Shepherd of the Valley Rehabilitation and Wellness
Shepherd of the Valley Rehabilitation and Wellness is a 192-bed nursing home in Casper, Wyoming. CMS has certified it for Medicare and Medicaid since 1990-11-01. It averages 161.9 residents a day.
What harm was found in the violations cited at Shepherd of the Valley Rehabilitation and Wellness?
CMS lists 39 health-inspection deficiencies for Shepherd of the Valley Rehabilitation and Wellness since 2022-08-31, 31 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-03-13.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-03-13 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2026-03-13 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2026-03-13 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D |
| 2026-01-29 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-05-22 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2025-03-20 | F0580, F0684, F0686 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G |
| 2024-10-31 | F0679, F0725, F0758, F0761, F0842 | Provide activities to meet all resident's needs. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Implement 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. / Ensure 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-10-31 | F0676, F0880 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Provide and implement an infection prevention and control program. | D |
| 2024-09-10 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G |
| 2024-09-10 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-08-15 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2024-03-22 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G |
| 2024-02-01 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| 2023-11-09 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-08-10 | F0812, F0880 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | E |
| 2023-08-10 | F0554, F0656, F0684, F0688, F0689, F0695, F0803, F0919 | Allow residents to self-administer drugs if determined clinically appropriate. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure 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. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2022-08-31 | F0636, F0656, F0761 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure 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. | E |
| 2022-08-31 | F0637, F0657, F0676, F0839, F0880 | Assess the resident when there is a significant change in condition / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. / Employ staff that are licensed, certified, or registered in accordance with state laws. / Provide and implement an infection prevention and control program. | D |
Why was Shepherd of the Valley Rehabilitation and Wellness fined 5 times?
| Date | Type | Amount |
|---|---|---|
| 2026-03-13 | Fine | $26,685 |
| 2025-05-22 | Fine | $12,438 |
| 2025-03-20 | Fine | $15,857 |
| 2024-08-15 | Fine | $7,718 |
| 2024-03-22 | Fine | $34,333 |
How is Shepherd of the Valley Rehabilitation and Wellness staffed relative to the WY average?
| Measure | This facility | WY average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.25649 | 3.86766 |
| Total nursing staff turnover (%) | 47.4 | 51.8 |
| Average number of residents per day | 161.9 | 55.6 |
Who owns Shepherd of the Valley Rehabilitation and Wellness, and what chain is it in?
Shepherd of the Valley Rehabilitation and Wellness is registered with CMS as For profit - Corporation, operates under the legal business name NORTH BIG HORN HOSPITAL DISTRICT and belongs to the EVERGREEN HEALTHCARE GROUP chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | MORRISON, ROBERT, SIMMONS, BENJAMIN | since 09/30/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC, CONNELL, ERIC, LAWRENCE, ERIC, MILLER, JESSICA, MORRISON, ROBERT, SIMMONS, BENJAMIN, SPIELMAN, SHIMON, WINTERHOLLER, DAVID | since 09/30/2025 |
| INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | YENOWITZ, YITZCHOK | since 10/14/2025 |
| ADP OF THE SNF | COUVE FINANCIAL SERVICES LLC, COUVE HEALTHCARE CONSULTING LLC, PACIFIC NORTHWEST OPCO MANAGEMENT LLC, SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC, SHEPHERD OF THE VALLEY SNF REALTY LLC, CONNELL, ERIC, LAWRENCE, ERIC, MILLER, JESSICA, SIMMONS, BENJAMIN, SPIELMAN, SHIMON | since 09/30/2025 |
Were you or a family member harmed at Shepherd of the Valley Rehabilitation and Wellness?