Cycle 1
Health 2024-10-17 · Fire 2024-10-17
5 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Casper, WY
Life Care Center of Casper
4-star overall rating with 4-star inspections with 5 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
4041 South Poplar St, Casper, WY
(307) 266-0000
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
78
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1993-08-12
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
1.19
Registered nurse staffing · state 0.90 · national 0.68
LPN hours / resident day
0.59
Licensed practical nurse staffing · state 0.48 · national 0.87
Aide hours / resident day
2.31
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
4.08
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.77
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.58
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
0.80
Weekend registered nurse coverage · state 0.62 · national 0.47
Physical therapist
0.12
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
1.21
CMS adjusted RN staffing hours
Adjusted total hours
4.15
CMS adjusted total nurse staffing hours
Case-mix index
1.35
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
48%
Annual nurse turnover · state 53% · national 46%
SNF VBP
Value-based purchasing
Program rank
7,584
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
29.37
Composite VBP score used to determine payment impact.
Payment multiplier
0.9854
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0.54
Baseline 15.42% · Performance 21.18% · Measure score 0.54 · Achievement 0.54 · Improvement 0
Healthcare-associated infections
4.17
Baseline 6.98% · Performance 6.59% · Measure score 4.17 · Achievement 4.17 · Improvement 1.48
Total nurse turnover
4.65
Baseline 34.07% · Performance 44.68% · Measure score 4.65 · Achievement 4.65 · Improvement 0
Adjusted total nurse staffing
2.39
Baseline 3.82 hours · Performance 3.76 hours · Measure score 2.39 · Achievement 2.39 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.84% |
10.72%
0.9 pts better
|
No Different than the National Rate · Eligible stays 235 · Observed rate 9.36% · Lower 95% interval 7.26% |
| Discharge to community | 51.4% |
50.57%
0.8 pts better
|
No Different than the National Rate · Eligible stays 248 · Observed rate 45.16% · Lower 95% interval 45.12% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 94.48% |
95.27%
0.8 pts worse
|
Numerator 137 · Denominator 145 |
| Falls with major injury | 2.76% |
0.77%
2 pts worse
|
Numerator 4 · Denominator 145 |
| Discharge self-care score | 73.12% |
53.69%
19.4 pts better
|
Numerator 68 · Denominator 93 |
| Discharge mobility score | 62.37% |
50.94%
11.4 pts better
|
Numerator 58 · Denominator 93 |
| Pressure ulcers or injuries, new or worsened | 0.69% |
2.29%
1.6 pts better
|
Numerator 1 · Denominator 145 · Adjusted rate 0.88% |
| Healthcare-associated infections requiring hospitalization | 6.59% |
7.12%
0.5 pts better
|
No Different than the National Rate · Eligible stays 161 · Observed rate 5.59% · Lower 95% interval 4.29% |
| Staff COVID-19 vaccination coverage | 12.43% |
8.2%
4.2 pts better
|
Numerator 21 · Denominator 169 |
| Staff flu vaccination coverage | 65.79% |
42%
23.8 pts better
|
Numerator 150 · Denominator 228 |
| Discharge function score | 78.49% |
56.45%
22 pts better
|
Numerator 73 · Denominator 93 |
| Transfer of health information to provider | 98.04% |
95.95%
2.1 pts better
|
Numerator 50 · Denominator 51 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 58 · Denominator 58 |
| Resident COVID-19 vaccinations up to date | 34.33% |
25.2%
9.1 pts better
|
Numerator 23 · Denominator 67 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.1 |
1.3
0.8 pts worse
|
1.9
0.2 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.2 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.1 |
2.2
0.1 pts better
|
1.8
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 1.9 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.6% |
94.3%
5.3 pts better
|
93.4%
6.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.5% · Q3 100.0% · Q4 100.0% · 4Q avg 99.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.1% |
94.3%
2.8 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.0% |
4.8%
1.2 pts worse
|
3.3%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 7.6% · Q3 6.2% · Q4 3.4% · 4Q avg 6.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 10.4% |
6.4%
4 pts worse
|
11.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 12.1% · Q2 12.1% · Q3 13.3% · Q4 3.6% · 4Q avg 10.4% |
| Percentage of long-stay residents who lose too much weight | 4.3% |
6.5%
2.2 pts better
|
5.4%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 6.5% · Q3 6.7% · Q4 1.8% · 4Q avg 4.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.7% |
16.1%
1.6 pts worse
|
19.6%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 20.3% · Q3 16.4% · Q4 19.3% · 4Q avg 17.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 4.1% |
24.1%
20 pts better
|
16.7%
12.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 2.1% · Q3 3.9% · Q4 6.5% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 13.5% |
18.5%
5 pts better
|
16.3%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q4 17.8% · 4Q avg 13.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.9% |
18.7%
6.8 pts better
|
14.9%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 11.3% · Q3 5.0% · Q4 12.7% · 4Q avg 11.9% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.0% |
1.9%
0.9 pts better
|
1.0%
About the same
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
3.0%
3 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 29.5% |
23.6%
5.9 pts worse
|
19.8%
9.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.1% · Q2 31.8% · Q3 30.8% · Q4 24.9% · 4Q avg 29.5% |
| Percentage of long-stay residents with pressure ulcers | 1.5% |
5.0%
3.5 pts better
|
5.1%
3.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 2.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 93.6% |
75.7%
17.9 pts better
|
81.7%
11.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 96.6% · Q2 98.5% · Q3 94.4% · Q4 87.1% · 4Q avg 93.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.0% |
13.7%
0.7 pts better
|
12.0%
1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.0% · Observed 12.2% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.6%
0.7 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 2.3% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.7% |
77.0%
18.7 pts better
|
79.7%
16 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.0% |
20.8%
8.2 pts worse
|
23.9%
5.1 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.0% · Observed 28.7% · Expected 23.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-08-24 · Fire 2023-08-24
3 health deficiencies
Top issue: Environmental (1 deficiency)
10 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Cycle 3
Health 2022-07-28 · Fire 2022-07-28
7 health deficiencies
Top issue: Resident Rights (3 deficiencies)
11 fire-safety deficiencies
Top issue: Egress (3 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-10-17
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2024-10-25
D · Potential for more than minimal harm
2024-10-17
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-12-07
F · Potential for more than minimal harm
2023-08-24
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-09-15
F · Potential for more than minimal harm
2023-08-24
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-09-15
F · Potential for more than minimal harm
2023-08-24
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-09-15
E · Potential for more than minimal harm
2023-08-24
K100 · Construction Deficiencies
Fire Safety
Meet other general requirements.
Corrected 2023-09-15
E · Potential for more than minimal harm
2023-08-24
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2023-09-15
E · Potential for more than minimal harm
2023-08-24
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-09-15
E · Potential for more than minimal harm
2023-08-24
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-09-15
D · Potential for more than minimal harm
2023-08-24
K271 · Egress Deficiencies
Fire Safety
Have exits that are accessible at all times.
Corrected 2023-09-15
D · Potential for more than minimal harm
2023-08-24
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-09-15
D · Potential for more than minimal harm
2023-08-24
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-09-15
F · Potential for more than minimal harm
2022-07-28
E31 · Emergency Preparedness Deficiencies
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-09-21
F · Potential for more than minimal harm
2022-07-28
E41 · Emergency Preparedness Deficiencies
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-09-21
E · Potential for more than minimal harm
2022-07-28
K223 · Egress Deficiencies
Fire Safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2022-09-21
D · Potential for more than minimal harm
2022-07-28
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-09-21
D · Potential for more than minimal harm
2022-07-28
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2022-09-21
D · Potential for more than minimal harm
2022-07-28
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-09-21
D · Potential for more than minimal harm
2022-07-28
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-09-21
D · Potential for more than minimal harm
2022-07-28
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2022-09-21
D · Potential for more than minimal harm
2022-07-28
K753 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of highly flammable decorations.
Corrected 2022-09-21
D · Potential for more than minimal harm
2022-07-28
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-09-21
D · Potential for more than minimal harm
2022-07-28
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-21
Inspection history
Recent health citations
E · Potential for more than minimal harm
2024-10-17
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-12-07
E · Potential for more than minimal harm
2024-10-17
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-12-07
E · Potential for more than minimal harm
2024-10-17
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2024-12-07
D · Potential for more than minimal harm
2024-10-17
F637 · Resident Assessment and Care Planning Deficiencies
Health
Assess the resident when there is a significant change in condition
Corrected 2024-12-07
D · Potential for more than minimal harm
2024-10-17
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2024-12-07
D · Potential for more than minimal harm
2024-04-09
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-04-09
E · Potential for more than minimal harm
2024-01-25
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-28
D · Potential for more than minimal harm
2023-08-24
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-09-15
D · Potential for more than minimal harm
2023-08-24
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2023-09-15
F · Potential for more than minimal harm
2022-07-28
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-09-21
E · Potential for more than minimal harm
2022-07-28
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-09-21
E · Potential for more than minimal harm
2022-07-28
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-09-21
E · Potential for more than minimal harm
2022-07-28
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2022-09-21
D · Potential for more than minimal harm
2022-07-28
F561 · Resident Rights Deficiencies
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2022-09-21
D · Potential for more than minimal harm
2022-07-28
F758 · Pharmacy Service Deficiencies
Health
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.
Corrected 2022-09-21
Penalties and ownership
What sits behind the stars
Ownership
Life Care Centers Of America, Inc.
5% Or Greater Direct Ownership Interest · Organization
Preston, Forrest
5% Or Greater Indirect Ownership Interest · Individual
Cadwell, Stacey
Operational/Managerial Control · Individual
Cross, Cindy
Corporate Officer · Individual
Divillacci, Jason
Operational/Managerial Control · Individual
Fletcher, Todd
Operational/Managerial Control · Individual
Givens, Laura
Operational/Managerial Control · Individual
Henry, Terry
Corporate Officer · Individual
Lay, Lisa
Operational/Managerial Control · Individual
Life Care Centers Of America, Inc.
Operational/Managerial Control · Organization
Preston, Aubrey
Operational/Managerial Control · Individual
Preston, Forrest
Operational/Managerial Control · Individual
Schmidt, Derek
Operational/Managerial Control · Individual
Swanker, Richard
Operational/Managerial Control · Individual
Thurmond, Joan
Corporate Officer · Individual
Ziegler, James
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Casper Mountain Rehabilitation and Care Center
Casper, WY
1-star overall rating with 1-star inspections with Special Focus status with $116,051 in total fines with 30 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
#2
Shepherd of the Valley Rehabilitation and Wellness
Casper, WY
1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $78,536 in total fines with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
#3
Summit Ridge Skilled Nursing & Rehabilitation
Douglas, WY
1-star overall rating with 2-star inspections with abuse icon flag with $34,646 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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