ElderGrade
B

75/100

Above average

Heritage Home

550 Fremont Lake Road, Pinedale, WY 82941

CMS 4/5 stars (307) 367-4161
Certified beds
50
Occupancy
96%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $9,718 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 100%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

26/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

26/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.08 total nurse hours per resident per day (national median 3.77)
  • 1.37 RN hours per resident per day
  • Weekend staffing drops 15% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 100% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $9,718 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.25 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 1.37 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 3.61 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 100.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 11 citations

Last standard health inspection: June 12, 2025 (1 year ago).

G Aug 19, 2025 F0760 From a complaint

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Actual harm to a resident

E Jun 12, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Jun 12, 2025 F0605

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

No actual harm, potential for more than minimal harm

D Jun 12, 2025 F0640

Resident Assessment and Care Planning Deficiencies

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

No actual harm, potential for more than minimal harm

D Apr 17, 2024 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

No actual harm, potential for more than minimal harm

D Apr 17, 2024 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

No actual harm, potential for more than minimal harm

E Feb 23, 2024 F0656 From a complaint

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

No actual harm, potential for more than minimal harm

E Feb 23, 2024 F0684

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
PATTEN, WILLIAM Individual CORPORATE OFFICER
SUBLETTE COUNTY HOSPITAL DISTRICT Organization OPERATIONAL/MANAGERIAL CONTROL
BURNETT, WILLIAM Individual OPERATIONAL/MANAGERIAL CONTROL
MENDES, MARISSA Individual OPERATIONAL/MANAGERIAL CONTROL
PATTEN, WILLIAM Individual OPERATIONAL/MANAGERIAL CONTROL
WALKER, DAWN Individual OPERATIONAL/MANAGERIAL CONTROL
ARMSTRONG, MARK Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
BENANDER, CHERI Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
FREEMAN, JOHN Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
HAYNES, JULIE Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
HOLLINGSWORTH, PRESLEY Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
MORKEL, DEREK Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...

What families say

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Common questions about Heritage Home

What is the ElderGrade for Heritage Home? +

Heritage Home holds an ElderGrade of B (75 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Heritage Home? +

Residents receive an average of 4.25 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Heritage Home been cited for harming residents? +

Yes. 1 of the 11 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Heritage Home accept Medicaid? +

Yes, Heritage Home is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.