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Thermopolis Rehabilitation and Wellness

1210 Canyon Hills Rd, Thermopolis, WY 82443 · Hot Springs County · (307) 864-5591

60 certified beds, about 39 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1994

Ownership changed in the last 12 months Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 535051 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on November 20, 2025, inspectors cited 3 health deficiencies (the Wyoming average is 7.8, the national average 9.2).

Of 15 health citations since April 2023, 2 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).

CMS lists 1 fine totaling $17,761 in the last three years; the largest was $17,761, and the latest is dated March 6, 2024.

Nurses and nurse aides worked 3.52 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.61 of those hours.

73.2% 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.

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 15 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
1K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
13D
0E
0F
Potential for minimal harm
0A
0B
0C
February 26, 2026Complaint inspection · 1 citation
  1. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 12, 2026
    Inspectors wroteBased on medical record review, staff interview, state survey agency incident database review, and policy and procedure review, the facility failed to accurately and timely report allegations of abuse for 1 of 13 sample residents (#1) reviewed for reportable allegations.
November 20, 2025Standard inspection · 3 citations
  1. 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) November 28, 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 during 1 random observation of mechanical lift transfers for a sample resident #3.
  2. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 28, 2025
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure residents were free from significant medication errors for 1 of 11 sampled residents (#40).
  3. 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) November 28, 2025
    Inspectors wroteBased on observation, staff interview, and review of policy and procedures, the facility failed to ensure effective infection prevention practices were implemented during one random observation of linen transportation.
October 23, 2025Complaint inspection · 2 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · 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) October 25, 2025
    Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure physician notification of a resident change in condition for 1 of 4 sample residents (#1) reviewed for a change of condition.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 25, 2025
    Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure residents receive quality of care and treatment to meet the resident's mental, physical, and psychosocial needs for 1 of 4 sample residents (#1) reviewed for diabetic treatment.
July 7, 2025Complaint inspection · 2 citations
  1. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2025
    Inspectors wroteBased on record review, resident representative and staff interview and policy and procedure review, the facility failed to meet professional standards of quality for 1 of 3 sample residents (#1) reviewed for diagnostic service orders.
  2. D
    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
    F776 · Administration · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2025
    Inspectors wroteBased on record review, resident representative and staff interview, and policy and procedure review, the facility failed to meet the needs of residents with regard to the quality and/or timeliness of providing radiology or other diagnostic services for 1 of 3 sample residents (#1) reviewed for diagnostic service orders.
June 27, 2024Standard inspection · 1 citation
  1. D
    Develop and implement policies and procedures for flu and pneumonia vaccinations.
    F883 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 31, 2024
    Inspectors wroteBased on medical record review, staff interview, and review of facility policies and CDC immunization recommendations, the facility failed to ensure residents were offered pneumococcal immunizations based on CDC recommendations for 1 of 5 sample residents (#11) reviewed for immunizations.
March 6, 2024Complaint inspection · 2 citations
  1. K
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · Immediate jeopardy to resident health or safety, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 1, 2024
    Inspectors wroteBased on observation, staff interview, and review of staffing schedules, review of the facility grievance log, and review of policy and procedure, the facility failed to respond to an allegation of abuse and protect the resident's right to be free from verbal abuse by a staff member for 1 of 1 sample resident (#1) reviewed. This failure resulted in a delay in an investigation which left the residents unprotected, and a determination of immediate jeopardy. The census was 28.
  2. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) April 1, 2024
    Inspectors wroteBased on medical record review, staff interview, facility grievance log review, policy and procedure review, and State Survey Agency incident database review, the facility failed to protect the resident's right to be free from verbal abuse by a staff member for 1 of 3 sample residents (#1) reviewed for abuse. This failure resulted in actual harm to resident #1 who experienced verbal abuse a reasonable person would have found humiliating, intimidating, demeaning, and degrading.
April 20, 2023Standard inspection · 4 citations
  1. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2023
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a written notice of transfer was provided to the resident or resident's representative for 2 of 2 sample residents (#36, #41) who were hospitalized .
  2. D
    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
    F691 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2023
    Inspectors wroteBased on observation, medical record review, resident interview, and staff interview, the facility failed to ensure ostomy care was provided according to the care plan for 1 of 1 residents with an ostomy (#24).
  3. 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.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2023
    Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure residents received a gradual dose reduction (GDR), unless contraindicated, for psychotropic medication for 1 of 5 sample residents (#5) reviewed for unnecessary medications.
  4. 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.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 31, 2023
    Inspectors wroteBased on observation, and staff interview, the facility failed to ensure medications for resident use were not expired in 1 of 3 medication storage units ( secure unit medication cart).

Fire safety inspections

19 fire safety citations on file: 5 on November 20, 2025, 5 on June 27, 2024, 9 on April 20, 2023.

Every fire safety citation19 citations
  1. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · November 20, 2025 · Corrected (the home has a date of correction)
  2. F
    Ensure proper usage of power strips and extension cords.
    K 920 · November 20, 2025 · Corrected (the home has a date of correction)
  3. E
    Provide properly protected cooking facilities.
    K 324 · November 20, 2025 · Corrected (the home has a date of correction)
  4. E
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · November 20, 2025 · Corrected (the home has a date of correction)
  5. E
    Properly install and monitor supervisory attachments on automatic sprinkler systems.
    K 352 · November 20, 2025 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · June 27, 2024 · Corrected (the home has a date of correction)
  7. F
    Have simulated fire drills held at unexpected times.
    K 712 · June 27, 2024 · Corrected (the home has a date of correction)
  8. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · June 27, 2024 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · June 27, 2024 · Corrected (the home has a date of correction)
  10. E
    Meet other general requirements.
    K 200 · June 27, 2024 · Corrected (the home has a date of correction)
  11. F
    Conduct testing and exercise requirements.
    E 39 · April 20, 2023 · Corrected (the home has a date of correction)
  12. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · April 20, 2023 · Corrected (the home has a date of correction)
  13. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · April 20, 2023 · Corrected (the home has a date of correction)
  14. F
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · April 20, 2023 · Corrected (the home has a date of correction)
  15. F
    Have simulated fire drills held at unexpected times.
    K 712 · April 20, 2023 · Corrected (the home has a date of correction)
  16. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · April 20, 2023 · Corrected (the home has a date of correction)
  17. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · April 20, 2023 · Corrected (the home has a date of correction)
  18. E
    Have corridors or aisles that are unobstructed and are at least 8 feet in width.
    K 232 · April 20, 2023 · Corrected (the home has a date of correction)
  19. E
    Provide properly protected cooking facilities.
    K 324 · April 20, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 6, 2024Fine $17,761

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.

MeasureThis homeWyomingUnited States
All nursing staff (RN, LPN and aides)3.523.873.86
Registered nurses0.610.940.69
All nursing staff on weekends3.293.373.42
Nurse aides2.45
Licensed practical nurses0.45
Nursing staff turnover (share who left in a year)73.2%51.8%45.8%
Registered nurse turnover66.7%44.1%42.9%
Administrators who left0

CMS expects 3.07 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 3.61 on weekdays and 3.29 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 33.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.04 in April to June 2025 to 3.52 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.520.613.613.29 33.5%0 of 9039
Oct to Dec 20253.810.813.923.52 21.7%0 of 9236
Jul to Sep 20253.970.794.063.75 14.5%0 of 9234
Apr to Jun 20254.040.794.273.46 5.7%0 of 9137
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Wyoming, Jan to Mar 20263.610.863.803.157.5%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. If you work here, your report helps start one.

Official wage estimates for Wyoming

JobMedianMiddle halfEmployed
Wyoming, all employers
CNAs (nursing assistants)$18.83$17.88 to $22.762,830
LPNs and LVNs$30.51$28.27 to $34.06480
Registered nurses$40.27$37.45 to $48.615,330
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Thermopolis Rehabilitation and Wellness. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

Your job
Employed by
Usual shift
Do you get a shift differential?
Optional questions
Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

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.

MeasureThis homeWyomingUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
23.516.813.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.61.50.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.03.01.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.64.73.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.91.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
22.615.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
1.04.64.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
15.521.815.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
14.518.923.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.116.712.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.11.31.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.52.31.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Thermopolis Rehabilitation and Wellness's Medicare short-stay residents. On returning residents home or to the community, CMS rates it worse than the national rate (34.3% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

34.3% this home

Worse than 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. 49 eligible stays.

Potentially preventable readmissions

10.1% 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. 46 eligible stays.

Infections that led to a hospital stay

7.8% 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. 31 eligible stays.

Self-care and mobility at discharge

40.0% 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. 35 residents counted.

Falls with major injury

4.2% 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. 48 residents counted.

New or worsened pressure ulcers

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. 47 residents counted.

Medication list given at discharge

82.1% 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. 28 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.

NameRoleTypeShareSince
Morrison, RobertCorporate directorIndividual09/30/2025
Simmons, BenjaminCorporate directorIndividual09/30/2025
Winterholler, DavidCorporate directorIndividual09/30/2025
Connell, EricCorporate officerIndividual09/30/2025
Couve Financial Services LLCOperational/managerial controlOrganization09/30/2025
Couve Healthcare Consulting LLCOperational/managerial controlOrganization09/30/2025
Pacific Northwest Opco Management LLCOperational/managerial controlOrganization09/30/2025
Thermopolis SNF Operations, LLCOperational/managerial controlOrganization09/30/2025
Spielman, ShimonOperational/managerial controlIndividual09/30/2025
Stannard, AndreaOperational/managerial controlIndividual09/30/2025
Weyer, JasonOperational/managerial controlIndividual09/30/2025
Yenowitz, YitzchokOperational/managerial controlIndividual09/30/2025
Couve Financial Services LLCAdp of the SNFOrganization10/30/2025
Couve Healthcare Consulting LLCAdp of the SNFOrganization10/30/2025
Pacific Northwest Opco Management LLCAdp of the SNFOrganization10/15/2025
Thermopolis SNF Operations, LLCAdp of the SNFOrganization10/30/2025
Thermopolis SNF Realty LLCAdp of the SNFOrganization10/15/2025
Connell, EricAdp of the SNFIndividual09/30/2025
Spielman, ShimonAdp of the SNFIndividual09/30/2025
Stannard, AndreaAdp of the SNFIndividual09/30/2025
Weyer, JasonAdp of the SNFIndividual09/30/2025
Yenowitz, YitzchokAdp of the SNFIndividual09/30/2025

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.

  1. 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 February 26, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on November 20, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
  3. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on November 20, 2025: "Ensure that residents are free from significant medication errors."
  4. 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 November 20, 2025: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.29 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.

Common questions

What is Thermopolis Rehabilitation and Wellness's Medicare star rating?
CMS rates Thermopolis Rehabilitation and Wellness 3 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Thermopolis Rehabilitation and Wellness get at its last inspection?
3 health deficiencies at the standard inspection on November 20, 2025. The Wyoming average is 7.8.
Has Thermopolis Rehabilitation and Wellness been fined?
Yes. CMS lists 1 fine totaling $17,761 in the last three years.
Does Thermopolis 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 Thermopolis Rehabilitation and Wellness?
CMS lists 22 owners and managers, and links the home to Evergreen Healthcare Group. Legal business name: NORTH BIG HORN HOSPITAL DISTRICT.

Sources

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