Shepherd of the Valley Rehabilitation and Wellness
Nursing home in Casper, WY
Medicare & Medicaid certified1★ overall (CMS)
Public-record details
- Address
- 60 Magnolia St, Casper, WY 82604
- Phone
- (307) 234-9381
- Listed under
- For-profit
- Medicare CCN
- 535042
- Overall star rating
- 1 of 5 ★☆☆☆☆
- Health inspection rating
- 1 of 5
- Staffing rating
- 3 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 192
- Average residents per day
- 162
- Ownership
- For-profit, corporation
- Legal business name
- North Big Horn Hospital District
- Chain
- Evergreen Healthcare Group (44 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Nov 1, 1990
- Changed ownership in last 12 months
- Yes
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: Oct 31, 2024. CMS lists 39 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 31, 2022 to Mar 13, 2026): 20 from complaint inspections, 7 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.
| Inspection | Citation | Severity |
|---|---|---|
| Mar 13, 2026 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| Mar 13, 2026 | Provide and implement an infection prevention and control program. | E |
| Mar 13, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| Jan 29, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| May 22, 2025 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| Mar 20, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G |
| Mar 20, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| Mar 20, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| Oct 31, 2024 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| Oct 31, 2024 | Provide and implement an infection prevention and control program. | D |
| Oct 31, 2024 | Provide activities to meet all resident's needs. | E |
| Oct 31, 2024 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
Fines and payment denials
CMS records 5 fines totalling $97,031 in the last three years.
| Mar 13, 2026 | Fine: $26,685 |
| May 22, 2025 | Fine: $12,438 |
| Mar 20, 2025 | Fine: $15,857 |
| Aug 15, 2024 | Fine: $7,718 |
| Mar 22, 2024 | Fine: $34,333 |
Staffing
- Total nurse staffing per resident per day
- 3.26 hours
- Registered nurse (RN) time per resident per day
- 0.62 hours
- Nurse aide time per resident per day
- 2.27 hours
- Total nurse staffing on weekends
- 2.65 hours
- Nursing staff turnover (yearly)
- 47%
- RN turnover (yearly)
- 45%
- Administrators who left in the past year
- 0
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.