Shepherd of the Valley Rehabilitation and WellnessCMS ratings, inspections and fines
- Address
- 60 Magnolia St, Casper, WY 82604
- CCN
- 535042
- Ownership type
- For-profit, corporation
- Certified beds
- 192
- Residents per day
- 162
- CMS flags
- Ownership changed in the last 12 months
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Shepherd of the Valley Rehabilitation and Wellness an overall rating of 1 of 5 stars. The last standard survey was on 31 Oct 2024. The latest survey cycle has 11 health citations. The median for nursing homes in Wyoming is 6. CMS lists 5 fines with a total of $97,031 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Natrona County median | Wyoming median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 3 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 36 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Wyoming median |
|---|---|---|---|
| Cycle 1 (latest) | 31 Oct 2024 | 11 | 6 |
| Cycle 2 | 10 Aug 2023 | 17 | 5 |
| Cycle 3 | No date | 11 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | L0 | |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Mar 2026 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Complaint investigation | 3 Apr 2026 |
| 13 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 16 Feb 2026 |
| 13 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 3 Apr 2026 |
| 29 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 16 Feb 2026 |
| 31 Oct 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 6 Dec 2024 |
| 31 Oct 2024 | F0679 | Provide activities to meet all resident's needs. | E | Standard survey | 6 Dec 2024 |
| 31 Oct 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 6 Dec 2024 |
| 31 Oct 2024 | F0758 | Implement 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. | E | Standard survey | 6 Dec 2024 |
| 31 Oct 2024 | F0761 | Ensure 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. | E | Standard survey | 6 Dec 2024 |
| 31 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 6 Dec 2024 |
| 31 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Dec 2024 |
Survey cycle 2: 17 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 May 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 16 May 2025 |
| 20 Mar 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint investigation | 4 Apr 2025 |
| 20 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 4 Apr 2025 |
| 20 Mar 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint investigation | 4 Apr 2025 |
| 10 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 6 Sep 2024 |
| 10 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 11 Oct 2024 |
| 15 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 13 Sep 2024 |
| 10 Aug 2023 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 4 Sep 2023 |
| 10 Aug 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 4 Sep 2023 |
| 10 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 4 Sep 2023 |
| 10 Aug 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Complaint investigation | 4 Sep 2023 |
| 10 Aug 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 4 Sep 2023 |
| 10 Aug 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 4 Sep 2023 |
| 10 Aug 2023 | F0803 | Ensure 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. | D | Standard survey | 4 Sep 2023 |
| 10 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 4 Sep 2023 |
| 10 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Sep 2023 |
| 10 Aug 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 4 Sep 2023 |
Survey cycle 3: 11 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 26 Apr 2024 |
| 1 Feb 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 23 Jan 2024 |
| 9 Nov 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 8 Dec 2023 |
| 31 Aug 2022 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | Standard survey | 7 Oct 2022 |
| 31 Aug 2022 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 7 Oct 2022 |
| 31 Aug 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 7 Oct 2022 |
| 31 Aug 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 7 Oct 2022 |
| 31 Aug 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 7 Oct 2022 |
| 31 Aug 2022 | F0761 | Ensure 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. | E | Standard survey | 7 Oct 2022 |
| 31 Aug 2022 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | Standard survey | 7 Oct 2022 |
| 31 Aug 2022 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 7 Oct 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 13 Mar 2026 | Fine | $26,685 | |
| 22 May 2025 | Fine | $12,438 | |
| 20 Mar 2025 | Fine | $15,857 | |
| 15 Aug 2024 | Fine | $7,718 | |
| 22 Mar 2024 | Fine | $34,333 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Wyoming median | Wyoming average (CMS) |
|---|---|---|---|
| All nurse staff | 3.26 | 3.60 | 3.87 |
| Registered nurses (RN) | 0.62 | 0.80 | 0.94 |
| Licensed practical nurses (LPN) | 0.37 | 0.50 | |
| Nurse aides | 2.27 | 2.43 | |
| All nurse staff, weekends | 2.65 | 3.20 | 3.37 |
- Nurse staff turnover in a year
- 47.4%
- Nurse staff turnover, Wyoming median
- 48.3%
- RN turnover in a year
- 45.2%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Wyoming median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.3% | 17.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.1% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.2% | 0.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.5% | 15.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.7% | 19.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- North Big Horn Hospital District
- Chain
- Evergreen Healthcare Group (44 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Couve Financial Services LLC | Operational/managerial control | 30 Sep 2025 | |
| Couve Healthcare Consulting LLC | Operational/managerial control | 30 Sep 2025 | |
| Pacific Northwest Opco Management LLC | Operational/managerial control | 30 Sep 2025 | |
| Shepherd of the Valley SNF Operations, LLC | Operational/managerial control | 30 Sep 2025 | |
| Couve Financial Services LLC | Adp of the snf | 14 Oct 2025 | |
| Couve Healthcare Consulting LLC | Adp of the snf | 14 Oct 2025 | |
| Pacific Northwest Opco Management LLC | Adp of the snf | 14 Oct 2025 | |
| Shepherd of the Valley SNF Operations, LLC | Adp of the snf | 14 Oct 2025 | |
| Shepherd of the Valley SNF Realty LLC | Adp of the snf | 14 Oct 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Natrona County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Life Care Center of Casper | Casper | 5 of 5 | 6 | $0 | 17 Oct 2024 | |
| Casper Mountain Rehabilitation and Care CenterSpecial Focus candidate | Casper | 1 of 5 | 22 | $62,647 | 27 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Wyoming Department of Health: complaintsThe complaint page of the State Survey Agency for Wyoming, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Shepherd of the Valley Rehabilitation and Wellness (CCN 535042). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/shepherd-of-the-valley-rehabilitation-and-wellness-casper-wy-535042/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Shepherd of the Valley Rehabilitation and Wellness last inspected?
- The latest inspection with a citation in the CMS record was on 13 Mar 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 10 Aug 2023.
- Who operates Shepherd of the Valley Rehabilitation and Wellness?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Evergreen Healthcare Group. The CMS ownership file names 4 organisations for operational or managerial control. This site does not show the names of persons.
- Is Shepherd of the Valley Rehabilitation and Wellness a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Wyoming as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.