Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (56% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Westward Heights Care Center is a 66-bed nonprofit skilled nursing facility in Lander, Wyoming, serving Fremont County residents seeking skilled nursing, short-term post-acute rehabilitation, and long-term care. It also provides outpatient physical, occupational, and speech therapy. The community is owned by Westward Heights Corp and administered by Caitlin Delbridge. The facility holds a 5-star overall CMS rating — the top score across all four sub-categories, including Health Inspection and Staffing. Across four inspections since 2022, it recorded 8 citations, compared with a Wyoming average of 18.9. No critical or serious deficiencies, federal fines, or penalties appear in the record. Nurse staffing averages 4 hours and 37 minutes per resident per day, ranking second among 13 Wyoming SNFs, with physical therapy staffing running more than double the state average — a standout figure for a facility whose admissions skew heavily toward post-acute Medicare stays. The facility’s occupancy rate is 83%, roughly nine points above the Wyoming average, reflecting consistent local demand. Short-term rehabilitation drives the majority of admissions (56% Medicare), with a 112-day average length of stay and a 65.7% successful return-to-home rate — 30% above the Wyoming average. Amenities include deluxe private rooms, chapel and pastoral services, a beauty and barber shop, and regularly scheduled physician visits. Memory support for residents with Alzheimer’s and dementia is also available on-site. Westward Heights Care Center is best suited for residents requiring post-acute skilled nursing and rehabilitation after a hospital stay, with capacity and staffing that also accommodate longer-term care and memory support needs in a small, locally rooted community setting in Fremont County.
Westward Heights Care Center is administered by Caitlin Delbridge.
Key information about the people who lead and staff this community.
State average 5.6
Last Health inspection on Mar 2025
State average 18.9
State average 3.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 8 citations resulted from standard inspections; and 2 of 8 resulted from complaint investigations.
State average: 0.2
State average: 1.8
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
Total hours from contractors
1,615 contractor hours this quarter
| Certified Nursing Assistant | 44 | 0 | 44 | 10,495 | 92 | 100% | 8.3 |
| Registered Nurse | 18 | 0 | 18 | 3,131 | 92 | 100% | 9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,560 | 83 | 90% | 8.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,335 | 90 | 98% | 7.6 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,274 | 89 | 97% | 10.6 |
| Licensed Practical Nurse | 2 | 0 | 2 | 824 | 59 | 64% | 12.7 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 477 | 64 | 70% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 468 | 62 | 67% | 7.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 349 | 67 | 73% | 5.2 |
| Speech Language Pathologist | 0 | 1 | 1 | 335 | 57 | 62% | 5.9 |
| Physical Therapy Aide | 0 | 3 | 3 | 323 | 65 | 71% | 4.6 |
| Qualified Social Worker | 0 | 1 | 1 | 118 | 27 | 29% | 4.4 |
| Medical Director | 0 | 1 | 1 | 13 | 26 | 28% | 0.5 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
56% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Historical financial and operational data for Westward Heights Care Center from 2011–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (56% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Lander's city center to Westward Heights Care Center's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the WY Dept. of Health (WDH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Wyoming average is: 60.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Life Care Center of Cheyenne | NH SNF | Cheyenne | 160
Facility
160
WY AVG
82
Rank
#2 / 31 |
74.1%
Facility
74.1%
WY AVG
68.2%
Rank
#10 / 26 | +9% | 3.63
Facility
3.63
WY AVG
4.53
Rank
#10 / 13 | +9% | -20% | $0
Facility
$0
WY AVG
$42.4k
Rank
#1 / 13 | 13
Facility
13
WY AVG
18.9
Rank
#4 / 12 | 3.3
Facility
3.3
WY AVG
3.4
Rank
#6 / 12 | 1 | 119 | - |
43
Facility
43
WY AVG
47
Rank
#31 / 51 | Clint Scearce | $15.7MFiscal year ending 12/2023
Facility
$15.7MFiscal year ending 12/2023
WY AVG
$8.9M
Rank
#1 / 9 | $9.8MFiscal year ending 12/2023
Facility
$9.8MFiscal year ending 12/2023
WY AVG
$5.4M
Rank
#1 / 9 | 62.5%Fiscal year ending 12/2023
Facility
62.5%Fiscal year ending 12/2023
WY AVG
60.5%
Rank
#4 / 9 | 535032 | ||||
| Life Care Center of Casper – Nursing Home | NH SNF | Casper | 120
Facility
120
WY AVG
82
Rank
#5 / 31 |
61.8%
Facility
61.8%
WY AVG
68.2%
Rank
#17 / 26 | -9% | 4.28
Facility
4.28
WY AVG
4.53
Rank
#4 / 13 | +34% | -5% | $0
Facility
$0
WY AVG
$42.4k
Rank
#1 / 13 | 15
Facility
15
WY AVG
18.9
Rank
#5 / 12 | 3.0
Facility
3.0
WY AVG
3.4
Rank
#4 / 12 | - | 74 | - |
45
Facility
45
WY AVG
47
Rank
#30 / 51 | Ainsley Huber | $11.1MFiscal year ending 06/2024
Facility
$11.1MFiscal year ending 06/2024
WY AVG
$8.9M
Rank
#2 / 9 | $7.5MFiscal year ending 06/2024
Facility
$7.5MFiscal year ending 06/2024
WY AVG
$5.4M
Rank
#2 / 9 | 67.4%Fiscal year ending 06/2024
Facility
67.4%Fiscal year ending 06/2024
WY AVG
60.5%
Rank
#2 / 9 | 535049 | ||||
| Westward Heights Care Center | NH RC SNF | Lander | 66
Facility
66
WY AVG
82
Rank
#18 / 31 |
83.3%
Facility
83.3%
WY AVG
68.2%
Rank
#8 / 26 | +22% | 4.52
Facility
4.52
WY AVG
4.53
Rank
#3 / 13 | +42% | 0% | $0
Facility
$0
WY AVG
$42.4k
Rank
#1 / 13 | 8
Facility
8
WY AVG
18.9
Rank
#1 / 12 | 2.0
Facility
2.0
WY AVG
3.4
Rank
#1 / 12 | - | 55 | - |
70
Facility
70
WY AVG
47
Rank
#7 / 51 | Westward Heights Corp | $7.1MFiscal year ending 12/2023
Facility
$7.1MFiscal year ending 12/2023
WY AVG
$8.9M
Rank
#6 / 9 | $4.3MFiscal year ending 12/2023
Facility
$4.3MFiscal year ending 12/2023
WY AVG
$5.4M
Rank
#6 / 9 | 60.3%Fiscal year ending 12/2023
Facility
60.3%Fiscal year ending 12/2023
WY AVG
60.5%
Rank
#5 / 9 | 535034 | ||||
| Morning Star Care Center | NH HOS RC SNF | Fort Washakie | 45
Facility
45
WY AVG
82
Rank
#24 / 31 |
60.0%
Facility
60.0%
WY AVG
68.2%
Rank
#18 / 26 | -12% | 6.31
Facility
6.31
WY AVG
4.53
Rank
#1 / 13 | +28% | +39% | $5.2k
Facility
$5.2k
WY AVG
$42.4k
Rank
#6 / 13 | 16
Facility
16
WY AVG
18.9
Rank
#7 / 12 | 4.0
Facility
4.0
WY AVG
3.4
Rank
#10 / 12 | - | 27 | - |
13
Facility
13
WY AVG
47
Rank
#45 / 51 | Morning Star Care Center | $5.3MFiscal year ending 12/2023
Facility
$5.3MFiscal year ending 12/2023
WY AVG
$8.9M
Rank
#8 / 9 | $2.5MFiscal year ending 12/2023
Facility
$2.5MFiscal year ending 12/2023
WY AVG
$5.4M
Rank
#9 / 9 | 48%Fiscal year ending 12/2023
Facility
48%Fiscal year ending 12/2023
WY AVG
60.5%
Rank
#9 / 9 | 535050 | ||||
| Sage View Care Center | NH MC RC SNF | Rock Springs | 82
Facility
82
WY AVG
82
Rank
#17 / 31 |
47.6%
Facility
47.6%
WY AVG
68.2%
Rank
#23 / 26 | -30% | 3.43
Facility
3.43
WY AVG
4.53
Rank
#11 / 13 | -25% | -24% | $12.7k
Facility
$12.7k
WY AVG
$42.4k
Rank
#8 / 13 | 11
Facility
11
WY AVG
18.9
Rank
#3 / 12 | 2.2
Facility
2.2
WY AVG
3.4
Rank
#3 / 12 | - | 39 | A+ |
10
Facility
10
WY AVG
47
Rank
#49 / 51 | - | $5.8M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $2.5M*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 42.6%*Fiscal year ending 12/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 535056 |
Shayna Goff is the Director of Nursing at Westward Heights Care Center.
Westward Heights Care Center has a walk score of 70. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
According to WY state health department records, Westward Heights Care Center's license number is 15338.
Westward Heights Care Center's occupancy is 83%.
No, Westward Heights Care Center has a no-pet policy.
The team at Westward Heights Care Center can be reached at westwardheightscarecenter@vhsmail.com.
Westward Heights Care Center is registered as a non-profit in WY.
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