Wyoming › Hot Springs County › Thermopolis
Thermopolis Rehabilitation and Wellness
1210 Canyon Hills Rd, Thermopolis, WY 82443
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, Thermopolis Rehabilitation and Wellness serves Thermopolis in Hot Springs County, Wyoming and has taken Medicare and Medicaid residents since 1994.
CMS gives it 3 of 5 stars overall, equal to the Wyoming median; the health inspection rating is 3, staffing 3 and quality measures 4.
Inspectors recorded 16 health deficiencies across the three most recent survey cycles (6, 3, 7 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 26.7 per 100 beds, about the same as the state median of 22.6.
CMS lists 2 penalties in the period covered: fines totalling $27K.
Reported nurse staffing is 3.5 hours per resident per day (0.6 RN), close to the Wyoming median of 3.6; nursing staff turnover is 73.2%.
CMS flags that the facility changed ownership in the last 12 months.
Compared with county, state and nation
| Measure | This facility | Hot Springs Co. median | Wyoming median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 16 | 16 | 16 | 28.7 |
| Citations per 100 beds | 26.7 | 26.7 | 22.6 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.5 | 3.6 | 3.9 |
| RN hours per resident day | 0.6 | 0.6 | 0.8 | 0.7 |
| Nursing staff turnover | 73.2% | 73.2% | 48.3% | 45.8% |
| Fines listed | $27,072 | $27,072 | $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: 20 Nov 2025, 27 Jun 2024.
Severity mix: K ×1 G ×2 D ×13
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 |
|---|---|---|---|---|---|
| 26 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 12 Mar 2026 |
| 20 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 28 Nov 2025 |
| 20 Nov 2025 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 28 Nov 2025 |
| 20 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 28 Nov 2025 |
| 23 Oct 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 25 Oct 2025 |
| 23 Oct 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Oct 2025 |
| 7 Jul 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 9 Jul 2025 |
| 7 Jul 2025 | F0776 | Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | D | Complaint investigation | 9 Jul 2025 |
| 27 Jun 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 31 Jul 2024 |
| 6 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | K | Complaint investigation | 1 Apr 2024 |
| 6 Mar 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 | 1 Apr 2024 |
| 22 Aug 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 13 Sep 2023 |
| 20 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 31 May 2023 |
| 20 Apr 2023 | F0691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Standard survey | 31 May 2023 |
| 20 Apr 2023 | 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. | D | Standard survey | 31 May 2023 |
| 20 Apr 2023 | 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. | D | Standard survey | 31 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 6 Mar 2024 | Fine | $17,761 | |
| 22 Aug 2023 | Fine | $9,311 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wyoming average. Turnover: nursing staff 73.2%, RNs 66.7%; 0 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 | 23.5% | 17.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.9% | 0.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 22.6% | 15.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.0% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.5% | 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: Evergreen Healthcare Group (44 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Couve Financial Services LLC | Operational/managerial control | NOT APPLICABLE | 09/30/2025 |
| Couve Healthcare Consulting LLC | Operational/managerial control | NOT APPLICABLE | 09/30/2025 |
| Pacific Northwest Opco Management LLC | Operational/managerial control | NOT APPLICABLE | 09/30/2025 |
| Thermopolis SNF Operations, LLC | Operational/managerial control | NOT APPLICABLE | 09/30/2025 |
| Couve Financial Services LLC | Adp of the snf | NOT APPLICABLE | 10/30/2025 |
| Couve Healthcare Consulting LLC | Adp of the snf | NOT APPLICABLE | 10/30/2025 |
| Pacific Northwest Opco Management LLC | Adp of the snf | NOT APPLICABLE | 10/15/2025 |
| Thermopolis SNF Operations, LLC | Adp of the snf | NOT APPLICABLE | 10/30/2025 |
| Thermopolis SNF Realty LLC | Adp of the snf | NOT APPLICABLE | 10/15/2025 |
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 Thermopolis Rehabilitation and Wellness been cited for?
16 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 Thermopolis Rehabilitation and Wellness been fined?
Yes. CMS lists fines totalling $27K in the period covered.
How does staffing at Thermopolis 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 Thermopolis Rehabilitation and Wellness?
It is part of the Evergreen Healthcare Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Couve Financial Services LLC, Couve Healthcare Consulting LLC and Pacific Northwest Opco Management LLC. Individual owners and managers are not listed on this site.
When was Thermopolis Rehabilitation and Wellness last inspected?
The most recent survey or investigation in the CMS record is dated 26 Feb 2026; the most recent standard health survey was 20 Nov 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.