The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Casper Mountain Rehabilitation and Care Center
Casper, WY · Medicare-certified · 120 beds
Needs attention
Special Focus candidateFor-profit
1 of 5 overall
Casper Mountain Rehabilitation and Care Center in Casper, WY has a 1-star overall rating, with 1-star health inspection and staffing ratings and a 3-star quality measures rating. It is a Special Focus Facility candidate with a special focus flag, recent fines totaling $62,647, and reported nurse staffing of 2.87 hours per resident per day versus the 4.1-hour federal benchmark.
Facility ratings
Health inspections
Staffing
2.8739 hrs/resident/day
Quality measures
Last inspection: December 30, 2025Penalties, last 24 months: $62,647special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8739.
Staffing detail
- Registered nurses
- 0.65
- Licensed practical nurses
- 0.19
- Nurse aides
- 2.04
- Weekend nursing
- 2.56
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 59%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
21.7%21.2%Improving
Residents with a fall causing major injury
2.9%3%No change
Residents with pressure ulcers (bedsores)
6.2%6%No change
Residents with a urinary tract infection
0%1.6%Worsening
Residents who lost too much weight
7.7%8.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
10.6%3.4%Improving
Residents whose ability to walk got worse
4.6%3.6%Improving
Long-stay residents on antianxiety or sleep medication
19.4%16.4%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
18.1%29.8%Worsening
Residents with depressive symptoms
19.3%13.5%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—89%—
Long-stay residents given the pneumonia vaccine
94.1%87.9%Worsening
Short-stay residents given the seasonal flu vaccine
—56.6%—
Short-stay residents given the pneumonia vaccine
52.9%47.6%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep essential equipment working safely. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 908 — 42 CFR §483.90 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $62,647 was recorded.
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal payment denial was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $62,647 in total fines · 1 payment denial.
- $62,647
Federal fine
Aug 27, 2025
- 11 days
Medicare/Medicaid payment denial
Apr 18, 2025
Operator & ownership
- Ownership
- For profit - Limited Liability company
- Occupancy
- 79.4 residents on an average day (66% of 120 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 41 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.