Federal inspection record · CMS data as of October 1, 2026
Wind River Rehabilitation and Wellness
1002 Forest Dr, Riverton, WY · (307) 856-9471
- Certified beds
- 81
- Residents per day
- 55
- Ownership
- For-Profit
- Chain
- Evergreen Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 22, 1988
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
Wind River Rehabilitation and Wellness carries 71 inspection points. That is fewer than 40% 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
36 health citations on record since 2022. 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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide safe, appropriate pain management for a resident who requires such services.
Everything else, by area of care
Quality of Life and Care11E
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide activities to meet all resident's needs.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide enough food/fluids to maintain a resident's health.
- E
Provide care and assistance to perform activities of daily living for any resident who is unable.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
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.
- E
Provide and implement an infection prevention and control program.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Resident Rights5E
- 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
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
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.
- D
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.
Nutrition and Dietary4F
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service3D
- D
Ensure medication error rates are not 5 percent or greater.
- 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.
Resident Assessment and Care Planning2D
- 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Administration1D
- D
Keep complete, dated laboratory records in the resident's record.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Environmental1F
- F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
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
2025-06-26
11 health deficiencies · 6 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-03-14
14 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2022-12-08
11 health deficiencies · 17 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 29 min of nursing staff time a day, 39 min of it from a registered nurse.
This home
3 h 29 min
Wyoming average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 51% of nursing staff and 43% 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
$25,984 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-03-14 | Fine | $25,984 |
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 days0.4 pts better | 0.9 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.9 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine11.3 pts worse | 82.7% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.8 pts worse | 91.1% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4 pts better | 1.0% | 5.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.4 pts better | 1.5% | 6.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4 pts better | 1.6% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.1 pts better | 9.2% | 15.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.8 pts better | 16.6% | 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 worsened2.9 pts worse | 17.3% | 14.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased3.2 pts better | 14.0% | 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 infection1 pts better | 2.0% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse | 23.1% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers4.5 pts better | 0.0% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine37.1 pts worse | 40.3% | 77.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2 pts worse | 17.9% | 15.9% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.4 pts worse | 2.0% | 1.6% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.3 pts worse | 51.1% | 74.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission4.5 pts better | 12.8% | 17.3% | 23.4% |
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Who owns and runs it
25 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 |
|---|---|---|---|
| Bender, Daniel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bender, Daniel | Adp Of The SNF · Individual | 0% | 1 facilities |
| 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 |
| 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 |
| 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 |
| Stauber, Monica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stauber, Monica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wind River SNF Operations, LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Wind River SNF Operations, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Wind River SNF Realty LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Winterholler, David | Operational/Managerial Control · Individual | 0% | 14 facilities |
| Yenowitz, Yitzchok | Operational/Managerial Control · Individual | 0% | 50 facilities |
| Yenowitz, Yitzchok | Adp Of The SNF · Individual | 0% | 50 facilities |
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Fire safety
31 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke9F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Provide properly protected cooking facilities.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems6F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Ensure that testing and maintenance of electrical equipment is performed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness6F
- F
List the names and contact information of those in the facility.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
- F
Include a process for Emergency Preparedness collaboration.
Egress4F
- F
Install emergency lighting that can last at least 1 1/2 hours.
- F
Have properly located and lighted "Exit" signs.
- E
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
- F
Meet other general requirements.
Miscellaneous3F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Construction2F
- F
Meet other general requirements.
- E
Meet other general requirements.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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Other homes nearby
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Mountain View Skilled Nursing Community at WLRC
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- —
- Fines
- $82,700
-
Westward Heights Care Center
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★★★★★- Worst citation, 3 yrs
- E
- Nursing / resident / day
- 3 h 54 min
- Fines
- $0
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Morning Star Care Center
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- E
- Nursing / resident / day
- 5 h 38 min
- Fines
- $5,168