New Horizons Care Center
1111 Lane 12, Lovell, WY 82431 · Big Horn County · (307) 548-5200
85 certified beds, about 60 residents a day · Government - Hospital district · Medicare and Medicaid since 1988
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535030 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 9, 2025, inspectors cited 4 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 14 health citations since August 2022, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $16,868 in the last three years; the largest was $9,347, and the latest is dated June 10, 2026.
Nurses and nurse aides worked 3.60 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.89 of those hours.
33.9% of nursing staff left within the year CMS measured (Wyoming average 51.8%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
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 14 health citations on file.
June 10, 2026Complaint inspection · 2 citations
- G 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, staff interview, incident report review, and policy and procedure review, the facility failed to protect the resident's right to be from physical abuse by a resident for 1 of 4 sample residents (#3) reviewed for abuse. This failure resulted in actual harm to resident #3 who suffered fractures.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, and staff and resident representative interview, the facility failed to notify the responsible party following a change of condition in 1 of 3 sampled residents (#1) reviewed.
April 2, 2025Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review, resident representative and staff interview, and policy and procedure review, the facility failed to notify family of changes for 1 of 3 sample residents (#1).
January 9, 2025Standard inspection · 4 citations
- 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 monitored for 6 of 6 sample residents (#2, #9, #36, #44, #45, #47) and failed to ensure PRN orders for psychotropic medications were limited to 14 days for 1 of 6 sample residents (#44) reviewed for unnecessary psychotropic medications.
- 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 facility policy and procedure review, the facility failed to ensure residents right to request/refuse/discontinue treatment for 1 of 1 sample residents (#45) with a do not resuscitate (DNR) status.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on resident and staff interview, medical record review, and policy and procedure review, the facility failed to ensure residents received services to maintain good personal hygiene for 2 of 3 sample residents (#7, #33) reviewed for activities of daily living.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on observation, staff interview, medical record review, and policy and procedure review, the facility failed to ensure an appropriate diagnoses and attempt removal of an indwelling urinary catheter for 1of 1 sample resident (#7).
August 28, 2024Complaint inspection · 3 citations
- G 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 representative and staff interview, and policy and procedure review, the facility failed to protect the residents' right to be free from physical abuse by a resident for 2 of 4 sample residents (#1, #3) reviewed for allegations of abuse. This failure resulted in actual harm to resident #1.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on resident representative and staff interview, grievance review, state survey agency incident database review, and policy and procedure review, the facility failed to ensure allegations of abuse were reported for 1 of 4 sample residents (#3) reviewed for allegations for abuse.
- D 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, staff interview, and policy and procedure review, the facility failed to ensure care plans were developed and implemented for 2 of 4 sample residents (#1, #2) following resident to resident altercations.
October 19, 2023Standard inspection · 2 citations
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on medical record review and staff interview, the facility failed to complete a discharge summary which included a recapitulation of the resident's stay for 1 of 1 resident (#58) reviewed for discharge to another nursing home or swing bed.
- B Post nurse staffing information every day.
Inspectors wroteBased on review of the posted daily nurse staffing data and staff interview, the facility failed to ensure the daily posted nurse staffing information included all required elements. The census was 58.
August 18, 2022Standard inspection · 2 citations
- E Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident interview, staff interview, and policy review the facility failed to ensure food temperatures were maintained at an acceptable temperature for 1 of 3 units (Pod 2).
- D 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 observation, medical record review, staff interview, and review of policy and procedures the facility failed to develop and implement a comprehensive person-centered care plan or 1 of 6 residents (# 18) reviewed for behavior indicators.
Fire safety inspections
5 fire safety citations on file: 3 on October 19, 2023, 2 on August 18, 2022.
Every fire safety citation5 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct testing and exercise requirements.
- 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 noncombustible or limited-combustible interior walls.
- E Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| June 10, 2026 | Fine | $9,347 |
| August 28, 2024 | Fine | $7,521 |
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) | 3.60 | 3.87 | 3.86 |
| Registered nurses | 0.89 | 0.94 | 0.69 |
| All nursing staff on weekends | 3.20 | 3.37 | 3.42 |
| Nurse aides | 2.40 | ||
| Licensed practical nurses | 0.31 | ||
| Nursing staff turnover (share who left in a year) | 33.9% | 51.8% | 45.8% |
| Registered nurse turnover | 21.4% | 44.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 2.88 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 3.76 on weekdays and 3.20 on weekends, 15% 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 3.95 in April to June 2025 to 3.60 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 | 3.60 | 0.89 | 3.76 | 3.20 | 0.0% | 0 of 90 | 60 |
| Oct to Dec 2025 | 3.85 | 0.91 | 4.02 | 3.40 | 0.0% | 0 of 92 | 56 |
| Jul to Sep 2025 | 3.86 | 0.92 | 4.04 | 3.40 | 0.0% | 0 of 92 | 56 |
| Apr to Jun 2025 | 3.95 | 0.92 | 4.21 | 3.31 | 0.0% | 0 of 91 | 57 |
| 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.
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.
Official wage estimates for Wyoming
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Wyoming, all employers | |||
| CNAs (nursing assistants) | $18.83 | $17.88 to $22.76 | 2,830 |
| LPNs and LVNs | $30.51 | $28.27 to $34.06 | 480 |
| Registered nurses | $40.27 | $37.45 to $48.61 | 5,330 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
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 | 6.6 | 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 | 2.2 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.7 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 6.7 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.4 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.4 | 21.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 2.3 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for New Horizons Care Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
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.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Connell, Eric | Corporate director | Individual | 01/01/2020 | |
| Winterholler, David | Corporate director | Individual | 01/01/2017 | |
| Crosby, Brett | Corporate officer | Individual | 01/01/2004 | |
| Mathews, Mary | Corporate officer | Individual | 02/01/2013 | |
| Morrison, Robert | Corporate officer | Individual | 05/15/2018 | |
| Simmons, Benjamin | Corporate officer | Individual | 01/01/2023 | |
| North Big Horn Hospital District | Operational/managerial control | Organization | 03/29/2007 | |
| Caldwell, Troy | Operational/managerial control | Individual | 07/12/1999 | |
| Connell, Eric | Operational/managerial control | Individual | 10/06/2020 | |
| Caldwell, Troy | Adp of the SNF | Individual | 12/24/2024 | |
| Connell, Eric | Adp of the SNF | Individual | 12/24/2024 |
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 allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on June 10, 2026: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 10, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on August 28, 2024: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on January 9, 2025: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.20 hours per resident per day, below the Wyoming average of 3.37.
Other nursing homes nearby
- Powell Valley Care Center Powell, 19.2 mi · 2 of 5 stars · 6 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 New Horizons Care Center's Medicare star rating?
- CMS rates New Horizons Care Center 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did New Horizons Care Center get at its last inspection?
- 4 health deficiencies at the standard inspection on January 9, 2025. The Wyoming average is 7.8.
- Has New Horizons Care Center been fined?
- Yes. CMS lists 2 fines totaling $16,868 in the last three years.
- Does New Horizons Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns New Horizons Care Center?
- CMS lists 11 owners and managers. Legal business name: NORTH BIG HORN 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.