Nursing homes across Fremont County, Wyoming, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
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.
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.
Wind River runs lean on nursing hours, 3.24 per resident day against a national average of 3.86, and weekends dip even further, roughly 8% below its own weekday coverage. That thin margin matters more here because turnover sits at 54.7% while the national figure is 45.8%, meaning the staff who remain are stretched and the ones who leave take familiarity with residents with them. The inspection record is the harder read: 37 deficiencies, three serious enough to put residents in harm's way and two tied to abuse, with $37,772 in fines across two penalties. New corporate ownership took over within the past year, so the current numbers reflect both the old operator's problems and whatever the new one has or hasn't fixed since.
Mountain View is state-run, which is unusual, most Wyoming homes aren't, and that ownership shows up in a mixed record. The inspection side is where the trouble sits: 21 deficiencies on the current record, six of them at harm or jeopardy level, and six tied to abuse. One fine of $50,980 has been levied. That's a lot of serious findings for a 40-bed home, and it explains the two-star inspection rating. The quality measures look better at four stars, so resident care metrics aren't the weak spot. The last inspection was January 2025, so the record is recent. If you're considering this one, ask directly what changed after those harm-level findings, that's the question that matters here, not the quality score.