1002 Forest Dr, Riverton, WY 82501 · Fremont County · (307) 856-9471
81 certified beds, about 59 residents a day · For profit - Corporation · Medicare and Medicaid since 1988
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535031 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on June 26, 2025, inspectors cited 7 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 36 health citations since December 2022, 2 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $25,984 in the last three years; the largest was $25,984, and the latest is dated March 14, 2024.
Nurses and nurse aides worked 3.24 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.70 of those hours.
54.7% of nursing staff left within the year CMS measured (Wyoming average 51.8%).
CMS links it to Evergreen Healthcare Group, an affiliated group of 43 nursing homes.
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 36 health citations on file.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure catheter care was provided according to physician orders for 1 of 3 sample residents (#3) reviewed.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure laboratory reports were in the residents medical record for 1 of 3 sample residents (#3) reviewed. The census was 56.
Inspectors wroteBased on medical record review, staff interview, facility medication error report review, and in-service education review, the facility failed to ensure medications were available for 1 of 4 sample residents reviewed for medication administration. Corrective measures were implemented prior to the survey and compliance was determined to be met on 1/21/26.
Inspectors wroteBased on observation, staff interview, record review and policy and procedure review, the facility failed to ensure enhanced barrier precautions were implemented for 1 of 3 sample residents (#4) during wound care.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure a clean environment free of odors in 1 of 4 resident care units. The census was 55.
Inspectors wroteBased on observation, staff interview, policy and procedure review, and the 2022 FDA Food Code, the facility failed to ensure a sanitary environment in 1 of 1 kitchen. The census was 55.
Inspectors wroteBased on observation, staff interview, medical record review, and policy and procedure review, the facility failed to ensure infection prevention practices were implemented for 1 of 2 sample residents (#25) reviewed for foley catheters, for 1 of 1 sample resident (#51) with a UTI, for 2 of 2 sample residents (#27, #29) reviewed for respiratory health, for 1 of 4 sample residents (#3) reviewed for medication administration, and during 1 random observation of linen transportation.
Inspectors wroteBased on observation, medical record review, and staff and resident interview, the facility failed to ensure accommodation of resident needs for 1 of 14 sample residents (#1) reviewed. The census was 55.
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 2 of 3 sample residents (#1, #43) reviewed for activities.
Inspectors wroteBased on observation, record review, staff interview, resident interview, representative interview, and policy review the facility failed to ensure residents were safe for 1 of 2 residents (#7) reviewed for elopement. Corrective measures were implemented prior to the survey and compliance was determined to be met on 6/6/25.
Inspectors wroteBased on observation, medical record review, policy and procedure review, and manufacturer recommendation review, the facility failed to ensure medication error rates were not greater than 5% during medication administration for 1 of 4 sample residents (#3) observed during medication administration. The medication error rate was 7.69%, 2 out 26 observations.
Inspectors wroteBased on medical record review, staff interview, and review of facility investigation and education documentation, the facility failed to ensure residents were free from physical abuse by other residents for 1 of 4 residents (#10) reviewed for allegations of abuse.
Inspectors wroteBased on medical record review and staff and physician interview, the facility failed to ensure monitoring in accordance with physician's orders for 2 of 2 sample residents (#14, #16) with edema.
Inspectors wroteBased on medical record review, staff and physician interview, and review of policies, the facility failed to provide care in accordance with physician's orders and professional standards of practice for 2 of 2 sample residents (#7, #8) with pressure ulcers.
Inspectors wroteBased on medical record review and staff interview, the facility failed to provide medications to meet the needs of the resident for 1 of 11 sample residents (#13).
Inspectors wroteBased on observation, medical record review, and staff and resident interview, the facility failed to promptly identify and intervene for an acute change in condition for 2 of 4 sample residents (#29, #31) who experienced a change in condition. This failure resulted in actual harm to residents #29 and #31 who experienced changes in condition including limited movement and pain following a fall and did not receive a thorough assessment in a timely manner to assess for injuries based on their signs and symptoms.
Inspectors wroteBased on observation, medical record review, staff and resident interview, and review of policies and procedures, the facility failed to adequately treat pain for 1 of 6 sample residents (#29) reviewed for pain management. This failure resulted in actual harm to resident #2 who experienced a change in condition including limited movement and pain following a fall and was not treated for severe pain.
Inspectors wroteBased on observation, staff interview, and review of the 2022 Food Code, the facility failed to store and prepare food in accordance with professional standards related to expired food, hair restraints, and hand hygiene/gloving during 3 of 3 observations in the kitchen and 1 of 1 observation of tray line service.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure a safe environment for residents, staff, and public. The census was 56.
Inspectors wroteBased on observation, review of the menu, and staff interview, the facility failed to ensure the menu was followed for 1 of 1 meals observed for meal preparation and tray line service.
Inspectors wroteBased on medical record review, staff interview, resident representative interview, and resident rights review, the facility failed to ensure 1 of 25 sample residents (#54) was treated with dignity and care in a manner that promoted quality of life.
Inspectors wroteBased on resident representative and staff interview, medical record review, facility grievance log review, and policy and procedure review, the facility failed to ensure the grievance procedure was followed for 1 of 6 sample residents (#104) reviewed for reported grievances.
Inspectors wroteBased on observation, medical record review, and staff and resident interviews, the facility failed to provide necessary treatment to promote healing for 2 of 5 sample residents (#50, #105) with pressure ulcers.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure therapeutic diets were provided in accordance with physician's orders during 1 of 3 meal observations. Random observations showed thickened liquids were not appropriately provided for resident #28 and resident #43. The following concerns were identified: 1. Observation on 3/11/24 at 5:03 PM showed CNA #2 obtained a small container of white powder which was not covered, labeled, or dated, she referred to as thickener, from on top of the book shelf in the dining room. The CNA dumped the contents of the container into a plastic cup, then poured hot cocoa into the cup. The CNA stirred the contents briefly and provided to the cup of fluid to resident #28. The resident took a drink of the fluid and coughed several times after drinking. [...]
Inspectors wroteBased on observation, staff interview, and professional reference review, the facility failed to ensure infection prevention techniques were followed for 1 of 5 sample residents (#50) during wound care.
Inspectors wroteBased on observation, resident, resident representative and staff interview, medical record review, and staffing log review, the facility failed to ensure adequate staff to meet the needs of the residents. The census was 59.
Inspectors wroteBased on medical record review, resident and staff interview, and policy and procedure review, the facility failed to ensure baths or showers were provided routinely for 3 of 4 sample residents (#7, #42, #56) who required assistance with bathing.
Inspectors wroteBased on observation and staff interview, the facility failed to ensure water did not reach hazardous temperatures for residents on 3 of 3 units (front unit, back unit, secure unit).
Inspectors wroteBased on observation and staff interview, the facility failed to ensure food was properly stored in 1 of 1 kitchen.
Inspectors wroteBased on observation, review of facility reportable incidents, staff interview, review of the facility's COVID surveillance documentation, Centers for Disease Control (CDC) guidelines and policy and procedure review, the facility failed to ensure infectious disease outbreaks were reported as required, and failed to ensure infection control practices were implemented for 5 random observations. The census was 59.
Inspectors wroteBased on review of the facility's resident immunization documentation, medical record review, and staff interview, the facility failed to ensure documentation related to the education, administration, refusal, or medical contraindication of immunizations was included in the medical record for 3 of 5 residents (#18, #34, #40) reviewed for immunizations.
Inspectors wroteBased on medical record review, resident and staff interview, review of facility grievances, and policy and procedure review, the facility failed to ensure grievances were resolved for 1 of 2 sample residents (#56) reviewed for grievances.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure a comprehensive care plan was developed for 3 of 15 sample residents (#15, #28, #49).
Inspectors wroteBased on medical record review and staff interview, the facility failed to revise the care plan to reflect the resident's needs after a comprehensive assessment for 1 of 15 (#34) sample residents reviewed.
Inspectors wroteBased on medical record review, and resident representative and staff interview, the facility failed to ensure residents received services to maintain range of motion for 2 of 2 residents (#19, #37) reviewed for range of motion.
Inspectors wroteBased on staff interview, medical record and policy and procedure review, the facility failed to ensure PRN (as needed) orders for anti-psychotic medications were limited to 14 days for 1 of 5 sample residents (#34). In addition the facility failed to ensure the physician provided a rationale for contraindication to a dose reduction for 1 of 5 sample residents (#43) reviewed for psychotropic medications.
31 fire safety citations on file: 6 on June 26, 2025, 8 on March 14, 2024, 17 on December 8, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| March 14, 2024 | Fine | $25,984 |
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) | 3.24 | 3.87 | 3.86 |
| Registered nurses | 0.70 | 0.94 | 0.69 |
| All nursing staff on weekends | 2.97 | 3.37 | 3.42 |
| Nurse aides | 2.18 | ||
| Licensed practical nurses | 0.36 | ||
| Nursing staff turnover (share who left in a year) | 54.7% | 51.8% | 45.8% |
| Registered nurse turnover | 16.7% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.47 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 3.34 on weekdays and 2.97 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 7.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.57 in April to June 2025 to 3.24 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 | 3.24 | 0.70 | 3.34 | 2.97 | 7.4% | 0 of 90 | 59 |
| Oct to Dec 2025 | 3.34 | 0.70 | 3.50 | 2.94 | 6.2% | 0 of 92 | 59 |
| Jul to Sep 2025 | 3.69 | 0.74 | 3.87 | 3.24 | 6.0% | 0 of 92 | 56 |
| Apr to Jun 2025 | 3.57 | 0.78 | 3.79 | 3.02 | 10.0% | 0 of 91 | 52 |
| 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 | 17.4 | 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 | 1.6 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.0 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 1.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 14.8 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.0 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 18.4 | 21.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 22.2 | 18.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.4 | 16.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.5 | 2.3 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Wind River Rehabilitation and Wellness's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (60.1% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
60.1% 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. 79 eligible stays.
9.7% 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. 98 eligible stays.
7.0% 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. 63 eligible stays.
46.1% 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. 39 residents counted.
1.6% 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. 63 residents counted.
3.9% 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. 63 residents counted.
76.5% 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 Evergreen Healthcare Group, a group of 43 nursing homes averaging 2.4 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Morrison, Robert | Managing control - governing body | Individual | 09/30/2025 | |
| Simmons, Benjamin | Managing control - governing body | Individual | 09/30/2025 | |
| Couve Financial Services LLC | Operational/managerial control | Organization | 09/30/2025 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | Organization | 09/30/2025 | |
| Pacific Northwest Opco Management LLC | Operational/managerial control | Organization | 09/30/2025 | |
| Wind River SNF Operations, LLC | Operational/managerial control | Organization | 09/30/2025 | |
| Bender, Daniel | Operational/managerial control | Individual | 09/30/2025 | |
| Connell, Eric | Operational/managerial control | Individual | 09/30/2025 | |
| Morrison, Robert | Operational/managerial control | Individual | 09/30/2025 | |
| Simmons, Benjamin | Operational/managerial control | Individual | 09/30/2025 | |
| Spielman, Shimon | Operational/managerial control | Individual | 09/30/2025 | |
| Stauber, Monica | Operational/managerial control | Individual | 09/30/2025 | |
| Winterholler, David | Operational/managerial control | Individual | 09/30/2025 | |
| Yenowitz, Yitzchok | Operational/managerial control | Individual | 09/30/2025 | |
| Couve Financial Services LLC | Adp of the SNF | Organization | 10/24/2025 | |
| Couve Healthcare Consulting LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Pacific Northwest Opco Management LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Wind River SNF Operations, LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Wind River SNF Realty LLC | Adp of the SNF | Organization | 10/15/2025 | |
| Bender, Daniel | Adp of the SNF | Individual | 09/30/2025 | |
| Connell, Eric | Adp of the SNF | Individual | 09/30/2025 | |
| Simmons, Benjamin | Adp of the SNF | Individual | 09/30/2025 | |
| Spielman, Shimon | Adp of the SNF | Individual | 09/30/2025 | |
| Stauber, Monica | Adp of the SNF | Individual | 09/30/2025 | |
| Yenowitz, Yitzchok | Adp of the SNF | Individual | 09/30/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Wyoming. NursingHomeClear cannot take or act on complaints.