Fort Washakie, WY

Morning Star Care Center

4-star overall rating with 4-star inspections with $5,168 in total fines with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

4 North Fork Rd, Fort Washakie, WY

(307) 332-6902

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

45

Certified beds

Average residents

29

Average occupied residents

Ownership

Government

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1994-05-15

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

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

1.18

Registered nurse staffing · state 0.90 · national 0.68

LPN hours / resident day

0.43

Licensed practical nurse staffing · state 0.48 · national 0.87

Aide hours / resident day

4.38

Nurse aide staffing · state 2.46 · national 2.35

Total nurse hours

5.99

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.62

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

4.49

Weekend nurse staffing · state 3.30 · national 3.43

Weekend RN hours

0.85

Weekend registered nurse coverage · state 0.62 · national 0.47

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

1.39

CMS adjusted RN staffing hours

Adjusted total hours

7.01

CMS adjusted total nurse staffing hours

Case-mix index

1.17

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

622

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

66.34

Composite VBP score used to determine payment impact.

Payment multiplier

1.0203

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.27

Baseline 66.67% · Performance 50.91% · Measure score 3.27 · Achievement 3.12 · Improvement 3.27

Adjusted total nurse staffing

10

Baseline 5.34 hours · Performance 8.71 hours · Measure score 10 · Achievement 10 · Improvement 9

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 8 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 5 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	16.67%	8.2% 8.5 pts better	Numerator 12 · Denominator 72
Staff flu vaccination coverage	46.15%	42% 4.1 pts better	Numerator 54 · Denominator 117
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.2	1.3 0.9 pts worse	1.9 0.3 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 1.9 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	5.2	2.2 3 pts worse	1.8 3.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 5.2 · Observed 4.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.1%	94.3% 2.8 pts better	93.4% 3.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 96.2% · Q2 100.0% · Q3 100.0% · Q4 92.9% · 4Q avg 97.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	96.0%	94.3% 1.7 pts better	95.5% 0.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 96.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.0%	4.8% 3.8 pts better	3.3% 2.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.0%	6.4% 5.4 pts better	11.4% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0%
Percentage of long-stay residents who lose too much weight	5.2%	6.5% 1.3 pts better	5.4% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 0.0% · Q3 8.0% · Q4 3.7% · 4Q avg 5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.4%	16.1% 3.7 pts better	19.6% 7.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 17.4% · Q2 9.1% · Q3 12.0% · Q4 11.1% · 4Q avg 12.4%
Percentage of long-stay residents who received an antipsychotic medication	21.1%	24.1% 3 pts better	16.7% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 19.0% · Q3 21.7% · Q4 25.0% · 4Q avg 21.1% · 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	2.4%	18.5% 16.1 pts better	16.3% 13.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 2.4% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	12.1%	18.7% 6.6 pts better	14.9% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 9.5% · Q3 21.7% · Q4 8.0% · 4Q avg 12.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	9.3%	1.9% 7.4 pts worse	1.0% 8.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q3 9.4% · Q4 9.5% · 4Q avg 9.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	15.8%	3.0% 12.8 pts worse	1.7% 14.1 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 9.1% · Q3 16.0% · Q4 21.4% · 4Q avg 15.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	6.7%	23.6% 16.9 pts better	19.8% 13.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q4 8.2% · 4Q avg 6.7%
Percentage of long-stay residents with pressure ulcers	16.1%	5.0% 11.1 pts worse	5.1% 11 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 12.8% · Q2 14.8% · Q3 21.5% · Q4 15.5% · 4Q avg 16.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	71.8%	75.7% 3.9 pts worse	81.7% 9.9 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 71.8%
Percentage of short-stay residents who newly received an antipsychotic medication	14.8%	1.6% 13.2 pts worse	1.6% 13.2 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 14.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

1 health deficiencies

Top issue: Resident Assessment and Care Planning (1 deficiency)

5 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 2 Health 2024-01-25 · Fire 2024-01-25

9 health deficiencies

Top issue: Pharmacy Service (3 deficiencies)

3 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-01-12 · Fire 2023-01-12

6 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-10

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-05-20

F · Potential for more than minimal harm 2025-04-10

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-20

F · Potential for more than minimal harm 2025-04-10

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-05-20

F · Potential for more than minimal harm 2025-04-10

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-05-07

E · Potential for more than minimal harm 2025-04-10

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-05-30

F · Potential for more than minimal harm 2024-01-25

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-03-11

F · Potential for more than minimal harm 2024-01-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-22

E · Potential for more than minimal harm 2024-01-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-22

F · Potential for more than minimal harm 2023-01-12

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2023-02-11

F · Potential for more than minimal harm 2023-01-12

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-02-15

F · Potential for more than minimal harm 2023-01-12

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-01-20

E · Potential for more than minimal harm 2023-01-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-02-11

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-04-10

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-05-22

D · Potential for more than minimal harm 2024-11-05

F622 · Resident Rights Deficiencies

Health

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.

Corrected 2024-11-22

D · Potential for more than minimal harm 2024-11-05

F745 · Quality of Life and Care Deficiencies

Health

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-11-22

E · Potential for more than minimal harm 2024-01-25

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-25

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 2024-03-01

D · Potential for more than minimal harm 2024-01-25

F578 · Resident Rights Deficiencies

Health

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.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-25

F661 · Resident Assessment and Care Planning Deficiencies

Health

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-25

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-25

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-01-25

F883 · Infection Control Deficiencies

Health

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-03-01

E · Potential for more than minimal harm 2023-01-12

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 2023-02-11