Laramie Health and Rehabilitation

503 S 18th St, Laramie, WY 82070

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Laramie Health and Rehabilitation is a nursing home in Laramie, Wyoming. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

CMS overall star rating2 of 5
Last standard health inspectionJune 3, 2026 (5 months ago)
Health citations since July 27, 202329 (Wyoming average 21)
Fines in the past three years1, $35,880 in total
CMS flagsCMS abuse icon

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS abuse icon
CMS adds this icon when it cites a home for abuse that hurt a resident in the past year. It also adds it when it cites a home for abuse that could have hurt someone, in each of the past two years.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

CMS update of July 29, 2026
- Name
  CMS lists a new legal business name for this home.
Health inspection on June 3, 2026
12 citations
CMS lists this as a standard inspection and a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
11 of 36 Wyoming homes (31%) got a citation at the actual harm level in 2026.
Show the 12 citations
- Citation F0600. Severity G: actual harm, isolated.
  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  CMS has cited this home for F0600 4 times since 2023.
- Citation F0725. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  CMS lists it as corrected on July 10, 2026.
- Citation F0628. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  CMS lists it as corrected on July 10, 2026.
- Citation F0677. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide care and assistance to perform activities of daily living for any resident who is unable.
  CMS lists it as corrected on July 10, 2026.
- Citation F0679. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide activities to meet all resident's needs.
  CMS lists it as corrected on July 10, 2026.
- Citation F0800. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
  CMS lists it as corrected on July 10, 2026.
- Citation F0577. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
  CMS lists it as corrected on July 10, 2026.
- Citation F0585. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  CMS lists it as corrected on July 10, 2026.
- Citation F0610. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Respond appropriately to all alleged violations.
  CMS lists it as corrected on July 10, 2026.
- Citation F0641. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure each resident receives an accurate assessment.
  CMS lists it as corrected on July 10, 2026.
- Citation F0732. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Post nurse staffing information every day.
  CMS lists it as corrected on July 10, 2026.
- Citation F0880. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on July 10, 2026.
  CMS has cited this home for F0880 3 times since 2023.
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Fire safety inspection on June 3, 2026
8 citations
CMS lists this as a standard inspection.
Show the 8 citations
- Citation E0031. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide emergency officials' contact information.
  CMS lists it as corrected on July 10, 2026.
- Citation E0032. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide primary/alternate means for communication.
  CMS lists it as corrected on July 10, 2026.
- Citation K0222. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
  CMS lists it as corrected on July 10, 2026.
  CMS has cited this home for K0222 3 times since 2023.
- Citation K0321. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  CMS lists it as corrected on July 10, 2026.
  CMS has cited this home for K0321 2 times since 2023.
- Citation K0200. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Meet other general requirements.
- Citation K0324. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide properly protected cooking facilities.
  CMS lists it as corrected on July 10, 2026.
- Citation K0345. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.
  CMS lists it as corrected on July 10, 2026.
- Citation K0918. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.
  CMS lists it as corrected on July 10, 2026.
  CMS has cited this home for K0918 2 times since 2024.
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CMS update of April 29, 2026
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to 3 of 5.
- CMS abuse icon
  CMS added its abuse icon to this home.
CMS update of March 25, 2026
- Ownership
  CMS lists this home under a new chain.
CMS update of February 25, 2026
- Star rating
  The CMS overall star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 2 of 5.
- Star rating
  The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
- Name
  CMS lists a new name for this home. It was Cottonwood Health and Rehabilitation.
- Staffing
  Total nurse staffing reported to CMS went from 3.7 to 3.1 hours per resident per day.
Health inspection on February 12, 2026
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0600. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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CMS update of November 20, 2025
- Star rating
  The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 3 of 5.
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
CMS update of July 30, 2025
- Star rating
  The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 2 of 5.
CMS update of June 25, 2025
- CMS abuse icon
  CMS removed its abuse icon from this home.
CMS update of February 26, 2025
- Star rating
  The CMS overall star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 1 of 5.
Health inspection on October 10, 2024
7 citations
CMS lists this as a standard inspection and a complaint inspection.
Show the 7 citations
- Citation F0801. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  CMS lists it as corrected on November 1, 2024.
  CMS has cited this home for F0801 2 times since 2023.
- Citation F0882. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
  CMS lists it as corrected on November 24, 2024.
- Citation F0584. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  CMS lists it as corrected on November 24, 2024.
- Citation F0761. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on November 24, 2024.
- Citation F0880. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on November 8, 2024.
- Citation F0923. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have enough outside ventilation via a window or mechanical ventilation, or both.
  CMS lists it as corrected on November 24, 2024.
- Citation F0758. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on November 24, 2024.
  CMS has cited this home for F0758 2 times since 2023.
See this home on CMS Care Compare
Fire safety inspection on October 10, 2024
5 citations
CMS lists this as a standard inspection.
Show the 5 citations
- Citation E0039. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Conduct testing and exercise requirements.
  CMS lists it as corrected on October 29, 2024.
- Citation K0161. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Use approved construction type or materials.
  CMS lists it as corrected on November 14, 2024.
- Citation K0222. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
  CMS lists it as corrected on October 10, 2024.
- Citation K0918. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.
  CMS lists it as corrected on October 29, 2024.
- Citation K0920. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure proper usage of power strips and extension cords.
  CMS lists it as corrected on October 18, 2024.
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CMS update of July 31, 2024
- Star rating
  The CMS overall star rating changed from 1 of 5 to 2 of 5.
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Health inspection on May 22, 2024
1 citation
CMS lists this as a complaint inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
12 of 36 Wyoming homes (33%) got a citation at the actual harm level in 2024.
CMS fine of $35,880 on May 22, 2024.
Show the 1 citation
- Citation F0600. Severity G: actual harm, isolated.
  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  CMS lists it as corrected on June 13, 2024.
See this home on CMS Care Compare
CMS update of January 31, 2024
- Star rating
  The CMS overall star rating changed from 2 of 5 to 1 of 5.
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 1 of 5.
- Staffing
  Total nurse staffing reported to CMS went from 3.4 to 2.9 hours per resident per day.
- Fine
  CMS changed the fine from July 27, 2023 from $15,475 to $7,738.
Health inspection on July 27, 2023
8 citations
CMS lists this as a standard inspection.
Severity G is the second-highest of CMS's four levels. It means a resident was harmed.
7 of 36 Wyoming homes (19%) got a citation at the actual harm level in 2023.
Show the 8 citations
- Citation F0600. Severity G: actual harm, isolated.
  The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  CMS lists it as corrected on July 19, 2023.
- Citation F0801. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
  CMS lists it as corrected on August 24, 2023.
- Citation F0812. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on August 24, 2023.
- Citation F0880. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on August 24, 2023.
- Citation F0883. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.
  CMS lists it as corrected on August 24, 2023.
- Citation F0609. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on August 24, 2023.
- Citation F0756. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
  CMS lists it as corrected on August 24, 2023.
- Citation F0758. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on August 24, 2023.
See this home on CMS Care Compare
Fire safety inspection on July 27, 2023
5 citations
CMS lists this as a standard inspection.
Show the 5 citations
- Citation K0374. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.
  CMS lists it as corrected on August 24, 2023.
- Citation K0211. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Keep aisles, corridors, and exits free of obstruction in case of emergency.
  CMS lists it as corrected on September 11, 2023.
- Citation K0222. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
  CMS lists it as corrected on August 24, 2023.
- Citation K0321. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  CMS lists it as corrected on August 24, 2023.
- Citation K0753. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Have restrictions on the use of highly flammable decorations.
  CMS lists it as corrected on August 24, 2023.
See this home on CMS Care Compare

CMS star ratings

2 of 5CMS overall star rating
2 of 5CMS health inspection star rating
2 of 5CMS staffing star rating
3 of 5CMS quality measures star rating

Facts from CMS

Phone: (307) 742-3728
Last standard health inspection: June 3, 2026 (5 months ago)
Certified beds: 105
Residents per day, on average: 51.6
Ownership type: For profit - Corporation
Legal business name: North Big Horn Hospital District
Chain: Evergreen Healthcare Group
Takes part in: Medicare and Medicaid

More health citations than the Wyoming average (29 vs 21).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

COUVE FINANCIAL SERVICES LLCOperational/managerial control · not applicable · since 09/30/2025
COUVE HEALTHCARE CONSULTING LLCOperational/managerial control · not applicable · since 09/30/2025
LARAMIE SNF OPERATIONS LLCOperational/managerial control · not applicable · since 09/30/2025
WY2 SNF OPERATIONS MANAGER LLCOperational/managerial control · not applicable · since 09/30/2025
CONNELL, ERICOperational/managerial control · not applicable · since 09/30/2025

Show 7 more

KAUFMAN, TRENTOperational/managerial control · not applicable · since 09/30/2025
MIKESELL, DARRENOperational/managerial control · not applicable · since 09/30/2025
MORRISON, ROBERTOperational/managerial control · not applicable · since 09/30/2025
SIMMONS, BENJAMINOperational/managerial control · not applicable · since 09/30/2025
SPIELMAN, SHIMONOperational/managerial control · not applicable · since 09/30/2025
WINTERHOLLER, DAVIDOperational/managerial control · not applicable · since 09/30/2025
YENOWITZ, YITZCHOKOperational/managerial control · not applicable · since 09/30/2025

Questions

When was Laramie Health and Rehabilitation last inspected?

CMS lists June 3, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Laramie Health and Rehabilitation have?

CMS lists 29 health citations since July 27, 2023. CMS also calls these deficiencies.

Has Laramie Health and Rehabilitation been fined?

CMS lists 1 fine in the past three years, $35,880 in total.

What is the CMS star rating of Laramie Health and Rehabilitation?

Its CMS overall star rating is 2 of 5.

Is Laramie Health and Rehabilitation a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

At a glance

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CMS flags

Inspections, fines and changes

CMS update of July 29, 2026

Health inspection on June 3, 2026

Fire safety inspection on June 3, 2026

CMS update of April 29, 2026

CMS update of March 25, 2026

CMS update of February 25, 2026

Health inspection on February 12, 2026

CMS update of November 20, 2025

CMS update of July 30, 2025

CMS update of June 25, 2025

CMS update of February 26, 2025

Health inspection on October 10, 2024

Fire safety inspection on October 10, 2024

CMS update of July 31, 2024

Health inspection on May 22, 2024

CMS update of January 31, 2024

Health inspection on July 27, 2023

Fire safety inspection on July 27, 2023

CMS star ratings

Facts from CMS

Owners and managers

Questions