Natrona County, Wyoming · Nursing home
Shepherd of the Valley Rehabilitation and Wellness
1 of 5 overall from CMS
60 Magnolia St, Casper, WY 82604
At a glance
- Overall rating 1 of 5 Below the state average of 2.9
- Nurse time per resident, per day 3.26 hours Below the state average of 3.87
- Nursing staff who left in a year 47.4% Below the state average of 51.8%
- Health citations, last 3 inspection cycles 43 8 at the harm level or above
- Fines in 3 years $97,031 5 fines
- Certified beds in use 84.3% of 192 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.
Shepherd of the Valley Rehabilitation and Wellness is a 192-bed nursing home in Casper, Wyoming (Natrona County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 3.26 nurse staffing hours per resident per day, below the Wyoming average of 3.87. CMS lists 5 fines totaling $97,031 in the past three years.
- Certified beds
- 192
- Residents per day (average)
- 161.9
- Certified since
- 1990 (36 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Evergreen Healthcare Group (43 homes)Ownership changed in last 12 monthsCMS Special Focus: SFF CandidateCMS abuse citation icon: Yes
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.
- Special Focus candidate. CMS lists this home as a candidate for its Special Focus Facility program: its inspection record qualifies it for the program, but it has not been selected. What a Special Focus Facility is
- Abuse citation icon. CMS assigns this icon when a home was cited for abuse where residents were found to be harmed, on its most recent standard inspection or on a complaint or infection-control inspection in the past 12 months, or was cited for abuse with potential harm in that period and again in the period before. Signs of abuse and how to report it
These labels are shown as CMS publishes them. They describe the inspection record, not what has changed since.
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 Shepherd of the Valley Rehabilitation and Wellness
Chosen from this home's public data.
- CMS lists this home as a candidate for its Special Focus Facility program, which means it qualifies but has not been selected. What has changed since the inspections behind that listing?Special Focus status in CMS data
- CMS lists 5 fines totaling $97,031 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 16 health deficiencies in the latest inspection cycle (the standard inspection on Jul 30, 2026 plus complaint and infection-control inspections); the Wyoming average is 7.8. Which have been corrected?Inspection results in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Wyoming average 2.9
- Health inspections 1 of 5 Wyoming average 2.7
- Staffing 3 of 5 Wyoming average 3.6
- Quality measures 2 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 3.26 h Wyoming average 3.87
- Nurse aides 2.27 h Wyoming average 2.43
- Licensed practical nurses 0.37 h Wyoming average 0.50
- Registered nurses 0.62 h Wyoming average 0.94
- All staff, weekends 2.65 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 turnover47.4%
- Wyoming average51.8%
- Registered nurse turnover45.2%
- Wyoming average44.1%
- Administrators who left0
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 | 17.3% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.6% | 5.9% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% | 1.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 1.1% | 3.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 7.5% | 6.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 6.1% | 4.7% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.8% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 18.5% | 15.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.9% | 15.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 90.9% | 94.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 2.2% | 4.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 17.6% | 22.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 21.7% | 21.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.15 | 1.29 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.82 | 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 | 81.5% | 77.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 3.2% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.0% | 77.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 27.2% | 18.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 11.2% | 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 43 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 7 involved actual harm; the rest were graded as no actual harm. 20 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jul 30, 2026: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Jul 30, 2026 | 16 | 11 |
| Oct 31, 2024 | 13 | 5 |
| Aug 10, 2023 | 14 | 8 |
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 (43)
-
GActual 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 · Past Non-Compliance
-
EPotential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has no plan of correction
-
EPotential for more than minimal harm, pattern
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 no plan of correction
-
DPotential for more than minimal harm, isolated
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Complaint investigation · Resident Rights · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has no plan of correction
Show 25 more
-
DPotential for more than minimal harm, isolated
Assess the resident when there is a significant change in condition
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Provide care and assistance to perform activities of daily living for any resident who is unable.
Complaint investigation · Quality of Life and Care · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Complaint investigation · Pharmacy Service · Deficient, Provider has no plan of correction
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has no plan of correction
-
KImmediate jeopardy, pattern
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Feb 16, 2026)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 3, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Feb 16, 2026)
-
GActual 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 · Past Non-Compliance (May 16, 2025)
-
GActual harm, isolated
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 4, 2025)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 4, 2025)
-
GActual harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 4, 2025)
-
EPotential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 6, 2024)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Dec 6, 2024)
-
EPotential for more than minimal harm, pattern
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 (Dec 6, 2024)
-
EPotential for more than minimal harm, pattern
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 (Dec 6, 2024)
-
EPotential for more than minimal harm, pattern
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Dec 6, 2024)
-
DPotential for more than minimal harm, isolated
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · Deficient, Provider has date of correction (Dec 6, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 6, 2024)
-
GActual 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 · Past Non-Compliance (Sep 6, 2024)
-
DPotential for more than minimal harm, isolated
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 (Oct 11, 2024)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (Sep 13, 2024)
Showing the 30 most recent of 43.
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 |
|---|---|---|
| Mar 13, 2026 | Fine | $26,685 |
| May 22, 2025 | Fine | $12,438 |
| Mar 20, 2025 | Fine | $15,857 |
| Aug 15, 2024 | Fine | $7,718 |
| Mar 22, 2024 | Fine | $34,333 |
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
- Size1 of 36 by certified beds
- Wyoming average residents per day55.6
- ChainEvergreen Healthcare Group
- Chain average overall rating2.4 of 5
- Resident or family councilBoth
- Homes in Casper3
- Homes in Natrona County3
Common questions
What is the CMS star rating for Shepherd of the Valley Rehabilitation and Wellness?
Shepherd of the Valley Rehabilitation and Wellness has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 3 and quality measures is 2.
How many beds does Shepherd of the Valley Rehabilitation and Wellness have?
Shepherd of the Valley Rehabilitation and Wellness has 192 certified beds. It averages 161.9 residents per day, about 84.3% of its certified beds.
How much nursing care do residents get at Shepherd of the Valley Rehabilitation and Wellness?
The home reports 3.26 hours of nurse staffing per resident per day, including 0.62 hours from registered nurses. The Wyoming average is 3.87 hours and 0.94 hours from registered nurses.
Has Shepherd of the Valley Rehabilitation and Wellness been fined?
Yes. CMS lists 5 fines totaling $97,031 in the past three years.
Does Shepherd of the Valley Rehabilitation and Wellness 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
- 2 of 5 Life Care Center of Casper 120beds 61.7%in use 4.17nurse hours a day
- 1 of 5 Casper Mountain Rehabilitation and Care Center 120beds 66.0%in use 2.80nurse hours a day
- 2 of 5 Summit Ridge Skilled Nursing & Rehabilitation 60beds 76.7%in use 3.37nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Natrona County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 535042. 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.