Nursing homeActive
Thermopolis Rehabilitation and Wellness
1210 Canyon Hills Rd, Thermopolis, WY 82443307864559160 certified beds · 39 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
16
● 0● 13● 3
Penalties · 3 yrs
$17,761
1 fine
Last survey
2026-02-26
Complaint
CMS overall
3 / 5
stars as published by CMS
CMS overall 3/5
Health 3
Staffing 3
Quality 4
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 |
|---|---|---|---|---|
| 2026-02-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-11-20 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2025-10-23 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2025-07-07 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2024-06-27 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-06 | Complaint | 002 | CMS-2567 (Care Compare) | — |
| 2023-08-22 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2023-04-20 | Standard | 040 | 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.
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 2026-03-12Record 535051-20260226-F609
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 2025-11-28Record 535051-20251120-F689
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-28Record 535051-20251120-F760
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 2025-11-28Record 535051-20251120-F880
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-25Record 535051-20251023-F580
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 2025-10-25Record 535051-20251023-F684
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-09Record 535051-20250707-F658
F776Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-09Record 535051-20250707-F776
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-31Record 535051-20240627-F883
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 2024-04-01Record 535051-20240306-F600
F610Respond appropriately to all alleged violations.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-04-01Record 535051-20240306-F610
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 2023-09-13Record 535051-20230822-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 2023-05-31Record 535051-20230420-F623
F691Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-31Record 535051-20230420-F691
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 2023-05-31Record 535051-20230420-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 DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-05-31Record 535051-20230420-F761
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2024-03-06 | Civil money penalty | $17,761 | CMS · Penalties |
| 2023-08-22 | Civil money penalty | $9,311 | CMS · Penalties |
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 day3.52
Facility
Wyoming
National
Wyoming 3.87 · National 3.86
Weekend total nurse hours3.29
Facility
Wyoming
National
Wyoming 3.37 · National 3.42
Total nursing staff turnover73%
Facility
Wyoming
National
Wyoming 52% · National 46%
Registered nurse turnover67%
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 | 1.0% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 1.6% | 4.7% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 15.5% | 21.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 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 | 23.5% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 8.1% | 5.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.3% | 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 |
|---|---|---|---|---|
| Couve Financial Services LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Couve Healthcare Consulting LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Pacific Northwest Opco Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Spielman, Shimon Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stannard, Andrea Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Thermopolis SNF Operations, LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Weyer, Jason Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Yenowitz, Yitzchok Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Connell, Eric Individual | CORPORATE OFFICER | 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 | — | — |
| Morrison, Robert Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Pacific Northwest Opco Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Simmons, Benjamin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Spielman, Shimon Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stannard, Andrea Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thermopolis SNF Operations, LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thermopolis SNF Realty LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Weyer, Jason Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Winterholler, David Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Yenowitz, Yitzchok Individual | 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 Hot Springs.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Worland Health and Rehabilitation Worland | 29.4 mi | 2026-04-30 | 093 |
| Wind River Rehabilitation and Wellness Riverton | 42.5 mi | 2026-05-21 | 0232 |
| Wyoming Retirement Center Basin | 50.8 mi | 2025-10-24 | 076 |
| Morning Star Care Center Fort Washakie | 54.9 mi | 2025-04-10 | 0100 |
| Mountain View Skilled Nursing Community at WLRC Lander | 60.7 mi | 2026-04-24 | 195 |
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 |