Homes where the federal record contains at least one of the following: a CMS abuse icon, Special Focus
Facility status or candidacy, or a citation scored at actual harm or immediate jeopardy. Ordered with
Special Focus homes first.
Read this as a prompt, not a verdict. A citation can be years old and the management
responsible may have gone. It means you ask what happened and what changed, and you get a specific answer
before you sign anything.
Polaris Rehabilitation and Care Center is a for-profit home in Cheyenne with 105 certified beds, and the numbers tell a story worth paying attention to. Nurse staffing sits at 3.49 hours per resident day, about 10% under the national average, and it drops roughly 15% further on weekends, while annual turnover hits 69% against a national figure of 45.8%. That churn matters at the bedside. The inspection record is the sharper concern: 39 deficiencies, three at harm or jeopardy level, four tied to abuse, and a $62,647 fine. CMS has placed this home in its Special Focus Facility program, which is reserved for the homes with the most persistent problems. The most recent inspection was January 15, 2026.
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.
Worland Health and Rehabilitation runs on thin nurse staffing, 3.25 hours per resident day against a national average of 3.86, and weekends dip roughly 9% below what the home manages on weekdays. The inspection record is the bigger concern: fifteen deficiencies, three of them at harm or jeopardy level and five tied to abuse, which is why CMS has placed it in the Special Focus Facility program. A single fine of $6,788 is on file, and the last inspection came in March 2025. For-profit corporate ownership, 87 certified beds. If you're considering this home for someone you love, ask pointed questions about weekend coverage and how the abuse-related findings were corrected.
The Legacy Living and Rehabilitation Center is run by the local hospital district and has 160 certified beds. Nurse staffing runs 4.59 hours per resident day, about 19% above the national average, though weekends drop roughly 15% below its own weekday level. The numbers that matter more are elsewhere: 38 deficiencies on the current record, 8 of them at harm or jeopardy level, 11 abuse-related, and $115,597 in CMS fines across four events. Annual turnover is 70.5% against a national 45.8%, meaning most of the staff caring for residents last year are gone. CMS has placed it in the Special Focus Facility program, its most serious watch list. The last inspection was March 13, 2026.
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.
Big Horn runs on thinner staffing than most homes, about 3.28 nurse hours per resident day against a national average near 3.86, and weekends dip below its own weekday levels. Annual turnover sits at 56.5%, well above the national 45.8%, so the people around your family member keep changing. CMS has flagged the inspection record at its lowest star, with 46 deficiencies on file, three serious enough to cause harm and seven tied to abuse. That record, plus Special Focus Facility status, is what sits behind the failing grade here.
The staffing number at Wyoming Retirement Center is the one to sit with: 0.39 total nurse hours per resident per day, roughly a tenth of the national average of 3.86. Weekends run about 45% thinner than weekdays already are, so certain shifts have very little licensed coverage in a 90-bed building. On the state's watch, its current record shows 18 deficiencies, six of them at harm or jeopardy level and seven tied to abuse, with two fines totaling $41,201 and an inspection from December 2024. State-run ownership doesn't change what those numbers mean for a resident who needs help at 2 a.m.
Laramie Health and Rehabilitation runs 105 certified beds under corporate for-profit ownership, and the staffing numbers are where you notice the strain first. At 2.89 nurse hours per resident day, it sits about a quarter below the national average, and weekends drop roughly another 17% below its own weekday coverage, so the thinnest shifts land when families tend to visit. Annual turnover of 51.8% tops the national rate, meaning many of the people caring for residents are still learning the building. The current record carries 24 deficiencies, including 2 at harm or jeopardy level and 4 tied to abuse, with $43,618 in fines and the last inspection in October 2024.
Weston County Health Services runs 58 certified beds as a nonprofit, and its 3.81 nurse staffing hours per resident day sit just under the national average of 3.86, close enough that the bigger concern is the weekend drop, when coverage runs about 9% below its own weekday level. Turnover is the sharper problem: 58.9% of staff leaving annually against a national 45.8% means caregivers are cycling through, which matters more in a small rural home where replacements aren't easy to find. The inspection record shows 18 deficiencies, including one at the harm level and four tied to abuse, with the most recent survey in July 2024.
New Horizons Care Center is a hospital-district home in Lovell, and its strongest number isn't obvious at first glance. Nurse staffing sits at 3.60 hours per resident day, about 7% under the national average of 3.86, and weekends run roughly 11% thinner than weekdays, so coverage does dip. What offsets that is stability: turnover is 33.9%, well below the national 45.8%, meaning the people showing up are more likely to already know the residents. Inspections are recent, from January 2025, and the record shows 12 deficiencies, including one at the harm level and two tied to abuse, with a single $7,521 fine. Read those together and you get a home that's steady on staff but has had real problems worth asking about directly.
Summit Ridge runs leaner than most homes, 3.37 nursing hours per resident day against a national average of 3.86, and weekends get even thinner, with about 12% less coverage than weekdays. That staffing pattern likely explains the middle-of-the-road marks on health inspections and quality measures, though the home keeps turnover well below the national rate and earns a 4-star staffing rating despite the low hours. The record shows 27 deficiencies, including two at harm or jeopardy level and five tied to abuse, plus $34,646 in fines, and ownership changed within the past year.
Powell Valley Care Center runs on a hospital-district model, and the staffing reflects it: 5.08 nurse hours per resident day, roughly a third more than the national average, with turnover at 24.2% against a national 45.8%. That consistency matters, though weekend coverage dips about 8% below weekdays. The trouble sits elsewhere. Two of the six deficiencies on record are serious enough to involve harm or jeopardy, and two are abuse-related, which is why the health inspection rating lands at 2 out of 5. Quality measures score 1 out of 5. Two fines totaling $29,120, and the last inspection was January 31, 2025. Staffing is the strength; the care record is the concern.
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.
The state-run veterans' home in Buffalo is unusually well staffed, 7.88 nurse hours per resident day, roughly double the national average of 3.86, and weekends only dip about 14% below its own weekday level, which is modest for a nursing home. That helps explain the four-out-of-five staffing rating. The trouble is on the inspection side: 16 deficiencies on the current record, including one at the harm level and two abuse-related, and the health inspection rating sits at two out of five. The most recent survey was in January 2026. Strong staffing hasn't translated into a clean regulatory record here, and the abuse citations are the kind of thing families should ask about directly.