What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Check out our photo album Check out our virtual tours Check out our home videos

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North Big Horn Hospital District, a Wyoming Special Hospital District

Casper, WY 82604 View Map

North Big Horn Hospital District, a Wyoming Special Hospital District is a Nursing Home in Wyoming

North Big Horn Hospital… is a Nursing Home in Wyoming

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North Big Horn Hospital District, a Wyoming Special Hospital District
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Overview of North Big Horn Hospital District, a Wyoming Special Hospital District

North Big Horn Hospital and New Horizons Care Center are located at the foot of the Big Horn Mountains in Lovell, Wyoming. They take pride in their facilities and their staff is fully trained and certified.

(307) 234-9381

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.95/day Wyoming avg: 4.53/day

Overall rating

1/5

Wyoming avg: 2.9/5

Health Inspection

1/5

Wyoming avg: 2.9/5

Staffing

4/5

Wyoming avg: 3.5/5

Quality Measures

1/5

Wyoming avg: 3.2/5

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 192

This home usually has availability

Lower occupancy suggests more openings may be available.

78.1%

157

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for

Short stays Recovery Medicare-covered care

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

56% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

25% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Finances and operations

Home revenue

$18.5M

Profit

$988.2K

Proprietary home Other

Home revenue

$18,469,974.00

Profit

$988,211.00

Payroll costs

$5.2M

28.3% of revenue

Other operating costs

$12.2M

Total costs $17.5M

192-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

About this community

License Status

Active

Facility Type

Additional licensing details

License number: 15452

CMS Certification Number: 535042

County: Natrona

Ownership & operating entity

North Big Horn Hospital District, a Wyoming Special Hospital District is administrated by Jessica Miller.

Staffing

Key information about the people who lead and staff this community.

Leadership

Director of Nursing: Whitney Barrett

Contact Information

Email: [email protected]

Fax: 307-472-3510

Amenities & Lifestyle

Programs & Activities

Specific Programs

Cardiac Rehabilitation, Diabetes Education, Home Health, Hospital Services, Infusion Clinic, Specialty Clinics

Results

0 with issues

1 without issues

Show Inspection Reports

Latest inspection

Date:October 20, 2025

Type:Complaint Investigation

Casper, WY 82604

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215

Total Staff

215

Employees

Contractors

65,735

Total Hours (Quarter)

Avg Staff/Day

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	27	9.8	No
Licensed Practical Nurse	15	10.6	No
Certified Nursing Assistant	68	10.2	No

Staff by Category

Administration

1 staff

8hs shift avg

Nursing Staff

158 staff

9.9hs shift avg

Physicians & Practitioners

10 staff

8.8hs shift avg

Therapy Services

32 staff

7.4hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

0 staff

0hs shift avg

Dietary Services

11 staff

7.2hs shift avg

Other Services

3 staff

7.4hs shift avg

Role ⓘ	Employees ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
Certified Nursing Assistant	68	68	23,971	91	100%	10.2
Physical Therapist	30	30	10,867	91	100%	7.3
Registered Nurse	27	27	7,154	91	100%	9.8
Medication Aide/Technician	15	15	4,401	90	99%	9.6
Clinical Nurse Specialist	8	8	4,033	91	100%	9
Licensed Practical Nurse	15	15	3,583	91	100%	10.6
Nurse Aide in Training	29	29	3,417	88	97%	9.4
Other Dietary Services Staff	10	10	2,641	90	99%	7
RN Director of Nursing	4	4	1,789	71	78%	8.2
Mental Health Service Worker	3	3	1,191	70	77%	7.4
Occupational Therapy Aide	2	2	1,066	69	76%	8.3
Nurse Practitioner	2	2	624	61	67%	8
Administrator	1	1	504	63	69%	8
Dietitian	1	1	496	62	68%	8

View All Staffing Data in Casper

Total Health inspections 11

96% above Wyoming average

Wyoming average: 5.6

Last Health inspection on May 2025

Total Health citations 37

96% above Wyoming average

Wyoming average: 18.9

3.36 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 25 citations

Complaint investigations 18 citations

Breakdown of citations

Critical Health citations 0

100% below Wyoming average

Wyoming average: 0.2

Serious Health citations 7

289% above Wyoming average

Wyoming average: 1.8

Moderate Health citations 30

Minor Health citations 0

Citations history (last 3 years)

Abuse/Neglect serious citation May 22, 2025

Corrected

Quality of Care serious citation Mar 20, 2025

Corrected

Quality of Care serious citation Mar 20, 2025

Corrected

Resident Rights serious citation Mar 20, 2025

Corrected

Ownership: For-Profit Corporation

Part of: Empres Operated by Evergreen

Resident Census by Payment Source

155 Total Residents

Medicare 15 (9.7%)

Medicaid 104 (67.1%)

Private Pay/Other 36 (23.2%)

Specialized Care Beds

26 Total Specialty Beds

12% of Bed Capacity

Alzheimer's / Dementia Beds

12%

Programs & Services

Residents' Group

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Resident Council

High-risk clinical events score 12.8

17% worse than Wyoming average

Wyoming average: 10.9

Functional decline score 23.1

11% worse than Wyoming average

Wyoming average: 20.8

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 21.7%

8% above Wyoming average.

Walking Ability Worsened 29.7%

55% above Wyoming average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 17.9%

23% below Wyoming average.

Falls with Major Injury 5.4%

9% above Wyoming average.

High Risk Residents with Pressure Ulcers 1.5%

69% below Wyoming average.

Urinary Tract Infection 0.8%

76% below Wyoming average.

Depressive Symptoms 9.5%

47% above Wyoming average.

Antipsychotic Use 30.1%

32% above Wyoming average.

Pneumococcal Vaccine 96.4%

2% above Wyoming average.

Influenza Vaccine 90.9%

4% below Wyoming average.

Lost Too Much Weight 5.4%

17% below Wyoming average.

Short-stay resident measures

Pneumococcal Vaccine 77.4%

Near Wyoming average

Antipsychotic medication increase 1.8%

19% better than Wyoming average

Influenza Vaccine 63.0%

18% worse than Wyoming average

Total fines amount $94K

This home paid 137% more in fines than the state average.

Wyoming average: $40K

Number of Fines 5

This home received 87% more fines than the state average.

Wyoming average: 2.7

Payment Denials 0

This home had 100% fewer payment denials than the state average.

Wyoming average: 0.2

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty May 22, 2025

$19K

Civil Money Penalty Mar 20, 2025

$24K

Civil Money Penalty Aug 15, 2024

$8K

Civil Money Penalty Mar 22, 2024

$34K

Last updated: Jan 2026

Financial Trends

Historical financial and operational data for North Big Horn Hospital District, a Wyoming Special Hospital District based on CMS SNF Cost Reports.

Occupancy Rate 78.1% ↑ 10.2pp vs 2022

Net Income $988,211 ↑ ~$50K vs 2022

Total Payroll $7,098,767 ↓ ~$3.1M vs 2022

Profit Margin 5.4% ↑ 1.6pp vs 2022

Loading trend charts...

Metric	2011	2012	2013	2014	2015	2016	2017	2019	2020	2021	2022	2023
Occupancy %	85.7%	91.2%	82.7%	82.7%	84.0%	83.9%	86.0%	84.5%	70.9%	60.0%	67.9%	78.1%
Beds	192	192	192	192	192	192	192	192	192	192	216	216
Net Income	$8,232,443	$537,173	-$515,490	$676,014	$771,257	$108,061	$491,900	-$11,689,493	$1,646,331	-$239,170	$937,912	$988,211
Gross Revenue	$7,549,776	$18,597,940	$15,233,184	$15,778,239	$17,535,612	$18,541,874	$20,603,064	$22,967,146	$23,516,014	$20,423,161	$24,886,321	$18,464,801
Operating Expenses	$6,161,676	$16,175,352	$16,245,138	$14,952,588	$15,817,353	$17,244,860	$18,298,329	$19,254,545	$15,657,313	$14,280,445	$16,551,437	$11,447,164
Net Patient Revenue	$5,987,255	$16,297,867	$13,301,520	$13,830,591	$14,581,063	$15,153,980	$15,924,239	$15,953,708	$16,188,110	$13,104,192	$17,377,334	$12,430,203
Total Payroll	$3,825,843	$10,253,232	$10,416,456	$9,700,322	$10,161,849	$10,178,676	$10,277,738	$9,825,085	$9,501,405	$8,669,982	$10,230,308	$7,098,767
Profit Margin %	109.0%	2.9%	-3.4%	4.3%	4.4%	0.6%	2.4%	-50.9%	7.0%	-1.2%	3.8%	5.4%
Medicare %	6.7%	8.8%	11.9%	14.7%	14.3%	15.6%	16.2%	15.7%	16.1%	13.2%	16.9%	10.3%
Medicaid %	65.6%	59.8%	59.0%	62.3%	61.2%	63.1%	64.7%	65.5%	68.0%	72.4%	61.7%	62.9%
Private %	27.8%	31.4%	29.1%	23.0%	24.5%	21.2%	19.1%	18.9%	15.9%	14.4%	21.4%	26.8%
Revenue/Day	$238	$254	$230	$239	$248	$257	$264	$248	$325	$312	$324	$305
Cost/Day	$245	$252	$280	$258	$269	$292	$304	$300	$314	$340	$309	$281
Avg Length of Stay	406.2 days	256.4 days	298.6 days	225.5 days	220.5 days	144.9 days	123.0 days	137.3 days	177.4 days	300.4 days	113.9 days	78.0 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Community Choices Waiver

WY Medicaid CCW

General: Age 65+ or disabled, Wyoming resident, Medicaid-eligible, nursing home-level care need.

Income Limits (2025): ~$2,829/month (300% FBR, individual).

Asset Limits: $2,000 (individual), $3,000 (couple).

WY Specifics: Sparse population; rural access focus.

Wyoming Home Services

WY Home Services

General: Age 60+, Wyoming resident, at risk of nursing home.

Income Limits: ~$2,000/month (individual, varies).

Asset Limits: $5,000 (individual).

WY Specifics: Limited funding; rural emphasis.

Older Americans Act (OAA) Services

Wyoming OAA Services

General: Age 60+, WY resident; no income/asset limits.

Income Limits (2025): None; donations encouraged.

Asset Limits: Not assessed.

WY Specifics: Includes Meals on Wheels; serves ~10,000 annually; rural emphasis.

Medicare Savings Program (MSP)

Wyoming Medicare Savings Program

General: Age 65+ or disabled, WY resident, Medicare Part A/B.

Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

Asset Limits: $9,430 (individual), $14,130 (couple).

WY Specifics: Includes Extra Help for Part D; no waitlist.

Low-Income Energy Assistance Program (LIEAP)

Wyoming LIEAP

General: Age 60+ prioritized, WY resident, low-income household.

Income Limits (2025): ~$3,970/month (185% FPL).

Asset Limits: Not assessed.

WY Specifics: Covers gas, electric, wood; emergency aid available; serves ~15,000 households.

Family Caregiver Support Program (FCSP)

Wyoming National Family Caregiver Support Program

General: Caregivers of 60+ needing care or 55+ caregivers of others; WY resident; 2+ ADLs.

Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).

Asset Limits: Not assessed.

WY Specifics: Covers Big Horn, Carbon, Converse, Fremont, Goshen, Hot Springs, Laramie, Natrona, Washakie; serves ~1,000 annually.

Senior Community Service Employment Program (SCSEP)

Wyoming SCSEP

General: Age 55+, unemployed, low-income, WY resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified.

WY Specifics: Priority for veterans, rural residents; serves Big Horn, Fremont, Natrona, Park, Washakie.

VA Aid and Attendance (A&A) and Housebound Benefits

Wyoming VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, WY resident, wartime service, ADL help (A&A) or homebound.

Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

Asset Limits: ~$155,356 (net worth).

WY Specifics: High rural veteran use; supports care costs.

Property Tax Refund Program

Wyoming Property Tax Refund Program

General: Age 65+ or disabled, WY resident 5+ years, homeowner/renter, paid property taxes/rent.

Income Limits (2025): ~$22,500/year (individual in high-cost counties), ~$18,000 (low-cost); $36,000/$28,800 (couples).

Asset Limits: Not assessed beyond income.

WY Specifics: Refunds up to $900 (homeowners) or 50% rent paid; serves ~5,000 annually.

Senior Farmers’ Market Nutrition Program (SFMNP)

Wyoming SFMNP

General: Age 60+, WY resident, low-income.

Income Limits (2025): ~$2,322/month (185% FPL).

Asset Limits: Not assessed.

WY Specifics: Vouchers (~$50/season); serves ~5,000 annually.

North Big Horn Hospital District, a Wyoming Special Hospital District

North Big Horn Hospital District, a Wyoming Special Hospital District is a Nursing Home in Wyoming

North Big Horn Hospital… is a Nursing Home in Wyoming

North Big Horn Hospital District, a Wyoming Special Hospital District

North Big Horn Hospital District, a Wyoming Special Hospital District is a Nursing Home in Wyoming

North Big Horn Hospital… is a Nursing Home in Wyoming

Quality ratings

Capacity and availability

Medium-capacity home

This home usually has availability

Who this home usually serves

Mostly short-term rehab stays

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Staffing

Leadership

Contact Information

Amenities & Lifestyle

Programs & Activities

Inspection History

1 visit/inspection

Results

Latest inspection

Inspection Reports

Places of interest near North Big Horn Hospital District, a Wyoming Special Hospital District

Calculate Travel Distance to North Big Horn Hospital District, a Wyoming Special Hospital District

Staffing Data

Nursing Staff Breakdown

Staff by Category

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Specialized Care Beds

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for Wyoming Seniors

Community Choices Waiver

Wyoming Home Services

Older Americans Act (OAA) Services

Medicare Savings Program (MSP)

Low-Income Energy Assistance Program (LIEAP)

Family Caregiver Support Program (FCSP)

Senior Community Service Employment Program (SCSEP)

VA Aid and Attendance (A&A) and Housebound Benefits

Property Tax Refund Program

Senior Farmers’ Market Nutrition Program (SFMNP)

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes