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Polaris Rehabilitation and Care Center

2700 E 12th Street, Cheyenne, WY 82001 · Laramie County · (307) 634-7986

105 certified beds, about 69 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1984

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 535025 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 15, 2026, inspectors cited 8 health deficiencies (the Wyoming average is 7.8, the national average 9.2).

Of 41 health citations since June 2023, 3 were rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $62,647 in the last three years; the largest was $62,647, and the latest is dated August 7, 2025.

Nurses and nurse aides worked 3.49 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.90 of those hours.

69.0% 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.

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 41 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
23D
9E
5F
Potential for minimal harm
0A
1B
0C
July 23, 2026Complaint inspection · 2 citations
  1. F
    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
    F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) August 15, 2026
    Inspectors wroteBased on review of nurse schedules, and staff interview, the facility failed to ensure the services of an RN were used for at least 8 consecutive hours a day, 7 days a week. The census was 69.
  2. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 15, 2026
    Inspectors wroteBased on observation, medical record review, resident interview, policy and procedure review, review of email correspondence, and staff interview, the facility failed to provide oxygen services to 1 of 3 sample residents (#6) reviewed.
April 22, 2026Complaint inspection · 2 citations
  1. F
    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
    F838 · Administration · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2026
    Inspectors wroteBased on review of the Facility Assessment and staff interview, the facility failed to consider specific staffing needs for each shift, such as day, evening, night, and adjust as necessary based on any changes to its resident population. The census was 69.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) May 15, 2026
    Inspectors wroteBased on observation, staff and resident interview, resident meal slip review, resident council minutes review, and policy review, the facility failed to consider resident preferences during 3 of 3 meal observations. The census was 69.
January 15, 2026Standard inspection, Complaint inspection · 8 citations
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on facility documentation, staff interview, and policy and procedure review, the facility failed to ensure a system was in place to maintain documentation of the pharmacist's monthly medication review for 5 of 5 sample residents (#1, #2, #5, #54, #68) reviewed for unnecessary medications. In addition the facility failed to act on a pharmacy recommendation for 1 of 5 sample residents (#5) for unnecessary medications.
  2. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteThis requirement was not met as evidenced by:Based on observation, staff interview, review of manufacturer's instructions, and policy and procedure review, the facility failed to label and provide the date medications were opened in 1 of 4 medication carts (Yellowstone hall).
  3. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation, staff interview, and review of the 2022 FDA Food Code, the facility failed to ensure a sanitary environment in 1 of 1 kitchen. The census was 72.
  4. D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    F605 · 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) February 11, 2026
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure residents were free from unnecessary psychotropic medications for 1 of 5 sample residents (#68) reviewed.
  5. D
    Assess the resident when there is a significant change in condition
    F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on medical record review, staff interview, and review of the MDS 3.0 RAI (Resident Assessment Instrument) manual, the facility failed to ensure a significant change assessment (SCSA) was completed for 1 of 25 sample residents (#32) reviewed.
  6. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation, medical record review, policy and procedure review, and staff interview, the facility failed to ensure a resident receiving enteral feeding received appropriate care and services to prevent complications for 1 of 1 sample resident (#62) reviewed for tube feeding.
  7. D
    Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
    F729 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteThis requirement has not been met as evidenced by: Based on employee record review, and staff interview, the facility failed to obtain CNA abuse prior to resident contact for registry verification in 1 of 3 (CNA #2) employee files reviewed. 1. Review of CNA #2's personnel record showed no evidence the facility had obtained CNA abuse registry verification prior to resident contact.2. Interview with the human resource manager on 1/13/26 at 4:32 PM confirmed that he was not aware the CNA abuse registry was to be verified.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 11, 2026
    Inspectors wroteBased on observation and staff interview, the facility failed to ensure effective infection control techniques were utilized during 1 of 2 dining observations. The census was 72.
November 14, 2025Complaint 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 · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on observation, medical record review, staff, resident, and resident representative interview, facility incident review, and policy and procedure review, the facility failed to protect residents' right to be free from physical abuse by another resident for 1 of 6 sample residents (#1) reviewed for abuse. This failure resulted actual harm to resident #1 and resident #2. Corrective measures were implemented prior to the survey and compliance was determined to be met on 10/23/25.
October 24, 2025Complaint inspection · 7 citations
  1. G
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2025
    Inspectors wroteBased on medical record review, staff interview, and review of medication interactions, the facility failed to ensure residents did not receive unnecessary medications for 1 of 8 (#1) sample residents reviewed. This failure caused harm to resident #8 whose functional capacity declined from independent to dependent.
  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 · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2025
    Inspectors wroteBased on observation, medical record review, resident representative and resident interview, review of resident council minutes, and concern forms, and staff interview, the facility failed to ensure sufficient nursing staff was available to provide the highest practicable physical, mental, and psychosocial well-being on 2 of 2 resident care units (North hall, South hall). The census was 71.
  3. D
    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
    F557 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2025
    Inspectors wroteBased on observation, medical record review, and resident and staff interview, the facility failed to ensure residents were treated with dignity and respect during 4 random observations which affected residents #1 and #5. The census was 71.
  4. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2025
    Inspectors wroteBased on medical record review, resident representative interview, staff interview, and policy and procedure review, the facility failed to ensure a notification of change of condition was given for 1 of 8 sample residents (#6) reviewed.
  5. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2025
    Inspectors wroteBased on medical record review, resident representative interview, and staff interview, the facility failed to ensure routine bathing was provided for 2 of 8 sample residents (#1, #5) reviewed for activities of daily living.
  6. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2025
    Inspectors wroteBased on observation, medical record review, staff interview, and policy review the facility failed to ensure interventions to prevent ulcers development were implemented for 2 of 4 residents (#1, #2) reviewed for pressure ulcers.
  7. 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.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2025
    Inspectors wroteBased on medical record review, resident and staff interview, and review of concern forms, the facility failed to provide timely incontinence care to 2 of 8 sample residents (#1, #5).
August 28, 2025Complaint inspection · 3 citations
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) November 21, 2025
    Inspectors wroteBased on observation, medical record review, staff and resident interview, facility staffing review, grievance review, facility assessment review, and policy and procedure review, the facility failed to ensure sufficient nursing staff to provide the highest practicable physical, mental, and psychosocial well-being on 2 of 2 resident care units (North unit, South unit). The census was 69.
  2. 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) November 21, 2025
    Inspectors wroteBased on resident and staff interview, medical record review, resident grievance review, and policy and procedure review, the facility failed to ensure routine bathing was provided for 5 of 10 sample residents (#1, #2, #3, #4, #6) reviewed for activities of daily living.
  3. E
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2025
    Inspectors wroteBased on daily staff posting review and staff interview the facility failed to ensure the total number and the actual hours worked by the following categories of licensed and unlicensed nursing staff directly responsible for resident care per shift: RN, LPN, CNA were documented on the posting. The census was 69.
August 7, 2025Complaint inspection · 2 citations
  1. G
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 5, 2025
    Inspectors wroteBased on medical record review, staff interview, medication variance report review, and policy and procedure review, the facility failed to ensure residents were free of significant medication errors for 1 of 7 sample residents (#2) reviewed for medication errors. This failure resulted in actual harm to resident #2 who was hospitalized in the intensive care unit.
  2. 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 · Corrected (the home has a date of correction) October 23, 2025
    Inspectors wroteBased on medical record review, resident interview, staff interview, facility investigation notes 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 2 sample residents (#4) reviewed with abuse allegations.
October 24, 2024Complaint inspection · 2 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on review of the facility's COVID-19 infection control outbreak records, staff interview, and policy and procedure review, the facility failed to ensure a system was in place for documenting resident and staff SARS-CoV-2 test results during an outbreak. The census was 81.
  2. E
    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
    F561 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) November 15, 2024
    Inspectors wroteBased on medical record review, staff interview, and resident representative interview, the facility failed to have a system in place to ensure changes in health care appointments were communicated to the resident or the resident's representative for 2 of 4 residents (#1, #8) reviewed for post-hospitalization follow-up appointments.
August 23, 2024Complaint inspection · 1 citation
  1. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 19, 2024
    Inspectors wroteBased on observation, medical record review, resident and staff interview, review of staff training records, and review of the facility's policy, the facility failed to ensure tracheostomy care was performed as ordered for 1 of 1 resident with a tracheostomy (#4).
June 26, 2024Standard inspection · 6 citations
  1. E
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) July 22, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to have a system in place to ensure communication with the dialysis center was documented in the medical record for 3 of 4 residents (#11, #35, #117) who received dialysis services.
  2. D
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    F655 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2024
    Inspectors wroteBased on medical record review and staff interview, the facility failed to develop a baseline care plan which addressed the immediate needs of the residents for 1 of 5 (#117) newly admitted residents reviewed.
  3. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2024
    Inspectors wroteBased on medical record review, staff and resident interview, and policy and procedure review, the facility failed to ensure the comprehensive care plan was revised as needed to reflect the resident's current needs for 1 of 5 sample residents (#58) reviewed for smoking.
  4. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2024
    Inspectors wroteBased on observation, staff interview, medical record review, and policy and procedure review, the facility failed to ensure the environment was free of accident hazards for 1 of 5 sample residents (#117) reviewed for smoking.
  5. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 22, 2024
    Inspectors wroteBased on medical record review, staff interview, and review of facility policies, and review of the CDC immunization recommendations, the facility failed to ensure residents received the pneumococcal immunization based on CDC recommendations for 1 of 5 sample residents (#43) reviewed for immunizations.
  6. B
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) July 22, 2024
    Inspectors wroteBased on observation, and staff interview, the facility failed to ensure the daily staff posting was updated daily for 1 of 2 random observations (6/23/24). The census was 64.
January 19, 2024Complaint inspection · 3 citations
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on observation, staff interview, and facility policy and procedure review, and review of the Food Code, the facility failed to ensure staff used beard restraints in accordance with professional standards during 1 of 3 meals. The facility census was 74.
  2. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · 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, resident representative and staff interview, facility policy and procedure review, and review of facility corrective action documentation, the facility failed to prevent an avoidable accident for 1 of 3 sample residents (#2) reviewed for accidents. This failure resulted in past non-compliance for resident #2 who had a fall as a result of staff error. Corrective measures were implemented by the facility prior to the survey and compliance was determined to be met on 12/21/23.
  3. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 22, 2024
    Inspectors wroteBased on medical record review, observation, staff and resident representative interview, and facility policy and procedure review, the facility failed to ensure residents were offered choices during meal times for 1 out of 6 (#4) sample residents related to resident rights.
June 22, 2023Standard inspection · 4 citations
  1. 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.
    F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2023
    Inspectors wroteBased on medical record review, staff interview, facility incident report review, and policy and procedure review, the facility failed to honor residents' right to refuse treatment for 1 of 18 sample residents (#57).
  2. D
    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
    F604 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 13, 2023
    Inspectors wroteBased on medical record review, staff interview, facility incident report review, and policy and procedure review, the facility failed to ensure residents were free from physical restraints for 1 of 2 sample residents (#57) reviewed for restraint use.
  3. 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) July 13, 2023
    Inspectors wroteBased on medical record review, staff interview, and review of policy and procedure, the facility failed to ensure appropriate behavior monitoring and interventions were in place for 2 of 6 sample residents (#5, #11) who received psychotropic medications.
  4. 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 13, 2023
    Inspectors wroteBased on observation, medical record review, staff interview, and policy and procedure review, the facility failed to ensure infection control techniques were implemented for 1 of 5 residents (#177) reviewed for wounds.

Fire safety inspections

23 fire safety citations on file: 10 on January 15, 2026, 6 on June 26, 2024, 7 on June 22, 2023.

Every fire safety citation23 citations
  1. F
    Implement emergency and standby power systems.
    E 41 · January 15, 2026 · Corrected (the home has a date of correction)
  2. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 15, 2026 · Corrected (the home has a date of correction)
  3. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 15, 2026 · Corrected (the home has a date of correction)
  4. E
    Install an approved automatic sprinkler system.
    K 351 · January 15, 2026 · Corrected (the home has a date of correction)
  5. E
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · January 15, 2026 · Corrected (the home has a date of correction)
  6. D
    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
    K 223 · January 15, 2026 · Corrected (the home has a date of correction)
  7. D
    Have exits that are accessible at all times.
    K 271 · January 15, 2026 · Corrected (the home has a date of correction)
  8. D
    Have properly installed hallway dispensers for alcohol-based hand rub.
    K 325 · January 15, 2026 · Corrected (the home has a date of correction)
  9. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 15, 2026 · Corrected (the home has a date of correction)
  10. D
    Ensure proper usage of power strips and extension cords.
    K 920 · January 15, 2026 · Corrected (the home has a date of correction)
  11. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · June 26, 2024 · Corrected (the home has a date of correction)
  12. F
    Develop a communication plan.
    E 29 · June 26, 2024 · Corrected (the home has a date of correction)
  13. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · June 26, 2024 · Corrected (the home has a date of correction)
  14. E
    Meet Health Care Facilities Code mechanical requirements.
    K 900 · June 26, 2024 · Corrected (the home has a date of correction)
  15. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 26, 2024 · Corrected (the home has a date of correction)
  16. D
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · June 26, 2024 · Corrected (the home has a date of correction)
  17. F
    Implement emergency and standby power systems.
    E 41 · June 22, 2023 · Corrected (the home has a date of correction)
  18. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 22, 2023 · Corrected (the home has a date of correction)
  19. D
    Provide properly protected cooking facilities.
    K 324 · June 22, 2023 · Corrected (the home has a date of correction)
  20. D
    Install an approved automatic sprinkler system.
    K 351 · June 22, 2023 · Corrected (the home has a date of correction)
  21. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · June 22, 2023 · Corrected (the home has a date of correction)
  22. D
    Meet requirements for the installation and maintenance of electrical systems.
    K 911 · June 22, 2023 · Corrected (the home has a date of correction)
  23. D
    Meet requirements for the use of electrical equipment.
    K 919 · June 22, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
August 7, 2025Fine $62,647

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)3.493.873.86
Registered nurses0.900.940.69
All nursing staff on weekends2.983.373.42
Nurse aides2.21
Licensed practical nurses0.38
Nursing staff turnover (share who left in a year)69.0%51.8%45.8%
Registered nurse turnover61.1%44.1%42.9%
Administrators who left2

CMS expects 4.08 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 3.71 on weekdays and 2.98 on weekends, 20% 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 3.76 in April to June 2025 to 3.49 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.490.903.712.98 0.0%0 of 9069
Oct to Dec 20253.240.763.432.76 4.6%0 of 9271
Jul to Sep 20253.510.873.762.88 4.6%0 of 9269
Apr to Jun 20253.760.924.102.92 2.8%0 of 9170
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.

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
7.116.813.9
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
0.93.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
3.94.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.61.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
1.715.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
7.34.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
16.321.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
21.618.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
15.416.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.41.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
3.02.31.8

Owners and operators

Legal business name: NORTH BIG HORN HOSPITAL DISTRICT.

NameRoleTypeShareSince
North Big Horn Hospital DistrictDirect ownership interestOrganization10/01/2024
Morrison, RobertManaging control - governing bodyIndividual10/01/2024
Simmons, BenjaminManaging control - governing bodyIndividual10/01/2024
Winterholler, DavidManaging control - governing bodyIndividual10/01/2024
Cheyenne Opco LLCOperational/managerial controlOrganization01/24/2025
North Big Horn Hospital DistrictOperational/managerial controlOrganization01/24/2025
Connell, EricOperational/managerial controlIndividual01/24/2025
Melvin, EricOperational/managerial controlIndividual10/01/2024
Morrison, RobertOperational/managerial controlIndividual10/01/2024
Simmons, BenjaminOperational/managerial controlIndividual01/24/2025
Winterholler, DavidOperational/managerial controlIndividual01/24/2025
Cheyenne Opco LLCAdp of the SNFOrganization01/24/2025
Melvin, EricAdp of the SNFIndividual10/01/2024

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.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 10 problems in this area, most recently on July 23, 2026: "Provide safe and appropriate respiratory care for a resident when needed."
  2. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 6 problems in this area, most recently on July 23, 2026: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 5 problems in this area, most recently on January 15, 2026: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
  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 April 22, 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 2.98 hours per resident per day, below the Wyoming average of 3.37.
  6. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

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Common questions

What is Polaris Rehabilitation and Care Center's Medicare star rating?
CMS rates Polaris Rehabilitation and Care Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Polaris Rehabilitation and Care Center get at its last inspection?
8 health deficiencies at the standard inspection on January 15, 2026. The Wyoming average is 7.8.
Has Polaris Rehabilitation and Care Center been fined?
Yes. CMS lists 1 fine totaling $62,647 in the last three years.
Does Polaris Rehabilitation and 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 Polaris Rehabilitation and Care Center?
CMS lists 13 owners and managers. Legal business name: NORTH BIG HORN HOSPITAL DISTRICT.

Sources

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