Hot Springs County, Wyoming · Nursing home
Thermopolis Rehabilitation and Wellness
3 of 5 overall from CMS
1210 Canyon Hills Rd, Thermopolis, WY 82443
At a glance
- Overall rating 3 of 5 Above the state average of 2.9
- Nurse time per resident, per day 3.52 hours Below the state average of 3.87
- Nursing staff who left in a year 73.2% Above the state average of 51.8%
- Health citations, last 3 inspection cycles 15 2 at the harm level or above
- Fines in 3 years $17,761 1 fine
- Certified beds in use 64.5% of 60 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.
Thermopolis Rehabilitation and Wellness is a 60-bed nursing home in Thermopolis, Wyoming (Hot Springs County). CMS rates it 3 of 5 stars overall as of Sep 2026. It reports 3.52 nurse staffing hours per resident per day, below the Wyoming average of 3.87. CMS lists 1 fine totaling $17,761 in the past three years.
- Certified beds
- 60
- Residents per day (average)
- 38.7
- Certified since
- 1994 (32 yrs)
For profit - Limited Liability company Participates in Medicare and MedicaidPart of Evergreen Healthcare Group (43 homes)Ownership changed in last 12 months
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 Thermopolis Rehabilitation and Wellness
Chosen from this home's public data.
- CMS lists 1 fine totaling $17,761 in the past three years. What changed after the most recent one?Penalties in CMS data
- Nursing staff turnover is 73.2%, above the Wyoming average of 51.8%. How often would the same aides care for my relative?Turnover in CMS data
- CMS shows an ownership change in the last 12 months. Has the management or care team changed?Ownership change flag in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 3 of 5 Wyoming average 2.9
- Health inspections 3 of 5 Wyoming average 2.7
- Staffing 3 of 5 Wyoming average 3.6
- Quality measures 4 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 3.52 h Wyoming average 3.87
- Nurse aides 2.45 h Wyoming average 2.43
- Licensed practical nurses 0.45 h Wyoming average 0.50
- Registered nurses 0.61 h Wyoming average 0.94
- All staff, weekends 3.29 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 turnover73.2%
- Wyoming average51.8%
- Registered nurse turnover66.7%
- 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 | 23.5% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 8.1% | 5.9% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% | 1.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 3.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 2.5% | 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 | 1.6% | 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 | 22.6% | 15.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.3% | 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 | 1.0% | 4.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.6% | 22.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 15.5% | 21.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 1.05 | 1.29 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.51 | 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 | 97.4% | 77.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | 1.9% | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.3% | 77.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.5% | 18.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | 7.1% | 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 15 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level and 1 involved actual harm; the rest were graded as no actual harm. 7 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Mar 6, 2024: Respond appropriately to all alleged violations.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Nov 20, 2025 | 6 | 5 |
| Jun 27, 2024 | 3 | 5 |
| Apr 20, 2023 | 6 | 9 |
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 (15)
-
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 (Mar 12, 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.
Quality of Life and Care · Deficient, Provider has date of correction (Nov 28, 2025)
-
DPotential for more than minimal harm, isolated
Ensure that residents are free from significant medication errors.
Pharmacy Service · Deficient, Provider has date of correction (Nov 28, 2025)
-
DPotential for more than minimal harm, isolated
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Nov 28, 2025)
-
DPotential for more than minimal 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 (Oct 25, 2025)
Show 10 more
-
DPotential for more than minimal 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 (Oct 25, 2025)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 9, 2025)
-
DPotential for more than minimal harm, isolated
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jul 9, 2025)
-
DPotential for more than minimal harm, isolated
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · Deficient, Provider has date of correction (Jul 31, 2024)
-
KImmediate jeopardy, pattern
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Apr 1, 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 (Apr 1, 2024)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (May 31, 2023)
-
DPotential for more than minimal harm, isolated
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care · Deficient, Provider has date of correction (May 31, 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 (May 31, 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 (May 31, 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 |
|---|---|---|
| Mar 6, 2024 | Fine | $17,761 |
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
- Size24 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 Hot Springs County1
Common questions
What is the CMS star rating for Thermopolis Rehabilitation and Wellness?
Thermopolis Rehabilitation and Wellness has an overall rating of 3 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 3, staffing is 3 and quality measures is 4.
How many beds does Thermopolis Rehabilitation and Wellness have?
Thermopolis Rehabilitation and Wellness has 60 certified beds. It averages 38.7 residents per day, about 64.5% of its certified beds.
How much nursing care do residents get at Thermopolis Rehabilitation and Wellness?
The home reports 3.52 hours of nurse staffing per resident per day, including 0.61 hours from registered nurses. The Wyoming average is 3.87 hours and 0.94 hours from registered nurses.
Has Thermopolis Rehabilitation and Wellness been fined?
Yes. CMS lists 1 fine totaling $17,761 in the past three years.
Does Thermopolis 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
- 1 of 5 Worland Health and Rehabilitation 87beds 77.4%in use 3.25nurse hours a day
- 2 of 5 Wind River Rehabilitation and Wellness 81beds 72.3%in use 3.24nurse 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 Hot Springs County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 535051. 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.