The nursing home failed to ensure residents were free from significant medication errors. Cited August 2025 — isolated incident, actual harm.
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F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
Sublette County Health
Pinedale, WY · Medicare-certified · 50 beds
Needs attention
Government-run
3 of 5 overall
3 out of 5 stars overall. Staffing and quality are rated 4 stars, with reported nurse staffing above the federal benchmark (4.90 vs 4.1 hours/resident/day), but there was a recent federal penalty and $9,718 in fines in the last 24 months; health inspection is 3 stars.
Facility ratings
Health inspections
Staffing
4.9005 hrs/resident/day
Quality measures
Last inspection: August 19, 2025Penalties, last 24 months: $9,718recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9005.
Staffing detail
- Registered nurses
- 1.36
- Licensed practical nurses
- 0.37
- Nurse aides
- 3.17
- Weekend nursing
- 4.36
Hours per resident per day.
Total staff turnover: 98%
Registered nurse turnover: 93%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
36%Improving
Residents with a fall causing major injury
5.5%Worsening
Residents with pressure ulcers (bedsores)
3.9%Worsening
Residents with a urinary tract infection
10.7%Worsening
Residents who lost too much weight
3.6%Steady
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19.6%Improving
Residents whose ability to walk got worse
23.4%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
22.2%Improving
Short-stay residents newly given an antipsychotic
4.1%Steady
Residents with a long-term catheter
3.5%Improving
Residents with new or worsening incontinence
21.8%Worsening
Residents with depressive symptoms
7.7%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
96.9%Steady
Short-stay residents given the pneumonia vaccine
73.2%Worsening
What the inspectors found
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 June 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2024 — limited pattern, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: E
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited February 2024 — limited pattern, potential for harm.
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F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: E
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited June 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- PENALTY
A federal fine of $9,718 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $9,718 in total fines.
- $9,718
Federal fine
Aug 19, 2025
Operator & ownership
- Ownership
- Government - Hospital district
- Occupancy
- 41.6 residents on an average day (83% of 50 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 44 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.