ElderGrade
C

55.5/100

Average

Laramie Health And Rehabilitation

503 S 18Th St, Laramie, WY 82070

CMS 2/5 stars (307) 742-3728
Certified beds
105
Occupancy
49%
Ownership
For-profit
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.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 2 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.

  • $43,618 in federal fines

    CMS has fined this facility across 2 penalty action(s).

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

6.5/30

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

  • 3.07 total nurse hours per resident per day (national median 3.77)
  • 0.54 RN hours per resident per day
  • Weekend staffing drops 17% against weekdays

Staff stability

9/15

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

  • 52% of nursing staff left in the last year

Resident outcomes

9/15

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

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

Enforcement history

5/10

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

  • $43,618 in federal fines across 2 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record

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 2.89 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.54 hrs
National average 0.69 hrs Below average

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

Weekend nurse hours 2.40 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 51.80%
National average 45.80% Below average

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

Recent inspection findings

All 24 citations

Last standard health inspection: October 10, 2024 (1 year ago).

D Feb 12, 2026 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

F Oct 10, 2024 F0801

Nutrition and Dietary Deficiencies

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.

No actual harm, potential for more than minimal harm

F Oct 10, 2024 F0882

Infection Control Deficiencies

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

No actual harm, potential for more than minimal harm

E Oct 10, 2024 F0584

Resident Rights Deficiencies

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.

No actual harm, potential for more than minimal harm

E Oct 10, 2024 F0761

Pharmacy Service Deficiencies

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...

No actual harm, potential for more than minimal harm

E Oct 10, 2024 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Oct 10, 2024 F0758

Pharmacy Service Deficiencies

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 m...

No actual harm, potential for more than minimal harm

E Oct 10, 2024 F0923 From a complaint

Environmental Deficiencies

Have enough outside ventilation via a window or mechanical ventilation, or both.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of EVERGREEN HEALTHCARE GROUP, which operates 44 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
MORRISON, ROBERT Individual MANAGING CONTROL - GOVERNING BODY
SIMMONS, BENJAMIN Individual MANAGING CONTROL - GOVERNING BODY
COUVE FINANCIAL SERVICES LLC Organization OPERATIONAL/MANAGERIAL CONTROL
COUVE HEALTHCARE CONSULTING LLC Organization OPERATIONAL/MANAGERIAL CONTROL
LARAMIE SNF OPERATIONS LLC Organization OPERATIONAL/MANAGERIAL CONTROL
WY2 SNF OPERATIONS MANAGER LLC Organization OPERATIONAL/MANAGERIAL CONTROL
CONNELL, ERIC Individual OPERATIONAL/MANAGERIAL CONTROL
KAUFMAN, TRENT Individual OPERATIONAL/MANAGERIAL CONTROL
MIKESELL, DARREN Individual OPERATIONAL/MANAGERIAL CONTROL
MORRISON, ROBERT Individual OPERATIONAL/MANAGERIAL CONTROL
SIMMONS, BENJAMIN Individual OPERATIONAL/MANAGERIAL CONTROL
SPIELMAN, SHIMON Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Laramie Health And Rehabilitation

What is the ElderGrade for Laramie Health And Rehabilitation? +

Laramie Health And Rehabilitation holds an ElderGrade of C (55.5 out of 100), which we describe as "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 Laramie Health And Rehabilitation? +

Residents receive an average of 2.89 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Laramie Health And Rehabilitation been cited for harming residents? +

Yes. 2 of the 24 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 Laramie Health And Rehabilitation accept Medicaid? +

Yes, Laramie Health And Rehabilitation 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.