Federal inspection record · CMS data as of October 1, 2026

Granite Rehabilitation and Wellness

3128 Boxelder Dr, Cheyenne, WY · (307) 634-7901

CMS overall rating

2 of 5

Compare with a nearby home →
Certified beds
146
Residents per day
83
Ownership
For-Profit
Chain
Evergreen Healthcare Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
April 1, 1973

1

How this home got 2 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Wyoming.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    2 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wyoming homes

Granite Rehabilitation and Wellness carries 76 inspection points. That is fewer than 34% of Wyoming's 35 rated homes.

5★4★3★2★1★+2 homes above 169.605102550100inspection points → fewer is better on the leftThis home · 76 pts · 2★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wyoming: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–14 pts
  • 4★ 14–31 pts
  • 3★ 31–71 pts
  • 2★ 71–106 pts
  • 1★ over 106 pts

Bars show every rated home in Wyoming by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

26 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 3 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 12 4 pts
E 8 8 pts
F 3 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

Harm and immediate-jeopardy citations (3)

  1. G

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    March 26, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected May 8, 2026

  2. G

    Provide enough food/fluids to maintain a resident's health.

    March 26, 2026 · Standard inspection · Quality of Life and Care · F692 · Corrected May 8, 2026

  3. G

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    June 24, 2025 · Complaint inspection · Quality of Life and Care · F740 · Corrected July 19, 2025

Everything else, by area of care

Quality of Life and Care7E
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 7, 2026 · Complaint · F684 · Not yet marked corrected

  2. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    March 26, 2026 · Standard · F684 · Corrected May 8, 2026

  3. D

    Provide activities to meet all resident's needs.

    August 7, 2024 · Standard · F679 · Corrected September 9, 2024

  4. D

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

    August 7, 2024 · Standard · F742 · Corrected September 9, 2024

  5. E

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    April 12, 2024 · Complaint · F677 · Corrected May 13, 2024

  6. E

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 11, 2023 · Complaint · F684 · Corrected October 29, 2023

  7. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    May 25, 2023 · Standard · F690 · Corrected June 23, 2023

Nutrition and Dietary5F
  1. D

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    March 26, 2026 · Complaint · F812 · Corrected May 8, 2026

  2. F

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    April 12, 2024 · Complaint · F802 · Corrected May 13, 2024

  3. E

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    April 12, 2024 · Complaint · F804 · Corrected May 13, 2024

  4. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    May 25, 2023 · Standard · F812 · Corrected June 23, 2023

  5. D

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    May 25, 2023 · Standard · F800 · Corrected June 23, 2023

Resident Rights3E
  1. 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.

    March 26, 2026 · Standard · F584 · Corrected May 8, 2026

  2. D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    June 24, 2025 · Complaint · F627 · Corrected July 19, 2025

  3. E

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    April 12, 2024 · Complaint · F585 · Corrected May 13, 2024

Pharmacy Service3E
  1. E

    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.

    August 7, 2024 · Standard · F758 · Corrected September 9, 2024

  2. E

    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.

    August 7, 2024 · Standard · F761 · Corrected September 9, 2024

  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.

    May 25, 2023 · Standard · F758 · Corrected June 23, 2023

Infection Control3E
  1. D

    Provide and implement an infection prevention and control program.

    August 7, 2024 · Standard · F880 · Corrected September 9, 2024

  2. D

    Provide and implement an infection prevention and control program.

    April 12, 2024 · Complaint · F880 · Corrected May 13, 2024

  3. E

    Provide and implement an infection prevention and control program.

    May 25, 2023 · Standard · F880 · Corrected June 23, 2023

Nursing and Physician Services1F
  1. F

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    August 7, 2024 · Standard · F725 · Corrected September 9, 2024

Resident Assessment and Care Planning1D
  1. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    August 7, 2024 · Standard · F656 · Corrected September 9, 2024

Inspection history

  1. 2026-03-26

    6 health deficiencies · 9 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2024-08-07

    9 health deficiencies · 10 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  3. 2023-05-25

    11 health deficiencies · 11 fire-safety deficiencies

    Top issue: Nutrition and Dietary (4 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 22 min of nursing staff time a day, 44 min of it from a registered nurse.

This home

3 h 22 min

Wyoming average

3 h 59 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 55% of nursing staff and 57% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$59,018 in federal fines on record over the past three years.

DatePenaltyAmount
2026-03-26Fine$43,470
2025-06-24Fine$15,548

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.3 pts worse1.61.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better1.32.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.3 pts better97.3%94.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3.4 pts worse92.5%95.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury2.7 pts better2.3%5.0%3.2%
Percentage of long-stay residents who have depressive symptoms1.3 pts worse8.2%6.9%13.5%
Percentage of long-stay residents who lose too much weight0.5 pts better5.1%5.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication6.1 pts worse21.4%15.3%19.5%
Percentage of long-stay residents who received an antipsychotic medication7.6 pts better13.8%21.4%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1 pts better13.4%14.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased5.9 pts better11.3%17.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.1 pts better0.3%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection2 pts better1.0%3.0%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.6 pts better18.8%21.4%18.3%
Percentage of long-stay residents with pressure ulcers2.5 pts better2.0%4.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.9 pts worse59.5%77.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit9.4 pts worse25.3%15.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better0.0%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.6 pts worse61.8%74.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission5.1 pts worse22.4%17.3%23.4%

·

Who owns and runs it

23 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Connell, EricOperational/Managerial Control · Individual0%14 facilities
Connell, EricAdp Of The SNF · Individual0%14 facilities
Couve Financial Services LLCOperational/Managerial Control · Organization0%41 facilities
Couve Financial Services LLCAdp Of The SNF · Organization0%41 facilities
Couve Healthcare Consulting LLCOperational/Managerial Control · Organization0%50 facilities
Couve Healthcare Consulting LLCAdp Of The SNF · Organization0%50 facilities
Dobson, JosephOperational/Managerial Control · Individual0%1 facilities
Dobson, JosephAdp Of The SNF · Individual0%1 facilities
Granite SNF Operations LLCOperational/Managerial Control · Organization0%1 facilities
Granite SNF Operations LLCAdp Of The SNF · Organization0%1 facilities
Granite SNF Realty LLCAdp Of The SNF · Organization0%1 facilities
Hancock, BrendaOperational/Managerial Control · Individual0%1 facilities
Hancock, BrendaAdp Of The SNF · Individual0%1 facilities
Morrison, RobertOperational/Managerial Control · Individual0%14 facilities
Pacific Northwest Opco Management LLCOperational/Managerial Control · Organization0%29 facilities
Pacific Northwest Opco Management LLCAdp Of The SNF · Organization0%29 facilities
Simmons, BenjaminOperational/Managerial Control · Individual0%14 facilities
Simmons, BenjaminAdp Of The SNF · Individual0%14 facilities
Spielman, ShimonOperational/Managerial Control · Individual0%48 facilities
Spielman, ShimonAdp Of The SNF · Individual0%48 facilities
Winterholler, DavidOperational/Managerial Control · Individual0%14 facilities
Yenowitz, YitzchokOperational/Managerial Control · Individual0%50 facilities
Yenowitz, YitzchokAdp Of The SNF · Individual0%50 facilities

·

Fire safety

30 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke13F
  1. F

    Install an approved automatic sprinkler system.

    March 26, 2026 · K351 · Corrected May 8, 2026

  2. E

    Have properly installed hallway dispensers for alcohol-based hand rub.

    March 26, 2026 · K325 · Corrected May 8, 2026

  3. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    March 26, 2026 · K321 · Corrected May 8, 2026

  4. D

    Inspect, test, and maintain automatic sprinkler systems.

    March 26, 2026 · K353 · Corrected May 8, 2026

  5. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    August 7, 2024 · K355 · Corrected August 31, 2024

  6. D

    Have approved installation, maintenance and testing program for fire alarm systems.

    August 7, 2024 · K345 · Corrected August 31, 2024

  7. D

    Install an approved automatic sprinkler system.

    August 7, 2024 · K351 · Corrected August 31, 2024

  8. D

    Inspect, test, and maintain automatic sprinkler systems.

    August 7, 2024 · K353 · Corrected August 31, 2024

  9. D

    Install corridor and hallway doors that block smoke.

    August 7, 2024 · K363 · Corrected August 31, 2024

  10. F

    Have approved installation, maintenance and testing program for fire alarm systems.

    May 25, 2023 · K345 · Corrected June 23, 2023

  11. F

    Inspect, test, and maintain automatic sprinkler systems.

    May 25, 2023 · K353 · Corrected June 23, 2023

  12. E

    Provide properly protected cooking facilities.

    May 25, 2023 · K324 · Corrected June 23, 2023

  13. E

    Install an approved automatic sprinkler system.

    May 25, 2023 · K351 · Corrected June 23, 2023

Egress6E
  1. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    March 26, 2026 · K223 · Corrected May 8, 2026

  2. D

    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.

    March 26, 2026 · K222 · Corrected May 8, 2026

  3. D

    Have exits that are accessible at all times.

    March 26, 2026 · K271 · Corrected May 8, 2026

  4. D

    Install emergency lighting that can last at least 1 1/2 hours.

    March 26, 2026 · K291 · Corrected May 8, 2026

  5. D

    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.

    August 7, 2024 · K222 · Corrected August 31, 2024

  6. D

    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.

    May 25, 2023 · K222 · Corrected June 23, 2023

Gas, Vacuum, and Electrical Systems5F
  1. D

    Ensure proper usage of power strips and extension cords.

    March 26, 2026 · K920 · Corrected May 8, 2026

  2. E

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    August 7, 2024 · K914 · Corrected August 31, 2024

  3. D

    Ensure precautions for handling oxygen cylinders and equipment are correctly followed.

    August 7, 2024 · K929 · Corrected August 31, 2024

  4. F

    Have generator or other power source capable of supplying service within 10 seconds.

    May 25, 2023 · K918 · Corrected June 23, 2023

  5. D

    Ensure proper usage of power strips and extension cords.

    May 25, 2023 · K920 · Corrected June 23, 2023

Services2F
  1. D

    Have properly installed electrical wiring and gas equipment.

    December 11, 2024 · K511 · Corrected January 2, 2025

  2. F

    Have elevators that firefighters can control in the event of a fire.

    May 25, 2023 · K531 · Corrected June 23, 2023

Construction2F
  1. F

    Meet other general requirements.

    August 7, 2024 · K100 · Corrected August 31, 2024

  2. F

    Meet other general requirements.

    May 25, 2023 · K100 · Corrected June 23, 2023

Emergency Preparedness1F
  1. F

    Implement emergency and standby power systems.

    May 25, 2023 · E41 · Corrected June 23, 2023

Miscellaneous1D
  1. D

    Have restrictions on the use of portable space heaters.

    May 25, 2023 · K781 · Corrected June 23, 2023

·

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