Nursing homeActive
Mission at Castle Rock
1445 Uinta Dr, Green River, WY 82935307872460059 certified beds · 51 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
4
since 2022
Deficiencies
12
● 0● 12● 0
Penalties · 3 yrs
—
none on file
Last survey
2025-04-02
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 5
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 |
|---|---|---|---|---|
| 2025-04-02 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-01-19 | Standard | 040 | CMS-2567 (Care Compare) | — |
| 2023-11-29 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2022-10-06 | Standard | 050 | 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.
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 2025-04-02Record 535033-20250402-F600
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 2025-05-23Record 535033-20250402-F880
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 535033-20240119-F679
F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 535033-20240119-F700
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 2024-02-16Record 535033-20240119-F740
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-16Record 535033-20240119-F761
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 2023-12-29Record 535033-20231129-F600
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 2022-12-01Record 535033-20221006-F623
F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-01Record 535033-20221006-F625
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-12-01Record 535033-20221006-F812
F888Ensure staff are vaccinated for COVID-19Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-01Record 535033-20221006-F888
F948Ensure that paid feeding assistants have the training they need.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-01Record 535033-20221006-F948
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.69
Facility
Wyoming
National
Wyoming 0.94 · National 0.69
Total nurse hours per resident day3.36
Facility
Wyoming
National
Wyoming 3.87 · National 3.86
Weekend total nurse hours2.91
Facility
Wyoming
National
Wyoming 3.37 · National 3.42
Total nursing staff turnover42%
Facility
Wyoming
National
Wyoming 52% · National 46%
Registered nurse turnover27%
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 | 1.5% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.0% | 4.7% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 17.9% | 21.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.4% | 3.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 6.5% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.9% | 5.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.4% | 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 |
|---|---|---|---|---|
| Mission Health Services Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Ellis, Ashley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hunter, Kurt Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Keele, Eddie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Keller, Austin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mission Health Services Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wootton, Zachary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Zimbelman, Michelle Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Anjewierden, Dirk Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Covey, Joseph Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Ellis, Ashley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gessel, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hunter, Kurt Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Keele, Eddie Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Keele, Eddie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Keller, Austin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Keller, Austin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kelso, Gary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mission Health Services Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wootton, Zachary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wootton, Zachary Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Zimbelman, Michelle Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Zimbelman, Michelle Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Mission Health Services — 7 facilities
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 Sweetwater.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Sage View Care Center Rock Springs | 14.7 mi | 2026-01-15 | 071 |
| Uintah Health Care Special Service District Vernal | 72.3 mi | 2025-09-25 | 041 |
| South Lincoln Nursing Center Kemmerer | 58.1 mi | 2026-01-06 | 2170 |
| Uintah Basin Rehabilitation and Senior Villa Roosevelt | 87.6 mi | 2026-04-16 | 010 |
| Heritage Home Pinedale | 97.2 mi | 2025-08-19 | 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 |