Federal inspection record · CMS data as of October 1, 2026

Thermopolis Rehabilitation and Wellness

1210 Canyon Hills Rd, Thermopolis, WY · (307) 864-5591

CMS overall rating

3 of 5

Compare with a nearby home →
Certified beds
60
Residents per day
43
Ownership
For-Profit
Chain
Evergreen Healthcare Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 1, 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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Wyoming.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    3 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Wyoming homes

Thermopolis Rehabilitation and Wellness carries 60.25 inspection points. That is fewer than 46% of Wyoming's 35 rated homes.

5★4★3★2★1★+2 homes above 169.605102550100inspection points → fewer is better on the leftThis home · 60.25 pts · 3★

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.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 1 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 1 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 14 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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)

  1. K

    Respond appropriately to all alleged violations.

    March 6, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected April 1, 2024

  2. G

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    March 6, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected April 1, 2024

Everything else, by area of care

Quality of Life and Care4D
  1. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    August 20, 2026 · Complaint · F684 · Corrected August 27, 2026

  2. D

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    November 20, 2025 · Standard · F689 · Corrected November 28, 2025

  3. D

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    October 23, 2025 · Complaint · F684 · Corrected October 25, 2025

  4. D

    Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

    April 20, 2023 · Standard · F691 · Corrected May 31, 2023

Pharmacy Service3D
  1. D

    Ensure that residents are free from significant medication errors.

    November 20, 2025 · Standard · F760 · Corrected November 28, 2025

  2. D

    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.

    April 20, 2023 · Standard · F758 · Corrected May 31, 2023

  3. 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.

    April 20, 2023 · Standard · F761 · Corrected May 31, 2023

Infection Control2D
  1. D

    Provide and implement an infection prevention and control program.

    November 20, 2025 · Standard · F880 · Corrected November 28, 2025

  2. D

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

    June 27, 2024 · Standard · F883 · Corrected July 31, 2024

Resident Rights2D
  1. D

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    October 23, 2025 · Complaint · F580 · Corrected October 25, 2025

  2. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    April 20, 2023 · Standard · F623 · Corrected May 31, 2023

Freedom from Abuse, Neglect, and Exploitation1D
  1. D

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    February 26, 2026 · Complaint · F609 · Corrected March 12, 2026

Resident Assessment and Care Planning1D
  1. D

    Ensure services provided by the nursing facility meet professional standards of quality.

    July 7, 2025 · Complaint · F658 · Corrected July 9, 2025

Administration1D
  1. D

    Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

    July 7, 2025 · Complaint · F776 · Corrected July 9, 2025

Inspection history

  1. 2025-11-20

    7 health deficiencies · 5 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2024-06-27

    3 health deficiencies · 5 fire-safety deficiencies

    Top issue: Administration (1 deficiency)

  3. 2023-04-20

    6 health deficiencies · 9 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 3 h 8 min of nursing staff time a day, 20 min of it from a registered nurse.

This home

3 h 8 min

Wyoming average

3 h 59 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 80% of nursing staff and 88% 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

$17,761 in federal fines on record over the past three years.

DatePenaltyAmount
2024-03-06Fine$17,761

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident days0.6 pts better0.71.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better1.42.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.2 pts better99.2%94.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine12.6 pts worse83.3%95.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury4.2 pts better0.8%5.0%3.2%
Percentage of long-stay residents who have depressive symptoms5.2 pts better1.7%6.9%13.5%
Percentage of long-stay residents who lose too much weight0.8 pts worse6.4%5.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication4.7 pts worse20.0%15.3%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.2 pts better17.2%21.4%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened1.5 pts worse15.9%14.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6.1 pts worse23.3%17.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better1.2%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection3 pts better0.0%3.0%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.8 pts worse25.2%21.4%18.3%
Percentage of long-stay residents with pressure ulcers4.5 pts better0.0%4.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.1 pts better89.5%77.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.6 pts worse19.5%15.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication4.9 pts worse6.5%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine6.5 pts worse67.9%74.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission0.3 pts better17.0%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
NameRoleShareHomes
Connell, EricCorporate Officer · Individual0%14 facilities
Connell, EricAdp Of The SNF · Individual0%14 facilities
Couve Financial Services LLCOperational/Managerial Control · Organization0%41 facilities
Couve Financial Services LLCAdp Of The SNF · Organization0%41 facilities
Couve Healthcare Consulting LLCOperational/Managerial Control · Organization0%50 facilities
Couve Healthcare Consulting LLCAdp Of The SNF · Organization0%50 facilities
Morrison, RobertCorporate Director · Individual0%14 facilities
Pacific Northwest Opco Management LLCOperational/Managerial Control · Organization0%29 facilities
Pacific Northwest Opco Management LLCAdp Of The SNF · Organization0%29 facilities
Simmons, BenjaminCorporate Director · Individual0%14 facilities
Spielman, ShimonOperational/Managerial Control · Individual0%48 facilities
Spielman, ShimonAdp Of The SNF · Individual0%48 facilities
Stannard, AndreaOperational/Managerial Control · Individual0%1 facilities
Stannard, AndreaAdp Of The SNF · Individual0%1 facilities
Thermopolis SNF Operations, LLCOperational/Managerial Control · Organization0%1 facilities
Thermopolis SNF Operations, LLCAdp Of The SNF · Organization0%1 facilities
Thermopolis SNF Realty LLCAdp Of The SNF · Organization0%1 facilities
Weyer, JasonOperational/Managerial Control · Individual0%1 facilities
Weyer, JasonAdp Of The SNF · Individual0%1 facilities
Winterholler, DavidCorporate Director · Individual0%14 facilities
Yenowitz, YitzchokOperational/Managerial Control · Individual0%50 facilities
Yenowitz, YitzchokAdp Of The SNF · Individual0%50 facilities

·

Fire safety

19 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke8F
  1. E

    Provide properly protected cooking facilities.

    November 20, 2025 · K324 · Corrected December 15, 2025

  2. E

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

    November 20, 2025 · K345 · Corrected December 15, 2025

  3. E

    Properly install and monitor supervisory attachments on automatic sprinkler systems.

    November 20, 2025 · K352 · Corrected December 15, 2025

  4. F

    Inspect, test, and maintain automatic sprinkler systems.

    June 27, 2024 · K353 · Corrected July 31, 2024

  5. F

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

    April 20, 2023 · K345 · Corrected April 23, 2023

  6. F

    Inspect, test, and maintain automatic sprinkler systems.

    April 20, 2023 · K353 · Corrected May 31, 2023

  7. F

    Properly select, install, inspect, or maintain portable fire extinguishes.

    April 20, 2023 · K355 · Corrected May 31, 2023

  8. E

    Provide properly protected cooking facilities.

    April 20, 2023 · K324 · Corrected May 31, 2023

Gas, Vacuum, and Electrical Systems6F
  1. F

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

    November 20, 2025 · K918 · Corrected December 15, 2025

  2. F

    Ensure proper usage of power strips and extension cords.

    November 20, 2025 · K920 · Corrected December 15, 2025

  3. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    June 27, 2024 · K914 · Corrected July 31, 2024

  4. F

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

    June 27, 2024 · K918 · Corrected July 31, 2024

  5. F

    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

    April 20, 2023 · K914 · Corrected May 19, 2023

  6. F

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

    April 20, 2023 · K918 · Corrected May 10, 2023

Miscellaneous2F
  1. F

    Have simulated fire drills held at unexpected times.

    June 27, 2024 · K712 · Corrected July 31, 2024

  2. F

    Have simulated fire drills held at unexpected times.

    April 20, 2023 · K712 · Corrected May 25, 2023

Egress2E
  1. E

    Meet other general requirements.

    June 27, 2024 · K200 · Corrected July 31, 2024

  2. E

    Have corridors or aisles that are unobstructed and are at least 8 feet in width.

    April 20, 2023 · K232 · Corrected May 31, 2023

Emergency Preparedness1F
  1. F

    Conduct testing and exercise requirements.

    April 20, 2023 · E39 · Corrected May 18, 2023

·

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