Federal inspection record · CMS data as of October 1, 2026
Wyoming Veterans' Skilled Nursing Facility
700 Veteran's Lane, Buffalo, WY · (307) 684-5511
- Cited for abuse (CMS abuse icon)
- Certified beds
- 36
- Residents per day
- 20
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 30, 2024
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.
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
Wyoming Veterans' Skilled Nursing Facility carries 97.5 inspection points. That is fewer than 23% 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
16 health citations on record since 2024. 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 (1)
-
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
Resident Rights4E
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
- E
The resident has the right to receive notices in a format and a language he or she understands.
- E
Ensure residents have reasonable access to and privacy in their use of communication methods.
- 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.
Pharmacy Service4E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- 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.
- E
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.
- E
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.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Administration1F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning1D
- D
PASARR screening for Mental disorders or Intellectual Disabilities
Infection Control1D
- D
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Inspection history
2026-01-23
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-07-26
7 health deficiencies · 8 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 8 h 18 min of nursing staff time a day, 2 h 28 min of it from a registered nurse.
This home
8 h 18 min
Wyoming average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
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
$0 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-23 | Payment Denial · 62 day denial | $0 |
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. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6 pts better | 100.0% | 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 injury2 pts worse | 7.0% | 5.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms4.5 pts better | 2.4% | 6.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.3 pts better | 1.3% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication11.8 pts better | 3.5% | 15.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication21.8 pts worse | 43.2% | 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 worsened4.6 pts worse | 19.0% | 14.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.9 pts worse | 27.1% | 17.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts worse | 1.6% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3 pts better | 0.0% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.1 pts worse | 24.5% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.5 pts worse | 10.0% | 4.5% | 4.5% |
·
Who owns and runs it
7 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 |
|---|---|---|---|
| Allison, Robert | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Johansson, Stefan | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Johansson, Stefan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Meredith, Gregory | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Meredith, Gregory | Operational/Managerial Control · Individual | 0% | 1 facilities |
| State Of Wyoming | 5% Or Greater Security Interest · Organization | 0% | 3 facilities |
| State Of Wyoming | Operational/Managerial Control · Organization | 0% | 3 facilities |
·
Fire safety
10 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness4F
- F
Develop a communication plan.
- F
Establish staff and initial training requirements.
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
Smoke2F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous2F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
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Amie Holt Care Center
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★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 19 min
- Fines
- $0
-
Big Horn Rehabilitation and Care Center
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 33 min
- Fines
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-
Green House Living for Sheridan
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 5 h 51 min
- Fines
- $62,210