Nursing home report
Casper, WY · Medicare-certified · 192 beds
Shepherd of the Valley Rehabilitation and Wellness in Casper, WY has a 1-star overall rating, with a 1-star health inspection rating, a 3-star staffing rating, and a 2-star quality measures rating. It reports nurse staffing below the federal benchmark (3.26 vs. 4.1 hours per resident per day) and has had $62,698 in fines in the last 24 months, with a recent federal penalty.
Health inspections
Staffing
3.2565 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2565.
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 nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited March 2026 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited May 2025 — isolated incident, actual harm.
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited March 2025 — isolated incident, actual harm.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2025 — isolated incident, actual harm.
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — isolated incident, actual harm.
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The facility reported a change in ownership in the past 12 months.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal fine of $26,685 was recorded.
Health inspection found 3 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $12,438 was recorded.
Health inspection found 1 health deficiency.
A federal fine of $15,857 was recorded.
A federal fine of $7,718 was recorded.
On record with Medicare: 5 fines · $97,031 in total fines.
Federal fine
Mar 13, 2026
Federal fine
May 22, 2025
Federal fine
Mar 20, 2025
Federal fine
Aug 15, 2024
Federal fine
Mar 22, 2024
Now operated by North Big Horn Hospital District, previously Shepherd of the Valley Snf Operations, LLC.
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.
