Nursing homeActive
Weston County Health Services
1124 Washington Blvd, Newcastle, WY 82701307746279358 certified beds · 52 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2022
Deficiencies
18
● 1● 16● 1
Penalties · 3 yrs
—
none on file
Last survey
2026-03-31
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Wyoming Healthcare Licensing and Surveys · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-03-31 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-12-11 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-07-11 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-04-13 | Standard | 190 | CMS-2567 (Care Compare) | — |
| 2022-03-10 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Wyoming Healthcare Licensing and Surveys publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-26Record 535023-20260331-F602
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-01-05Record 535023-20251211-F600
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-05Record 535023-20251211-F725
F837Establish 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-25Record 535023-20240711-F837
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-25Record 535023-20240711-F851
F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyScope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-08-25Record 535023-20240711-F868
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-25Record 535023-20240711-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 535023-20230413-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 535023-20230413-F609
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 535023-20230413-F623
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 535023-20230413-F656
F680Ensure the activities program is directed by a qualified professional.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 535023-20230413-F680
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 535023-20230413-F727
F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 535023-20230413-F740
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 535023-20230413-F755
F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-01Record 535023-20230413-F758
F888Ensure staff are vaccinated for COVID-19Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2023-05-01Record 535023-20230413-F888
F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-03-31Record 535023-20220310-F553
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.61
Facility
Wyoming
National
Wyoming 0.94 · National 0.69
Total nurse hours per resident day3.81
Facility
Wyoming
National
Wyoming 3.87 · National 3.86
Weekend total nurse hours3.45
Facility
Wyoming
National
Wyoming 3.37 · National 3.42
Total nursing staff turnover59%
Facility
Wyoming
National
Wyoming 52% · National 46%
Registered nurse turnover33%
Facility
Wyoming
National
Wyoming 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Wyoming | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.6% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.5% | 4.7% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 22.0% | 21.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.5% | 3.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 2.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.8% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.1% | 5.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 7.7% | 15.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Weston County Hospital District Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Haeberle, John Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ryan, Patricia Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Scharf, Kimberly Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Drost, Kari Individual | TRUSTEE OF THE SNF | NOT APPLICABLE | — | — |
| Drost, Kari Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Drost, Kari Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Drost, Kari Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Haeberle, John Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Maiellano, Paul Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Maiellano, Paul Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Maiellano, Paul Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ryan, Patricia Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Ryan, Patricia Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Ryan, Patricia Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Scharf, Kimberly Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wyoming.
No county cost figures on file for Weston.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Crook County Medical Services District Long Term C Sundance | 39.7 mi | 2025-08-14 | 1101 |
| Custer Care And Rehab Center Custer | 30.4 mi | 2025-08-26 | 0170 |
| Spearfish Canyon Healthcare Spearfish | 47.7 mi | 2026-04-20 | 0161 |
| Michael J Fitzmaurice South Dakota Veterans Home Hot Springs | 45.1 mi | 2025-05-01 | 0102 |
| Seven Sisters Living Center Hot Springs | 46.3 mi | 2025-08-14 | 081 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |