Elder Care Record

Wyoming › Laramie County › Cheyenne

Granite Rehabilitation and Wellness

3128 Boxelder Dr, Cheyenne, WY 82001

CCN 535013 · For-profit, corporation · 146 certified beds · chain Evergreen Healthcare Group

Ownership 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.

Granite Rehabilitation and Wellness is a For-profit, corporation nursing home in Cheyenne, Wyoming, certified for 146 beds and caring for about 79 residents a day.

CMS gives it 2 of 5 stars overall, below the Wyoming median of 3; the health inspection rating is 2, staffing 4 and quality measures 3.

Inspectors recorded 25 health deficiencies across the three most recent survey cycles (5, 9, 11 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 17.1 per 100 beds, fewer than the state median of 22.6.

CMS lists 1 penalty in the period covered: fines totalling $16K.

Reported nurse staffing is 3.5 hours per resident per day (0.8 RN), close to the Wyoming median of 3.6; nursing staff turnover is 44.3%.

CMS flags that the facility changed ownership in the last 12 months.

25health deficiencies, 3 survey cycles3 at actual harm or worse
$16Kfines listed by CMS1 penalty in period
3.5nurse hours per resident per daystate median 3.6
54%occupancy (residents ÷ beds)79 residents a day

Compared with county, state and nation

MeasureThis facilityLaramie Co. medianWyoming medianUS average
Overall star rating2233.0
Health citations, 3 cycles25251628.7
Citations per 100 beds17.117.122.626.8
Total nurse hours per resident day3.53.53.63.9
RN hours per resident day0.80.90.80.7
Nursing staff turnover44.3%44.3%48.3%45.8%
Fines listed$15,548$15,548$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)5
Cycle 29
Cycle 311

Dark bar: this facility. Grey bar: Wyoming average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Mar 2026, 7 Aug 2024.

Severity mix: G ×3 D ×11 E ×8 F ×3

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
26 Mar 2026F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation8 May 2026
26 Mar 2026F0692Provide enough food/fluids to maintain a resident's health.GStandard survey8 May 2026
26 Mar 2026F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard survey8 May 2026
26 Mar 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey8 May 2026
26 Mar 2026F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DComplaint investigation8 May 2026
24 Jun 2025F0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.GComplaint investigation19 Jul 2025
24 Jun 2025F0627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DComplaint investigation19 Jul 2025
7 Aug 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FStandard survey9 Sep 2024
7 Aug 2024F0758Implement 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 survey9 Sep 2024
7 Aug 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.EStandard survey9 Sep 2024
7 Aug 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey9 Sep 2024
7 Aug 2024F0679Provide activities to meet all resident's needs.DStandard survey9 Sep 2024
7 Aug 2024F0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DStandard survey9 Sep 2024
7 Aug 2024F0880Provide and implement an infection prevention and control program.DStandard survey9 Sep 2024
12 Apr 2024F0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FComplaint investigation13 May 2024
12 Apr 2024F0585Honor 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.EComplaint investigation13 May 2024
12 Apr 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint investigation13 May 2024
12 Apr 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EComplaint investigation13 May 2024
12 Apr 2024F0880Provide and implement an infection prevention and control program.DComplaint investigation13 May 2024
11 Oct 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint investigation29 Oct 2023
25 May 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey23 Jun 2023
25 May 2023F0880Provide and implement an infection prevention and control program.EStandard survey23 Jun 2023
25 May 2023F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard survey23 Jun 2023
25 May 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.DStandard survey23 Jun 2023
25 May 2023F0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.DStandard survey23 Jun 2023

Penalties

DateTypeAmountDetail
24 Jun 2025Fine$15,548

Staffing

Total nursing3.51 h
Nurse aides1.88 h
LPN0.88 h
RN0.75 h
Weekend total3.3 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wyoming average. Turnover: nursing staff 44.3%, RNs 36.4%; 0 administrators 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 Stay11.9%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 Stay0.7%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay2.0%3.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.4%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay15.1%15.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.1%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.9%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, corporation. Legal business name: North Big Horn Hospital District. Chain: Evergreen Healthcare Group (44 facilities).

OrganisationRole in the CMS recordInterestSince
Couve Financial Services LLCOperational/managerial controlNOT APPLICABLE09/30/2025
Couve Healthcare Consulting LLCOperational/managerial controlNOT APPLICABLE09/30/2025
Granite SNF Operations LLCOperational/managerial controlNOT APPLICABLE09/30/2025
Pacific Northwest Opco Management LLCOperational/managerial controlNOT APPLICABLE09/30/2025
Couve Financial Services LLCAdp of the snfNOT APPLICABLE11/21/2025
Couve Healthcare Consulting LLCAdp of the snfNOT APPLICABLE10/13/2025
Granite SNF Operations LLCAdp of the snfNOT APPLICABLE10/13/2025
Granite SNF Realty LLCAdp of the snfNOT APPLICABLE10/13/2025
Pacific Northwest Opco Management LLCAdp of the snfNOT APPLICABLE10/13/2025

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 Laramie County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Life Care Center of CheyenneCheyenne160544138.1—26 Mar 2026
Polaris Rehabilitation and Care Centerabuse iconSFF CandidateCheyenne1051123937.1$63K22 Apr 2026

All 3 facilities in Laramie County

Questions and answers

How many deficiencies has Granite Rehabilitation and Wellness been cited for?

25 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Wyoming median is 16 per facility.

Has Granite Rehabilitation and Wellness been fined?

Yes. CMS lists fines totalling $16K in the period covered.

How does staffing at Granite Rehabilitation and Wellness compare?

Reported total nurse staffing is 3.5 hours per resident per day against a Wyoming median of 3.6 and a national average of 3.9.

Who operates Granite Rehabilitation and Wellness?

It is part of the Evergreen Healthcare Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Couve Financial Services LLC, Couve Healthcare Consulting LLC and Granite SNF Operations LLC. Individual owners and managers are not listed on this site.

When was Granite Rehabilitation and Wellness last inspected?

The most recent survey or investigation in the CMS record is dated 26 Mar 2026; the most recent standard health survey was 26 Mar 2026.

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.