Nursing home report
Green River, WY · Medicare-certified · 59 beds
Mission at Castle Rock (Green River, WY) has an overall 5-star rating, with 5 stars for health inspections and quality measures and 4 stars for staffing. It reported 3.36 nurse staffing hours per resident per day versus the 4.1 federal benchmark, with $0 in fines in the last 24 months; recent inspection citations were for food handling, medication storage/labeling, and feeding assistant training.
Health inspections
Staffing
3.3573 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.3573.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2022 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited January 2024 — limited pattern, potential for harm.
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to make sure paid feeding assistants had the training they needed. Cited October 2022 — limited pattern, potential for harm.
F-Tag 948 — 42 CFR §483.95 — S/S: E
The nursing home failed to protect residents from abuse and neglect by others. Cited April 2025 — isolated incident, potential for harm.
F-Tag 600 — 42 CFR §483.12 — S/S: D
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 April 2025 — isolated incident, potential for harm.
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 4 health deficiencies.
Health inspection found 1 health deficiency.
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.
