#1Jackson, WY · Teton County
★★★★★CMS 5/560 bedsGovernmentMedicaid
- Nurse hours
- 3.97 /day
- Staff turnover
- 32%
- Serious cites
- 0
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.
#2Buffalo, WY · Johnson County
★★★★★CMS 5/550 bedsGovernmentMedicaid
- Nurse hours
- 4.97 /day
- Staff turnover
- 41%
- Serious cites
- 0
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.
#3Casper, WY · Natrona County
★★☆☆☆CMS 2/5120 bedsFor-profitMedicaid
- Nurse hours
- 4.17 /day
- Staff turnover
- 44%
- Serious cites
- 0
Life Care Center of Casper runs a 120-bed for-profit operation where the staffing numbers are genuinely better than most. At 4.17 nurse hours per resident day, it sits about 8% above the national average, and its CMS staffing and quality ratings both come in at the top of the scale. Weekend coverage dips roughly 14% below weekday levels, and turnover runs 44.2%, essentially in line with the national figure, not an outlier in either direction. The inspection record is where it gets more mixed: 16 deficiencies on file, none at harm or jeopardy level, but one tied to abuse. The last survey was in October 2024.
#4Lander, WY · Fremont County
★★★★☆CMS 4/560 bedsNon-profitMedicaid
- Nurse hours
- 3.73 /day
- Staff turnover
- 46%
- Serious cites
- 0
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.
#5Afton, WY · Lincoln County
★★★★★CMS 5/524 bedsGovernmentMedicaid
- Nurse hours
- 6.08 /day
- Staff turnover
- n/a
- Serious cites
- 0
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.
#6Cheyenne, WY · Laramie County
★★★★★CMS 5/5160 bedsFor-profitMedicaid
- Nurse hours
- 3.56 /day
- Staff turnover
- 41%
- Serious cites
- 0
Life Care Center Of Cheyenne runs 160 certified beds under corporate for-profit ownership, and its staffing sits at 3.56 nurse hours per resident day, about 8% under the national average of 3.86. Weekends drop roughly 13% below the home's own weekday levels, so coverage thins out exactly when families tend to visit. Turnover lands at 41%, a bit better than the 45.8% national figure. The inspection record shows 13 deficiencies, one serious enough to reach harm or jeopardy level, though none tied to abuse. Its most recent inspection came in November 2025. Quality measures score well and inspections rate strongly, but the direct-care hours and that one high-level deficiency are the numbers worth asking about.
#7Green River, WY · Sweetwater County
★★★★★CMS 5/559 bedsNon-profitMedicaid
- Nurse hours
- 3.36 /day
- Staff turnover
- 42%
- Serious cites
- 0
Mission At Castle Rock runs on leaner nursing hours than the typical U.S. home, about 3.36 per resident day against a national 3.86, and weekends are thinner still, roughly 13% below what it staffs on weekdays. Turnover sits at 41.7%, a bit better than the 45.8% national figure but still meaning four in ten caregivers leaving within a year. What holds the record together is oversight: a five-star health inspection rating and a five-star quality measure rating, with 12 deficiencies on file, none at the harm or jeopardy level, though two are abuse-related. The last inspection was April 2, 2025. The tradeoff here is consistent care quality on fewer hands.
#8Evanston, WY · Uinta County
★★★★★CMS 5/560 bedsNon-profitMedicaid
- Nurse hours
- 3.20 /day
- Staff turnover
- 42%
- Serious cites
- 0
Rocky Mountain Care - Evanston runs lean on nurses: 3.20 hours per resident day against a national average of 3.86, and weekends dip about 10% below its own weekday coverage. Turnover sits at 42.2%, slightly better than the national 45.8%, so the people who stay tend to stay. The inspection record shows nine deficiencies, two serious enough to involve harm or jeopardy and one tied to abuse, plus two fines totaling $13,388, real problems, though the most recent inspection came in April 2026 and the health inspection rating is 4 out of 5. Quality measures score 5 out of 5. Nonprofit ownership. If you're considering this home, ask specifically how weekend nurse coverage is handled.
#9Rawlins, WY · Carbon County
★★★☆☆CMS 3/562 bedsFor-profitMedicaid
- Nurse hours
- 3.35 /day
- Staff turnover
- 39%
- Serious cites
- 0
Rawlins Rehabilitation and Wellness runs 62 certified beds under for-profit LLC ownership, and its nurse staffing sits at 3.35 hours per resident day, roughly 13% under the national average of 3.86. Weekends dip about 3% below the home's own weekday level. Turnover is 38.7%, which is actually better than the 45.8% national figure, and the staffing star rating reflects that. The inspection record is where the concern sits: 14 deficiencies, including 2 at harm or jeopardy level and 3 abuse-related, plus one fine of $14,433. The last inspection was August 7, 2025. Quality and health inspection ratings both land at 3 out of 5.
#10Sheridan, WY · Sheridan County
★★★★★CMS 5/5102 bedsFor-profitMedicaid
- Nurse hours
- 3.50 /day
- Staff turnover
- 52%
- Serious cites
- 0
Westview runs about 3.50 nurse hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 51.5%, higher than the 45.8% national figure. The inspection history is mixed: a recent February 2025 survey, a 4-star health inspection rating, and strong quality measures, but 10 deficiencies on record, including one at the harm level and one tied to abuse. It's corporate-owned and licensed for 102 beds.
#11Pinedale, WY · Sublette County
★★★★★CMS 5/550 bedsGovernmentMedicaid
- Nurse hours
- 4.25 /day
- Staff turnover
- 100%
- Serious cites
- 0
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.
#12Wheatland, WY · Platte County
★★★☆☆CMS 3/550 bedsNon-profitMedicaid
- Nurse hours
- 3.63 /day
- Staff turnover
- 52%
- Serious cites
- 0
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.
#13Fort Washakie, WY · Fremont County
★★★★☆CMS 4/545 bedsGovernmentMedicaid
- Nurse hours
- 5.23 /day
- Staff turnover
- n/a
- Serious cites
- 0
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.
#14Kemmerer, WY · Lincoln County
★★★☆☆CMS 3/524 bedsGovernmentMedicaid
- Nurse hours
- 4.80 /day
- Staff turnover
- 38%
- Serious cites
- 0
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.
#15Cheyenne, WY · Laramie County
★★☆☆☆CMS 2/5146 bedsFor-profitMedicaid
- Nurse hours
- 3.51 /day
- Staff turnover
- 44%
- Serious cites
- 0
Granite Rehabilitation and Wellness runs 146 certified beds in Cheyenne under corporate for-profit ownership that changed hands within the past year. Nurse staffing sits at 3.51 hours per resident day, roughly 9 percent under the national average, and weekends drop about 6 percent below the home's own weekday levels. Staff turnover, at 44.3 percent, is close to the national figure, so retention here isn't the outlier. What stands out is the inspection record: 25 deficiencies, three of them serious enough to signal harm or jeopardy, plus one fine of $15,548. A recent inspection date of March 2026 means the picture is current. The staffing star rating of 4 doesn't square neatly with those hours, which land below average, so weigh the inspection findings heavily.