South Lincoln Nursing Center
711 Onyx St., Kemmerer, WY 83101 · Lincoln County · (307) 877-5717
24 certified beds, about 17 residents a day · Government - Hospital district · Medicaid since 1999
Inside a hospital Certified for Medicaid
Overall
3 of 5
Health inspections
2 of 5
Staffing
5 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 53A051 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 10, 2025, inspectors cited 9 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
None of its 24 health citations since January 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.80 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 1.53 of those hours.
38.1% 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.
501/23
803/24
907/25
201/26
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 24 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
12D
3E
4F
Potential for minimal harm
0A
2B
3C
January 6, 2026Complaint inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on review of medical records, staff interview, policy and procedure review, and review of the State Survey Agency incident database, the facility failed to ensure injuries of unknown source were reported to the State Agency within the required timeframe for 2 of 2 residents (#1, #2) reviewed for unexplained injuries. The census was 16.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on medical record review, staff and resident interview, and policy and procedure review, the facility failed to initiate an investigation following an injury of unknown source for 2 of 2 residents (#1, #2) reviewed for unexplained injuries. The census was 16.
July 10, 2025Standard inspection, Complaint inspection · 9 citations
- F Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Inspectors wroteBased on staff interview, review of the facility change in personnel form, and review of Wyoming's active nursing home administrator's licenses, the Governing Body failed to employ a qualified nursing home administrator. The census was 18.
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, resident and staff interview, medical record review, and policy and procedure review, the facility failed to ensure individual activities of preference were provided to 4 of 4 sample residents (#1, #5, #7, #18) reviewed for activities.
- E Ensure the activities program is directed by a qualified professional.
Inspectors wroteBased on resident and staff interview, the facility failed to ensure the activities program was directed by a qualified professional. The census was 18.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and policy and procedure review, the facility failed to ensure proper infection control practices for 1 of 2 sample residents (#15) reviewed for urinary catheters or urinary tract infections and during 1 of 1 meal observation. The census was 18.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on medical record review, staff interview, and policy procedure review, the facility failed to ensure residents' right to elect a cardiopulmonary resuscitation (CPR) status for 2 of 12 sample residents reviewed (#16, #18) for advance directives.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on medical record review, resident and staff interview, facility incident review, and policy and procedure review, the facility failed to protect the resident's right to be free from verbal abuse by a staff member for 1 of 2 sample residents (#2) reviewed with allegations of abuse.
- D Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure as needed (PRN) psychotropic medications were limited to 14 days or there was a documented rationale for 1 of 5 sample residents (#18) reviewed for unnecessary medications.
- C Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on resident and staff interview, the facility failed to ensure mail was delivered to residents, including on Saturday. The census was 18.
- C Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Inspectors wroteBased on employee file review, staff interview, abuse registry review, and policy and procedure review, the facility failed to ensure abuse registry verification for 1 of 3 sample CNAs #3 prior to resident contact. The census was 18.
March 28, 2024Standard inspection · 8 citations
- F 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.
Inspectors wroteBased on staff interview and personnel file review, the facility failed to ensure qualifications for the dietary manager were met. The census was 17.
- F Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on review of the resident council minutes, resident representative and staff interview, and review of the menu, the facility failed to follow the menu as written. The census was 17.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, review of the dishwasher and refrigerator/freezer temperature log sheets, manufacturer's instructions, the dietitian site visit reports, hot and cold food temperature logs, and the 2022 FDA Food Code, the facility failed to ensure a sanitary environment in 1 of 1 kitchen. The census was 17.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure an advanced directive was formulated for 2 of 16 residents (#11, #14) reviewed.
- D Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, resident interview, staff interview, and complaint log review, the facility failed to ensure procedures were in place for the protection of resident property from loss or theft for 1 of 16 residents reviewed (#4).
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure residents with limited range of motion received the appropriate restorative services to increase range of motion and/or prevent further decline for 1 of 2 residents (#9) reviewed for restorative services.
- 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 medical record review and staff interview, the facility failed to ensure residents were monitored for side effects of psychotropic medications for 2 of 5 residents (#5, #9) reviewed for unnecessary medications.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and profession standards review, the facility failed to ensure infection prevention techniques were followed for 3 random staff observations. The census was 17.
January 26, 2023Standard inspection · 5 citations
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on observation, medical record review, and staff interview, and policy and procedure review, the facility failed to ensure necessary equipment was provided for 1 of 3 sample residents (#11) who were reviewed for positioning.
- 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 staff interview, medical record review, 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 (#17) and failed to ensure appropriate behavior monitoring and non-pharmacological interventions were in place for 2 of 5 sample residents (#3, #17) reviewed for unnecessary medications.
- C 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.
Inspectors wroteBased on staff interview and review of job duties, the facility failed to ensure a full time DON. The census was 19.
- B Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Inspectors wroteBased on resident and staff interview, and policy and procedure review, the facility failed to ensure resident fund account statements were provided at least quarterly. The census was 19.
- B Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to develop and implement a comprehensive person-centered care plan for 2 of 10 sample residents (#8, #14) reviewed for care plans.
Fire safety inspections
35 fire safety citations on file: 19 on July 10, 2025, 5 on March 28, 2024, 11 on January 26, 2023.
Every fire safety citation35 citations
- F Conduct risk assessment and an All-Hazards approach.
- F Develop Emergency Preparedness policies and procedures.
- F Address subsistence needs for staff and patients.
- F Establish policies and procedures including evacuation.
- F Establish policies and procedures for sheltering.
- F Provide family notifications of emergency plan.
- F Establish emergency prep training and testing.
- F Establish staff and initial training requirements.
- F Conduct testing and exercise requirements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure that testing and maintenance of electrical equipment is performed.
- E Provide properly protected cooking facilities.
- D Provide large enough exits.
- D Have properly installed hallway dispensers for alcohol-based hand rub.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Install corridor and hallway doors that block smoke.
- D To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Provide emergency officials' contact information.
- F Provide a means of sharing information on occupancy/needs.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- F Conduct risk assessment and an All-Hazards approach.
- F Include a process for Emergency Preparedness collaboration.
- F Establish roles under a Waiver declared by secretary.
- F Provide emergency officials' contact information.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Have restrictions on the use of highly flammable decorations.
- D Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| January 6, 2026 | Payment Denial | 5 days from March 28, 2026 |
| July 10, 2025 | Payment Denial | 59 days from October 10, 2025 |
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) | 4.80 | 3.87 | 3.86 |
| Registered nurses | 1.53 | 0.94 | 0.69 |
| All nursing staff on weekends | 3.79 | 3.37 | 3.42 |
| Nurse aides | 2.65 | ||
| Licensed practical nurses | 0.63 | ||
| Nursing staff turnover (share who left in a year) | 38.1% | 51.8% | 45.8% |
| Registered nurse turnover | not reported | 44.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.66 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 5.22 on weekdays and 3.79 on weekends, 27% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.69 in April to June 2025 to 4.80 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 | 4.80 | 1.53 | 5.22 | 3.79 | 2.9% | 0 of 90 | 17 |
| Oct to Dec 2025 | 4.84 | 1.35 | 5.32 | 3.63 | 0.0% | 0 of 92 | 18 |
| Jul to Sep 2025 | 4.46 | 1.05 | 4.84 | 3.50 | 0.0% | 0 of 92 | 17 |
| Apr to Jun 2025 | 4.69 | 0.83 | 5.04 | 3.81 | 4.4% | 4 of 91 | 17 |
| 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 | 20.3 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.5 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 6.1 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 28.5 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.0 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.3 | 21.8 | 15.4 |
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 do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on July 10, 2025: "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."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on January 6, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on July 10, 2025: "Provide activities to meet all resident's needs."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on March 28, 2024: "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."
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 South Lincoln Nursing Center's Medicare star rating?
- CMS rates South Lincoln Nursing Center 3 out of 5 stars overall, with 2 for health inspections, 5 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did South Lincoln Nursing Center get at its last inspection?
- 9 health deficiencies at the standard inspection on July 10, 2025. The Wyoming average is 7.8.
- Has South Lincoln Nursing Center been fined?
- CMS lists no fines in the last three years.
- Does South Lincoln Nursing Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns South Lincoln Nursing 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.