Park County, Wyoming · Nursing home
Powell Valley Care Center
2 of 5 overall from CMS
777 Avenue H, Powell, WY 82435
At a glance
- Overall rating 2 of 5 Below the state average of 2.9
- Nurse time per resident, per day 5.08 hours Above the state average of 3.87
- Nursing staff who left in a year 24.2% Below the state average of 51.8%
- Health citations, last 3 inspection cycles 6 2 at the harm level or above
- Fines in 3 years $29,120 2 fines
- Certified beds in use 45.1% of 100 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.
Powell Valley Care Center is a 100-bed nursing home in Powell, Wyoming (Park County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 5.08 nurse staffing hours per resident per day, above the Wyoming average of 3.87. CMS lists 2 fines totaling $29,120 in the past three years.
- Certified beds
- 100
- Residents per day (average)
- 45.1
- Certified since
- 1991 (35 yrs)
Government - Hospital district Participates in Medicare and MedicaidLocated in a hospitalCMS 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 Powell Valley Care Center
Chosen from this home's public data.
- CMS lists 2 fines totaling $29,120 in the past three years. What changed after the most recent one?Penalties in CMS data
- About 45.1% of certified beds are in use on an average day. Are any units closed, or are admissions limited?Certified beds and average residents in CMS data
- What is the daily private-pay rate, and are Medicaid beds available now?CMS does not publish prices
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 5 of 5 Wyoming average 3.6
- Quality measures 1 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 5.08 h Wyoming average 3.87
- Nurse aides 3.00 h Wyoming average 2.43
- Licensed practical nurses 0.16 h Wyoming average 0.50
- Registered nurses 1.93 h Wyoming average 0.94
- All staff, weekends 4.70 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 turnover24.2%
- Wyoming average51.8%
- Registered nurse turnover20.8%
- 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 | 26.4% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 5.3% | 5.9% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.2% | 1.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 4.1% | 3.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 3.8% | 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 | 13.5% | 4.7% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 17.6% | 15.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.5% | 15.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.7% | 94.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 4.5% | 4.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.9% | 22.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 22.5% | 21.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 2.34 | 1.29 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 2.98 | 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 | 93.9% | 77.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 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 | Too few residents or stays to report | 18.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 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 6 health deficiencies in the three most recent inspection cycles. Of these, 2 involved actual harm; the rest were graded as no actual harm. 2 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Dec 2, 2025: 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 |
|---|---|---|
| Jan 31, 2025 | 2 | 1 |
| Dec 7, 2023 | 3 | 4 |
| Sep 15, 2022 | 1 | 4 |
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 (6)
-
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 (Jan 5, 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.
Quality of Life and Care · Deficient, Provider has date of correction (Mar 4, 2025)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (Jan 11, 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.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jan 11, 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 (Jan 11, 2024)
Show 1 more
-
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 (Jan 5, 2024)
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 |
|---|---|---|
| Dec 2, 2025 | Fine | $20,930 |
| Nov 14, 2023 | Fine | $8,190 |
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
- Size12 of 36 by certified beds
- Wyoming average residents per day55.6
- ChainNone listed
- Resident or family councilResident
- Homes in Park County2
Common questions
What is the CMS star rating for Powell Valley Care Center?
Powell Valley Care Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 5 and quality measures is 1.
How many beds does Powell Valley Care Center have?
Powell Valley Care Center has 100 certified beds. It averages 45.1 residents per day, about 45.1% of its certified beds.
How much nursing care do residents get at Powell Valley Care Center?
The home reports 5.08 hours of nurse staffing per resident per day, including 1.93 hours from registered nurses. The Wyoming average is 3.87 hours and 0.94 hours from registered nurses.
Has Powell Valley Care Center been fined?
Yes. CMS lists 2 fines totaling $29,120 in the past three years.
Does Powell Valley Care Center 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
- 3 of 5 New Horizons Care Center 85beds 70.4%in use 3.60nurse hours a day
- 4 of 5 Cody Regional Health Long Term Care Center 94beds 53.3%in use 3.91nurse hours a day
- 1 of 5 Wyoming Retirement Center 90beds 76.4%in use 0.39nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Park County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 535045. 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.