Nursing homeActive
Shepherd of the Valley Rehabilitation and Wellness
60 Magnolia St, Casper, WY 826043072349381192 certified beds · 162 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
12
since 2022
Deficiencies
39
● 0● 32● 7
Penalties · 3 yrs
$97,031
5 fines
Last survey
2026-03-13
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 3
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 |
|---|---|---|---|---|
| 2026-03-13 | Complaint | 021 | CMS-2567 (Care Compare) | — |
| 2026-01-29 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-05-22 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-03-20 | Complaint | 003 | CMS-2567 (Care Compare) | — |
| 2024-10-31 | Standard | 070 | CMS-2567 (Care Compare) | — |
| 2024-09-10 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-08-15 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-22 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-02-01 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-11-09 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-08-10 | Standard | 0100 | CMS-2567 (Care Compare) | — |
| 2022-08-31 | Standard | 080 | 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.
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity KHarm
Care planningFalls
Pattern; immediate jeopardy to resident health or safety.Corrected 2026-02-16Record 535042-20260313-F689
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 535042-20260313-F676
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-04-03Record 535042-20260313-F880
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-16Record 535042-20260129-F689
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 2025-05-16Record 535042-20250522-F600
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity GHarm
Dignity & rights
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-04Record 535042-20250320-F580
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-04Record 535042-20250320-F684
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-04Record 535042-20250320-F686
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 535042-20241031-F676
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 535042-20241031-F679
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 2024-12-06Record 535042-20241031-F725
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 EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 535042-20241031-F758
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 2024-12-06Record 535042-20241031-F761
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-06Record 535042-20241031-F842
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 2024-12-06Record 535042-20241031-F880
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 2024-09-06Record 535042-20240910-F600
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 2024-10-11Record 535042-20240910-F656
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 2024-09-13Record 535042-20240815-F880
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-04-26Record 535042-20240322-F684
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 2024-01-23Record 535042-20240201-F602
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 2023-12-08Record 535042-20231109-F656
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-04Record 535042-20230810-F554
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 2023-09-04Record 535042-20230810-F656
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-04Record 535042-20230810-F684
F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-04Record 535042-20230810-F688
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-04Record 535042-20230810-F689
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-04Record 535042-20230810-F695
F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-04Record 535042-20230810-F803
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-04Record 535042-20230810-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-04Record 535042-20230810-F880
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-04Record 535042-20230810-F919
F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-07Record 535042-20220831-F636
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-07Record 535042-20220831-F637
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-10-07Record 535042-20220831-F656
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-07Record 535042-20220831-F657
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-07Record 535042-20220831-F676
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 2022-10-07Record 535042-20220831-F761
F839Employ staff that are licensed, certified, or registered in accordance with state laws.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-10-07Record 535042-20220831-F839
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 2022-10-07Record 535042-20220831-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-03-13 | Civil money penalty | $26,685 | CMS · Penalties |
| 2025-05-22 | Civil money penalty | $12,438 | CMS · Penalties |
| 2025-03-20 | Civil money penalty | $15,857 | CMS · Penalties |
| 2024-08-15 | Civil money penalty | $7,718 | CMS · Penalties |
| 2024-03-22 | Civil money penalty | $34,333 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.62
Facility
Wyoming
National
Wyoming 0.94 · National 0.69
Total nurse hours per resident day3.26
Facility
Wyoming
National
Wyoming 3.87 · National 3.86
Weekend total nurse hours2.65
Facility
Wyoming
National
Wyoming 3.37 · National 3.42
Total nursing staff turnover47%
Facility
Wyoming
National
Wyoming 52% · National 46%
Registered nurse turnover45%
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 | 2.2% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.1% | 4.7% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 21.7% | 21.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.1% | 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 | 17.3% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 5.6% | 5.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 17.9% | 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 |
|---|---|---|---|---|
| Connell, Eric Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Couve Financial Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Couve Healthcare Consulting LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Lawrence, Eric Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Miller, Jessica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Morrison, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pacific Northwest Opco Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shepherd Of The Valley SNF Operations, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Simmons, Benjamin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Spielman, Shimon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Winterholler, David Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Connell, Eric Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Couve Financial Services LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Couve Healthcare Consulting LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Lawrence, Eric Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Miller, Jessica Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Morrison, Robert Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Pacific Northwest Opco Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shepherd Of The Valley SNF Operations, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Shepherd Of The Valley SNF Realty LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Simmons, Benjamin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Simmons, Benjamin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Spielman, Shimon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Yenowitz, Yitzchok Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Evergreen Healthcare Group — 44 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 Natrona.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Life Care Center of Casper Casper | 3.1 mi | 2026-04-23 | 080 |
| Casper Mountain Rehabilitation and Care Center Casper | 3.2 mi | 2026-04-23 | 2402 |
| Summit Ridge Skilled Nursing & Rehabilitation Douglas | 52.4 mi | 2026-06-18 | 0132 |
| Rawlins Rehabilitation and Wellness Rawlins | 83.4 mi | 2025-08-07 | 071 |
| Wyoming Veterans' Skilled Nursing Facility Buffalo | 106.0 mi | 2026-01-23 | 1141 |
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 |