Nursing HomeInspections

Rocky Mountain Care - Evanston

Nursing home in Evanston, WY

Medicare & Medicaid certified5★ overall (CMS)

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Public-record details

Address
475 Yellow Creek Rd, Evanston, WY 82930
Phone
(307) 789-0726
Listed under
Nonprofit, 4–5 star overall rating
Medicare CCN
535038
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
4 of 5
Quality measures rating
5 of 5
Certified beds
60
Average residents per day
50
Ownership
Nonprofit, corporation
Legal business name
North Big Horn Hospital District
Chain
Rocky Mountain Care (10 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Sep 19, 1989
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 535038. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Apr 16, 2026. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 29, 2023 to Apr 16, 2026): 2 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Apr 16, 2026Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights		D
Potential for more than minimal harm, isolated
Apr 16, 2026Provide activities to meet all resident's needs.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Apr 16, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Mar 19, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Sep 18, 2024Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Aug 22, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Aug 22, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Aug 22, 2024Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration		D
Potential for more than minimal harm, isolated
Jun 29, 2023Post nurse staffing information every day.
Nursing and Physician Services		B
Potential for minimal harm, pattern

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $13,388 in the last three years.

Mar 19, 2025Fine: $7,220
Aug 22, 2024Fine: $6,168

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.22 hours
Registered nurse (RN) time per resident per day
0.71 hours
Nurse aide time per resident per day
2.05 hours
Total nurse staffing on weekends
2.86 hours
Nursing staff turnover (yearly)
32%
RN turnover (yearly)
14%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error