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

Worland Health and Rehabilitation

1901 Howell Ave, Worland, WY · (307) 347-4285

  • Cited for abuse (CMS abuse icon)
  • Special Focus Facility

CMS overall rating

1 of 5

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Certified beds
87
Residents per day
65
Ownership
For-Profit
Chain
Evergreen Healthcare Group
Medicare / Medicaid
Medicare + Medicaid
Certified since
August 1, 1992

1

How this home got 1 star

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

    1 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

Worland Health and Rehabilitation carries 174.75 inspection points. That is fewer than 3% of Wyoming's 35 rated homes.

5★4★3★2★1★+1 homes above 183.4905102550100inspection points → fewer is better on the leftThis home · 174.75 pts · 1★

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

21 health citations on record since 2022. 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 3 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 3 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 (4)

  1. G

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

    July 7, 2026 · Complaint inspection · Quality of Life and Care · F684 · Corrected July 10, 2026

  2. K

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

    February 26, 2026 · Complaint inspection · Quality of Life and Care · F689 · Corrected February 27, 2026

  3. G

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

    February 26, 2026 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected September 11, 2025

  4. G

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

    October 24, 2024 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected September 27, 2024

Everything else, by area of care

Resident Rights3E
  1. E

    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.

    July 7, 2026 · Complaint · F585 · Corrected July 10, 2026

  2. E

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

    July 7, 2026 · Complaint · F628 · Corrected July 10, 2026

  3. D

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    April 2, 2026 · Complaint · F627 · Corrected April 18, 2026

Quality of Life and Care3D
  1. D

    Provide safe and appropriate respiratory care for a resident when needed.

    July 7, 2026 · Complaint · F695 · Corrected July 10, 2026

  2. D

    Provide activities to meet all resident's needs.

    March 6, 2025 · Standard · F679 · Corrected April 4, 2025

  3. D

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

    October 27, 2022 · Standard · F689 · Corrected November 25, 2022

Pharmacy Service3D
  1. D

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    July 7, 2026 · Complaint · F755 · Corrected July 10, 2026

  2. D

    Ensure that residents are free from significant medication errors.

    July 7, 2026 · Complaint · F760 · Corrected July 10, 2026

  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 30, 2026 · Complaint · F761 · Corrected May 2, 2026

Infection Control3D
  1. D

    Provide and implement an infection prevention and control program.

    April 30, 2026 · Complaint · F880 · Corrected May 2, 2026

  2. D

    Provide and implement an infection prevention and control program.

    March 6, 2025 · Complaint · F880 · Corrected April 4, 2025

  3. D

    Provide and implement an infection prevention and control program.

    October 27, 2022 · Standard · F880 · Corrected November 25, 2022

Freedom from Abuse, Neglect, and Exploitation3D
  1. D

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

    April 2, 2026 · Complaint · F609 · Corrected April 18, 2026

  2. D

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

    March 6, 2025 · Standard · F609 · Corrected April 4, 2025

  3. D

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

    December 21, 2023 · Complaint · F600 · Corrected November 22, 2023

Nutrition and Dietary2E
  1. D

    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.

    March 6, 2025 · Standard · F803 · Corrected April 4, 2025

  2. E

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    October 27, 2022 · Standard · F812 · Corrected November 25, 2022

Inspection history

  1. 2025-03-06

    16 health deficiencies · 4 fire-safety deficiencies

    Top issue: Quality of Life and Care (4 deficiencies)

  2. 2023-12-21

    2 health deficiencies · 2 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

  3. 2022-10-27

    3 health deficiencies · 5 fire-safety deficiencies

    Top issue: Infection Control (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 30 min of nursing staff time a day, 30 min of it from a registered nurse.

This home

3 h 30 min

Wyoming average

3 h 59 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 71% of nursing staff and 82% 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

Fines and payment denials

$57,971 in federal fines on record over the past three years.

DatePenaltyAmount
2026-07-07Fine$16,225
2026-02-26Fine$34,958
2024-10-24Fine$6,788

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 days0.4 pts better0.91.31.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.4 pts worse2.62.21.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.1 pts better98.1%94.0%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.1 pts better100.0%95.9%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts better4.7%5.0%3.2%
Percentage of long-stay residents who have depressive symptoms1.2 pts worse8.1%6.9%13.5%
Percentage of long-stay residents who lose too much weight4 pts worse9.6%5.6%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.5 pts better11.8%15.3%19.5%
Percentage of long-stay residents who received an antipsychotic medication4.1 pts better17.3%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 worsened9.2 pts worse23.6%14.4%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased19.5 pts worse36.7%17.2%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.4 pts better0.0%1.4%0.7%
Percentage of long-stay residents with a urinary tract infection1 pts better2.0%3.0%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7 pts worse28.4%21.4%18.3%
Percentage of long-stay residents with pressure ulcers1.1 pts better3.4%4.5%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine12.3 pts better89.7%77.4%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.7 pts worse19.6%15.9%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication4 pts worse5.6%1.6%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.5 pts better75.9%74.4%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission11 pts better6.3%17.3%23.4%

·

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
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
Glanz, HeidiOperational/Managerial Control · Individual0%1 facilities
Glanz, HeidiAdp Of The SNF · Individual0%1 facilities
Morrison, RobertManaging Control - Governing Body · Individual0%14 facilities
Morrison, RobertOperational/Managerial Control · Individual0%14 facilities
Simmons, BenjaminManaging Control - Governing Body · Individual0%14 facilities
Simmons, BenjaminOperational/Managerial Control · Individual0%14 facilities
Simmons, BenjaminAdp Of The SNF · Individual0%14 facilities
Spielman, ShimonOperational/Managerial Control · Individual0%48 facilities
Spielman, ShimonAdp Of The SNF · Individual0%48 facilities
Winterholler, DavidOperational/Managerial Control · Individual0%14 facilities
Worland SNF Operations LLCOperational/Managerial Control · Organization0%1 facilities
Worland SNF Operations LLCAdp Of The SNF · Organization0%1 facilities
Worland SNF Realty LLCAdp Of The SNF · Organization0%1 facilities
Wy2 SNF Operations Manager LLCOperational/Managerial Control · Organization0%2 facilities
Wy2 SNF Operations Manager LLCAdp Of The SNF · Organization0%2 facilities
Yenowitz, YitzchokOperational/Managerial Control · Individual0%50 facilities
Yenowitz, YitzchokAdp Of The SNF · Individual0%50 facilities
Zimmerman, EdwardOperational/Managerial Control · Individual0%3 facilities
Zimmerman, EdwardAdp Of The SNF · Individual0%3 facilities

·

Fire safety

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

Smoke6F
  1. E

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    March 6, 2025 · K321 · Corrected April 4, 2025

  2. F

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

    December 21, 2023 · K355 · Corrected January 16, 2024

  3. F

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

    October 27, 2022 · K345 · Corrected December 7, 2022

  4. E

    Provide properly protected cooking facilities.

    October 27, 2022 · K324 · Corrected November 25, 2022

  5. D

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    October 27, 2022 · K321 · Corrected November 25, 2022

  6. D

    Install corridor and hallway doors that block smoke.

    October 27, 2022 · K363 · Corrected November 25, 2022

Egress3F
  1. F

    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.

    March 6, 2025 · K222 · Corrected April 4, 2025

  2. E

    Meet other general requirements.

    December 21, 2023 · K200 · Corrected January 16, 2024

  3. E

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

    October 27, 2022 · K232 · Corrected November 25, 2022

Emergency Preparedness1F
  1. F

    Include a process for Emergency Preparedness collaboration.

    March 6, 2025 · E9 · Corrected April 4, 2025

Gas, Vacuum, and Electrical Systems1F
  1. F

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

    March 6, 2025 · K918 · Corrected April 2, 2025

·

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