Facility type
Nh
Status
Active
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
North Big Horn 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. The hospital offers a variety of services including cardiac rehabilitation, diabetes education, and home health.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.2%
Residents per day (avg)
41
Occupancy rate
78.2%
Residents per day (avg)
41
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
61% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
31% of new residents, often for short stays.
Typical stay
11 - 12 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
11 years
Finances and operations
Privately-owned community
Home revenue
$5.6M
Operating loss
-$984.6K
Privately-owned community
Home revenue
$5,624,601.00
Operating loss
$-984,629.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.6M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License details
County:
Converse
Additional licensing details
License number:
15450
CMS Certification Number:
535040
Ownership & operating entity
North Big Horn Hospital District is administrated by Crystal Lake.
Staffing
Key information about the people who lead and staff this community.
Leadership
Director of Nursing:
Chelsea Edison
Care Services
Rehabilitation Services
Contact Information
Email:
[email protected]
Fax:
307-358-1891
Programs & Activities
Specific Programs
Cardiac Rehabilitation, Diabetes Education, Home Health, Hospital Services, Infusion Clinic, Specialty Clinics
Health Inspection History
Inspections
Total health inspections
5
Wyoming average 5.6
Last Health inspection on Sep 2025
Total health citations
26
Citations per inspection
5.2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 26 citations resulted from standard inspections; 5 of 26 resulted from complaint investigations; and 7 of 26 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Wyoming averageWyoming average: 0.2
Serious Health citations
2
2
11% worse than Wyoming averageWyoming average: 1.8
0 critical citations
2 serious citations
24 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect serious citation
Sep 17, 2025
Corrected
Quality of Care moderate citation
Sep 17, 2025
Corrected
Abuse/Neglect moderate citation
Jan 03, 2025
Corrected
Abuse/Neglect moderate citation
Jan 03, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Wyoming
The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.
Morning Star Care Center
+38%
+66%
-12%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WY 82514
45
-
MORNING STAR CARE CENTER
61.2%
$5,304,436.00
$2,128,355.00
40.1%
28
7.5357
1
16
-
+38%+66%-12%
Laramie Health and Rehabilitation
-61%
-18%
-24%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SNF
Nursing Homes 24/7 care needed
Laramie
105
69
STELLAR LARAMIE MANAGEMENT, LLC
52.9%
$8,290,036.00
$2,979,106.00
35.9%
49.20
3.7000
3
26
3
-61%-18%-24%
North Big Horn Hospital District
-30%
-17%
+13%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WY 82633
60
-
HEALTH AND MARKETING WEST
78.2%
$4,632,988.00
$2,759,000.00
59.6%
40.60
3.7496
1
26
2
-30%-17%+13%
Memorial Hospital of Sheridan County
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WY 82801
88
-
-
-
-
-
-
-
-
-
-
-
-
-
Rocky Mountain Care – Summit Ridge Assisted Living OC LLC
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WY 82633
36
-
-
-
-
-
-
-
-
-
-
-
-
-
Morning Star Care Center
Type of care:
SNF
AL
Community:
WY 82514
Bed Count:
45
Operator:
MORNING STAR CARE CENTER
CCN:
535050
Occupancy:
61.2%
Home Revenue:
$5,304,436.00
Payroll Costs:
$2,128,355.00
Payroll %:
40.1%
Avg Residents/Day:
28
Overall Rating:
Adj Nurse Hours:
7.5357
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
16
RN share vs State Avg:
+38%
+38%
Staffing vs State Avg:
+66%
+66%
Occupancy vs State Avg:
-12%
-12%
Laramie Health and Rehabilitation
Type of care:
AL
SNF
Community:
Laramie
Bed Count:
105
Operator:
STELLAR LARAMIE MANAGEMENT, LLC
CCN:
535043
Occupancy:
52.9%
Home Revenue:
$8,290,036.00
Payroll Costs:
$2,979,106.00
Payroll %:
35.9%
Avg Residents/Day:
49.20
Overall Rating:
Adj Nurse Hours:
3.7000
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
26
Severe Citations:
3
RN share vs State Avg:
-61%
-61%
Staffing vs State Avg:
-18%
-18%
Occupancy vs State Avg:
-24%
-24%
North Big Horn Hospital District
Type of care:
SNF
AL
Community:
WY 82633
Bed Count:
60
Operator:
HEALTH AND MARKETING WEST
CCN:
535040
Occupancy:
78.2%
Home Revenue:
$4,632,988.00
Payroll Costs:
$2,759,000.00
Payroll %:
59.6%
Avg Residents/Day:
40.60
Overall Rating:
Adj Nurse Hours:
3.7496
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
26
Severe Citations:
2
RN share vs State Avg:
-30%
-30%
Staffing vs State Avg:
-17%
-17%
Occupancy vs State Avg:
+13%
+13%Places of interest near North Big Horn Hospital District
0.0 miles from city center
Douglas, WY 82633
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
59
Total Staff
59
Employees
0
Contractors
14,794
Total Hours (Quarter)
20
Avg Staff/Day
8.1
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 6 | 8.9 | No |
| Licensed Practical Nurse | 7 | 9.1 | No |
| Certified Nursing Assistant | 21 | 8.1 | No |
Staff by Category
Administration ⓘ
1 staff
7.5hs shift avg
Nursing Staff ⓘ
40 staff
8.3hs shift avg
Physicians & Practitioners ⓘ
5 staff
7.5hs shift avg
Therapy Services ⓘ
9 staff
6.5hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
3 staff
8.3hs shift avg
Other Services ⓘ
1 staff
7.9hs shift avg
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 21 | 0 | 21 | 5,972 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,105 | 91 | 100% | 9.1 |
| Registered Nurse | 6 | 0 | 6 | 1,745 | 86 | 95% | 8.9 |
| Nurse Aide in Training | 4 | 0 | 4 | 700 | 68 | 75% | 6.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 689 | 73 | 80% | 8.4 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 540 | 64 | 70% | 7.6 |
| Nurse Practitioner | 2 | 0 | 2 | 500 | 67 | 74% | 7.5 |
| Administrator | 1 | 0 | 1 | 465 | 62 | 68% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 437 | 55 | 60% | 7.9 |
| Medication Aide/Technician | 1 | 0 | 1 | 372 | 34 | 37% | 10.9 |
| Dietitian | 1 | 0 | 1 | 359 | 45 | 49% | 8 |
| Respiratory Therapist | 1 | 0 | 1 | 335 | 39 | 43% | 8.6 |
| Speech Language Pathologist | 2 | 0 | 2 | 252 | 33 | 36% | 7.6 |
| Physical Therapy Aide | 2 | 0 | 2 | 135 | 28 | 31% | 4.8 |
| RN Director of Nursing | 1 | 0 | 1 | 96 | 16 | 18% | 6 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 70 | 15 | 16% | 4.7 |
| Physical Therapy Assistant | 2 | 0 | 2 | 24 | 10 | 11% | 2.4 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
43 residents
Residents by payment source
Medicare
3 residents (7%)
Medicaid
26 residents (60.5%)
Private pay or other
14 residents (32.6%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
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.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.8
10% better than Wyoming averageWyoming average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.1
In line with Wyoming averageWyoming average: 20.8
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.3%
Percent of long-stay residents whose need for help with daily activities has increased
21.3%
6% worse than Wyoming averageWyoming average: 20.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.7%
Percent of long-stay residents whose ability to move independently worsened
16.7%
13% better than Wyoming averageWyoming average: 19.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.3%
9% worse than Wyoming averageWyoming average: 23.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
7% better than Wyoming averageWyoming average: 4.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
In line with Wyoming averageWyoming average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
11.3%
Percent of long-stay residents with a urinary tract infection
11.3%
260% worse than Wyoming averageWyoming average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.4%
Percent of long-stay residents who lose too much weight
1.4%
78% better than Wyoming averageWyoming average: 6.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.5%
Percent of long-stay residents who have depressive symptoms
1.5%
76% better than Wyoming averageWyoming average: 6.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
22.8%
Percent of long-stay residents who received an antipsychotic medication
22.8%
In line with Wyoming averageWyoming average: 22.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
10% worse than Wyoming averageWyoming average: 94.1%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.0%
10% worse than Wyoming averageWyoming average: 94.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.6%
17% worse than Wyoming averageWyoming average: 74.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
50% worse than Wyoming averageWyoming average: 2.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.8%
In line with Wyoming averageWyoming average: 77.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
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)
Total fines amount
$20K
50% lower than Wyoming averageWyoming average: $40K
Number of fines
1
63% fewer fines than Wyoming averageWyoming average: 2.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$20K
Wyoming average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 15, 2024
$20K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for North Big Horn Hospital District based on CMS SNF Cost Reports.
Occupancy Rate
78.2%
↓ 6.4pp vs 2022
Net Income
-$984,629
↓ ~$376K vs 2022
Total Payroll
$3,395,849
↑ ~$45K vs 2022
Profit Margin
-21.3%
↓ 7.7pp vs 2022
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