Wyoming Retirement Center
890 Us Hwy 20 South, Basin, WY 82410 · Big Horn County · (307) 568-2431
90 certified beds, about 69 residents a day · Government - State · Medicare and Medicaid since 1984
CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535021 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 1, 2026, inspectors cited 4 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 17 health citations since September 2023, 6 were rated as actual harm or immediate jeopardy to residents.
CMS lists 3 fines totaling $146,485 in the last three years; the largest was $105,284, and the latest is dated October 24, 2025.
Nurses and nurse aides worked 0.39 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
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.
309/23
112/23
105/24
107/24
612/24
110/25
407/26
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 17 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
6G
0H
0I
Potential for more than minimal harm
6D
5E
0F
Potential for minimal harm
0A
0B
0C
July 1, 2026Standard inspection · 4 citations
- E 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, staff interviews, medical record review, and review of facility policy, the facility failed to ensure entrapment risk was assessed, review the risks and benefits of bed rails with the resident or representative, or obtain informed consent prior to installation for 4 of 4 sample residents (#1, #6, #9, #25) reviewed for use of bed rails. The census was 49.
- E 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 offer and/or provide influenza and pneumococcal vaccinations to 5 of 5 sample residents (#9, #12, #29, #36, #56) reviewed for immunization status.
- E Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Inspectors wroteBased on medical record review, staff interview, Centers for Disease Control and Prevention (CDC) recommendation review, and policy and procedure review, the facility failed to offer and/or provide COVID-19 vaccination to 5 of 5 sample residents (#9, #12, #29, #36, #56) reviewed for immunization status.
- 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, and policy and procedure review, the facility failed to properly label and identify resident medications and failed to label opened multi-dose vials with the expiration and discard dates in 1 of 5 medication storage areas (North medication room). The census was 63.
October 24, 2025Complaint inspection · 1 citation
- 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, staff interview, facility incident review, and policy review, the facility failed to protect the residents' right to be free from physical abuse by another resident for 1 of 12 sample residents (#1) reviewed for allegations of abuse. This failure resulted in actual physical harm to resident #1.
December 12, 2024Standard inspection, Complaint inspection · 6 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, incident review, staff interview, and policy and procedure review, the facility failed to protect the residents' right to be free from physical abuse by a resident for 3 of 12 sample residents (#29, #71, #73) and verbal abuse by a staff member for 1 of 12 sample residents (#72). This failure resulted in actual physical harm to resident #71 and mental harm, based on a reasonable person, to resident #72.
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on incident review, medical record review, staff interview, and policy review, the facility failed to ensure residents were free of accidents for 2 of 9 sample residents (#48, #78) reviewed for accident hazards. This failure resulted in actual harm to residents #48 and #78.
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on incident and grievance review, resident and staff interview, state survey agency incident database review, and policy and procedure review, the facility failed to ensure allegations of abuse were reported timely for 3 of 12 sample residents (#24, #29, #33) reviewed for abuse allegations.
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on medical record review, resident and staff interview, facility incident and grievance review, and policy and procedure review, the facility failed to ensure allegations of abuse were thoroughly investigated for 2 of 12 sample residents (#24, #33) with reviewed for abuse.
- 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 medical record review, staff interview, facility investigation review, and policy review, the facility failed to implement treatment in accordance with the care plan for 1 of 9 sample residents (#48) reviewed for accident hazards.
- 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, staff interview, and policy and procedure review, the facility failed to ensure target symptoms were identified and monitored for 1 of 5 sample residents (#36) and failed to ensure PRN orders for psychotropic medications were limited to 14 days for 1 of 5 sample residents (#67) reviewed for unnecessary psychotropic medications.
July 3, 2024Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on review of incident reports and facility documentation, staff and resident interviews, medical record review, and review of facility policies, the facility failed to ensure the resident was free from verbal abuse by another resident for 2 of 4 allegations reviewed (residents #5 and #7), which resulted in psychosocial harm to resident to resident #5.
May 23, 2024Complaint inspection · 1 citation
- 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, staff and resident interviews, and review of incident documentation, the facility failed to ensure residents were free from abuse by other residents for 1 of 3 allegations of abuse reviewed (#1). Resident #1 experienced physical and psychosocial harm as a result of an interaction with another resident.
December 28, 2023Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, medical record review, resident representative and staff interview, state survey agency incident database review, and policy and procedure review, the facility failed to protect the resident's right to be free from physical abuse by another resident for 2 of 4 sample residents (#2, #4) reviewed for abuse allegations. This failure resulted in actual harm to resident #2 and resident #4 who sustained injuries during a resident-to-resident altercation.
September 28, 2023Standard inspection · 3 citations
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review, staff interview, MDS 3.0 RAI manual review, and policy and procedure review, the facility failed to ensure MDS assessment information was an accurate reflection of resident status for 2 of 18 sample residents (#19, #25).
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure an adequate assessment was performed and appropriate interventions were implemented for 1 of 4 sample residents (#25) reviewed for nutrition.
- 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, staff interview and facility policy review, the facility failed to ensure a gradual dose reduction or risk versus benefit was performed for 1 of 5 sample residents (#39) reviewed for unnecessary medications. In addition, the facility failed to ensure as needed psychotropic medications were not ordered for greater than 14 days without physician rationale for 1 of 5 sample residents (#4) unnecessary medications.
Fire safety inspections
17 fire safety citations on file: 3 on July 1, 2026, 3 on December 12, 2024, 11 on September 28, 2023.
Every fire safety citation17 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Provide properly protected cooking facilities.
- E Inspect, test, and maintain automatic sprinkler systems.
- F Establish policies and procedures for volunteers.
- F Have simulated fire drills held at unexpected times.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Provide primary/alternate means for communication.
- F Establish methods for sharing information.
- F Provide a means of sharing information on occupancy/needs.
- F Provide family notifications of emergency plan.
- F Conduct testing and exercise requirements.
- F Implement emergency and standby power systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- F Ensure proper usage of power strips and extension cords.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 24, 2025 | Fine | $105,284 |
| December 12, 2024 | Fine | $29,153 |
| July 3, 2024 | Fine | $12,048 |
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) | 0.39 | 3.87 | 3.86 |
| Registered nurses | 0.39 | 0.94 | 0.69 |
| All nursing staff on weekends | 0.22 | 3.37 | 3.42 |
| Nurse aides | 0.00 | ||
| Licensed practical nurses | 0.00 | ||
| Nursing staff turnover (share who left in a year) | not reported | 51.8% | 45.8% |
| Registered nurse turnover | not reported | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.22 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 0.47 on weekdays and 0.22 on weekends, 53% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.12 in April to June 2025 to 0.39 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 | 0.39 | 0.39 | 0.47 | 0.22 | 0.0% | 0 of 90 | 69 |
| Oct to Dec 2025 | 0.84 | 0.38 | 0.95 | 0.56 | 0.0% | 1 of 92 | 73 |
| Jul to Sep 2025 | 4.01 | 0.57 | 4.20 | 3.55 | 0.0% | 1 of 92 | 74 |
| Apr to Jun 2025 | 5.12 | 0.84 | 5.47 | 4.25 | 0.0% | 0 of 91 | 68 |
| 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
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.
Official wage estimates for Wyoming
| 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.
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 | 11.4 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 3.6 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.1 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.8 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 16.0 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.5 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 36.2 | 21.8 | 15.4 |
| 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 | 2.8 | 2.3 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Wyoming Retirement Center's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The data for this measure is missing or was not submitted. Call the facility to discuss this quality measure.
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: STATE OF WYOMING.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| State of Wyoming | 5% or greater direct ownership interest | Organization | 100% | 05/23/1985 |
| Taylor-Thomas, Marla | 5% or greater indirect ownership interest | Individual | 05/01/2023 | |
| Taylor-Thomas, Marla | Operational/managerial control | Individual | 05/01/2023 | |
| State of Wyoming | Adp of the SNF | Organization | 05/23/1984 | |
| Taylor-Thomas, Marla | Adp of the SNF | Individual | 05/01/2023 |
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 are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on October 24, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- 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 July 1, 2026: "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."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on July 1, 2026: "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."
- 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 July 1, 2026: "Develop and implement policies and procedures for flu and pneumonia vaccinations."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 0.22 hours per resident per day, below the Wyoming average of 3.37.
Other nursing homes nearby
- Worland Health and Rehabilitation Worland, 24.6 mi · 1 of 5 stars · 21 citations
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 Wyoming Retirement Center's Medicare star rating?
- CMS rates Wyoming Retirement Center 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Wyoming Retirement Center get at its last inspection?
- 4 health deficiencies at the standard inspection on July 1, 2026. The Wyoming average is 7.8.
- Has Wyoming Retirement Center been fined?
- Yes. CMS lists 3 fines totaling $146,485 in the last three years.
- Does Wyoming Retirement Center 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 Wyoming Retirement Center?
- CMS lists 5 owners and managers. Legal business name: STATE OF WYOMING.
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.