The nursing home failed to ensure residents were free from significant medication errors. Cited August 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: G
Nursing home report
Sublette Center
Registered name: Heritage Home
Pinedale, WY · Medicare-certified · 50 beds
Needs attention
Government-run
Data as of July 1, 2026
4 of 5 overall
4 out of 5 stars overall. Sublette Center has strong quality measures and staffing, with nurse staffing slightly above the federal benchmark (4.25 vs. 4.1 hours per resident per day), but its health inspection rating is lower at 3 stars and it had $9,718 in fines plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.2456 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 4.2456.
Staffing detail
- Registered nurses
- 1.37
- Licensed practical nurses
- 0.30
- Nurse aides
- 2.58
- Weekend nursing
- 3.61
Hours per resident per day.
Total staff turnover: 100%
Registered nurse turnover: 100%
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
34.8%42.4%Worsening
Residents with a fall causing major injury
7.7%2.3%Improving
Residents with pressure ulcers (bedsores)
0%5.9%Worsening
Residents with a urinary tract infection
8%9.5%Worsening
Residents who lost too much weight
0%5.4%Worsening
Residents who were physically restrained
0%4.7%Worsening
Residents needing more help with daily activities
17.4%10.8%Improving
Residents whose ability to walk got worse
39.9%18.3%Improving
Long-stay residents on antianxiety or sleep medication
25%15.8%Improving
Short-stay residents newly given an antipsychotic
—3.8%—
Residents with a long-term catheter
4.1%1.5%Improving
Residents with new or worsening incontinence
22.9%21.4%Improving
Residents with depressive symptoms
7.7%7.3%No change
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
—100%—
Long-stay residents given the pneumonia vaccine
100%86%Worsening
Short-stay residents given the pneumonia vaccine
71.4%70.8%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 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.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — 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.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — 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
Recent ownership change · Jan 1, 2024
Now operated by Sublette County Hospital District, previously Sublette Center.
- Ownership
- Government - Hospital district
- Occupancy
- 48.2 residents on an average day (96% 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.