Albany County, Wyoming · Nursing home
Laramie Health and Rehabilitation
2 of 5 overall from CMS
503 S 18th St, Laramie, WY 82070
At a glance
- Overall rating 2 of 5 Below the state average of 2.9
- Nurse time per resident, per day 2.89 hours Below the state average of 3.87
- Nursing staff who left in a year 51.8% Same as the state average of 51.8%
- Health citations, last 3 inspection cycles 29 3 at the harm level or above
- Fines in 3 years $35,880 1 fine
- Certified beds in use 49.3% of 105 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.
Laramie Health and Rehabilitation is a 105-bed nursing home in Laramie, Wyoming (Albany County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 2.89 nurse staffing hours per resident per day, below the Wyoming average of 3.87. CMS lists 1 fine totaling $35,880 in the past three years.
- Certified beds
- 105
- Residents per day (average)
- 51.8
- Certified since
- 1991 (35 yrs)
For profit - Corporation Participates in Medicare and MedicaidPart of Evergreen Healthcare Group (43 homes)CMS 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.
- 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 Laramie Health and Rehabilitation
Chosen from this home's public data.
- CMS lists 1 fine totaling $35,880 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 13 health deficiencies in the latest inspection cycle (the standard inspection on Jun 3, 2026 plus complaint and infection-control inspections); the Wyoming average is 7.8. Which have been corrected?Inspection results in CMS data
- Reported nurse staffing is 2.40 hours per resident on weekends against 2.89 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 2 of 5 Wyoming average 2.9
- Health inspections 2 of 5 Wyoming average 2.7
- Staffing 2 of 5 Wyoming average 3.6
- Quality measures 3 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 2.89 h Wyoming average 3.87
- Nurse aides 1.60 h Wyoming average 2.43
- Licensed practical nurses 0.76 h Wyoming average 0.50
- Registered nurses 0.54 h Wyoming average 0.94
- All staff, weekends 2.40 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 turnover51.8%
- Wyoming average51.8%
- Registered nurse turnover50.0%
- 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 | 17.4% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 7.3% | 5.9% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% | 1.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 3.1% | 3.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 0.0% | 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 | 3.5% | 4.7% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 77.5% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 17.3% | 15.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 5.0% | 15.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 77.6% | 94.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 6.6% | 4.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.4% | 22.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 13.5% | 21.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.35 | 1.29 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.55 | 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 | 59.8% | 77.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.0% | 77.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.8% | 18.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 13.9% | 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 29 health deficiencies in the three most recent inspection cycles. Of these, 3 involved actual harm; the rest were graded as no actual harm. 6 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Jun 3, 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 |
|---|---|---|
| Jun 3, 2026 | 13 | 8 |
| Oct 10, 2024 | 7 | 5 |
| Jul 27, 2023 | 9 | 5 |
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 (29)
-
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
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · Deficient, Provider has date of correction (Jul 10, 2026)
-
EPotential for more than minimal harm, pattern
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · Deficient, Provider has date of correction (Jul 10, 2026)
-
EPotential for more than minimal harm, pattern
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 date of correction (Jul 10, 2026)
-
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 (Jul 10, 2026)
Show 24 more
-
EPotential for more than minimal harm, pattern
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Nutrition and Dietary · Deficient, Provider has date of correction (Jul 10, 2026)
-
DPotential for more than minimal harm, isolated
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights · Deficient, Provider has date of correction (Jul 10, 2026)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Jul 10, 2026)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Jul 10, 2026)
-
DPotential for more than minimal harm, isolated
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 10, 2026)
-
DPotential for more than minimal harm, isolated
Post nurse staffing information every day.
Nursing and Physician Services · Deficient, Provider has date of correction (Jul 10, 2026)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Jul 10, 2026)
-
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 · Past Non-Compliance
-
FPotential for more than minimal harm, widespread
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Nov 1, 2024)
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control · Deficient, Provider has date of correction (Nov 24, 2024)
-
EPotential for more than minimal harm, pattern
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.
Resident Rights · Deficient, Provider has date of correction (Nov 24, 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 (Nov 24, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 8, 2024)
-
EPotential for more than minimal harm, pattern
Have enough outside ventilation via a window or mechanical ventilation, or both.
Complaint investigation · Environmental · Deficient, Provider has date of correction (Nov 24, 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 (Nov 24, 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 · Deficient, Provider has date of correction (Jun 13, 2024)
-
GActual harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Jul 19, 2023)
-
FPotential for more than minimal harm, widespread
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.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 24, 2023)
-
FPotential for more than minimal harm, widespread
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary · Deficient, Provider has date of correction (Aug 24, 2023)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Aug 24, 2023)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Aug 24, 2023)
-
DPotential for more than minimal harm, isolated
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 24, 2023)
-
DPotential for more than minimal harm, isolated
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service · Deficient, Provider has date of correction (Aug 24, 2023)
-
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 (Aug 24, 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 |
|---|---|---|
| May 22, 2024 | Fine | $35,880 |
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
- Size9 of 36 by certified beds
- Wyoming average residents per day55.6
- ChainEvergreen Healthcare Group
- Chain average overall rating2.4 of 5
- Resident or family councilResident
- Homes in Albany County1
Common questions
What is the CMS star rating for Laramie Health and Rehabilitation?
Laramie Health and Rehabilitation has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 3.
How many beds does Laramie Health and Rehabilitation have?
Laramie Health and Rehabilitation has 105 certified beds. It averages 51.8 residents per day, about 49.3% of its certified beds.
How much nursing care do residents get at Laramie Health and Rehabilitation?
The home reports 2.89 hours of nurse staffing per resident per day, including 0.54 hours from registered nurses. The Wyoming average is 3.87 hours and 0.94 hours from registered nurses.
Has Laramie Health and Rehabilitation been fined?
Yes. CMS lists 1 fine totaling $35,880 in the past three years.
Does Laramie Health and Rehabilitation 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
- 5 of 5 Life Care Center of Cheyenne 160beds 74.1%in use 3.56nurse hours a day
- 2 of 5 Granite Rehabilitation and Wellness 146beds 54.4%in use 3.51nurse hours a day
- 1 of 5 Polaris Rehabilitation and Care Center 105beds 66.0%in use 3.49nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Albany County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 535043. 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.