Mission at Castle Rock
1445 Uinta Dr, Green River, WY 82935 · Sweetwater County · (307) 872-4600
59 certified beds, about 51 residents a day · Non profit - Corporation · Medicare and Medicaid since 1989
CMS high performing icon Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535033 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 2, 2025, inspectors cited 2 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
None of its 12 health citations since October 2022 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 3.36 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
41.7% of nursing staff left within the year CMS measured (Wyoming average 51.8%).
CMS links it to Mission Health Services, an affiliated group of 7 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.
510/22
111/23
401/24
204/25
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 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
9D
2E
1F
Potential for minimal harm
0A
0B
0C
April 2, 2025Standard inspection, Complaint 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 staff interview, medical record review, facility incident investigation review, 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 resident for 1 of 6 sample residents (#45) reviewed for physical abuse. The facility implemented corrective action prior to the survey and was determined to be in substantial compliance as of [DATE].
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, review of CDC guidelines, and staff interview, the facility failed to ensure effective infection control practices were followed during 1 random observation.
January 19, 2024Standard inspection · 4 citations
- 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.
Inspectors wroteBased on observation, staff interview, policy and procedure review, and professional standard review, the facility failed to ensure medications were labeled in accordance with professional standards in 1 of 3 medication storage units (back hall medication cart).
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, resident and staff interview, medical record review, and policy and procedure review, the facility failed to ensure resident choice of activities was provided for 1 of 1 sample resident (#26) with activity concerns.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, medical record review, staff interview, and policy review, the facility failed to ensure bed rails were assessed for entrapment risk for 1 of 3 sample residents (#27).
- D Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure behavioral health services were provided to 1 of 3 sample residents (#13) with a psychiatric diagnosis.
November 29, 2023Complaint 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, policy review, staff interviews, and review of facility documentation, the facility failed to protect the resident's right to be free from verbal abuse by staff for 1 of 2 sample residents (#1) reviewed for abuse allegations.
October 6, 2022Standard inspection · 5 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 review of the U.S. Public Health Service Food Code, the facility failed to ensure food was properly stored in 1 of 1 kitchen. In addition the facility failed to ensure proper hand hygiene during food preparation during 1 of 1 meal preparation observation. The census was 44.
- E Ensure that paid feeding assistants have the training they need.
Inspectors wroteBased on review of facility records and staff interview, the facility failed to ensure paid feeding assistants had completed a State-approved training program. The facility had 10 residents which required assistance with eating and utilized 4 feeding assistants (FA #1, FA #2, FA #3, FA #4).
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure residents or resident representatives received a written transfer notice for 1 of 5 sample residents (#7) reviewed for hospitalization.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on medical record review, staff interview, review of the Notice of Proposed Transfer/Discharge form, and policy and procedure review, the facility failed to ensure residents or resident representatives received written information on the bed-hold policy for 1 of 5 samples residents (#7) reviewed for hospitalization.
- D Ensure staff are vaccinated for COVID-19
Inspectors wroteBased on staff interview, review of the facility's staff vaccination records, and review of the policy and procedures, the facility failed to ensure 100% of staff were vaccinated against COVID-19, held an exemption, or had a temporary delay. The facility's staff vaccination rate was 99%.
Fire safety inspections
12 fire safety citations on file: 6 on April 2, 2025, 1 on January 19, 2024, 5 on October 6, 2022.
Every fire safety citation12 citations
- F Conduct testing and exercise requirements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Provide properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
- D Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Install a fire alarm system that can be heard throughout the facility.
- E 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 properly protected cooking facilities.
- D Have properly installed electrical wiring and gas equipment.
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.
| Measure | This home | Wyoming | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.36 | 3.87 | 3.86 |
| Registered nurses | 0.69 | 0.94 | 0.69 |
| All nursing staff on weekends | 2.91 | 3.37 | 3.42 |
| Nurse aides | 2.15 | ||
| Licensed practical nurses | 0.52 | ||
| Nursing staff turnover (share who left in a year) | 41.7% | 51.8% | 45.8% |
| Registered nurse turnover | 27.3% | 44.1% | 42.9% |
| Administrators who left | 0 |
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 3.54 on weekdays and 2.91 on weekends, 18% 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 3.68 in April to June 2025 to 3.36 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 | 3.36 | 0.69 | 3.54 | 2.91 | 0.0% | 0 of 90 | 51 |
| Oct to Dec 2025 | 3.32 | 0.70 | 3.51 | 2.83 | 0.0% | 0 of 92 | 50 |
| Jul to Sep 2025 | 3.43 | 0.79 | 3.58 | 3.07 | 0.0% | 0 of 92 | 46 |
| Apr to Jun 2025 | 3.68 | 0.83 | 3.86 | 3.21 | 0.1% | 0 of 91 | 45 |
| 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 | 6.5 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.4 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 7.5 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.5 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.9 | 21.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 20.1 | 18.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.1 | 16.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.5 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.3 | 1.8 |
Owners and operators
Legal business name: MISSION HEALTH SERVICES. CMS links this home to Mission Health Services, a group of 7 nursing homes averaging 3.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Mission Health Services | 5% or greater direct ownership interest | Organization | 100% | 05/01/2014 |
| Anjewierden, Dirk | Corporate director | Individual | 06/01/2020 | |
| Covey, Joseph | Corporate director | Individual | 12/07/2015 | |
| Gessel, David | Corporate director | Individual | 08/25/2008 | |
| Kelso, Gary | Corporate director | Individual | 05/01/2014 | |
| Keele, Eddie | Corporate officer | Individual | 04/01/2023 | |
| Keller, Austin | Corporate officer | Individual | 08/21/2024 | |
| Wootton, Zachary | Corporate officer | Individual | 04/01/2024 | |
| Zimbelman, Michelle | Corporate officer | Individual | 03/01/2016 | |
| Mission Health Services | Operational/managerial control | Organization | 05/01/2024 | |
| Ellis, Ashley | Operational/managerial control | Individual | 06/01/2021 | |
| Hunter, Kurt | Operational/managerial control | Individual | 12/01/2024 | |
| Keele, Eddie | Operational/managerial control | Individual | 04/01/2023 | |
| Keller, Austin | Operational/managerial control | Individual | 08/21/2024 | |
| Wootton, Zachary | Operational/managerial control | Individual | 04/01/2024 | |
| Zimbelman, Michelle | Operational/managerial control | Individual | 03/01/2016 | |
| Keele, Eddie | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 09/10/2025 | |
| Mission Health Services | Adp of the SNF | Organization | 05/01/2024 | |
| Ellis, Ashley | Adp of the SNF | Individual | 06/01/2021 | |
| Hunter, Kurt | Adp of the SNF | Individual | 12/01/2024 | |
| Keller, Austin | Adp of the SNF | Individual | 08/21/2024 | |
| Wootton, Zachary | Adp of the SNF | Individual | 04/01/2024 | |
| Zimbelman, Michelle | Adp of the SNF | Individual | 03/01/2016 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on January 19, 2024: "Provide activities to meet all resident's needs."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on April 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 2 problems in this area, most recently on April 2, 2025: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on October 6, 2022: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.91 hours per resident per day, below the Wyoming average of 3.37.
Other nursing homes nearby
- Sage View Care Center Rock Springs, 14.7 mi · 3 of 5 stars · 12 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 Mission at Castle Rock's Medicare star rating?
- CMS rates Mission at Castle Rock 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Mission at Castle Rock get at its last inspection?
- 2 health deficiencies at the standard inspection on April 2, 2025. The Wyoming average is 7.8.
- Has Mission at Castle Rock been fined?
- CMS lists no fines in the last three years.
- Does Mission at Castle Rock 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 Mission at Castle Rock?
- CMS lists 23 owners and managers, and links the home to Mission Health Services. Legal business name: MISSION HEALTH SERVICES.
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.