22 of the 36 Medicare-certified nursing homes in Wyoming (61%) are independently owned, and all are listed below. 3 of the 22 graded homes earn an A and 5 earn a D or F. They average 4.18 nursing hours per resident per day, 0.31 hours above the 3.87 for every home in Wyoming. St John's Health Sage Living in Jackson grades highest at A (96 out of 100).
How independently owned homes in Wyoming compare
This group set against every nursing home in Wyoming, from the current CMS release.
Nursing hours per resident per day
4.18
All homes in Wyoming: 3.87
Better than the local average
Nurse staff turnover
55.4%
All homes in Wyoming: 51.8%
Worse than the local average
Average ElderGrade score
69.4/100
All homes in Wyoming: 70.7/100
Worse than the local average
Grade spread
A
B
C
D
3 grade A, 6 grade B, 8 grade C, 5 grade D,
The best-graded independently owned home in Wyoming is
St John's Health Sage Living
in Jackson, WY, grade A, 96/100.
St. John's Health Sage Living runs 60 beds under hospital-district ownership, which tends to mean steadier budgets than a for-profit chain can offer. Its nurse staffing sits at 3.97 hours per resident day, just above the national average of 3.86, though weekends dip about 14% below its own weekday coverage, a gap worth asking about if your family member needs more hands-on help on Saturdays and Sundays. Staff turnover is 32%, well under the national 45.8%, so the people caring for residents tend to stick around. Five deficiencies appear on the current record, none at the harm level, one abuse-related. The last inspection was May 2025.
Amie Holt Care Center runs on a government hospital-district model in Buffalo, and the staffing numbers show it: 4.97 nurse hours per resident day against a national average of 3.86. Weekend coverage dips about 16% below its own weekday level, which is worth asking about if your family visits mainly on Saturdays and Sundays. Staff turnover sits at 40.8%, better than the 45.8% national figure but still meaning roughly two in five caregivers leaving each year. Seven deficiencies on record, none at harm or jeopardy level and none abuse-related, with the most recent inspection in April 2025.
Westward Heights runs leaner than most homes nationally on nurse staffing, 3.73 hours per resident day against a 3.86 average, and weekends pull about 14% below its own weekday coverage, so if you're visiting on a Saturday, expect a thinner floor. Staff turnover sits at 45.8%, essentially matching the national rate, which means nearly half the nursing team turns over in a year. The nine deficiencies on record include one tied to abuse, though none rose to the harm or jeopardy level, and the last state inspection was in March 2025. As a nonprofit with 60 beds, it's small enough that you can ask directly who's on shift and how long they've been there.
Star Valley Care Center is a 24-bed hospital-district home in Afton, and its staffing numbers are the first thing worth knowing: 6.08 nurse hours per resident day, roughly 57 percent above the national average of 3.86. Weekend coverage drops about 19 percent below its own weekday level, which is common but still the gap to watch in a small building. On inspections, the record is clean, four deficiencies total, none at the harm or jeopardy level, none abuse-related, and the most recent inspection was in February 2026. Quality measures sit in the middle of the pack, so the stronger story here is consistent hands-on care and a well-kept survey record.
Heritage Home sits in Pinedale as a hospital-district operation with 50 certified beds, and the staffing numbers look solid on paper: 4.25 nurse hours per resident day, roughly 10% above the national average. The catch is that weekends run about 15% lighter than weekdays, and the entire nursing staff turns over every year, 100%, against a national average near 46%. That churn matters because 11 deficiencies sit on the current record, including one at the harm level and three tied to abuse, with a single fine of $9,718. Quality measures score well and the last inspection was recent, in June 2025, but steady staffing is what actually holds a building together.
Morning Star Care Center runs on federal money, it's a government-owned home on the Wind River Reservation with 45 certified beds. Nurse staffing sits at 5.23 hours per resident day, roughly 35% above the national average, though weekends drop about 24% below its own weekday level, so coverage isn't perfectly even. The tradeoff shows up elsewhere: 16 deficiencies on the current record, two tied to abuse, and one fine of $5,168, with the last inspection in April 2025. Quality measures score low even as staffing scores high, which is the tension here, plenty of nursing hours, but outcomes and compliance haven't kept pace.
Platte County Legacy Home runs 3.63 nurse hours per resident day, about 6% under the national average of 3.86, and weekends drop roughly 13% below its own weekday staffing. That dip matters in a 50-bed home where you can't easily shuffle people around. Annual turnover sits at 52.3%, well above the 45.8% national figure, which means the aides and nurses getting to know your family member are often new to the building. The record shows 13 deficiencies, including one at the harm level and two tied to abuse. The most recent inspection was February 20, 2026, recent enough that these findings reflect how the place runs now, not years ago.
South Lincoln Nursing Center runs on unusually heavy staffing for a 24-bed home, 4.80 nurse hours per resident day, about a quarter above the national average, which is why it earns top marks on that measure alone. The catch is consistency: weekends run roughly a fifth thinner than weekdays, so the coverage your family member gets depends on the calendar. Turnover at 38.1% beats the national 45.8%, though more than a third of staff still left in a year. Inspections are the weak spot, 24 deficiencies on record, four tied to abuse, none rising to actual harm, and a survey as recent as July 2025. Hospital-district ownership means public accountability rather than a chain.
Cody Regional Health Long Term Care Center runs on a hospital district's budget and holds a 4-star health inspection rating from CMS, with its most recent survey in April 2026 and no deficiencies at the harm or jeopardy level. The catch is staffing stability: 57.9% annual turnover against a national average of 45.8%, and weekend coverage that drops roughly 15% below what the home staffs on weekdays. Total nurse hours sit at 3.91 per resident day, barely above the national 3.86. Thirteen deficiencies are on record, one tied to abuse. The quality measure score of 2 stars suggests clinical outcomes aren't keeping pace with the inspection findings.
Crook County Medical Services District Long Term C runs a high-staffing operation: 4.77 nurse hours per resident day, roughly a quarter above the national average, and weekends dip only about 15% below its own weekday level. That staffing is the strongest part of the picture. The trouble sits elsewhere. Staff turnover runs 78.2% against a national average near 46%, so the people providing that care are cycling through fast. The home carries 25 deficiencies on its current record, including one at the harm level and four tied to abuse, plus a fine of $8,981, with its last inspection in August 2025. Nonprofit ownership hasn't kept quality measures from landing at the bottom of CMS's scale.
Green House Living for Sheridan has real staffing depth, 4.53 nurse hours per resident day, roughly 17% above the national average, and that shows up in its staffing rating. But look at what else the record holds: 35 deficiencies, four of them serious enough to involve harm or jeopardy, two tied to abuse, and $61,929 in fines across three penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. Its last inspection was March 2025, and with 73.5% annual turnover, well above the 45.8% national figure, the people delivering that care keep changing. Good hours don't fix a troubled inspection history.
Weston County Health Services runs 58 certified beds as a nonprofit, and its 3.81 nurse staffing hours per resident day sit just under the national average of 3.86, close enough that the bigger concern is the weekend drop, when coverage runs about 9% below its own weekday level. Turnover is the sharper problem: 58.9% of staff leaving annually against a national 45.8% means caregivers are cycling through, which matters more in a small rural home where replacements aren't easy to find. The inspection record shows 18 deficiencies, including one at the harm level and four tied to abuse, with the most recent survey in July 2024.
New Horizons Care Center is a hospital-district home in Lovell, and its strongest number isn't obvious at first glance. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends run roughly 11% thinner than weekdays, so coverage does dip. What offsets that is stability: turnover is 33.9%, well below the national 45.8%, meaning the people showing up are more likely to already know the residents. Inspections are recent, from January 2025, and the record shows 12 deficiencies, including one at the harm level and two tied to abuse, with a single $7,521 fine. Read those together and you get a home that's steady on staff but has had real problems worth asking about directly.
Powell Valley Care Center runs on a hospital-district model, and the staffing reflects it: 5.08 nurse hours per resident day, roughly a third more than the national average, with turnover at 24.2% against a national 45.8%. That consistency matters, though weekend coverage dips about 8% below weekdays. The trouble sits elsewhere. Two of the six deficiencies on record are serious enough to involve harm or jeopardy, and two are abuse-related, which is why the health inspection rating lands at 2 out of 5. Quality measures score 1 out of 5. Two fines totaling $29,120, and the last inspection was January 31, 2025. Staffing is the strength; the care record is the concern.
Goshen Healthcare Community runs 103 certified beds under corporate for-profit ownership, and its nurse staffing sits at 3.05 hours per resident day, roughly 21% under the national average of 3.86. Weekends dip about 8% below the home's own weekday coverage, so the thinnest shifts land when families tend to visit. The 45.8% annual turnover matches the national figure, but the inspection record is the heavier concern: 25 deficiencies, one at harm or jeopardy level and five tied to abuse, plus a $29,617 fine. The most recent inspection was July 24, 2025. If you're weighing this one, ask specifically how the abuse-related findings were resolved and what weekend coverage actually looks like.
Mountain View is state-run, which is unusual, most Wyoming homes aren't, and that ownership shows up in a mixed record. The inspection side is where the trouble sits: 21 deficiencies on the current record, six of them at harm or jeopardy level, and six tied to abuse. One fine of $50,980 has been levied. That's a lot of serious findings for a 40-bed home, and it explains the two-star inspection rating. The quality measures look better at four stars, so resident care metrics aren't the weak spot. The last inspection was January 2025, so the record is recent. If you're considering this one, ask directly what changed after those harm-level findings, that's the question that matters here, not the quality score.
The state-run veterans' home in Buffalo is unusually well staffed, 7.88 nurse hours per resident day, roughly double the national average of 3.86, and weekends only dip about 14% below its own weekday level, which is modest for a nursing home. That helps explain the four-out-of-five staffing rating. The trouble is on the inspection side: 16 deficiencies on the current record, including one at the harm level and two abuse-related, and the health inspection rating sits at two out of five. The most recent survey was in January 2026. Strong staffing hasn't translated into a clean regulatory record here, and the abuse citations are the kind of thing families should ask about directly.
The Legacy Living and Rehabilitation Center is run by the local hospital district and has 160 certified beds. Nurse staffing runs 4.59 hours per resident day, about 19% above the national average, though weekends drop roughly 15% below its own weekday level. The numbers that matter more are elsewhere: 38 deficiencies on the current record, 8 of them at harm or jeopardy level, 11 abuse-related, and $115,597 in CMS fines across four events. Annual turnover is 70.5% against a national 45.8%, meaning most of the staff caring for residents last year are gone. CMS has placed it in the Special Focus Facility program, its most serious watch list. The last inspection was March 13, 2026.
Casper Mountain Rehabilitation and Care Center is a 120-bed for-profit home in Casper, and the numbers are hard to read. Nurse staffing sits at 2.80 hours per resident day, roughly 27% under the national average of 3.86, and weekends run about 13% below its own weekday level, so the thinnest coverage lands when families tend to visit. Staff turnover is 64.8% against a national 45.8%, meaning most of the people caring for residents this year likely won't be there next year. The current record shows 52 deficiencies, including two at the harm level and two tied to abuse, plus a $62,647 fine. CMS has placed it in the Special Focus Facility program, which is reserved for the homes with the most persistent problems.
Polaris Rehabilitation and Care Center is a for-profit home in Cheyenne with 105 certified beds, and the numbers tell a story worth paying attention to. Nurse staffing sits at 3.49 hours per resident day, about 10% under the national average, and it drops roughly 15% further on weekends, while annual turnover hits 69% against a national figure of 45.8%. That churn matters at the bedside. The inspection record is the sharper concern: 39 deficiencies, three at harm or jeopardy level, four tied to abuse, and a $62,647 fine. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. The most recent inspection was January 15, 2026.
Frequently asked questions
How many independently owned nursing homes are there in Wyoming?
There are 22 independently owned Medicare-certified nursing homes in Wyoming, 61% of the 36 nursing homes there.
Are independently owned nursing homes better staffed?
In Wyoming they average 4.18 total nursing hours per resident per day, against 3.87 for all nursing homes in Wyoming, a difference of +0.31 hours. Staff turnover averages 55.4% against 51.8%.
Which independently owned nursing home grades best in Wyoming?