Shepherd of the Valley Rehabilitation and Wellness

60 Magnolia St, Casper, WY 82604 · CCN 535042 · 192 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing3 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2026-03-13 — IMMEDIATE JEOPARDY (tag F0689, severity K)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-05-22 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2025-03-20 — ACTUAL HARM (tag F0684, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-03-20 — ACTUAL HARM (tag F0686, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

2025-03-20 — ACTUAL HARM (tag F0580, severity G)

Resident Rights Deficiencies · correction not recorded in CMS data

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-09-10 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

2024-03-22 — ACTUAL HARM (tag F0684, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

2.33

state median 3.18

Weekend staffing gap

−16%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.41

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

47%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

5 enforcement action(s), totaling $97,031 in fines.

Date	Type	Amount
2026-03-13	Fine	$26,685
2025-05-22	Fine	$12,438
2025-03-20	Fine	$15,857
2024-08-15	Fine	$7,718
2024-03-22	Fine	$34,333

Ownership

Ownership type: For profit - Corporation. Part of the EVERGREEN HEALTHCARE GROUP chain.

Other facilities under the same ownership, with their CMS overall ratings:

MISSOULA HEALTH & REHABILITATION CENTER (MISSOULA, MT) — CMS overall4 of 5
LIVINGSTON HEALTH & REHABILITATION CENTER (LIVINGSTON, MT) — CMS overall2 of 5
POLSON HEALTH & REHABILITATION CENTER (POLSON, MT) — CMS overall4 of 5
HOT SPRINGS HEALTH & REHABILITATION CENTER (HOT SPRINGS, MT) — CMS overall4 of 5
LAUREL HEALTH & REHABILITATION CENTER (LAUREL, MT) — CMS overall1 of 5
ASPEN MEADOWS HEALTH AND REHABILITATION CENTER (BILLINGS, MT) — CMS overall2 of 5
EL JEN SKILLED CARE (LAS VEGAS, NV) — CMS overall1 of 5
ORMSBY POST ACUTE REHABILITATION (CARSON CITY, NV) — CMS overallnot rated

Full citation history

By severity: Actual harm: 6 · Potential for more than minimal harm: 32 · Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2026-03-13	F0676	Quality of Life and Care Deficiencies	D	not recorded
2026-03-13	F0689	Quality of Life and Care Deficiencies	K	not recorded
2026-03-13	F0880	Infection Control Deficiencies	E	not recorded
2026-01-29	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-05-22	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2025-03-20	F0580	Resident Rights Deficiencies	G	not recorded
2025-03-20	F0684	Quality of Life and Care Deficiencies	G	not recorded
2025-03-20	F0686	Quality of Life and Care Deficiencies	G	not recorded
2024-10-31	F0676	Quality of Life and Care Deficiencies	D	not recorded
2024-10-31	F0679	Quality of Life and Care Deficiencies	E	not recorded
2024-10-31	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2024-10-31	F0758	Pharmacy Service Deficiencies	E	not recorded
2024-10-31	F0761	Pharmacy Service Deficiencies	E	not recorded
2024-10-31	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-10-31	F0880	Infection Control Deficiencies	D	not recorded
2024-09-10	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2024-09-10	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-08-15	F0880	Infection Control Deficiencies	D	not recorded
2024-03-22	F0684	Quality of Life and Care Deficiencies	G	not recorded
2024-02-01	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2023-11-09	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-08-10	F0554	Resident Rights Deficiencies	D	not recorded
2023-08-10	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2023-08-10	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-08-10	F0688	Quality of Life and Care Deficiencies	D	not recorded
2023-08-10	F0689	Quality of Life and Care Deficiencies	D	not recorded
2023-08-10	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-08-10	F0803	Nutrition and Dietary Deficiencies	D	not recorded
2023-08-10	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2023-08-10	F0880	Infection Control Deficiencies	E	not recorded
2023-08-10	F0919	Environmental Deficiencies	D	not recorded
2022-08-31	F0636	Resident Assessment and Care Planning Deficiencies	E	not recorded
2022-08-31	F0637	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-08-31	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2022-08-31	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2022-08-31	F0676	Quality of Life and Care Deficiencies	D	not recorded
2022-08-31	F0761	Pharmacy Service Deficiencies	E	not recorded
2022-08-31	F0839	Administration Deficiencies	D	not recorded
2022-08-31	F0880	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Shepherd of the Valley Rehabilitation and Wellness, Casper” at medicare.gov/care-compare.