Federal inspection record · CMS data as of October 1, 2026
Heritage Home
550 Fremont Lake Road, Pinedale, WY · (307) 367-4161
- Certified beds
- 50
- Residents per day
- 45
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 20, 1982
1
How this home got 4 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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wyoming.
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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.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wyoming homes
Heritage Home carries 24 inspection points. That is fewer than 74% of Wyoming's 35 rated homes.
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
11 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
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 (1)
-
G
Ensure that residents are free from significant medication errors.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation3D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service3D
- 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.
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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.
Resident Assessment and Care Planning2E
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care1E
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspection history
2025-06-12
3 health deficiencies · 1 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2024-02-23
4 health deficiencies · 1 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-02-02
4 health deficiencies · 6 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 32 min of nursing staff time a day, 1 h 29 min of it from a registered nurse.
This home
4 h 32 min
Wyoming average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$9,718 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-19 | Fine | $9,718 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 0.6 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.9 pts better | 1.3 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts worse | 91.0% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.2 pts worse | 95.7% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better | 4.5% | 5.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms2.4 pts worse | 9.3% | 6.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.9 pts better | 4.7% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.3 pts worse | 17.6% | 15.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication14.7 pts worse | 36.1% | 21.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained2.5 pts worse | 2.6% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.3 pts worse | 23.7% | 14.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.5 pts worse | 19.7% | 17.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.2 pts worse | 2.6% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection5.6 pts worse | 8.6% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3 pts worse | 24.4% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts worse | 7.0% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts worse | 72.1% | 77.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit11.7 pts better | 4.2% | 15.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication4.1 pts worse | 5.7% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine5.6 pts better | 80.0% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission12.3 pts better | 5.0% | 17.3% | 23.4% |
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Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Sublette County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Armstrong, Mark | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Benander, Cheri | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Burnett, William | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Burnett, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| Eide Bailly Llp | Adp Of The SNF · Organization | 0% | 32 facilities |
| Freeman, John | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 2 facilities |
| Haynes, Julie | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Hollingsworth, Presley | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Mendes, Marissa | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Morkel, Derek | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Patten, William | Corporate Officer · Individual | 0% | 1 facilities |
| Patten, William | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Patten, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| St Charles, Carolyn | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Sublette County Hospital District | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Sublette County Hospital District | Adp Of The SNF · Organization | 0% | 1 facilities |
| Walker, Dawn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Walker, Dawn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wright, Marcella | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
8 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3E
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Provide properly protected cooking facilities.
- D
Inspect, test, and maintain automatic sprinkler systems.
Gas, Vacuum, and Electrical Systems2F
- F
Ensure that testing and maintenance of electrical equipment is performed.
- E
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Miscellaneous2F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have restrictions on the use of portable space heaters.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
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Other homes nearby
-
Morning Star Care Center
Fort Washakie, WY
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 5 h 38 min
- Fines
- $5,168
-
Mountain View Skilled Nursing Community at WLRC
Lander, WY · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- —
- Fines
- $82,700
-
Westward Heights Care Center
Lander, WY
★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 54 min
- Fines
- $0