Federal inspection record · CMS data as of October 1, 2026
Summit Ridge Skilled Nursing & Rehabilitation
1108 Birch Street, Douglas, WY · (307) 358-3397
- Certified beds
- 60
- Residents per day
- 50
- Ownership
- For-Profit
- Chain
- Rocky Mountain Care
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1990
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.
-
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.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wyoming homes
Summit Ridge Skilled Nursing & Rehabilitation carries 75 inspection points. That is fewer than 37% 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 (2)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
G
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Everything else, by area of care
Quality of Life and Care8D
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide medically-related social services to help each resident achieve the highest possible quality of life.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nutrition and Dietary5F
- 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.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- 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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights3E
- 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.
- D
Honor the resident's right to manage his or her financial affairs.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation3D
- 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.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Assessment and Care Planning3D
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Pharmacy Service1D
- D
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.
Nursing and Physician Services1F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspection history
2026-06-18
8 health deficiencies · 9 fire-safety deficiencies
Top issue: Nutrition and Dietary (3 deficiencies)
2024-11-15
13 health deficiencies · 5 fire-safety deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2023-08-30
8 health deficiencies · 13 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 37 min of nursing staff time a day, 27 min of it from a registered nurse.
This home
3 h 37 min
Wyoming average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 43% of nursing staff and 38% 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
$34,646 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-17 | Fine | $14,950 |
| 2024-11-15 | Fine | $19,696 |
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 days0.8 pts better | 0.5 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same | 2.2 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine8.6 pts worse | 85.4% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.8 pts better | 97.7% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.5 pts better | 2.5% | 5.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms16 pts worse | 22.9% | 6.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.2 pts worse | 8.8% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication3.1 pts worse | 18.4% | 15.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.1 pts better | 12.3% | 21.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.5 pts worse | 0.6% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.4 pts worse | 14.8% | 14.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.9 pts worse | 22.1% | 17.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder2.1 pts worse | 3.5% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.1 pts better | 1.9% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.6 pts better | 18.8% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts worse | 5.1% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.7 pts better | 83.1% | 77.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.5 pts worse | 18.4% | 15.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23 pts better | 97.4% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.1 pts worse | 23.4% | 17.3% | 23.4% |
·
Who owns and runs it
22 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 |
|---|---|---|---|
| Bangerte, Nathan | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Bangerter, Edward | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Bangerter, Johnathan | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Connell, Eric | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Connell, Eric | Adp Of The SNF · Individual | 0% | 14 facilities |
| Darby, Megan | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Gatherum, Jason | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Lake, Crystal | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lake, Crystal | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mcmillan, Karli | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mcmillan, Karli | 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 |
| Neves, Courtney | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Rocky Mountain Care LLC | Adp Of The SNF · Organization | 0% | 14 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 |
| Snowball, Kelly | Managing Control - Governing Body · Individual | 0% | 14 facilities |
| Summit Ridge Oc LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Summit Ridge Oc LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Winterholler, David | Operational/Managerial Control · Individual | 0% | 14 facilities |
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Fire safety
27 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems7F
- F
Meet requirements for the installation and maintenance of electrical systems.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- E
Have proper medical gas storage and administration areas.
Egress7E
- 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
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Install emergency lighting that can last at least 1 1/2 hours.
- E
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 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
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- D
Install emergency lighting that can last at least 1 1/2 hours.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous4F
- F
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.
- D
Have restrictions on the use of highly flammable decorations.
- D
Have restrictions on the use of portable space heaters.
Services2D
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D
Have properly installed electrical wiring and gas equipment.
Emergency Preparedness1F
- F
Implement emergency and standby power systems.
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Life Care Center of Casper
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