Wyoming › Converse County › Douglas
Summit Ridge Skilled Nursing & Rehabilitation
1108 Birch Street, Douglas, WY 82633
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 60 beds, Summit Ridge Skilled Nursing & Rehabilitation serves Douglas in Converse County, Wyoming and has taken Medicare and Medicaid residents since 1990.
CMS gives it 1 of 5 stars overall, below the Wyoming median of 3; the health inspection rating is 1, staffing 4 and quality measures 2.
Inspectors recorded 28 health deficiencies across the three most recent survey cycles (12, 11, 5 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 46.7 per 100 beds, more than the state median of 22.6.
CMS lists 2 penalties in the period covered: fines totalling $35K.
Reported nurse staffing is 3.4 hours per resident per day (0.7 RN), close to the Wyoming median of 3.6; nursing staff turnover is 33.3%.
CMS flags that the facility carries the CMS abuse icon and changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Converse Co. median | Wyoming median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 1 | 3 | 3.0 |
| Health citations, 3 cycles | 28 | 28 | 16 | 28.7 |
| Citations per 100 beds | 46.7 | 46.7 | 22.6 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.4 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.8 | 0.7 |
| Nursing staff turnover | 33.3% | 33.3% | 48.3% | 45.8% |
| Fines listed | $34,646 | $34,646 | $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
Dark bar: this facility. Grey bar: Wyoming average per facility for the same cycle, as published by CMS. Standard health survey dates: 15 Nov 2024, 30 Aug 2023.
Severity mix: G ×2 D ×20 E ×2 F ×4
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 18 Jun 2026 | F0584 | Honor 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. | E | Complaint investigation | 20 Jul 2026 |
| 30 Apr 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 22 May 2026 |
| 17 Sep 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 | 10 Oct 2025 |
| 17 Sep 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 10 Oct 2025 |
| 3 Jan 2025 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Complaint investigation | 14 Feb 2025 |
| 3 Jan 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 20 Dec 2024 |
| 3 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Feb 2025 |
| 15 Nov 2024 | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Complaint investigation | 20 Dec 2024 |
| 15 Nov 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. | F | Complaint investigation | 20 Dec 2024 |
| 15 Nov 2024 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Complaint investigation | 20 Dec 2024 |
| 15 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 20 Dec 2024 |
| 15 Nov 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Complaint investigation | 20 Dec 2024 |
| 15 Nov 2024 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Complaint investigation | 20 Dec 2024 |
| 15 Nov 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 20 Dec 2024 |
| 15 Nov 2024 | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | Standard survey | 20 Dec 2024 |
| 30 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 | 16 Oct 2023 |
| 30 Aug 2023 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard survey | 16 Oct 2023 |
| 30 Aug 2023 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 16 Oct 2023 |
| 30 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 | 16 Oct 2023 |
| 30 Aug 2023 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 16 Oct 2023 |
| 30 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 16 Oct 2023 |
| 30 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Oct 2023 |
| 30 Aug 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 16 Oct 2023 |
| 10 Aug 2022 | F0886 | Perform COVID19 testing on residents and staff. | F | Standard survey | 15 Sep 2022 |
| 10 Aug 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 15 Sep 2022 |
| 10 Aug 2022 | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | Standard survey | 15 Sep 2022 |
| 10 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. | D | Standard survey | 15 Sep 2022 |
| 10 Aug 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 Sep 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 17 Sep 2025 | Fine | $14,950 | |
| 15 Nov 2024 | Fine | $19,696 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wyoming average. Turnover: nursing staff 33.3%, RNs 14.3%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wyoming median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 21.0% | 17.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.9% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.9% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.2% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 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 | 6.6% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.9% | 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, limited liability company. Legal business name: North Big Horn Hospital District. Chain: Rocky Mountain Care (10 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Summit Ridge Oc LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2025 |
| Rocky Mountain Care LLC | Adp of the snf | NOT APPLICABLE | 09/24/2025 |
| Summit Ridge Oc LLC | Adp of the snf | NOT APPLICABLE | 10/11/2025 |
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 Summit Ridge Skilled Nursing & Rehabilitation been cited for?
28 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 Summit Ridge Skilled Nursing & Rehabilitation been fined?
Yes. CMS lists fines totalling $35K in the period covered.
How does staffing at Summit Ridge Skilled Nursing & Rehabilitation compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Wyoming median of 3.6 and a national average of 3.9.
Who operates Summit Ridge Skilled Nursing & Rehabilitation?
It is part of the Rocky Mountain Care chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Summit Ridge Oc LLC. Individual owners and managers are not listed on this site.
When was Summit Ridge Skilled Nursing & Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 18 Jun 2026; the most recent standard health survey was 15 Nov 2024.
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.