2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
At 64.9% occupancy across 139 beds, Granite Rehabilitation and Wellness is running well under capacity. That number tells you something about the facility’s current volume without telling you why, and it’s the kind of detail that shapes a visit differently than a place pushing maximum census.
Granite is located in Cheyenne’s Boxelder Drive neighborhood, about 2.8 miles from the city center and less than half a mile from the nearest hospital. That proximity matters for a facility carrying a mixed population of short-stay rehabilitation residents and longer-term care residents. The building is a 3-story structure with private and semi-private rooms, currently housing 82 residents. The surrounding area is moderately walkable with a Walk Score of 58, enough for visiting family to handle basic errands on foot.
The care model spans memory care, assisted living, and independent living. Average length of stay sits at 133 days, a figure that suggests meaningful short-term throughput alongside residents who stay considerably longer. Staffing logs total nursing care at 3 hours and 36 minutes per resident per day, with RNs accounting for 44 minutes of that and nurse aides for 1 hour and 46 minutes. For residents who want a formal voice in how the facility operates, Granite runs an active resident council that meets regularly to address policies, daily life, and programming.
Payment pathways include Medicare, Medicaid, and private pay. With Medicare accounting for the majority of new admissions and Medicaid covering a substantial portion of the current resident census, this is a facility whose financing structure is built around public payers.
What we have here is a mid-sized Wyoming nursing facility operating below peak census, with payment access that serves most families and a care mix oriented around post-acute recovery and ongoing long-term needs.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 13th out of 14 homes in Wyoming for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 44m per day | ▼ 19% State avg: 54m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 40m per day | ▲ 40% State avg: 29m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 46m per day | ▼ 29% State avg: 2h 28m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 0m per day | ▼ 9% State avg: 3h 18m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 0m per day | ▼ 100% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 36m per day | ■ Avg State avg: 37m per day · National avg: 29m per day |
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
7% fewer staff per resident than Wyoming average
0% compared with Wyoming average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 17 RN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursAssists with medical care and medications.
All 14 LPN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.5 hoursHelps with daily care and mobility.
All 49 CNA Staff are full-time employees. No contractors work on this role.
49
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 49 | 0 | 49 | 12,662 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 14 | 0 | 14 | 4,951 | 92 | 100% | 9.5 |
| Registered Nurse | 17 | 0 | 17 | 4,125 | 92 | 100% | 9.5 |
| Physical Therapist | 18 | 0 | 18 | 3,461 | 76 | 83% | 7.3 |
| Medication Aide/Technician | 7 | 0 | 7 | 1,562 | 87 | 95% | 8.1 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,279 | 72 | 78% | 7.8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 1,143 | 92 | 100% | 7.6 |
| Mental Health Service Worker | 3 | 0 | 3 | 997 | 73 | 79% | 7.8 |
| Occupational Therapy Aide | 2 | 0 | 2 | 948 | 59 | 64% | 8.9 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| RN Director of Nursing | 2 | 0 | 2 | 505 | 45 | 49% | 9.9 |
| Administrator | 1 | 0 | 1 | 496 | 62 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 413 | 55 | 60% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 90 | 10 | 11% | 9 |
Includes penalties issued in 2025
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)
40% lower than Wyoming averageWyoming average: $40K
63% fewer fines than Wyoming averageWyoming average: 2.7
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jun 24, 2025 · $24K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 24, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.4
23% worse than Wyoming averageWyoming average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
28.9
39% worse than Wyoming averageWyoming average: 20.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
26.0%
30% worse than Wyoming averageWyoming average: 20.0%
Percent of long-stay residents whose ability to move independently worsened
35.7%
86% worse than Wyoming averageWyoming average: 19.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
8% worse than Wyoming averageWyoming average: 23.2%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
39% better than Wyoming averageWyoming average: 4.9%
Percent of long-stay high risk residents with pressure ulcers
0.9%
82% better than Wyoming averageWyoming average: 5.0%
Percent of long-stay residents with a urinary tract infection
1.4%
56% better than Wyoming averageWyoming average: 3.1%
Percent of long-stay residents who lose too much weight
1.6%
76% better than Wyoming averageWyoming average: 6.5%
Percent of long-stay residents who have depressive symptoms
4.7%
27% better than Wyoming averageWyoming average: 6.4%
Percent of long-stay residents who received an antipsychotic medication
23.6%
In line with Wyoming averageWyoming average: 22.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.3%
In line with Wyoming averageWyoming average: 94.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
97.6%
In line with Wyoming averageWyoming average: 94.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.53
18% worse than Wyoming averageWyoming average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.35
38% better than Wyoming averageWyoming average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
54.3%
27% worse than Wyoming averageWyoming average: 74.6%
Percent of short-stay residents who newly received an antipsychotic medication
3.7%
63% worse than Wyoming averageWyoming average: 2.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
36.4%
53% worse than Wyoming averageWyoming average: 77.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
37.4%
80% worse than Wyoming averageWyoming average: 20.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
14.1%
In line with Wyoming averageWyoming average: 13.7%
Percentage of SNF residents who experience falls with major injury during their stay.
1.0%
29% worse than Wyoming averageWyoming average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
28.1%
48% worse than Wyoming averageWyoming average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.0%
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.
54% of new residents, usually for short-term rehab.
26% of new residents, often for short stays.
20% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
82Residents meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Granite Rehabilitation and Wellness from 2012–2023, based on CMS SNF Cost Reports.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #12 / 13Payroll — State benchmarkedThis home is ranked 12th out of 13 homes in Wyoming. Shows total annual staff payroll benchmarked to the Wyoming average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #10 / 13Payroll % — State benchmarkedThis home is ranked 10th out of 13 homes in Wyoming. Shows payroll as a percentage of revenue versus the Wyoming average. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Housing Options: Private Rooms / Semi-Private Rooms
Building Type: 3-story
Transportation Services
Fitness and Recreation
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (54% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
2.8 miles from city center
Estimated distance in miles from Cheyenne's city center to Granite Rehabilitation and Wellness's address, calculated via Google Maps.
— 0.44 miles to nearest hospital (Cheyenne Vet Center)
Add your location
The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.
| Life Care Center of Cheyenne | NH | Cheyenne (Prairie Avenue) | 160
Facility
160
WY AVG
82
Rank
#2 / 30 |
67.3%
Facility
67.3%
WY AVG
69.2%
Rank
#16 / 28 | -3% | 3.39
Facility
3.39
WY AVG
4.53
Rank
#14 / 14 | +9% | -25% | $0
Facility
$0
WY AVG
$42.4k
Rank
#1 / 14 | 13
Facility
13
WY AVG
18.9
Rank
#4 / 14 | 3.3
Facility
3.3
WY AVG
3.4
Rank
#6 / 14 | 1 | 119 | - |
43
Facility
43
WY AVG
44
Rank
#31 / 55 | Clint Scearce | $15.7M
Facility
$15.7M
WY AVG
$8.4M
Rank
#1 / 13 | $9.8M
Facility
$9.8M
WY AVG
$3.2M
Rank
#1 / 13 | 62.5%
Facility
62.5%
WY AVG
39.9%
Rank
#8 / 13 | 535032 | ||||
| Granite Rehabilitation and Wellness | NH NC | Cheyenne (Boxelder Drive) | 146
Facility
146
WY AVG
82
Rank
#4 / 30 |
64.9%
Facility
64.9%
WY AVG
69.2%
Rank
#19 / 28 | -6% | 3.60
Facility
3.60
WY AVG
4.53
Rank
#13 / 14 | -8% | -20% | $15.5k
Facility
$15.5k
WY AVG
$42.4k
Rank
#9 / 14 | 25
Facility
25
WY AVG
18.9
Rank
#9 / 14 | 3.6
Facility
3.6
WY AVG
3.4
Rank
#9 / 14 | 1 | 88 | - |
58
Facility
58
WY AVG
44
Rank
#14 / 55 | Pacific Northwest Snf Operations Holdings (Wy) LLC | $3.9M
Facility
$3.9M
WY AVG
$8.4M
Rank
#12 / 13 | $1.7M
Facility
$1.7M
WY AVG
$3.2M
Rank
#12 / 13 | 44.4%
Facility
44.4%
WY AVG
39.9%
Rank
#10 / 13 | 535013 | ||||
| Polaris Rehabilitation and Care Center | NH HC MC PC | Cheyenne (East 12Th Street) | 105
Facility
105
WY AVG
82
Rank
#8 / 30 |
68.6%
Facility
68.6%
WY AVG
69.2%
Rank
#14 / 28 | -1% | 3.78
Facility
3.78
WY AVG
4.53
Rank
#10 / 14 | -4% | -16% | $62.6k
Facility
$62.6k
WY AVG
$42.4k
Rank
#12 / 14 | 38
Facility
38
WY AVG
18.9
Rank
#14 / 14 | 3.8
Facility
3.8
WY AVG
3.4
Rank
#10 / 14 | 3 | 71 | - |
73
Facility
73
WY AVG
44
Rank
#5 / 55 | Cheyenne Opco LLC | $10.3M
Facility
$10.3M
WY AVG
$8.4M
Rank
#4 / 13 | $5.3M
Facility
$5.3M
WY AVG
$3.2M
Rank
#6 / 13 | 50.9%
Facility
50.9%
WY AVG
39.9%
Rank
#13 / 13 | 535025 |
Granite Rehabilitation and Wellness is located in Cheyenne, Wyoming.
Here are the financial assistance programs available to residents in Wyoming.
Granite Rehabilitation and Wellness is in the Boxelder Drive neighborhood.
Granite Rehabilitation and Wellness has a walk score of 58. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
Granite Rehabilitation and Wellness's occupancy is 64.9%.
Yes — there are 4 photos of Granite Rehabilitation and Wellness in the photo gallery on this page.
(307) 634-7901 will put you in contact with the team at Granite Rehabilitation and Wellness.
Yes — Granite Rehabilitation and Wellness is a CMS-certified provider of Medicare and Medicaid.
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