The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Wind River Rehabilitation and Wellness
Riverton, WY · Medicare-certified · 81 beds
In good standing
New ownership (past 12 mo)For-profitChain member
Data as of July 1, 2026
2 of 5 overall
Wind River Rehabilitation and Wellness in Riverton, WY has an overall rating of 2 out of 5 stars, with a 2-star health inspection rating and 3-star staffing rating. Reported nurse staffing is 3.24 hours per resident per day, below the federal benchmark of 4.1, and there were $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2366 hrs/resident/day
Quality measures
Last inspection: May 21, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2366.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 0.36
- Nurse aides
- 2.18
- Weekend nursing
- 2.97
Hours per resident per day.
Total staff turnover: 55%
Registered nurse turnover: 17%
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
31.4%15.8%Improving
Residents with a fall causing major injury
2.3%0%Improving
Residents with pressure ulcers (bedsores)
4.7%0%Improving
Residents with a urinary tract infection
2.4%2%No change
Residents who lost too much weight
10.3%2.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
27.5%6.5%Improving
Residents whose ability to walk got worse
—33%—
Long-stay residents on antianxiety or sleep medication
17.1%8.5%Improving
Short-stay residents newly given an antipsychotic
0%3.3%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
37.6%31.3%Improving
Residents with depressive symptoms
0%0%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
—94.2%—
Long-stay residents given the pneumonia vaccine
95.5%86.3%Worsening
Short-stay residents given the seasonal flu vaccine
—41.1%—
Short-stay residents given the pneumonia vaccine
47.3%40.4%Worsening
What the inspectors found
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited March 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: F
Recent history
- OWNERSHIP
The facility reported a change in ownership in the past 12 months.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $37,772 in total fines.
- $25,984
Federal fine
Mar 14, 2024
- $11,788
Federal fine
Jul 26, 2023
Operator & ownership
Recent ownership change · Sep 30, 2025
Now operated by North Big Horn Hospital District, previously Wind River Snf Operations, LLC.
- Ownership
- For profit - Corporation
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 44 homes · 2.5 stars avg
- Occupancy
- 58.6 residents on an average day (72% of 81 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 37 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.