Elkhorn Valley Rehabilitation Hospital LLC
Elkhorn Valley Rehabilitation Hospital is a 41-bed skilled nursing and inpatient rehabilitation facility in Casper, Wyoming, located about 8 miles from the city center. Operated by Elkhorn Valley Rehabilitation Hospital, LLC, under administrator Connie Longwell and director of nursing Tamara Thomson, the community focuses on short-term therapy for adults recovering from serious injuries, illnesses, or complex medical conditions.
Clinical care centers on inpatient rehabilitation, outpatient services, and a Transitional Outcomes Program designed to support safe transitions home or to another care setting. Licensed nurses and certified nursing assistants provide on-site support, and the 41-bed capacity allows for individualized recovery plans.
The facility maintains an occupancy rate of approximately 68 percent, with 28 of its beds filled. Because the location has a Walk Score of 0, residents and visiting families require a vehicle for daily errands. The on-site therapy programs and skilled clinical support position this facility as a specialized recovery environment rather than a long-term residential home.
Prospective representatives looking for a dedicated short-term rehabilitation setting in the Casper area can contact the hospital to learn more about the admissions process and coordinate a visit.
Capacity and availability
About this community
Occupancy
Elkhorn Valley Rehabilitation Hospital LLC is administered by Connie Longwell.
Staffing
Key information about the people who lead and staff this community.
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8.1 miles from city center
Estimated distance in miles from Casper's city center to Elkhorn Valley Rehabilitation Hospital LLC's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the WY Dept. of Health (WDH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Wyoming average is: 60.5% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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| Life Care Center of Casper – Nursing Home | NH SNF | Casper | 120
Facility
120
WY AVG
82
Rank
#5 / 31 |
61.8%
Facility
61.8%
WY AVG
68.2%
Rank
#17 / 26 | -9% | 4.28
Facility
4.28
WY AVG
4.53
Rank
#4 / 13 | +34% | -5% | $0
Facility
$0
WY AVG
$42.4k
Rank
#1 / 13 | 15
Facility
15
WY AVG
18.9
Rank
#5 / 12 | 3.0
Facility
3.0
WY AVG
3.4
Rank
#4 / 12 | - | 74 | - |
45
Facility
45
WY AVG
47
Rank
#30 / 51 | Ainsley Huber | $11.1MFiscal year ending 06/2024
Facility
$11.1MFiscal year ending 06/2024
WY AVG
$8.9M
Rank
#2 / 9 | $7.5MFiscal year ending 06/2024
Facility
$7.5MFiscal year ending 06/2024
WY AVG
$5.4M
Rank
#2 / 9 | 67.4%Fiscal year ending 06/2024
Facility
67.4%Fiscal year ending 06/2024
WY AVG
60.5%
Rank
#2 / 9 | 535049 | ||||
| North Big Horn Hospital District, a Wyoming Special Hospital District | NH MC SNF | Casper | 192
Facility
192
WY AVG
82
Rank
#1 / 31 |
84.9%
Facility
84.9%
WY AVG
68.2%
Rank
#7 / 26 | +24% | 3.74
Facility
3.74
WY AVG
4.53
Rank
#8 / 13 | -32% | -17% | $105.2k
Facility
$105.2k
WY AVG
$42.4k
Rank
#13 / 13 | 37
Facility
37
WY AVG
18.9
Rank
#11 / 12 | 3.4
Facility
3.4
WY AVG
3.4
Rank
#7 / 12 | 7 | 163 | - |
71
Facility
71
WY AVG
47
Rank
#6 / 51 | - | $17.4M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $8.6M*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 49.2%*Fiscal year ending 08/2022These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 535042 |
Financial Assistance for
Nursing Home in Wyoming
Elkhorn Valley Rehabilitation Hospital LLC is located in Casper, Wyoming.
Here are the financial assistance programs available to residents in Wyoming.
Frequently Asked Questions about Elkhorn Valley Rehabilitation Hospital LLC
Who is the Director of Nursing at Elkhorn Valley Rehabilitation Hospital LLC?
Tamara Thomson is the Director of Nursing at Elkhorn Valley Rehabilitation Hospital LLC.
What is the license number of Elkhorn Valley Rehabilitation Hospital LLC?
According to WY state health department records, Elkhorn Valley Rehabilitation Hospital LLC's license number is 15105.
When does Elkhorn Valley Rehabilitation Hospital LLC's license expire?
According to WY state health department records, Elkhorn Valley Rehabilitation Hospital LLC's license expires on December 31, 2026.
What is the occupancy rate at Elkhorn Valley Rehabilitation Hospital LLC?
Elkhorn Valley Rehabilitation Hospital LLC's occupancy is 68%.
Are pets allowed at Elkhorn Valley Rehabilitation Hospital LLC?
No, Elkhorn Valley Rehabilitation Hospital LLC has a no-pet policy.
What is the best email address for Elkhorn Valley Rehabilitation Hospital LLC?
The team at Elkhorn Valley Rehabilitation Hospital LLC can be reached at facilitylicenses@ernesthealth.com.
Who is the administrator of Elkhorn Valley Rehabilitation Hospital LLC?
Connie Longwell is the administrator of Elkhorn Valley Rehabilitation Hospital LLC.
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