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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 1st out of 13 homes in Wyoming. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 1h 11m per day | ▲ 31% State avg: 54m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 26m per day | ▼ 10% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 4h 23m per day | ▲ 78% State avg: 2h 28m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 4h 26m per day | ▲ 34% State avg: 3h 18m per day · National avg: 3h 26m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 51m per day | ▲ 38% State avg: 37m per day · National avg: 28m per day |
Lower than the Wyoming average: 74.2%Morning Star Care Center is administrated by Kaeli Rivera.
Key information about the people who lead and staff this community.
Wyoming average 5.6
Last Health inspection on Apr 2025
Wyoming average 18.9
Wyoming average 3.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 16 citations resulted from standard inspections; and 2 of 16 resulted from complaint investigations.
100% better than Wyoming averageWyoming average: 0.2
100% better than Wyoming averageWyoming average: 1.8
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
12% better than Wyoming average
11% better than Wyoming average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
31 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 28 | 0 | 28 | 10,504 | 92 | 100% | 9.7 |
| Registered Nurse | 10 | 0 | 10 | 2,719 | 92 | 100% | 10.2 |
| Administrator | 4 | 0 | 4 | 1,682 | 66 | 72% | 8.2 |
| Dietitian | 4 | 0 | 4 | 1,669 | 91 | 99% | 7.9 |
| Licensed Practical Nurse | 2 | 1 | 3 | 1,059 | 82 | 89% | 9.7 |
| Nurse Practitioner | 1 | 0 | 1 | 468 | 58 | 63% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 414 | 59 | 64% | 7 |
| Speech Language Pathologist | 1 | 1 | 2 | 299 | 53 | 58% | 5.4 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
80% lower than Wyoming averageWyoming average: $40K
63% fewer fines than Wyoming averageWyoming average: 2.7
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Wyoming averageWyoming average: 0.2
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Nov 5, 2024 · $8K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 5, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
8.0
27% better than Wyoming averageWyoming average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.2
70% better than Wyoming averageWyoming average: 20.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
11.6%
42% better than Wyoming averageWyoming average: 20.0%
Percent of long-stay residents whose ability to move independently worsened
0.0%
100% better than Wyoming averageWyoming average: 19.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.0%
70% better than Wyoming averageWyoming average: 23.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.1%
38% better than Wyoming averageWyoming average: 4.9%
Percent of long-stay high risk residents with pressure ulcers
17.5%
253% worse than Wyoming averageWyoming average: 5.0%
Percent of long-stay residents with a urinary tract infection
13.4%
326% worse than Wyoming averageWyoming average: 3.1%
Percent of long-stay residents who lose too much weight
7.7%
18% worse than Wyoming averageWyoming average: 6.5%
Percent of long-stay residents who have depressive symptoms
4.3%
33% better than Wyoming averageWyoming average: 6.4%
Percent of long-stay residents who received an antipsychotic medication
19.0%
17% better than Wyoming averageWyoming average: 22.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.0%
In line with Wyoming averageWyoming average: 94.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.0%
In line with Wyoming averageWyoming average: 94.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.24
72% worse than Wyoming averageWyoming average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
5.23
139% worse than Wyoming averageWyoming average: 2.19
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
76.1%
In line with Wyoming averageWyoming average: 74.6%
Percent of short-stay residents who newly received an antipsychotic medication
18.5%
720% worse than Wyoming averageWyoming average: 2.3%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
25% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
50% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
29Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Morning Star Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #7 / 12Payroll — State benchmarkedThis home is ranked 7th out of 12 homes in Wyoming. Shows total annual staff payroll benchmarked to the Wyoming average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
82.3 miles from city center
Estimated distance in miles from Fort Washakie's city center to Morning Star Care Center's address, calculated via Google Maps.
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Morning Star Care Center is located in Fort Washakie, Wyoming.
Here are the financial assistance programs available to residents in Wyoming.
The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.
| Morning Star Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Washakie | 45 | 61.2% | -12% | 7.54 | +28% | +66% | $8.0k | 16 | 4.0 | - | 28 | 13 | Morning Star Care Center | $5.9M | $4.9M | 82.6% | 535050 | ||||
| Laramie Health and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Laramie | 105 | 52.9% | -24% | 3.70 | -64% | -18% | $58.8k | 26 | 5.2 | 3 | 49 | 69 | Stellar Laramie Management, LLC | $8.3M | $4.6M | 55% | 535043 |
Tiffany Hash is the Director of Nursing at Morning Star Care Center.
Morning Star Care Center has a walk score of 13. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to WY state health department records, Morning Star Care Center's license number is 15142.
Morning Star Care Center's occupancy is 61%.
The team at Morning Star Care Center can be reached at [email protected].
Kaeli Rivera is the administrator of Morning Star Care Center.
Morning Star Care Center has 45 beds.
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