475 Yellow Creek Rd, Evanston, WY 82930 · Uinta County · (307) 789-0726
60 certified beds, about 49 residents a day · Non profit - Corporation · Medicare and Medicaid since 1989
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535038 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 16, 2026, inspectors cited 3 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 9 health citations since June 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $13,388 in the last three years; the largest was $7,220, and the latest is dated March 19, 2025.
Nurses and nurse aides worked 3.20 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.
42.2% of nursing staff left within the year CMS measured (Wyoming average 51.8%).
CMS links it to Rocky Mountain Care, an affiliated group of 10 nursing homes.
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.
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 9 health citations on file.
Inspectors wroteBased on observation, staff interview, review of the 2022 Food Code, and policy and procedure review, the facility failed to store and prepare food in accordance with professional standards related to labeling stored food items and hand hygiene/gloving in 1 of 1 food preparation areas (kitchen). The census was 47.
Inspectors wroteBased on medical record review, resident representative and staff interview, and policy and procedure review, the facility failed to ensure the residents' right to be notified in advance to participate in the regularly scheduled meetings for development and implementation of care for 1 of 16 sample residents (#3).
Inspectors wroteBased on observation, resident and staff interview, medical record review, and activity participation review, the facility failed to ensure individual activities of preference were provided to 1 of 10 sample residents (#9) reviewed for activities.
Inspectors wroteBased on medical record review, review of the facility investigation report, and staff interview, the facility failed to ensure a safe transfer was provided for 1 of 7 sample residents (#1) reviewed for falls. This failure resulted in actual harm to resident #1 who was unable to keep his/her balance during a transfer. The resident suffered a comminuted [bone breaks in 3 or more places usually occurring after a forceful event] fracture involving the distal femoral diametaphysis above the femoral component of the left knee prosthesis. The facility implemented corrective action prior to the survey and was determined to be in substantial compliance as of 3/7/25.
Inspectors wroteBased on medical record review, resident and staff interview, facility incident review, and policy and procedure review, the facility failed to protect the residents' right to be free from verbal abuse by a staff member for 1 of 6 sample residents (#4). This failure resulted in actual psychosocial harm to resident #4.
Inspectors wroteBased on medical record review and staff interview, the facility failed to provide a written notice of the transfer to the resident and/or their representative for 2 of 2 residents (#3, #21) who were hospitalized .
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a level II PASARR [preadmission screening and resident review] was completed as required for 1 of 2 sample residents (#11) reviewed for PASARR.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure that the binding arbitration agreement explicitly stated that the resident or their representative was not required to sign the agreement as a condition of admission or to continue to receive care at the facility for 2 of 2 sample residents who signed an arbitration agreement (#11, #25).
Inspectors wroteBased on observation, review of nurse staffing postings, and staff interview, the facility failed to ensure the nurse staffing posting included the census and total number of staff worked per shift. The census was 49.
3 fire safety citations on file: 1 on April 16, 2026, 2 on August 22, 2024.
| Date | Penalty | Amount or length |
|---|---|---|
| March 19, 2025 | Fine | $7,220 |
| August 22, 2024 | Fine | $6,168 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.20 | 3.87 | 3.86 |
| Registered nurses | 0.70 | 0.94 | 0.69 |
| All nursing staff on weekends | 2.89 | 3.37 | 3.42 |
| Nurse aides | 2.02 | ||
| Licensed practical nurses | 0.48 | ||
| Nursing staff turnover (share who left in a year) | 42.2% | 51.8% | 45.8% |
| Registered nurse turnover | 14.3% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.49 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.32 on weekdays and 2.89 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.18 in April to June 2025 to 3.20 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 | 3.20 | 0.70 | 3.32 | 2.89 | 3.3% | 0 of 90 | 49 |
| Oct to Dec 2025 | 3.24 | 0.74 | 3.41 | 2.83 | 1.1% | 0 of 92 | 46 |
| Jul to Sep 2025 | 3.08 | 0.68 | 3.17 | 2.83 | 1.2% | 0 of 92 | 46 |
| Apr to Jun 2025 | 3.18 | 0.77 | 3.28 | 2.93 | 0.8% | 0 of 91 | 46 |
| 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
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. If you work here, your report helps start one.
| 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.
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 | 19.6 | 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 | 4.7 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.3 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.6 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 22.5 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.7 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 12.9 | 21.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 17.4 | 18.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 4.4 | 16.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.6 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Rocky Mountain Care - Evanston's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.6% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
57.6% this home
No different from the national rate
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. 91 eligible stays.
10.2% this home
No different from the national rate
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. 93 eligible stays.
6.6% this home
No different from the national rate
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. 54 eligible stays.
84.0% this home
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. 50 residents counted.
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. 60 residents counted.
0.0% 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. 60 residents counted.
100.0% this home
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. 34 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.
Legal business name: NORTH BIG HORN HOSPITAL DISTRICT. CMS links this home to Rocky Mountain Care, a group of 10 nursing homes averaging 3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bangerte, Nathan | Managing control - governing body | Individual | 11/01/2025 | |
| Bangerter, Edward | Managing control - governing body | Individual | 11/01/2025 | |
| Bangerter, Johnathan | Managing control - governing body | Individual | 11/01/2025 | |
| Beeman, Raymond | Managing control - governing body | Individual | 09/22/2022 | |
| Boardman, Laura | Managing control - governing body | Individual | 09/22/2022 | |
| Darby, Megan | Managing control - governing body | Individual | 11/01/2025 | |
| Gatherum, Jason | Managing control - governing body | Individual | 11/01/2025 | |
| Hale, Fredrick | Managing control - governing body | Individual | 09/22/2022 | |
| Hansen, Kent | Managing control - governing body | Individual | 11/01/2025 | |
| Mikesell, Bradley | Managing control - governing body | Individual | 09/22/2022 | |
| Morrison, Robert | Managing control - governing body | Individual | 09/30/2025 | |
| Neves, Courtney | Managing control - governing body | Individual | 11/01/2025 | |
| Owens, Jon | Managing control - governing body | Individual | 11/01/2025 | |
| Samuelson, Lance | Managing control - governing body | Individual | 09/22/2022 | |
| Simmons, Benjamin | Managing control - governing body | Individual | 09/30/2025 | |
| Snowball, Kelly | Managing control - governing body | Individual | 11/01/2025 | |
| Widdison, Alan | Managing control - governing body | Individual | 09/22/2022 | |
| Winterholler, David | Managing control - governing body | Individual | 09/30/2025 | |
| Connell, Eric | Corporate officer | Individual | 10/05/2020 | |
| Rocky Mountain Care Evanston Inc | Operational/managerial control | Organization | 09/15/2017 | |
| Bunot, Nancy | Operational/managerial control | Individual | 01/25/2008 | |
| Capener, Richard | Operational/managerial control | Individual | 11/01/2022 | |
| Connell, Eric | Operational/managerial control | Individual | 10/05/2020 | |
| Rocky Mountain Care Evanston Inc | Adp of the SNF | Organization | 11/11/2025 | |
| Rocky Mountain Care LLC | Adp of the SNF | Organization | 11/06/2025 | |
| Bangerter, Edward | Adp of the SNF | Individual | 12/30/2019 | |
| Bangerter, Johnathan | Adp of the SNF | Individual | 02/25/2020 | |
| Bunot, Nancy | Adp of the SNF | Individual | 01/25/2008 | |
| Capener, Richard | Adp of the SNF | Individual | 11/01/2022 | |
| Connell, Eric | Adp of the SNF | Individual | 10/05/2020 |
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.
Chosen from this home's own inspection record.
These are the official offices in Wyoming. NursingHomeClear cannot take or act on complaints.