ElderGrade
B

82/100

Above average

Mission At Castle Rock

1445 Uinta Dr, Green River, WY 82935

CMS 5/5 stars #1 of 2 in Sweetwater County (307) 872-4600
Certified beds
59
Occupancy
87%
Ownership
Non-profit
Accepts
Medicare + Medicaid

How this grade was calculated

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

Inspection 30/30 Staffing 15/30 Stability 12/15 Outcomes 15/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

30/30

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

Staffing

15/30

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

  • 3.57 total nurse hours per resident per day (national median 3.77)
  • 0.69 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

12/15

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

  • 42% 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

10/10

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

  • No federal fines 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 3.36 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.69 hrs
National average 0.69 hrs Better than average

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

Weekend nurse hours 2.91 hrs
National average 3.42 hrs Below average

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

Nursing staff turnover 41.70%
National average 45.80% Better than average

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

Recent inspection findings

All 12 citations

Last standard health inspection: April 2, 2025 (1 year ago).

D Apr 2, 2025 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 2, 2025 F0880 From a complaint

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

E Jan 19, 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

D Jan 19, 2024 F0679

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

No actual harm, potential for more than minimal harm

D Jan 19, 2024 F0700

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Cor...

No actual harm, potential for more than minimal harm

D Jan 19, 2024 F0740

Quality of Life and Care Deficiencies

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

No actual harm, potential for more than minimal harm

D Nov 29, 2023 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 6, 2022 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of MISSION HEALTH SERVICES, which operates 7 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
ANJEWIERDEN, DIRK Individual CORPORATE DIRECTOR
COVEY, JOSEPH Individual CORPORATE DIRECTOR
GESSEL, DAVID Individual CORPORATE DIRECTOR
KELSO, GARY Individual CORPORATE DIRECTOR
KEELE, EDDIE Individual CORPORATE OFFICER
KELLER, AUSTIN Individual CORPORATE OFFICER
WOOTTON, ZACHARY Individual CORPORATE OFFICER
ZIMBELMAN, MICHELLE Individual CORPORATE OFFICER
MISSION HEALTH SERVICES Organization OPERATIONAL/MANAGERIAL CONTROL
ELLIS, ASHLEY Individual OPERATIONAL/MANAGERIAL CONTROL
HUNTER, KURT Individual OPERATIONAL/MANAGERIAL CONTROL
KEELE, EDDIE Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Mission At Castle Rock

What is the ElderGrade for Mission At Castle Rock? +

Mission At Castle Rock holds an ElderGrade of B (82 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 Mission At Castle Rock? +

Residents receive an average of 3.36 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Mission At Castle Rock been cited for harming residents? +

No. None of the 12 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Mission At Castle Rock accept Medicaid? +

Yes, Mission At Castle Rock 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.