Nursing HomeInspections

Shepherd of the Valley Rehabilitation and Wellness

Nursing home in Casper, WY

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)CMS abuse icon

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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
3 of 5
Certified beds
192
Average residents per day
164
Ownership
For-profit, corporation
Legal business name
North Big Horn Hospital District
Chain
Evergreen Healthcare Group (43 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 1, 1990
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 535042. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 30, 2026. CMS lists 43 health citations for this facility across its last three standard inspection cycles and complaint inspections (Aug 10, 2023 to Jul 30, 2026): 20 from complaint inspections, 8 at the “actual harm” level or higher, including 1 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Jul 30, 2026Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 30, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights
D
Potential for more than minimal harm, isolated
Jul 30, 2026Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 30, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Jul 30, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 30, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 30, 2026Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jul 30, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
Jul 30, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Jul 30, 2026Provide activities to meet all resident's needs.
Quality of Life and Care
E
Potential for more than minimal harm, pattern
Jul 30, 2026Ensure 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…
Pharmacy Service
E
Potential for more than minimal harm, pattern
Jul 30, 2026Protect 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

Showing the 12 most recent of 43. Full inspection reports are on Medicare Care Compare.

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 6 fines totalling $114,055 in the last three years.

Mar 13, 2026Fine: $17,345
Mar 13, 2026Fine: $26,364
May 22, 2025Fine: $12,438
Mar 20, 2025Fine: $15,857
Aug 15, 2024Fine: $7,718
Mar 22, 2024Fine: $34,333

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
3.25 hours
Registered nurse (RN) time per resident per day
0.80 hours
Nurse aide time per resident per day
2.09 hours
Total nurse staffing on weekends
2.58 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
50%
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.

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