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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D27 | E5 | F6 |
| Minimal | A· | B· | C1 |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Aug 13, 2026 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Mar 31, 2026 | Health | Health Complaint | 1 | Potential harm | — | Open → |
| Dec 11, 2025 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Dec 11, 2025 | Health | Health Complaint, Health Standard | 10 | Actual harm | — | Open → |
| Jul 11, 2024 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Jul 11, 2024 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Apr 13, 2023 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Apr 13, 2023 | Health | Health Standard | 10 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G2 | H· | I· |
| Potential harm | D27 | E5 | F6 |
| Minimal | A· | B· | C1 |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Aug 13, 2026 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Aug 14, 2026 | Complaint |
| Mar 31, 2026 | F-0602 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 26, 2026 | Complaint |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Weston County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 1966 |
| Kari Drost | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 3, 2022 |
| Paul Maiellano | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 17, 2025 |
| Patricia Ryan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 11, 2026 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Weston County Hospital District | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 1966 |
| Kari Drost | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 3, 2022 |
| Paul Maiellano | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Nov 17, 2025 |
| Patricia Ryan | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | May 11, 2026 |
| John Haeberle |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 535023 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 535023 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
| Wyoming HLS Facility Directory WY | 15267 | state_license, licensed_beds, licensee Linked to the CMS record by exact CCN. | Verified | Nov 2, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Dec 11, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | G · Actual harm Isolated | Corrected Jan 5, 2026 | Complaint |
| Dec 11, 2025 | K-0100 | Meet other general requirements. Construction Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Dec 11, 2025 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Dec 11, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Dec 11, 2025 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jan 5, 2026 |
| Dec 11, 2025 | F-0558 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 23, 2025 |
| Dec 11, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Dec 11, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Dec 11, 2025 | F-0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Dec 11, 2025 | F-0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Dec 11, 2025 | F-0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Jan 5, 2026 | Complaint |
| Dec 11, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jan 5, 2026 |
| Dec 11, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Dec 11, 2025 | F-0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jan 5, 2026 |
| Jul 11, 2024 | E-0039 | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Sep 4, 2024 |
| Jul 11, 2024 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 4, 2024 |
| Jul 11, 2024 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 4, 2024 |
| Jul 11, 2024 | K-0900 | Meet Health Care Facilities Code mechanical requirements. Miscellaneous Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Sep 4, 2024 |
| Jul 11, 2024 | F-0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 25, 2024 |
| Jul 11, 2024 | F-0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 25, 2024 |
| Jul 11, 2024 | F-0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Administration Deficiencies · Administration & records | F · Potential harm Widespread | Corrected Aug 25, 2024 |
| Jul 11, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Aug 25, 2024 |
| Apr 13, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 1, 2023 |
| Apr 13, 2023 | K-0255 | Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 1, 2023 |
| Apr 13, 2023 | K-0271 | Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 16, 2023 |
| Apr 13, 2023 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 1, 2023 |
| Apr 13, 2023 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected May 1, 2023 |
| Apr 13, 2023 | K-0351 | Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected May 1, 2023 |
| Apr 13, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected May 1, 2023 |
| Apr 13, 2023 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 1, 2023 |
| Apr 13, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 1, 2023 |
| Apr 13, 2023 | F-0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected May 1, 2023 |
| Apr 13, 2023 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 1, 2023 |
| Apr 13, 2023 | F-0680 | Ensure the activities program is directed by a qualified professional. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected May 1, 2023 |
| Apr 13, 2023 | F-0727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected May 1, 2023 |
| Apr 13, 2023 | F-0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 1, 2023 |
| Apr 13, 2023 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected May 1, 2023 |
| Apr 13, 2023 | F-0888 | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · Infection prevention | C · Minimal Widespread | Corrected May 1, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.73 (case-mix index 1.18).
| Individual |
| Operational / managerial control |
| OPERATIONAL/MANAGERIAL CONTROL |
| not provided |
| Jan 1, 2025 |
| Patricia Ryan | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | May 11, 2026 |
| Kimberly Scharf | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2026 |
| Kari Drost | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 3, 2022 |
| Paul Maiellano | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Nov 17, 2025 |
| Patricia Ryan | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | May 11, 2026 |
| Kari Drost | Individual | Trustee | TRUSTEE OF THE SNF | not provided | May 3, 2022 |
| Kari Drost | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 3, 2022 |
| John Haeberle | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2025 |
| Paul Maiellano | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 17, 2025 |
| Patricia Ryan | Individual | Additional disclosable party | ADP OF THE SNF | not provided | May 11, 2026 |
| Kimberly Scharf | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 2026 |