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.
Explore Open Rooms
1
Contact details
2
What type of senior care service are you looking for?
3
What budget do you have in mind for senior care?
4
How soon do you need to find care?
5
Additional details
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
Nursing Home
Laramie Health and Rehabilitation
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Staffing hours breakdown
Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Registered Nurse (RN)
Registered nurse hours per resident per day.
Registered nurse hours per resident per day.
Nurse Aide
Nurse aide hours per resident per day.
Nurse aide hours per resident per day.
Total Nursing (Weekend)
Total number of nurse staff hours per resident per day on weekends.
Total number of nurse staff hours per resident per day on weekends.
Physical Therapist
Physical therapist staff hours per resident per day.
Physical therapist staff hours per resident per day.
RN (Weekend)
Registered nurse hours per resident per day on weekends.
Registered nurse hours per resident per day on weekends.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$8.3M
Operating loss
-$740.3K
Privately-owned community
Operated by a business 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
Health Inspection History
Inspections
Total health citations
26
Wyoming average 18.9
Citations per inspection
5.2
Wyoming average 3.4
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
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 10, 2024
Issues related to building safety, cleanliness, maintenance, and overall living conditions.
Oct 10, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 10, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 10, 2024
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 10, 2024
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Oct 10, 2024
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
Oct 10, 2024
Issues related to food quality, meal service, and resident's nutritional needs.
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.
Compare Assisted Living around Laramie The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.
Laramie Health and Rehabilitation
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.
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).
Laramie
105
52.9%
-24%
3.70
-18%
3
26
3
49
69
Stellar Laramie Management, Llc
$8,3M
$3,0M
35.9%
535043
-
EMG Laramie LLC
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
117
-
-
-
-
0
0
0
-
-
-
-
-
-
-
-
Eppson Center for Seniors
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
-
-
-
-
-
0
0
0
-
57
-
-
-
-
-
-
Laramie Senior Housing
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
-
-
-
-
-
0
0
0
-
47
-
-
-
-
-
1 Bed / 2 Bed
Memorial Hospital of Sheridan County
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.
Sheridan
88
-
-
-
-
0
0
0
-
-
-
-
-
-
-
-
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 (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
87
Employees
84
Contractors
3
Staff to resident ratio
1.81:1
13% better than Wyoming averageWyoming average ratio: 1.60:1
Avg staff/day
30
Average shift
7.5 hours
11% worse than Wyoming averageWyoming average: 8.4 hours
Total staff hours (quarter)
20,418
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
47
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
1.6%
334 contractor hours this quarter
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Medical Director: 1
Staff by category
| 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 |
47 Certified Nursing Assistant
% of Days
100%
8 Licensed Practical Nurse
% of Days
100%
5 Registered Nurse
% of Days
97%
3 RN Director of Nursing
% of Days
80%
5 Medication Aide/Technician
% of Days
80%
2 Occupational Therapy Aide
% of Days
88%
4 Physical Therapy Assistant
% of Days
81%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Clinical Nurse Specialist
% of Days
71%
1 Respiratory Therapy Technician
% of Days
69%
2 Speech Language Pathologist
% of Days
70%
1 Dietitian
% of Days
63%
1 Mental Health Service Worker
% of Days
63%
2 Other Dietary Services Staff
% of Days
56%
1 Physical Therapy Aide
% of Days
13%
1 Occupational Therapy Assistant
% of Days
33%
1 Medical Director
% of Days
3%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
48 residents
Residents by payment source
Medicare
6 residents (12.5%)
Medicaid
24 residents (50%)
Private pay or other
18 residents (37.5%)
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.
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.06
Number of hospitalizations per 1,000 long-stay resident days.
1.06
18% better than Wyoming averageWyoming average: 1.30
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.46
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.46
33% better than Wyoming averageWyoming average: 2.19
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
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%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.6%
In line with Wyoming averageWyoming average: 20.8%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
13.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
13.3%
In line with Wyoming averageWyoming average: 13.7%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
Percentage of SNF residents who experience falls with major injury during their stay.
1.1%
40% worse than Wyoming averageWyoming average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
47.7%
Percentage of residents at or above expected ability to care for themselves at discharge.
47.7%
11% worse than Wyoming averageWyoming average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
48.7%
Rate of successful return to home or community from a skilled nursing facility.
48.7%
In line with Wyoming averageWyoming average: 50.6%
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...
Guides for Better Senior Living
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Financial Aid for Wyoming Seniors
Get financial aid guidanceContact Us
Planning a tour? Check our touring checklist.
Thinking of living here? We can help you speak to a current resident
Looking for a job? Apply for Open Positions at Laramie Health and Rehabilitation
Thinking about senior living? Use our bidding system to get competitive quotes from the best homes in your area.
Touring Checklist for Senior Living
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
Location
Community Spaces and Overall Environment
Services
Staffing
Accommodations
Finances
Other Notes
0/250
Send Checklist to Your Email
We'll send you a PDF version of the touring checklist.
Feedback
