Elder Care Record

Wyoming › Sublette County › Pinedale

Heritage Home

550 Fremont Lake Road, Pinedale, WY 82941

CCN 535017 · Government, hospital district · 50 certified beds

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.

Heritage Home is a Government, hospital district nursing home in Pinedale, Wyoming, certified for 50 beds and caring for about 48 residents a day.

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

Inspectors recorded 11 health deficiencies across the three most recent survey cycles (4, 3, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 22.0 per 100 beds, about the same as the state median of 22.6.

CMS lists 1 penalty in the period covered: fines totalling $10K.

Reported nurse staffing is 4.2 hours per resident per day (1.4 RN), close to the Wyoming median of 3.6; nursing staff turnover is 100.0%.

11health deficiencies, 3 survey cycles1 at actual harm or worse
$10Kfines listed by CMS1 penalty in period
4.2nurse hours per resident per daystate median 3.6
96%occupancy (residents ÷ beds)48 residents a day

Compared with county, state and nation

MeasureThis facilitySublette Co. medianWyoming medianUS average
Overall star rating4433.0
Health citations, 3 cycles11111628.7
Citations per 100 beds22.022.022.626.8
Total nurse hours per resident day4.24.23.63.9
RN hours per resident day1.41.40.80.7
Nursing staff turnover100.0%100.0%48.3%45.8%
Fines listed$9,718$9,718$9,718—

County and state figures are medians across facilities (1 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)4
Cycle 23
Cycle 34

Dark bar: this facility. Grey bar: Wyoming average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Jun 2025, 23 Feb 2024.

Severity mix: G ×1 D ×7 E ×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
19 Aug 2025F0760Ensure that residents are free from significant medication errors.GComplaint investigation10 Sep 2025
12 Jun 2025F0880Provide and implement an infection prevention and control program.EStandard survey11 Jul 2025
12 Jun 2025F0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard survey11 Jul 2025
12 Jun 2025F0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard survey11 Jul 2025
17 Apr 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation28 May 2024
17 Apr 2024F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint investigation28 May 2024
23 Feb 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation4 Apr 2024
23 Feb 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard survey20 Mar 2024
23 Feb 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.DStandard survey20 Mar 2024
2 Feb 2023F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey28 Feb 2023
2 Feb 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 survey28 Feb 2023

Penalties

DateTypeAmountDetail
19 Aug 2025Fine$9,718

Staffing

Total nursing4.25 h
Nurse aides2.58 h
LPN0.3 h
RN1.37 h
Weekend total3.61 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wyoming average. Turnover: nursing staff 100.0%, RNs 100.0%; 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 Stay17.2%17.4%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay2.5%0.9%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay10.4%2.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay5.0%3.9%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay3.8%0.4%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay22.8%15.3%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.4%3.6%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay37.4%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: government, hospital district. Legal business name: Sublette County Hospital District.

OrganisationRole in the CMS recordInterestSince
Sublette County Hospital District5% or greater direct ownership interest100%07/01/2021
Sublette County Hospital DistrictOperational/managerial controlNOT APPLICABLE01/01/2024
Eide Bailly LLPAdp of the snfNOT APPLICABLE09/10/2024
Sublette County Hospital DistrictAdp of the snfNOT APPLICABLE01/01/2024

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

Questions and answers

How many deficiencies has Heritage Home been cited for?

11 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wyoming median is 16 per facility.

Has Heritage Home been fined?

Yes. CMS lists fines totalling $10K in the period covered.

How does staffing at Heritage Home compare?

Reported total nurse staffing is 4.2 hours per resident per day against a Wyoming median of 3.6 and a national average of 3.9.

Who operates Heritage Home?

Ownership type is government, hospital district. Organisations in the CMS ownership record include Sublette County Hospital District and Sublette County Hospital District. Individual owners and managers are not listed on this site.

When was Heritage Home last inspected?

The most recent survey or investigation in the CMS record is dated 19 Aug 2025; the most recent standard health survey was 12 Jun 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.