Summit Ridge Skilled Nursing & Rehabilitation
1108 Birch Street, Douglas, WY 82633 · Converse County · (307) 358-3397
60 certified beds, about 46 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1990
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535040 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on June 18, 2026, inspectors cited 7 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 29 health citations since August 2023, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 2 fines totaling $34,646 in the last three years; the largest was $19,696, and the latest is dated September 17, 2025.
Nurses and nurse aides worked 3.37 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.69 of those hours.
33.3% 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.
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 29 health citations on file.
June 18, 2026Standard inspection, Complaint inspection · 7 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 policy review, the facility failed to ensure the dietary manager met the required qualifications. The census was 49.
- 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 facility policy, and review of the 2022 FDA Food Code, the facility failed to ensure a sanitary environment in 1 of 1 kitchen, and failed to ensure outdated food was disposed of in 1 of 2 nourishment refrigerators. The census was 49.
- E 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 and staff interview, and policy review, the facility failed to ensure comfortable and safe temperature levels between the temperature range of 71 to 81 degrees F, in 1 of 2 dining areas (main dining room). The census was 49.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, medical record review, resident and staff interview, and policy and procedure review, the facility failed to ensure residents maintained acceptable parameters of nutritional status for 2 of 4 sample residents (#33, #40) reviewed for weight loss.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, medical record review, staff and resident interview, and policy and procedure review, the facility failed to ensure residents received appropriate treatment and services to attain their highest practicable physical, mental, and psychosocial well-being for 1 of 3 sample residents (#29) reviewed for dementia care.
- D 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.
Inspectors wroteBased on observation, staff interview, medical record review, and policy and procedure review, the facility failed to ensure proper storage of medications for 1 of 7 sample residents (#46) reviewed for medication administration.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, resident and staff interview, and medical record review, the facility failed to provide food that accommodated the resident's intolerances, and preferences for 1 of 2 sample residents (#40) reviewed for meal preferences.
April 30, 2026Complaint inspection · 1 citation
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, medical record review, and staff and resident interviews, the facility failed to ensure timely activities of daily living (ADL) care for dependent residents in 1 of 4 sampled residents (#3) reviewed for ADL care.
September 17, 2025Complaint inspection · 2 citations
- 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, resident representative and 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 another resident for 2 of 4 sample residents (#2, #4) reviewed for abuse. This failure resulted in actual harm to resident #2 and resident #4.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident, resident representative, and staff interview, medical record review, and policy review, the facility failed to ensure that a resident who required assistance for activities of daily living (ADL) received appropriate services to maintain grooming and hygiene for 1 of 3 sampled residents (#1) reviewed for ADLs.
January 3, 2025Complaint inspection · 3 citations
- D Honor the resident's right to manage his or her financial affairs.
Inspectors wroteBased on review of resident trust fund account statements, staff interview, and Medicaid eligibility review, the facility failed to ensure residents' right to manage their personal funds for 2 of 13 (#1, #2) sample residents with accounts at the facility.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on staff interview, medical record review, facility incident investigation review, facility performance improvement plan 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 5 (#3) residents involved in a resident-to-resident altercations. The facility implemented corrective action prior to the survey and was determined to be in substantial compliance as of [DATE].
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on the facility's abuse investigation forms, State Survey Agency incident database review, policy and procedure review, and staff interview, the facility failed to develop and/or implement policies and procedures for ensuring the reporting of the reasonable suspicion of a crime in for 2 of 5 sample residents (#3, #7) reviewed for allegations of abuse.
November 15, 2024Standard inspection, Complaint inspection · 8 citations
- G Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure residents with dementia received the appropriate treatment and services to attain their highest practicable physical, mental, and psychosocial well-being for 2 of 4 residents (#4, #97) reviewed for behavioral and emotional needs. This failure resulted in actual harm to resident #97.
- F Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on nursing staff schedule review and staff interview, the facility failed to have a system in place to document licensed nurses in the facility on a 24-hour basis.
- 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, the facility failed to ensure the dietary manager met the required qualifications. The facility census was 43.
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on staff interview and policy and procedure review, the facility failed to implement a water management program to prevent, detect, and control the risk of water-borne pathogens. In addition, the facility failed to conduct an annual review of its infection prevention and control program (IPCP). The census was 43.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on medical record review and staff interview, the facility failed to complete a discharge summary which included a recapitulation of the resident's stay for 1 of 4 resident-initiated discharges (#97) reviewed.
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, medical record review, policy and procedure review, and staff interview, the facility failed to ensure bed rails were evaluated for safety on a regular basis for 1 of 2 residents (#15) reviewed with bed rails.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure residents with dementia received the appropriate treatment and services to attain their highest practicable physical, mental, and psychosocial well-being for 1 of 4 residents (#98) reviewed for dementia care.
- D Provide medically-related social services to help each resident achieve the highest possible quality of life.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure medically related social services were provided for 1 of 1 sample residents (#4) reviewed with a PASRR (Preadmission Screening and Resident Review) Level II. The following concerns were identified: 1. Review of the 9/13/24 quarterly MDS showed resident #4 was re-admitted from the hospital to the facility on 3/1/24 and had diagnoses which included cerebrovascular accident, non-Alzheimer's dementia, depression and bipolar disorder. The resident had a BIMS score of 15 out of 15, which indicated the resident was cognitively intact. Further review showed the resident did not exhibit physical or verbal behavioral symptoms or rejection of care. [...]
August 30, 2023Standard inspection · 8 citations
- E 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, and review of the 2022 U.S. Public Health Service Food Code, the facility failed to ensure proper hand hygiene during 1 of 1 food preparation observations. The census was 42.
- D Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on review of beneficiary protection notice information, staff interview, and policy and procedure review, the facility failed to ensure the Notice of Medicare Provider Non-Coverage (NOMNC) and the Skilled Nursing Facility-Advanced Beneficiary Notice of Non-coverage (SNF-ABN) forms were issued to the resident or the resident's representative in a timely manner for 1 of 3 sample residents (#17) reviewed.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, medical record review, staff interview, and policy and procedure review, the facility failed to ensure a restraint was the least restrictive alternative, used for the least amount of time, and failed to inform and obtain consent from the resident or the resident's representative for the use of the restraint for 1 of 2 sample residents (#31) with restraints.
- 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 observation, staff interview, medical record review, manufacturer recommendations, and policy and procedure review, the facility failed to develop and implement resident care plans related to pressure-relieving devices for 2 of 4 residents reviewed (#10, #14) for pressure injuries.
- D Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to complete a discharge summary which included a recapitulation of the resident's stay for 1 of 1 resident (#42) reviewed for discharge to the community.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, staff interview, medical record review, manufacturer recommendations, and policy and procedure review, the facility failed to ensure pressure-relieving devices to prevent pressure injuries or deterioration of pressure injuries were used appropriately for 2 of 4 residents reviewed (#10, #14) for pressure injuries.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, medical record review, staff interview, and policy and procedure review, the facility failed to ensure infection prevention and control practices were implemented for 1 of 3 residents (#37) reviewed for wound care.
- D Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure vaccinations were offered and/or administered to 1 of 5 sample residents (#37) reviewed for immunizations.
Fire safety inspections
27 fire safety citations on file: 9 on June 18, 2026, 5 on November 15, 2024, 13 on August 30, 2023.
Every fire safety citation27 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Meet requirements for the installation and maintenance of electrical systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E 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.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Have proper medical gas storage and administration areas.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Install an approved automatic sprinkler system.
- D Properly select, install, inspect, or maintain portable fire extinguishes.
- D Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Have generator or other power source capable of supplying service within 10 seconds.
- F Implement emergency and standby power systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E 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.
- E Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E Have proper medical gas storage and administration areas.
- D Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Provide properly protected cooking facilities.
- D Have approved installation, maintenance and testing program for fire alarm systems.
- D Have properly installed electrical wiring and gas equipment.
- D Have restrictions on the use of highly flammable decorations.
- D Have restrictions on the use of portable space heaters.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| September 17, 2025 | Fine | $14,950 |
| November 15, 2024 | Fine | $19,696 |
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) | 3.37 | 3.87 | 3.86 |
| Registered nurses | 0.69 | 0.94 | 0.69 |
| All nursing staff on weekends | 2.97 | 3.37 | 3.42 |
| Nurse aides | 2.11 | ||
| Licensed practical nurses | 0.58 | ||
| Nursing staff turnover (share who left in a year) | 33.3% | 51.8% | 45.8% |
| Registered nurse turnover | 14.3% | 44.1% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.24 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 3.53 on weekdays and 2.97 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 21.8% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.26 in April to June 2025 to 3.37 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 | 3.37 | 0.69 | 3.53 | 2.97 | 21.8% | 0 of 90 | 46 |
| Oct to Dec 2025 | 3.25 | 1.02 | 3.44 | 2.78 | 20.4% | 0 of 92 | 42 |
| Jul to Sep 2025 | 2.53 | 0.74 | 2.71 | 2.06 | 1.1% | 11 of 92 | 46 |
| Apr to Jun 2025 | 3.26 | 0.75 | 3.45 | 2.78 | 0.0% | 0 of 91 | 41 |
| 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 | 21.0 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.9 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.9 | 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 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.5 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.6 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 14.8 | 21.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.4 | 18.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 19.3 | 16.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.3 | 1.8 |
Owners and operators
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 | 09/01/2025 | |
| Bangerter, Edward | Managing control - governing body | Individual | 09/01/2025 | |
| Bangerter, Johnathan | Managing control - governing body | Individual | 09/01/2025 | |
| Darby, Megan | Managing control - governing body | Individual | 09/01/2025 | |
| Gatherum, Jason | Managing control - governing body | Individual | 09/01/2025 | |
| Morrison, Robert | Managing control - governing body | Individual | 09/01/2025 | |
| Neves, Courtney | Managing control - governing body | Individual | 09/01/2025 | |
| Simmons, Benjamin | Managing control - governing body | Individual | 09/01/2025 | |
| Snowball, Kelly | Managing control - governing body | Individual | 04/01/2025 | |
| Summit Ridge Oc LLC | Operational/managerial control | Organization | 09/01/2025 | |
| Connell, Eric | Operational/managerial control | Individual | 09/01/2025 | |
| Lake, Crystal | Operational/managerial control | Individual | 09/01/2025 | |
| McMillan, Karli | Operational/managerial control | Individual | 09/01/2025 | |
| Morrison, Robert | Operational/managerial control | Individual | 09/01/2025 | |
| Simmons, Benjamin | Operational/managerial control | Individual | 09/01/2025 | |
| Winterholler, David | Operational/managerial control | Individual | 09/01/2025 | |
| Rocky Mountain Care LLC | Adp of the SNF | Organization | 09/24/2025 | |
| Summit Ridge Oc LLC | Adp of the SNF | Organization | 10/11/2025 | |
| Connell, Eric | Adp of the SNF | Individual | 09/01/2025 | |
| Lake, Crystal | Adp of the SNF | Individual | 09/01/2025 | |
| McMillan, Karli | Adp of the SNF | Individual | 09/01/2025 | |
| Simmons, Benjamin | Adp of the SNF | Individual | 09/01/2025 |
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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 9 problems in this area, most recently on June 18, 2026: "Provide enough food/fluids to maintain a resident's health."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 5 problems in this area, most recently on June 18, 2026: "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."
- 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 September 17, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on June 18, 2026: "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."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.97 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 Summit Ridge Skilled Nursing & Rehabilitation's Medicare star rating?
- CMS rates Summit Ridge Skilled Nursing & Rehabilitation 2 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Summit Ridge Skilled Nursing & Rehabilitation get at its last inspection?
- 7 health deficiencies at the standard inspection on June 18, 2026. The Wyoming average is 7.8.
- Has Summit Ridge Skilled Nursing & Rehabilitation been fined?
- Yes. CMS lists 2 fines totaling $34,646 in the last three years.
- Does Summit Ridge Skilled Nursing & Rehabilitation 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 Summit Ridge Skilled Nursing & Rehabilitation?
- CMS lists 22 owners and managers, and links the home to Rocky Mountain Care. 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.