Federal inspection record · CMS data as of October 1, 2026
Weston County Health Services
1124 Washington Blvd, Newcastle, WY · (307) 746-2793
- Cited for abuse (CMS abuse icon)
- Certified beds
- 58
- Residents per day
- 48
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 4, 1984
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.
-
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.
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
Weston County Health Services carries 85 inspection points. That is fewer than 29% 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
26 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
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Freedom from Abuse, Neglect, and Exploitation4D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- 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.
Infection Control4D
- D
Provide and implement an infection prevention and control program.
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D
Provide and implement an infection prevention and control program.
- C
Ensure staff are vaccinated for COVID-19
Resident Rights3D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care3E
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- E
Ensure the activities program is directed by a qualified professional.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Administration3F
- F
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Nursing and Physician Services2E
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Resident Assessment and Care Planning2D
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Pharmacy Service2D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspection history
2025-12-11
12 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
2024-07-11
4 health deficiencies · 4 fire-safety deficiencies
Top issue: Administration (3 deficiencies)
2023-04-13
10 health deficiencies · 7 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 9 min of nursing staff time a day, 30 min of it from a registered nurse.
This home
3 h 9 min
Wyoming average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 62% of nursing staff and 50% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
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 days0.1 pts worse | 1.4 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.6 pts worse | 3.8 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better | 97.1% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.1 pts better | 100.0% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse | 5.8% | 5.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.8 pts better | 1.1% | 6.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.9 pts worse | 7.5% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7.3 pts better | 8.0% | 15.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.6 pts worse | 22.0% | 21.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained1.8 pts worse | 1.9% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.4 pts better | 8.0% | 14.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased1.2 pts worse | 18.4% | 17.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 1.5% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.1 pts better | 2.9% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better | 21.1% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.2 pts worse | 6.7% | 4.5% | 4.5% |
·
Who owns and runs it
16 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 |
|---|---|---|---|
| Weston County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Drost, Kari | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Drost, Kari | Corporate Officer · Individual | 0% | 1 facilities |
| Drost, Kari | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Drost, Kari | Adp Of The SNF · Individual | 0% | 1 facilities |
| Haeberle, John | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Haeberle, John | Adp Of The SNF · Individual | 0% | 1 facilities |
| Maiellano, Paul | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Maiellano, Paul | Corporate Officer · Individual | 0% | 1 facilities |
| Maiellano, Paul | Adp Of The SNF · Individual | 0% | 1 facilities |
| Ryan, Patricia | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Ryan, Patricia | Corporate Officer · Individual | 0% | 2 facilities |
| Ryan, Patricia | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Ryan, Patricia | Adp Of The SNF · Individual | 0% | 2 facilities |
| Scharf, Kimberly | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Scharf, Kimberly | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
15 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7E
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Install an approved automatic sprinkler system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- E
Install an approved automatic sprinkler system.
- 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.
Miscellaneous3F
- E
Have restrictions on the use of highly flammable decorations.
- D
Meet Health Care Facilities Code mechanical requirements.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress3D
- 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
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
- D
Have exits that are accessible at all times.
Construction1D
- D
Meet other general requirements.
Emergency Preparedness1F
- F
Conduct testing and exercise requirements.
·
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