Powell Valley Care Center
777 Avenue H, Powell, WY 82435 · Park County · (307) 754-1107
100 certified beds, about 45 residents a day · Government - Hospital district · Medicare and Medicaid since 1991
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535045 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on January 31, 2025, inspectors cited 1 health deficiency (the Wyoming average is 7.8, the national average 9.2).
Of 6 health citations since September 2022, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $29,120 in the last three years; the largest was $20,930, and the latest is dated December 2, 2025.
Nurses and nurse aides worked 5.08 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 1.93 of those hours.
24.2% 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 6 health citations on file.
December 2, 2025Complaint inspection · 1 citation
- 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, facility investigation review, 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 11 sample residents (# 2, #4) reviewed for allegations of abuse. This failure resulted in actual harm to resident #2 and resident #4.
January 31, 2025Standard inspection · 1 citation
- D Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure residents received services to maintain or improve their ability to carry out activities of daily living for 1 of 3 residents (#21) reviewed for activities of daily living.
December 7, 2023Standard inspection · 3 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to implement interventions to ensure resident safety for 1 of 3 sample residents (#100) reviewed for falls. This failure resulted in actual harm to resident #100 who sustained fractures and was hospitalized .
- 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 implemented for 1 of 3 sample residents (#100) with falls.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on observation, medical record review, staff interview, and policy and procedure review, the facility failed to ensure as needed (PRN) orders for psychotropic medications were limited to 14 days for 1 of 5 sample residents (#42) and failed to ensure appropriate target symptoms were identified and monitored, and gradual dose reductions were performed for 1 of 5 sample residents (#4) reviewed for unnecessary medications.
November 14, 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 observation, medical record review, staff interview, facility incident report review, and facility policy review, the facility failed to protect the resident's right to be free from physical and mental abuse by residents for 1 of 3 sample residents (#7) reviewed for abuse allegations.
September 15, 2022Standard inspection · 0 citations
Fire safety inspections
9 fire safety citations on file: 1 on January 31, 2025, 4 on December 7, 2023, 4 on September 15, 2022.
Every fire safety citation9 citations
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have simulated fire drills held at unexpected times.
- F Have restrictions on the use of highly flammable decorations.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Establish roles under a Waiver declared by secretary.
- F Provide emergency officials' contact information.
- E Inspect, test, and maintain automatic sprinkler systems.
- D Provide properly protected cooking facilities.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| December 2, 2025 | Fine | $20,930 |
| November 14, 2023 | Fine | $8,190 |
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) | 5.08 | 3.87 | 3.86 |
| Registered nurses | 1.93 | 0.94 | 0.69 |
| All nursing staff on weekends | 4.70 | 3.37 | 3.42 |
| Nurse aides | 3.00 | ||
| Licensed practical nurses | 0.16 | ||
| Nursing staff turnover (share who left in a year) | 24.2% | 51.8% | 45.8% |
| Registered nurse turnover | 20.8% | 44.1% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.14 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 5.24 on weekdays and 4.70 on weekends, 10% 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 5.44 in April to June 2025 to 5.08 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 | 5.08 | 1.93 | 5.24 | 4.70 | 0.0% | 0 of 90 | 45 |
| Oct to Dec 2025 | 4.69 | 1.61 | 4.80 | 4.40 | 0.0% | 0 of 92 | 47 |
| Jul to Sep 2025 | 5.11 | 1.87 | 5.26 | 4.73 | 0.0% | 0 of 92 | 44 |
| Apr to Jun 2025 | 5.44 | 1.91 | 5.59 | 5.06 | 0.0% | 0 of 91 | 43 |
| 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 | 26.4 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.2 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.1 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 13.4 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 17.6 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.5 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.5 | 21.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.3 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.0 | 2.3 | 1.8 |
Owners and operators
Legal business name: Legal Business Name Not Available.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Ownership data not available |
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 2 problems in this area, most recently on December 2, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- 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 31, 2025: "Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on December 7, 2023: "Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on December 7, 2023: "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."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- New Horizons Care Center Lovell, 19.2 mi · 3 of 5 stars · 14 citations
- Cody Regional Health Long Term Care Center Cody, 21.7 mi · 4 of 5 stars · 13 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 Powell Valley Care Center's Medicare star rating?
- CMS rates Powell Valley Care Center 2 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Powell Valley Care Center get at its last inspection?
- 1 health deficiency at the standard inspection on January 31, 2025. The Wyoming average is 7.8.
- Has Powell Valley Care Center been fined?
- Yes. CMS lists 2 fines totaling $29,120 in the last three years.
- Does Powell Valley 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 Powell Valley Care Center?
- CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.
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.