Federal inspection record · CMS data as of October 1, 2026
Shepherd of the Valley Rehabilitation and Wellness
60 Magnolia St, Casper, WY · (307) 234-9381
- Cited for abuse (CMS abuse icon)
- Special Focus Facility
- Certified beds
- 192
- Residents per day
- 164
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- November 1, 1990
1
How this home got 1 star
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.
-
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
★★★★★1 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
Shepherd of the Valley Rehabilitation and Wellness carries 127 inspection points. That is fewer than 11% 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
43 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 (8)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care12E
- E
Provide activities to meet all resident's needs.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide activities to meet all resident's needs.
- D
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
Resident Assessment and Care Planning6E
- D
Assess the resident when there is a significant change in condition
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Infection Control5E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
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
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.
- 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.
Resident Rights3D
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nursing and Physician Services1E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
Environmental1D
- D
Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspection history
2026-07-30
16 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-10-31
11 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-08-10
16 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 15 min of nursing staff time a day, 48 min of it from a registered nurse.
This home
3 h 15 min
Wyoming average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 48% of nursing staff and 50% of registered nurses left in the past year.
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
$114,055 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-03-13 | Fine | $17,345 |
| 2026-03-13 | Fine | $26,364 |
| 2025-05-22 | Fine | $12,438 |
| 2025-03-20 | Fine | $15,857 |
| 2024-08-15 | Fine | $7,718 |
| 2024-03-22 | Fine | $34,333 |
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 days0.9 pts worse | 2.2 | 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 vaccine1.5 pts better | 95.5% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine16.9 pts worse | 79.0% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.6 pts worse | 5.6% | 5.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.1 pts better | 5.8% | 6.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.4 pts worse | 6.0% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.5 pts worse | 17.8% | 15.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.9 pts better | 19.5% | 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 worsened1.3 pts better | 13.1% | 14.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.3 pts better | 16.9% | 17.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better | 0.0% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.3 pts better | 0.7% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence5.5 pts better | 15.9% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.3 pts better | 2.2% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine6.4 pts better | 83.8% | 77.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.7 pts better | 9.2% | 15.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.8% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine9.4 pts worse | 65.0% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts worse | 20.1% | 17.3% | 23.4% |
·
Who owns and runs it
24 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 |
| Lawrence, Eric | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Lawrence, Eric | Adp Of The SNF · Individual | 0% | 2 facilities |
| Miller, Jessica | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Miller, Jessica | Adp Of The SNF · Individual | 0% | 2 facilities |
| Morrison, Robert | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Morrison, Robert | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Pacific Northwest Opco Management LLC | Operational/Managerial Control · Organization | 0% | 29 facilities |
| Pacific Northwest Opco Management LLC | Adp Of The SNF · Organization | 0% | 29 facilities |
| Shepherd Of The Valley SNF Operations, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Shepherd Of The Valley SNF Operations, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Shepherd Of The Valley SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 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 |
| Yenowitz, Yitzchok | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 50 facilities |
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Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
Egress6F
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Meet other general requirements.
- D
Have properly located and lighted "Exit" signs.
- F
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.
- F
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Have properly located and lighted "Exit" signs.
Gas, Vacuum, and Electrical Systems3E
- D
Have proper medical gas storage and administration areas.
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure gas cylinders are properly stored.
Construction2D
- D
Meet other general requirements.
- D
Meet other general requirements.
Miscellaneous2F
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
Other homes nearby
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Life Care Center of Casper
Casper, WY · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 4 h 27 min
- Fines
- $11,045
-
Casper Mountain Rehabilitation and Care Center
Casper, WY · Special Focus
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 2 h 59 min
- Fines
- $62,647
-
Summit Ridge Skilled Nursing & Rehabilitation
Douglas, WY · Rocky Mountain Care
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 37 min
- Fines
- $34,646