Sublette County, Wyoming · Nursing home
Heritage Home
5 of 5 overall from CMS
550 Fremont Lake Road, Pinedale, WY 82941
At a glance
- Overall rating 5 of 5 Above the state average of 2.9
- Nurse time per resident, per day 4.25 hours Above the state average of 3.87
- Nursing staff who left in a year 100.0% Above the state average of 51.8%
- Health citations, last 3 inspection cycles 11 1 at the harm level or above
- Fines in 3 years $9,718 1 fine
- Certified beds in use 96.4% of 50 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Heritage Home is a 50-bed nursing home in Pinedale, Wyoming (Sublette County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 4.25 nurse staffing hours per resident per day, above the Wyoming average of 3.87. CMS lists 1 fine totaling $9,718 in the past three years.
- Certified beds
- 50
- Residents per day (average)
- 48.2
- Certified since
- 1982 (44 yrs)
Government - Hospital district Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Heritage Home
Chosen from this home's public data.
- CMS lists 1 fine totaling $9,718 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 100.0%, above the Wyoming average of 51.8%. How often would the same aides care for my relative?Turnover in CMS data
- Reported nurse staffing is 3.61 hours per resident on weekends against 4.25 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 Wyoming average 2.9
- Health inspections 4 of 5 Wyoming average 2.7
- Staffing 4 of 5 Wyoming average 3.6
- Quality measures 5 of 5 Wyoming average 3.3
The vertical line marks the Wyoming average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.25 h Wyoming average 3.87
- Nurse aides 2.58 h Wyoming average 2.43
- Licensed practical nurses 0.30 h Wyoming average 0.50
- Registered nurses 1.37 h Wyoming average 0.94
- All staff, weekends 3.61 h Wyoming average 3.37
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Wyoming average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover100.0%
- Wyoming average51.8%
- Registered nurse turnover100.0%
- Wyoming average44.1%
- Administrators who left1
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Wyoming and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Wyoming | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 17.2% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 4.1% | 5.9% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.5% | 1.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 10.4% | 3.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 7.8% | 6.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 1.4% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 5.0% | 4.7% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 92.9% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 22.8% | 15.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.7% | 15.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 94.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 5.4% | 4.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% | 22.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 37.4% | 21.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.62 | 1.29 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 0.84 | 2.27 | 1.78 |
Short-stay residents
| Measure | This home | Wyoming | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 69.2% | 77.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 3.8% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 77.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 0.0% | 18.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 4.0% | 16.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 11 health deficiencies in the three most recent inspection cycles. Of these, 1 involved actual harm; the rest were graded as no actual harm. 4 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Aug 19, 2025: Ensure that residents are free from significant medication errors.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jun 12, 2025 | 3 | 1 |
| Feb 23, 2024 | 4 | 1 |
| Feb 2, 2023 | 4 | 6 |
Wyoming homes averaged 7.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (11)
-
GActual harm, isolated
Ensure that residents are free from significant medication errors.
Complaint investigation · Pharmacy Service · Deficient, Provider has date of correction (Sep 10, 2025)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 11, 2025)
-
DPotential for more than minimal harm, isolated
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 11, 2025)
-
DPotential for more than minimal harm, isolated
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 11, 2025)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 28, 2024)
Show 6 more
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 28, 2024)
-
EPotential for more than minimal harm, pattern
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Apr 4, 2024)
-
EPotential for more than minimal harm, pattern
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 20, 2024)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Mar 20, 2024)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Feb 28, 2023)
-
DPotential for more than minimal harm, isolated
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.
Pharmacy Service · Deficient, Provider has date of correction (Feb 28, 2023)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Aug 19, 2025 | Fine | $9,718 |
Wyoming homes averaged 1.2 fines and $28,128 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Wyoming
- Size27 of 36 by certified beds
- Wyoming average residents per day55.6
- ChainNone listed
- Resident or family councilResident
- Homes in Sublette County1
Common questions
What is the CMS star rating for Heritage Home?
Heritage Home has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 4, staffing is 4 and quality measures is 5.
How many beds does Heritage Home have?
Heritage Home has 50 certified beds. It averages 48.2 residents per day, about 96.4% of its certified beds.
How much nursing care do residents get at Heritage Home?
The home reports 4.25 hours of nurse staffing per resident per day, including 1.37 hours from registered nurses. The Wyoming average is 3.87 hours and 0.94 hours from registered nurses.
Has Heritage Home been fined?
Yes. CMS lists 1 fine totaling $9,718 in the past three years.
Does Heritage Home accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Morning Star Care Center 45beds 72.7%in use 5.23nurse hours a day
- 2 of 5 Mountain View Skilled Nursing Community at WLRC 40beds 46.0%in use –nurse hours a day
- 4 of 5 Westward Heights Care Center 60beds 91.0%in use 3.73nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Sublette County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 535017. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.