Nursing homes across Natrona County, Wyoming, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
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.
Shepherd of the Valley runs 192 certified beds in Casper under corporate ownership that changed hands within the past year. The numbers that stand out: a one-star health inspection rating, 39 deficiencies on the current record, including seven serious enough to put residents in harm's way and three tied to abuse. Staffing sits at 3.26 nurse hours per resident day, roughly 16 percent under the national average, and weekends run about 18 percent thinner than weekdays. Add 47.4 percent annual turnover and $97,031 in fines across five penalties. When a home changes ownership while carrying that inspection record, families should ask who's actually running the building day to day.