30/2025
Simmons, BenjaminManaging control - governing bodyIndividual09/30/2025
Couve Financial Services LLCOperational/managerial controlOrganization09/30/2025
Couve Healthcare Consulting LLCOperational/managerial controlOrganization09/30/2025
Laramie SNF Operations LLCOperational/managerial controlOrganization09/30/2025
Wy2 SNF Operations Manager LLCOperational/managerial controlOrganization09/30/2025
Connell, EricOperational/managerial controlIndividual09/30/2025
Kaufman, TrentOperational/managerial controlIndividual09/30/2025
Mikesell, DarrenOperational/managerial controlIndividual09/30/2025
Morrison, RobertOperational/managerial controlIndividual09/30/2025
Simmons, BenjaminOperational/managerial controlIndividual09/30/2025
Spielman, ShimonOperational/managerial controlIndividual09/30/2025
Winterholler, DavidOperational/managerial controlIndividual09/30/2025
Yenowitz, YitzchokOperational/managerial controlIndividual09/30/2025
Yenowitz, YitzchokIndividual is an owner, partner or trustee of any ADP of the SNFIndividual05/19/2026
Couve Financial Services LLCAdp of the SNFOrganization10/17/2025
Couve Healthcare Consulting LLCAdp of the SNFOrganization10/17/2025
Laramie SNF Operations LLCAdp of the SNFOrganization10/17/2025
Laramie SNF Realty LLCAdp of the SNFOrganization10/17/2025
North Big Horn Hospital DistrictAdp of the SNFOrganization05/19/2026
Wy2 SNF Operations Manager LLCAdp of the SNFOrganization10/17/2025
Connell, EricAdp of the SNFIndividual09/30/2025
Kaufman, TrentAdp of the SNFIndividual09/30/2025
Mikesell, DarrenAdp of the SNFIndividual09/30/2025
Simmons, BenjaminAdp of the SNFIndividual09/30/2025
Spielman, ShimonAdp of the SNFIndividual09/30/2025
Yenowitz, YitzchokAdp of the SNFIndividual09/30/2025

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.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 6 problems in this area, most recently on June 3, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  2. 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 June 3, 2026: "Provide and implement an infection prevention and control program."
  3. 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 June 3, 2026: "Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies."
  4. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on June 3, 2026: "Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.40 hours per resident per day, below the Wyoming average of 3.37.
  6. 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.

Common questions

What is Laramie Health and Rehabilitation's Medicare star rating?
CMS rates Laramie Health and Rehabilitation 2 out of 5 stars overall, with 2 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Laramie Health and Rehabilitation get at its last inspection?
12 health deficiencies at the standard inspection on June 3, 2026. The Wyoming average is 7.8.
Has Laramie Health and Rehabilitation been fined?
Yes. CMS lists 1 fine totaling $35,880 in the last three years.
Does Laramie Health and Rehabilitation 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 Laramie Health and Rehabilitation?
CMS lists 27 owners and managers, and links the home to Evergreen Healthcare Group. Legal business name: NORTH BIG HORN HOSPITAL DISTRICT.

Sources

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