| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D18 | E6 | F13 |
| 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 21, 2026 | Health | Health Complaint | 4 | Potential harm | 4 | Open → |
| Apr 24, 2026 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Oct 15, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Jan 24, 2025 | Fire safety | Fire Safety Standard | 10 | Potential harm | — | Open → |
| Jan 24, 2025 | Health | Health Complaint, Health Standard | 5 | Potential harm | — | Open → |
| Oct 26, 2023 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Oct 26, 2023 | Health | Health Complaint, Health Standard | 3 | Potential harm | — | Open → |
| Oct 10, 2023 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| Oct 13, 2022 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Oct 13, 2022 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Apr 24, 2026 | Civil money penalty (fine) | $31,720 | — | 535058|Fine|144625 |
| Oct 15, 2025 | Denial of payment for new admissions | — | Nov 15, 2025 · 14 days | 535058|Payment Denial|2025-11-15 |
| Oct 15, 2025 | Civil money penalty (fine) | $50,980 | — | 535058|Fine|135352 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G5 | H· | I· |
| Potential harm | D18 | E6 | F13 |
| Minimal | A· | B· | C1 |
“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.
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: — (case-mix index —).
CMS legal business name of the certified provider. Operates 3 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| State of Wyoming | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 27, 2022 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| State of Wyoming | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Nov 27, 2022 |
| State of Wyoming | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 27, 2022 |
| Rachel Jones | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Nov 27, 2022 |
| Ragen Lathem | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Apr 1, 2025 |
| Kelly Vasquez | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 27, 2025 |
| State of Wyoming | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Nov 27, 2022 |
| Rachel Jones | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Nov 27, 2022 |
| Ragen Lathem | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 1, 2025 |
| Kelly Vasquez | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Jan 27, 2025 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Wyoming Retirement Center 890 US Hwy 20 South, Basin, WY 82410 CCN 535021Abuse icon | 90 | Jul 1, 2026 | 346 harm | $41k | |
| Wyoming Veterans' Skilled Nursing Facility 700 Veteran's Lane, Buffalo, WY 82834 CCN 535061Abuse icon | 36 | Jan 23, 2026 | 261 harm | — |
Coordinates as published by CMS (geocoding footnote 22).
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Westward Heights Care Center 150 Caring Way, Lander, WY 82520 CCN 535034 | 1.7 km | 60 | May 22, 2026 | 18 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 535058 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 535058 | 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 | 15410 | 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