7 health deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Riverton, WY
2-star overall rating with 2-star inspections with $37,772 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
1002 Forest Dr, Riverton, WY
(307) 856-9471
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Beds
81
Certified beds
Average residents
56
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Evergreen Healthcare Group
Operator or chain grouping
Approved since
1988-09-22
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
41 facilities
Chain averages 2 overall / 2 health / 3 staffing / 3 quality stars
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
RN hours / resident day
0.74
Registered nurse staffing · state 0.90 · national 0.68
LPN hours / resident day
0.37
Licensed practical nurse staffing · state 0.48 · national 0.87
Aide hours / resident day
2.59
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
3.69
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.10
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.24
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
0.42
Weekend registered nurse coverage · state 0.62 · national 0.47
Physical therapist
0.05
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.79
CMS adjusted RN staffing hours
Adjusted total hours
3.95
CMS adjusted total nurse staffing hours
Case-mix index
1.28
Higher values indicate more complex resident acuity
RN turnover
29%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
66%
Annual nurse turnover · state 53% · national 46%
SNF VBP
Program rank
8,919
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.29
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.48
Baseline 17.03% · Performance 19.35% · Measure score 4.48 · Achievement 4.48 · Improvement 0
Healthcare-associated infections
2.61
Baseline 7.31% · Performance 7.05% · Measure score 2.61 · Achievement 2.61 · Improvement 0.61
Total nurse turnover
0
Baseline 57.14% · Performance 65.45% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
3.02
Baseline 3.49 hours · Performance 3.94 hours · Measure score 3.02 · Achievement 3.02 · Improvement 1.46
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.69% |
10.72%
1 pts better
|
No Different than the National Rate · Eligible stays 98 · Observed rate 7.14% · Lower 95% interval 6.58% |
| Discharge to community | 60.1% |
50.57%
9.5 pts better
|
No Different than the National Rate · Eligible stays 79 · Observed rate 59.49% · Lower 95% interval 49.94% |
| Medicare spending per beneficiary | 0.94 |
1.02
0.1 pts better
|
|
| Drug regimen review with follow-up | 96.88% |
95.27%
1.6 pts better
|
Numerator 62 · Denominator 64 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 64 |
| Discharge self-care score | 34.15% |
53.69%
19.5 pts worse
|
Numerator 14 · Denominator 41 |
| Discharge mobility score | 56.1% |
50.94%
5.2 pts better
|
Numerator 23 · Denominator 41 |
| Pressure ulcers or injuries, new or worsened | 1.56% |
2.29%
0.7 pts better
|
Numerator 1 · Denominator 64 · Adjusted rate 2.04% |
| Healthcare-associated infections requiring hospitalization | 7.05% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 63 · Observed rate 6.35% · Lower 95% interval 3.89% |
| Staff COVID-19 vaccination coverage | 5.68% |
8.2%
2.5 pts worse
|
Numerator 5 · Denominator 88 |
| Staff flu vaccination coverage | 66.93% |
42%
24.9 pts better
|
Numerator 85 · Denominator 127 |
| Discharge function score | 51.22% |
56.45%
5.2 pts worse
|
Numerator 21 · Denominator 41 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 75% |
96.28%
21.3 pts worse
|
Numerator 30 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 13.95% |
25.2%
11.2 pts worse
|
Numerator 6 · Denominator 43 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
1.3
0.2 pts worse
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.4 · Expected 1.8 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.8 |
2.2
0.6 pts worse
|
1.8
1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.8 · Observed 2.6 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.7% |
94.3%
2.6 pts worse
|
93.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 98.0% · Q2 91.5% · Q3 95.5% · Q4 82.4% · 4Q avg 91.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.2% |
94.3%
0.1 pts worse
|
95.5%
1.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 94.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.6% |
4.8%
2.2 pts better
|
3.3%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.3% · Q3 2.3% · Q4 2.0% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.6% |
6.4%
4.8 pts better
|
11.4%
9.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 2.3% · Q3 0.0% · Q4 2.0% · 4Q avg 1.6% |
| Percentage of long-stay residents who lose too much weight | 7.5% |
6.5%
1 pts worse
|
5.4%
2.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 10.9% · Q2 6.8% · Q3 10.3% · Q4 2.3% · 4Q avg 7.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.8% |
16.1%
4.3 pts better
|
19.6%
7.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.3% · Q2 11.4% · Q3 17.1% · Q4 11.1% · 4Q avg 11.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 26.8% |
24.1%
2.7 pts worse
|
16.7%
10.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.0% · Q2 33.3% · Q3 33.3% · Q4 15.0% · 4Q avg 26.8% · 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 | 24.8% |
18.5%
6.3 pts worse
|
16.3%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 35.9% · Q4 33.0% · 4Q avg 24.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 29.1% |
18.7%
10.4 pts worse
|
14.9%
14.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 37.0% · Q2 16.3% · Q3 27.5% · Q4 34.9% · 4Q avg 29.1% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
1.9%
1.9 pts better
|
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% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.1% |
3.0%
1.9 pts better
|
1.7%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 2.4% · Q4 0.0% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 30.5% |
23.6%
6.9 pts worse
|
19.8%
10.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 24.9% · Q2 34.7% · Q3 37.6% · Q4 25.7% · 4Q avg 30.5% |
| Percentage of long-stay residents with pressure ulcers | 2.3% |
5.0%
2.7 pts better
|
5.1%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.3% · Q2 2.4% · Q3 4.7% · Q4 0.0% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 50.3% |
75.7%
25.4 pts worse
|
81.7%
31.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 52.5% · Q2 56.6% · Q3 47.3% · Q4 43.9% · 4Q avg 50.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 20.3% |
13.7%
6.6 pts worse
|
12.0%
8.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 20.3% · Observed 20.6% · Expected 11.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.7% |
1.6%
1.1 pts worse
|
1.6%
1.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 7.1% · Q2 3.2% · Q3 0.0% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 41.1% |
77.0%
35.9 pts worse
|
79.7%
38.6 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 41.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.5% |
20.8%
4.7 pts worse
|
23.9%
1.6 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.5% · Observed 22.2% · Expected 20.8% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (2 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
8 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Top issue: Quality of Life and Care (3 deficiencies)
17 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Fire safety
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2025-07-21
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-21
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-21
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-21
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2025-07-21
Fire Safety
Provide properly protected cooking facilities.
Corrected 2025-07-21
Fire Safety
Meet other general requirements.
Corrected 2024-04-19
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-04-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-04-19
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2024-04-19
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-04-19
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2024-04-19
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-04-19
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-19
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-01-06
Fire Safety
Establish staff and initial training requirements.
Corrected 2023-01-06
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-01-06
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-01-06
Fire Safety
Implement emergency and standby power systems.
Corrected 2023-01-06
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-01-06
Fire Safety
Meet other general requirements.
Corrected 2023-01-06
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-01-06
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-01-06
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-01-06
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-01-06
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2023-01-06
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-01-06
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-01-06
Fire Safety
Meet other general requirements.
Corrected 2023-01-06
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-01-06
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-01-06
Inspection history
Health
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.
Corrected 2025-07-21
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-21
Health
Provide and implement an infection prevention and control program.
Corrected 2025-07-21
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-07-21
Health
Provide activities to meet all resident's needs.
Corrected 2025-07-21
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-06
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-21
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-12-11
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-12-11
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-12-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-19
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2024-04-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-19
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-04-19
Health
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.
Corrected 2024-04-19
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-04-19
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-04-19
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-04-19
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-04-19
Health
Provide and implement an infection prevention and control program.
Corrected 2024-04-19
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-08-19
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-01-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-01-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-01-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-01-15
Health
Provide and implement an infection prevention and control program.
Corrected 2023-01-15
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-01-15
Health
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-01-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-01-15
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2023-01-15
Health
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.
Corrected 2023-01-15
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 2023-01-15
Penalties and ownership
Fine · fine $25,984
Fine
Fine · fine $11,788
Fine
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