How many deficiencies did Rawlins Rehabilitation and Wellness get at its last inspection?

4 health deficiencies at the standard inspection on August 7, 2025. The Wyoming average is 7.8.

Does Rawlins Rehabilitation and Wellness 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 Rawlins Rehabilitation and Wellness?

CMS lists 25 owners and managers, and links the home to Evergreen Healthcare Group. Legal business name: NORTH BIG HORN HOSPITAL DISTRICT.

Rawlins Rehabilitation and Wellness: Inspections & Ratings

The record in brief

At its most recent standard inspection, on August 7, 2025, inspectors cited 4 health deficiencies (the Wyoming average is 7.8, the national average 9.2).

Of 14 health citations since March 2023, 2 were rated as actual harm or immediate jeopardy to residents (2 immediate jeopardy).

CMS lists 1 fine totaling $14,433 in the last three years; the largest was $14,433, and the latest is dated May 2, 2024.

Nurses and nurse aides worked 3.35 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.72 of those hours.

38.7% 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.

603/23

305/24

106/25

408/25

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 14 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

Potential for minimal harm

August 7, 2025Standard inspection · 4 citations

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) September 3, 2025

Inspectors wroteBased on observation, medical record review, staff interview, and policy procedure review, the facility failed to ensure infection prevention practices were implemented for 3 of 6 sample residents (#3, #5, #11) observed during resident care.
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 · Corrected (the home has a date of correction) August 29, 2025

Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a gradual dose reduction (GDR) or risk versus benefit statement was performed on psychotropic medications for 1 of 5 sample residents (#27) reviewed for unnecessary medications.
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) August 29, 2025

Inspectors wroteBased on staff and resident representative interview and medical record review, the facility failed to ensure residents or resident's representative participation in care plan decisions for 1 of 13 sample residents (#3).
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) August 29, 2025

Inspectors wroteBased on observation, staff interview, medical record review, and manufacturer's instruction review, the facility failed to ensure appropriate use of mechanical lifts for 1 of 5 sample residents (#5) reviewed for lift/transfer safety.

June 27, 2025Complaint inspection · 1 citation

D

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

F627 · 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) July 4, 2025

Inspectors wroteBased on medical record review, resident representative, hospital staff and staff interview the facility failed to ensure a resident was allowed to return following a transfer to an acute care setting for 1 of 3 sample residents (#1) reviewed for discharge.

May 2, 2024Standard inspection, Complaint inspection · 3 citations

J

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

F678 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) May 3, 2024

Inspectors wroteBased on medical record review, staff and physician interview, and policy review, the facility failed to provide CPR in accordance with a resident's advance directive for 1 of 1 sample resident (#36) who expired. The emergency happened shortly after admission. The facility had not identified the issue, which left all new admits at risk and a determination of immediate jeopardy. The census was 35 and there were two new admits in the last 30 days.
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) May 26, 2024

Inspectors wroteBased on observation, staff interview, and review of the 2022 Food Code, the facility failed to store and prepare food in accordance with professional standards related to expired food and cleanliness during 2 of 2 observations in the kitchen.
D

Ensure medication error rates are not 5 percent or greater.

F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 26, 2024

Inspectors wroteBased on observation, medical record review, and staff and physician interview, the facility failed to ensure the medication error rate was 5% or less. There were 2 errors out of 25 medications administered, for an error rate of 8%.

March 31, 2023Standard inspection · 6 citations

J

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 · Immediate jeopardy to resident health or safety, isolated · Corrected (the home has a date of correction) April 27, 2023

Inspectors wroteBased on medical record review, staff interview, facility-reported incident review, and policy review, the facility failed to protect the resident's right to be free from sexual abuse by a resident for 1 of 5 sample residents (#23) reviewed for allegations of abuse. This failure resulted in a determination of immediate jeopardy due to inadequate protections from sexual abuse for vulnerable residents.
E

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 27, 2023

Inspectors wroteBased on medical record review, staff interview, incident review, and facility policy review, the facility failed to ensure adequate protective measures were in place to prevent abuse for 1 of 5 sample residents (#8) reviewed.
D

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

F582 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2023

Inspectors wroteBased on medical record review, beneficiary notice review, staff interview, and policy review, the facility failed to ensure the appropriate Notice of Medicare Provider Non-Coverage (NOMNC) form was issued for 2 out of 4 (#7, #14) sample residents.
D

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 27, 2023

Inspectors wroteBased on medical record review, staff interview, facility policy review, and review of the CMS Resident Assessment Instrument (RAI) manual version 3.0, the facility failed to ensure comprehensive assessments were completed within 14 days after admission for 2 of 2 sample residents (#19, #28) reviewed for timely comprehensive MDS completion.
D

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, isolated · Corrected (the home has a date of correction) April 27, 2023

Inspectors wroteBased on staff interview and class enrollment documentation review, the facility failed to ensure a full-time staff member with the required competencies managed the dietary department.
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) April 27, 2023

Inspectors wroteBased on observation, and staff interview, the facility failed to ensure the proper use of PPE during blood glucose testing and failed to ensure adequate disinfection of glucometers during 1 random observation. Observation on 3/29/23 at 10:47 AM showed LPN #2 gathered the glucometer, lancet, alcohol pad, and test strip while at the nurse's station medication cart at the front of the facility. The LPN performed hand hygiene, prepared the supplies, and inserted the test strip into the glucometer. The LPN then walked to the resident's room and placed the glucometer on top of the blanket which covered the resident's abdomen. The LPN picked up the glucometer for the test, then placed the glucometer back on the blanket. The glucometer was not disinfected at this time. The LPN failed to don gloves when performing the glucose test. [...]

Fire safety inspections

10 fire safety citations on file: 1 on August 7, 2025, 2 on May 2, 2024, 7 on March 31, 2023.

Every fire safety citation10 citations

D
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

K 361 · August 7, 2025 · Corrected (the home has a date of correction)
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 · May 2, 2024 · Corrected (the home has a date of correction)
D
Inspect, test, and maintain automatic sprinkler systems.

K 353 · May 2, 2024 · Corrected (the home has a date of correction)
F
Implement emergency and standby power systems.

E 41 · March 31, 2023 · Corrected (the home has a date of correction)
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 · March 31, 2023 · Corrected (the home has a date of correction)
E
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · March 31, 2023 · Corrected (the home has a date of correction)
E
Meet requirements for the installation and maintenance of electrical systems.

K 911 · March 31, 2023 · Corrected (the home has a date of correction)
E
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · March 31, 2023 · Corrected (the home has a date of correction)
D
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · March 31, 2023 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · March 31, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
May 2, 2024	Fine	$14,433

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)	3.35	3.87	3.86
Registered nurses	0.72	0.94	0.69
All nursing staff on weekends	3.25	3.37	3.42
Nurse aides	2.20
Licensed practical nurses	0.42
Nursing staff turnover (share who left in a year)	38.7%	51.8%	45.8%
Registered nurse turnover	44.4%	44.1%	42.9%
Administrators who left	0

CMS expects 3.23 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 3.39 on weekdays and 3.25 on weekends, 4% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 3.35 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	3.35	0.72	3.39	3.25	0.8%	0 of 90	35
Oct to Dec 2025	3.47	0.99	3.53	3.30	0.0%	0 of 92	34
Jul to Sep 2025	3.74	1.03	3.87	3.42	2.3%	0 of 92	34
Apr to Jun 2025	3.67	0.98	3.79	3.38	1.3%	0 of 91	38
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.

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.

Measure	This home	Wyoming	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	27.0	16.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.9	1.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	3.1	3.0	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.8	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	31.5	15.3	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	4.0	4.6	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	20.4	21.8	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	13.9	18.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	10.2	16.7	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.1	1.3	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.0	2.3	1.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Rawlins Rehabilitation and Wellness's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 24 eligible stays.

Potentially preventable readmissions

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 23 eligible stays.

Infections that led to a hospital stay

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 18 eligible stays.

Self-care and mobility at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 15 residents counted.

Falls with major injury

0.0% 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. 24 residents counted.

New or worsened pressure ulcers

18.5% 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. 24 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

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. 9 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.

Name	Role	Type	Since
Morrison, Robert	Managing control - governing body	Individual	09/30/2025
Simmons, Benjamin	Managing control - governing body	Individual	09/30/2025
Winterholler, David	Managing control - governing body	Individual	09/30/2025
Connell, Eric	Corporate officer	Individual	09/30/2025
Couve Financial Services LLC	Operational/managerial control	Organization	09/30/2025
Couve Healthcare Consulting LLC	Operational/managerial control	Organization	09/30/2025
Connell, Eric	Operational/managerial control	Individual	09/30/2025
Morrison, Robert	Operational/managerial control	Individual	09/30/2025
Reiman, Amy	Operational/managerial control	Individual	09/30/2025
Simmons, Benjamin	Operational/managerial control	Individual	09/30/2025
Spielman, Shimon	Operational/managerial control	Individual	09/30/2025
Winterholler, David	Operational/managerial control	Individual	09/30/2025
Yenowitz, Yitzchok	Operational/managerial control	Individual	09/30/2025
Zimmerman, Edward	Operational/managerial control	Individual	09/30/2025
Yenowitz, Yitzchok	Individual is an owner, partner or trustee of any ADP of the SNF	Individual	05/29/2026
Couve Financial Services LLC	Adp of the SNF	Organization	10/30/2025
Couve Healthcare Consulting LLC	Adp of the SNF	Organization	10/13/2025
Pacific Northwest Opco Management LLC	Adp of the SNF	Organization	09/30/2025
Rawlins SNF Operations, LLC	Adp of the SNF	Organization	09/30/2025
Rawlins SNF Realty LLC	Adp of the SNF	Organization	10/13/2025
Connell, Eric	Adp of the SNF	Individual	09/30/2025
Reiman, Amy	Adp of the SNF	Individual	09/30/2025
Simmons, Benjamin	Adp of the SNF	Individual	09/30/2025
Spielman, Shimon	Adp of the SNF	Individual	09/30/2025
Zimmerman, Edward	Adp of the SNF	Individual	09/30/2025

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.

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 August 7, 2025: "Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function."
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 August 7, 2025: "Provide and implement an infection prevention and control program."
When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on August 7, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
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 August 7, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.25 hours per resident per day, below the Wyoming average of 3.37.

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 Rawlins Rehabilitation and Wellness's Medicare star rating?: CMS rates Rawlins Rehabilitation and Wellness 3 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Rawlins Rehabilitation and Wellness get at its last inspection?: 4 health deficiencies at the standard inspection on August 7, 2025. The Wyoming average is 7.8.
Has Rawlins Rehabilitation and Wellness been fined?: Yes. CMS lists 1 fine totaling $14,433 in the last three years.
Does Rawlins Rehabilitation and Wellness 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 Rawlins Rehabilitation and Wellness?: CMS lists 25 owners and managers, and links the home to Evergreen Healthcare Group. 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.