Overview of Laramie Health and Rehabilitation Located at 503 South 18th Street in Laramie, Wyoming, Laramie Health and Rehabilitation operates as a 105-bed nursing facility under private management by Stellar Laramie Management, LLC. The single-story facility, formerly identified as Cottonwood Health & Rehabilitation, provides nursing home and assisted living services. The facility accepts all three major payer types: Medicare (58% of new admissions, averaging 1–2 months), private pay (26%, typically 8–9 months), and Medicaid (16%, often 2 years or longer). Current occupancy reaches 52.9%, considerably below Wyoming’s 69.2% state average, reflecting available admission capacity.
The facility holds a 1-star overall rating, performing 66% below the Wyoming average. Health inspection standing sits 30.5% below state norms. Staffing metrics show 3 hours 42 minutes of total nursing care daily per resident; 18% below the state average and ranking 10th of 13 Wyoming skilled nursing facilities. Quality measure performance drops 68.3% below Wyoming benchmarks. Two federal civil money penalties were issued recently: $36,000 in May 2024 and $8,000 in July 2023.
Walking ability declined in 28% of long-stay residents, 46% worse than the Wyoming average, among the most serious functional metrics. Pressure ulcers developed in 11.8% of high-risk residents, 138% worse than the state typical. Vaccination rates fall substantially short: pneumococcal coverage reached 64.3% and influenza 77.6%, compared to Wyoming standards of approximately 94%.
Short-stay resident measures earned a 1-star rating reflecting below-average outcomes. At discharge, only 47.7% of residents maintained or exceeded expected self-care abilities (11% below the state average).
The facility employs 75 staff, 4 RNs, 10 LPNs, and 37 CNAs, maintaining a 1.56:1 staff-to-resident ratio.
One family review directly stated the facility is “not a kind place” and cautioned that promotional images do not reflect the actual environment.
Altitude Medical Center sits 0.93 miles away.
Laramie Health and Rehabilitation serves Laramie-area residents, accepting nursing care referrals, though substantial quality and outcome concerns warrant thorough evaluation before admission.