Federal inspection record · CMS data as of October 1, 2026
Morning Star Care Center
4 North Fork Rd, Fort Washakie, WY · (307) 332-6902
- Certified beds
- 45
- Residents per day
- 31
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- May 15, 1994
1
How this home got 3 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
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
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
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wyoming homes
Morning Star Care Center carries 14 inspection points. That is fewer than 89% 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
16 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning4D
- D
Ensure each resident receives an accurate assessment.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Assess the resident when there is a significant change in condition
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service4E
- E
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Quality of Life and Care3D
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Resident Rights2D
- D
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
- D
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Infection Control1D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspection history
2025-04-10
1 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (1 deficiency)
2024-01-25
9 health deficiencies · 3 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2023-01-12
6 health deficiencies · 4 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 5 h 38 min of nursing staff time a day, 58 min of it from a registered nurse.
This home
5 h 38 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
$5,168 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-05 | Fine | $5,168 |
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 daysAbout the same | 1.3 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts worse | 3.7 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.1 pts better | 94.1% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.6 pts worse | 93.3% | 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 symptoms4.2 pts better | 2.7% | 6.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.8 pts better | 1.8% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.1 pts better | 8.2% | 15.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.6 pts worse | 25.0% | 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 better | 11.3% | 14.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.6 pts better | 14.6% | 17.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder7.4 pts worse | 8.8% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection8.9 pts worse | 11.9% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence12.8 pts better | 8.6% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers9.2 pts worse | 13.7% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine24.1 pts worse | 53.3% | 77.4% | 82.3% |
·
Who owns and runs it
7 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 |
|---|---|---|---|
| Morning Star Care Center | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Hash, Tiffany | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hash, Tiffany | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rivera, Kaeli | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rivera, Kaeli | Adp Of The SNF · Individual | 0% | 1 facilities |
| St Clair, Robin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| St Clair, Robin | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
Gas, Vacuum, and Electrical Systems3F
- E
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
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Other homes nearby
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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
-
Wind River Rehabilitation and Wellness
Riverton, WY · Evergreen Healthcare Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 29 min
- Fines
- $25,984