Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.

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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.
Offers a balance of services and community atmosphere.
Lower occupancy suggests more openings may be available.
Most residents stay for extended periods and receive ongoing daily care.
37% of new residents, usually for short-term rehab.
13% of new residents, often for short stays.
50% of new residents, often for long-term daily care.
Building Type: Single-story
Dining Services
Housekeeping Services
Rehabilitative Support
On-site Medical Care and Health Services
Nursing Home 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Nursing Homes 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Nursing Homes 24/7 care needed
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
1.4 miles from city center
503 S 18th St, Laramie, WY 82070
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Source: CMS Payroll-Based Journal (Q2 2025)
| 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 |
| 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 |
Source: CMS Health Citations (Jun 2022 – Oct 2024)
| Date | Severity ? | Category | Tag | Status |
|---|---|---|---|---|
| Oct 10, 2024 | E | Environmental | F0923 | Corrected |
| Oct 10, 2024 | E | Infection Control | F0880 | Corrected |
| Oct 10, 2024 | F | Infection Control | F0882 | Corrected |
| Oct 10, 2024 | F | Nutrition | F0801 | Corrected |
| Oct 10, 2024 | D | Pharmacy | F0758 | Corrected |
| Oct 10, 2024 | E | Pharmacy | F0761 | Corrected |
| Oct 10, 2024 | E | Resident Rights | F0584 | Corrected |
| May 22, 2024 | G | Abuse/Neglect | F0600 | Corrected |
| Jul 27, 2023 | G | Abuse/Neglect | F0600 | Corrected |
| Jul 27, 2023 | D | Abuse/Neglect | F0609 | Corrected |
| Jul 27, 2023 | E | Infection Control | F0880 | Corrected |
| Jul 27, 2023 | E | Infection Control | F0883 | Corrected |
| Jul 27, 2023 | F | Nutrition | F0801 | Corrected |
| Jul 27, 2023 | F | Nutrition | F0812 | Corrected |
| Jul 27, 2023 | D | Pharmacy | F0756 | Corrected |
| Jul 27, 2023 | D | Pharmacy | F0758 | Corrected |
| Mar 14, 2023 | D | Quality of Care | F0677 | Corrected |
| Mar 14, 2023 | G | Quality of Care | F0686 | Corrected |
| Mar 14, 2023 | D | Care Planning | F0656 | Corrected |
| Jun 09, 2022 | D | Infection Control | F0880 | Corrected |
| Jun 09, 2022 | B | Nursing Services | F0732 | Corrected |
| Jun 09, 2022 | D | Pharmacy | F0758 | Corrected |
| Jun 09, 2022 | D | Quality of Care | F0679 | Corrected |
| Jun 09, 2022 | D | Care Planning | F0656 | Corrected |
| Jun 09, 2022 | D | Care Planning | F0657 | Corrected |
| Jun 09, 2022 | D | Resident Rights | F0580 | Corrected |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Active councils help families stay involved in care decisions and facility operations.
CMS quality measures assess care quality for long-stay and short-stay residents. Lower percentages generally indicate better outcomes for most measures.
Source: CMS Nursing Home Compare (Data as of Jan 2026)
Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline
Composite score based on ADL decline, walking ability decline, and incontinence
Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.
Measures for residents who stay 100 days or less (typically rehabilitation patients).
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)
Showing all 3 penalties (Mar 2023 - May 2024)
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