Elder Care Record

Wyoming › Natrona County › Casper

Casper Mountain Rehabilitation and Care Center

4305 S Poplar, Casper, WY 82601

CCN 535024 · For-profit, limited liability company · 120 certified beds

Special Focus Facility candidateOwnership changed in last 12 months
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 120 beds, Casper Mountain Rehabilitation and Care Center serves Casper in Natrona County, Wyoming and has taken Medicare and Medicaid residents since 1984.

CMS gives it 1 of 5 stars overall, below the Wyoming median of 3; the health inspection rating is 1, staffing 1 and quality measures 3.

Inspectors recorded 52 health deficiencies across the three most recent survey cycles (22, 19, 11 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 43.3 per 100 beds, more than the state median of 22.6.

CMS lists 2 penalties in the period covered: fines totalling $63K and 1 payment denial.

Reported nurse staffing is 2.8 hours per resident per day (0.7 RN), below the Wyoming median of 3.6; nursing staff turnover is 64.8%.

CMS flags that the facility is a Special Focus Facility candidate and changed ownership in the last 12 months.

52health deficiencies, 3 survey cycles2 at actual harm or worse
$63Kfines listed by CMS2 penalties in period
2.8nurse hours per resident per daystate median 3.6
66%occupancy (residents ÷ beds)79 residents a day

Compared with county, state and nation

MeasureThis facilityNatrona Co. medianWyoming medianUS average
Overall star rating1133.0
Health citations, 3 cycles52391628.7
Citations per 100 beds43.320.322.626.8
Total nurse hours per resident day2.83.33.63.9
RN hours per resident day0.70.70.80.7
Nursing staff turnover64.8%47.4%48.3%45.8%
Fines listed$62,647$62,647$9,718—

County and state figures are medians across facilities (3 in the county, 36 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)22
Cycle 219
Cycle 311

Dark bar: this facility. Grey bar: Wyoming average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Aug 2025, 13 Jun 2024.

Severity mix: G ×2 D ×32 E ×12 F ×4 B ×1 C ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
23 Apr 2026F0573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.DComplaint investigation22 May 2026
23 Apr 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation22 May 2026
23 Apr 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation22 May 2026
23 Apr 2026F0880Provide and implement an infection prevention and control program.DComplaint investigation18 May 2026
30 Dec 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation26 Jan 2026
27 Aug 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint investigation3 Oct 2025
27 Aug 2025F0880Provide and implement an infection prevention and control program.FComplaint investigation10 Oct 2025
27 Aug 2025F0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.EComplaint investigation5 Oct 2025
27 Aug 2025F0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EComplaint investigation3 Oct 2025
27 Aug 2025F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.EStandard survey16 Oct 2025
27 Aug 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation3 Oct 2025
27 Aug 2025F0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EComplaint investigation16 Oct 2025
27 Aug 2025F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint investigation3 Oct 2025
27 Aug 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DComplaint investigation10 Oct 2025
27 Aug 2025F0637Assess the resident when there is a significant change in conditionDStandard survey15 Oct 2025
27 Aug 2025F0641Ensure each resident receives an accurate assessment.DComplaint investigation3 Oct 2025
27 Aug 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard survey10 Oct 2025
27 Aug 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard survey16 Oct 2025
27 Aug 2025F0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint investigation17 Oct 2025
27 Aug 2025F0761Ensure 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.DStandard survey10 Oct 2025
27 Aug 2025F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint investigation17 Oct 2025
27 Aug 2025F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.BComplaint investigation10 Oct 2025
16 May 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation30 Jun 2025
16 May 2025F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DComplaint investigation30 Jun 2025
16 May 2025F0880Provide and implement an infection prevention and control program.DComplaint investigation30 Jun 2025
18 Apr 2025F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint investigation29 Jul 2025
6 Mar 2025F0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.DComplaint investigation11 Apr 2025
6 Mar 2025F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation11 Apr 2025
6 Mar 2025F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation11 Apr 2025
6 Mar 2025F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint investigation11 Apr 2025
15 Jan 2025F0585Honor 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.DComplaint investigation21 Feb 2025
15 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation11 Apr 2025
13 Jun 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey8 Jul 2024
13 Jun 2024F0837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FComplaint investigation8 Jul 2024
13 Jun 2024F0908Keep all essential equipment working safely.FStandard survey8 Jul 2024
13 Jun 2024F0880Provide and implement an infection prevention and control program.EStandard survey8 Jul 2024
13 Jun 2024F0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint investigation8 Jul 2024
13 Jun 2024F0645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard survey8 Jul 2024
13 Jun 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey8 Jul 2024
13 Jun 2024F0761Ensure 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.DStandard survey8 Jul 2024
13 Jun 2024F0732Post nurse staffing information every day.CStandard survey8 Jul 2024
2 May 2024F0839Employ staff that are licensed, certified, or registered in accordance with state laws.EComplaint investigation22 May 2024
21 Mar 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation3 May 2024
21 Mar 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation3 May 2024
3 Aug 2023F0563Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.DComplaint investigation23 Aug 2023
3 Aug 2023F0610Respond appropriately to all alleged violations.DComplaint investigation23 Aug 2023
23 Mar 2023F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.EStandard survey23 Mar 2023
23 Mar 2023F0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EStandard survey23 Mar 2023
23 Mar 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey23 Mar 2023
23 Mar 2023F0758Implement 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.EStandard survey23 Mar 2023
23 Mar 2023F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey23 Mar 2023
23 Mar 2023F0761Ensure 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.DStandard survey23 Mar 2023

Penalties

DateTypeAmountDetail
27 Aug 2025Fine$62,647
18 Apr 2025Payment denial—11 days

Staffing

Total nursing2.8 h
Nurse aides2.01 h
LPN0.11 h
RN0.68 h
Weekend total2.44 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wyoming average. Turnover: nursing staff 64.8%, RNs 60.0%; 1 administrator left in the reporting year.

Quality measures

MeasureResidentsThis facilityWyoming medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay9.3%17.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.2%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.3%3.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.4%0.4%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay8.9%15.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay6.3%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay19.2%19.2%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, limited liability company. Legal business name: North Big Horn Hospital District.

OrganisationRole in the CMS recordInterestSince
Casper Opco LLCOperational/managerial controlNOT APPLICABLE10/01/2025
Casper Propco LLCOperational/managerial controlNOT APPLICABLE10/01/2025
Casper Opco LLCAdp of the snfNOT APPLICABLE10/01/2025
Casper Propco LLCAdp of the snfNOT APPLICABLE10/01/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Natrona County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Life Care Center of CasperCasper1205351613.3—23 Apr 2026
Shepherd of the Valley Rehabilitation and WellnessCasper1921133920.3$97K13 Mar 2026

All 3 facilities in Natrona County

Questions and answers

How many deficiencies has Casper Mountain Rehabilitation and Care Center been cited for?

52 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Wyoming median is 16 per facility.

Has Casper Mountain Rehabilitation and Care Center been fined?

Yes. CMS lists fines totalling $63K in the period covered, plus 1 payment denial.

How does staffing at Casper Mountain Rehabilitation and Care Center compare?

Reported total nurse staffing is 2.8 hours per resident per day against a Wyoming median of 3.6 and a national average of 3.9.

Who operates Casper Mountain Rehabilitation and Care Center?

Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Casper Opco LLC and Casper Propco LLC. Individual owners and managers are not listed on this site.

When was Casper Mountain Rehabilitation and Care Center last inspected?

The most recent survey or investigation in the CMS record is dated 23 Apr 2026; the most recent standard health survey was 27 Aug 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.