Federal inspection record · CMS data as of October 1, 2026
Laramie Health and Rehabilitation
503 S 18th St, Laramie, WY · (307) 742-3728
- Cited for abuse (CMS abuse icon)
- Certified beds
- 105
- Residents per day
- 52
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 1, 1991
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.
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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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among Wyoming homes
Laramie Health and Rehabilitation carries 94 inspection points. That is fewer than 26% 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
29 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 (3)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Infection Control5F
- D
Provide and implement an infection prevention and control program.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Rights4E
- E
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
- D
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.
- 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.
Nutrition and Dietary4F
- E
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service4E
- 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.
- 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 a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Respond appropriately to all alleged violations.
- 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.
Nursing and Physician Services2F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D
Post nurse staffing information every day.
Quality of Life and Care2E
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Provide activities to meet all resident's needs.
Resident Assessment and Care Planning1D
- D
Ensure each resident receives an accurate assessment.
Environmental1E
- E
Have enough outside ventilation via a window or mechanical ventilation, or both.
Inspection history
2026-06-03
13 health deficiencies · 8 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
2024-10-10
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2023-07-27
9 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 37 min of it from a registered nurse.
This home
3 h 5 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 38% of registered nurses left in the past year, along with 1 administrator.
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
$35,880 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-22 | Fine | $35,880 |
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 days0.1 pts better | 1.2 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.7 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11 pts worse | 83.0% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.1 pts better | 100.0% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts better | 3.4% | 5.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms6.9 pts better | 0.0% | 6.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.3 pts worse | 9.9% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication12.2 pts better | 3.1% | 15.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7.5 pts better | 13.9% | 21.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.1 pts worse | 17.5% | 14.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.1 pts better | 17.1% | 17.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.5 pts better | 0.9% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 3.0% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.5 pts worse | 24.9% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts worse | 6.9% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.2 pts worse | 61.2% | 77.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit7.8 pts better | 8.1% | 15.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medicationAbout the same | 1.6% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.8 pts worse | 70.6% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.5 pts worse | 19.8% | 17.3% | 23.4% |
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Who owns and runs it
27 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 |
|---|---|---|---|
| Connell, Eric | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Connell, Eric | Adp Of The SNF · Individual | 0% | 14 facilities |
| Couve Financial Services LLC | Operational/Managerial Control · Organization | 0% | 41 facilities |
| Couve Financial Services LLC | Adp Of The SNF · Organization | 0% | 41 facilities |
| Couve Healthcare Consulting LLC | Operational/Managerial Control · Organization | 0% | 50 facilities |
| Couve Healthcare Consulting LLC | Adp Of The SNF · Organization | 0% | 50 facilities |
| Kaufman, Trent | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kaufman, Trent | Adp Of The SNF · Individual | 0% | 1 facilities |
| Laramie SNF Operations LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Laramie SNF Operations LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Laramie SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mikesell, Darren | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mikesell, Darren | Adp Of The SNF · Individual | 0% | 1 facilities |
| Morrison, Robert | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Morrison, Robert | Operational/Managerial Control · Individual | 0% | 14 facilities |
| North Big Horn Hospital District | Adp Of The SNF · Organization | 0% | 4 facilities |
| Simmons, Benjamin | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Simmons, Benjamin | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Simmons, Benjamin | Adp Of The SNF · Individual | 0% | 14 facilities |
| Spielman, Shimon | Operational/Managerial Control · Individual | 0% | 48 facilities |
| Spielman, Shimon | Adp Of The SNF · Individual | 0% | 48 facilities |
| Winterholler, David | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Wy2 SNF Operations Manager LLC | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Wy2 SNF Operations Manager LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
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Fire safety
18 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress5E
- E
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.
- D
Meet other general requirements.
- 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.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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.
Smoke5F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Emergency Preparedness3F
- F
Provide emergency officials' contact information.
- F
Provide primary/alternate means for communication.
- F
Conduct testing and exercise requirements.
Gas, Vacuum, and Electrical Systems3D
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Construction1E
- E
Use approved construction type or materials.
Miscellaneous1D
- D
Have restrictions on the use of highly flammable decorations.
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Other homes nearby
-
Life Care Center of Cheyenne
Cheyenne, WY · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- D
- Nursing / resident / day
- 3 h 27 min
- Fines
- $0
-
Granite Rehabilitation and Wellness
Cheyenne, WY · Evergreen Healthcare Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 22 min
- Fines
- $59,018
-
Polaris Rehabilitation and Care Center
Cheyenne, WY · Special Focus · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 4 min
- Fines
- $62,647