Total health inspections
5
Wyoming average 5.6
Last Health inspection on Oct 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Laramie Health and Rehabilitation
Nursing Home
Laramie Health and Rehabilitation
Nursing Home
Overview of Laramie Health and Rehabilitation
Laramie Health and Rehabilitation (Formerly Cottonwood Health & Rehabilitation) is an extraordinary haven in the picturesque city of Laramie, Wyoming. Within its walls, exceptional nursing home care is provided, ensuring the well-being and comfort of cherished residents. The professional staff is committed to delivering compassionate and personalized care that nurtures the well-being of every resident. From skilled nursing services to specialized medical attention, a comprehensive range of services is tailored to meet the unique needs of each individual.
Laramie Health and Rehabilitation also believes that nursing home activities play a vital role in enhancing the quality of life. A vibrant calendar is carefully crafted with engaging and fulfilling activities. Residents can participate in stimulating group discussions, explore their creative sides through arts and crafts, or enjoy social outings with fellow residents. Every moment is designed to ignite joy and foster meaningful connections.
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
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
105
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
52.9%
Residents per day (avg)
49
Occupancy rate
52.9%
Residents per day (avg)
49
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
58% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
26% of new residents, often for short stays.
Typical stay
8 - 9 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
2 years
Finances and operations
Proprietary home
Corporation
Home revenue
$8.3M
Operating loss
-$740.3K
Proprietary home
Corporation
Home revenue
$8,291,160.00
Operating loss
$-740,283.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
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.
$6.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.0M
What does this home offer?
Building Type: Single-story
Dining Services
Housekeeping Services
Rehabilitative Support
On-site Medical Care and Health Services
Types of Care at Laramie Health and Rehabilitation
Nursing Home
Assisted Living
Compare Assisted Living around Laramie
The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.
Sage View Care Center
-35%
-12%
-23%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Rock Springs
82
No
A+
10
-
53.4%
$2,486,762.00
$798,698.00
32.1%
48.80
4.0023
-
11
-
-35%-12%-23%-
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
No
-
-
MORNING STAR CARE CENTER
61.2%
$5,304,436.00
$2,128,355.00
40.1%
28.20
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
No
-
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%-
Eppson Center for Seniors
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Laramie
-
Yes
-
57
-
-
-
-
-
-
-
-
-
-
-
-
-
Laramie Senior Housing
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Laramie
-
Yes
-
47
-
-
-
-
-
-
-
-
-
-
-
-
1 Bed / 2 Bed
Sage View Care Center
Type of care:
SNF
AL
Community:
Rock Springs
Bed Count:
82
Pets Allowed:
No
CCN:
535056
Occupancy:
53.4%
Home Revenue:
$2,486,762.00
Payroll Costs:
$798,698.00
Payroll %:
32.1%
Avg Residents/Day:
48.80
Overall Rating:
Adj Nurse Hours:
4.0023
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
11
RN share vs State Avg:
-35%
-35%
Staffing vs State Avg:
-12%
-12%
Occupancy vs State Avg:
-23%
-23%
Morning Star Care Center
Type of care:
SNF
AL
Community:
WY 82514
Bed Count:
45
Pets Allowed:
No
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:
28.20
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
Pets Allowed:
No
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%Laramie Health and Rehabilitation Reviews
Share your thoughts and experiences about Laramie Health and Rehabilitation. Let’s celebrate the stories that make a difference!
Terri
The pictures are certainly not true. Go inside. Not a kind place. There is a reason they are a one-star with Medicare.gov.
Places of interest near Laramie Health and Rehabilitation
1.4 miles from city center — 0.93 miles to nearest hospital (Altitude Medical Center)
503 S 18th St, Laramie, WY 82070
Calculate Travel Distance to Laramie Health and Rehabilitation
Add your location
Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
87
Total Staff
84
Employees
3
Contractors
20,418
Total Hours (Quarter)
30
Avg Staff/Day
7.5
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 5 | 8.4 | No |
| Licensed Practical Nurse | 8 | 9.6 | No |
| Certified Nursing Assistant | 47 | 7.2 | No |
Staff by Category
Administration ⓘ
2 staff
8hs shift avg
Nursing Staff ⓘ
68 staff
7.8hs shift avg
Physicians & Practitioners ⓘ
2 staff
8hs shift avg
Therapy Services ⓘ
11 staff
5.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
0 staff
0hs shift avg
Dietary Services ⓘ
3 staff
7.2hs shift avg
Other Services ⓘ
1 staff
7hs shift avg
Contractor Analysis
1.6%
of total hours from contractors
334 contractor hours this quarter
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 47 | 0 | 47 | 9,100 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 8 | 0 | 8 | 2,786 | 91 | 100% | 9.6 |
| Registered Nurse | 5 | 0 | 5 | 1,311 | 88 | 97% | 8.4 |
| RN Director of Nursing | 3 | 0 | 3 | 1,232 | 73 | 80% | 8.1 |
| Medication Aide/Technician | 5 | 0 | 5 | 968 | 73 | 80% | 9.1 |
| Occupational Therapy Aide | 1 | 1 | 2 | 681 | 80 | 88% | 5.9 |
| Physical Therapy Assistant | 4 | 0 | 4 | 555 | 74 | 81% | 4.1 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Respiratory Therapy Technician | 1 | 0 | 1 | 504 | 63 | 69% | 8 |
| Speech Language Pathologist | 2 | 0 | 2 | 423 | 64 | 70% | 6.5 |
| Dietitian | 1 | 0 | 1 | 411 | 57 | 63% | 7.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 400 | 57 | 63% | 7 |
| Other Dietary Services Staff | 2 | 0 | 2 | 370 | 51 | 56% | 7.3 |
| Physical Therapy Aide | 1 | 0 | 1 | 65 | 12 | 13% | 5.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 29 | 30 | 33% | 1 |
| Medical Director | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
Health Inspection History
Inspections
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.
20 of 26 citations resulted from standard inspections; 5 of 26 resulted from complaint investigations; and 1 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
3
3
67% worse than Wyoming averageWyoming average: 1.8
0 critical citations
3 serious citations
22 moderate citations
1 minor citation
Citations history (last 3 years)
Environmental moderate citation
Oct 10, 2024
Corrected
Infection Control moderate citation
Oct 10, 2024
Corrected
Infection Control moderate citation
Oct 10, 2024
Corrected
Nutrition moderate citation
Oct 10, 2024
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.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Resident Census by Payment Source
48
Total Residents
Medicare
6
(12.5%)
ⓘ
Medicaid
24
(50%)
ⓘ
Private Pay/Other
18
(37.5%)
ⓘ
Specialized Care Beds
3
Total Specialty Beds
2.9%
of Bed Capacity
3
Hospice Beds ⓘ
2.9%
Programs & Services
Residents' Group
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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.
13.7
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.7
26% worse than Wyoming averageWyoming average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.4
18% worse than 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
22.7%
Percent of long-stay residents whose need for help with daily activities has increased
22.7%
13% worse than Wyoming averageWyoming average: 20.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
28.0%
Percent of long-stay residents whose ability to move independently worsened
28.0%
46% worse 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
22.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.6%
In line with Wyoming averageWyoming average: 23.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.7%
66% better than Wyoming averageWyoming average: 4.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
11.8%
Percent of long-stay high risk residents with pressure ulcers
11.8%
138% worse than Wyoming averageWyoming average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.3%
Percent of long-stay residents with a urinary tract infection
2.3%
27% better than Wyoming averageWyoming average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.4%
Percent of long-stay residents who lose too much weight
4.4%
33% better than Wyoming averageWyoming average: 6.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.4%
Percent of long-stay residents who have depressive symptoms
1.4%
79% better than Wyoming averageWyoming average: 6.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
18.3%
Percent of long-stay residents who received an antipsychotic medication
18.3%
20% better than Wyoming averageWyoming average: 22.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.3%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
64.3%
32% worse than Wyoming averageWyoming average: 94.1%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
77.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
77.6%
18% 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
49.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
49.8%
33% worse than Wyoming averageWyoming average: 74.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
Percent of short-stay residents who newly received an antipsychotic medication
2.4%
5% worse than Wyoming averageWyoming average: 2.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
60.0%
22% worse than 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
$59K
49% higher than Wyoming averageWyoming average: $40K
Number of fines
3
12% more 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
$59K
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.
May 22, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 22, 2024
$36K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 27, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jul 27, 2023
$8K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 14, 2023
$15K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Laramie Health and Rehabilitation based on CMS SNF Cost Reports.
Occupancy Rate
52.9%
↓ 0.7pp vs 2022
Net Income
-$740,283
↓ ~$200K vs 2022
Total Payroll
$4,562,811
↑ ~$19K vs 2022
Profit Margin
-8.9%
↓ 2.9pp vs 2022
Loading trend charts...
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