Laramie Health and Rehabilitation

Laramie Health and Rehabilitation is a Nursing Home in Wyoming

Laramie Health and Rehabilitation is a Nursing Home in Wyoming

Laramie Health and Rehabilitation

503 S 18th St, Laramie, WY 82070 View Map

Laramie Health and Rehabilitation is a Nursing Home in Wyoming

Laramie Health and Rehabilitation is a Nursing Home in Wyoming

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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.

940.387.6656

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Nurse hours per resident 3.70/day
Overall rating Info Based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Based on deficiencies found during state health inspections.
2/5
Staffing Info Based on nurse staffing hours per resident per day.
3/5
Quality Measures Info Based on clinical outcomes for residents.
1/5

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.

Lower demand than the Wyoming average
Occupancy rate 52%
Residents per day (avg) 49
Occupancy rate
52%
Residents per day (avg)
49

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

37% of new residents, usually for short-term rehab.

Typical stay 9 months

Private pay

13% of new residents, often for short stays.

Typical stay 1 years

Medicaid

50% of new residents, often for long-term daily care.

Typical stay 1 - 2 months

Finances and operations

Voluntary non-profit home
Church
Home revenue
$8.9M
Deficit of revenue
-$540.2K
Voluntary non-profit home Church
Home revenue
$8,893,324.00
Deficit of revenue
$-540,205.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.9M
32.3% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.6M
Total costs $9.4M

What does this home offer?

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Building Type: Single-story

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Dining Services

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Housekeeping Services

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Rehabilitative Support

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On-site Medical Care and Health Services

Types of Care at Laramie Health and Rehabilitation

Nursing Home Assisted Living
Contact Laramie Health and Rehabilitation

Comparison Chart

The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.
Compare Assisted Living around Laramie
Sage View Care Center
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
-
50.4%
$7,464,870.00
$2,096,959.00
28.1%
48.80
4/5
4.0023
4/5
4/5
3/5
-
-
South Lincoln Nursing Center
SNF

Nursing Homes 24/7 care needed

Kemmerer
24
No
-
43
-
66.7%
-
-
-
17.20
2/5
4.5125
3/5
1/5
2/5
-
-
Laramie Health and Rehabilitation
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
52.0%
$8,994,268.00
$2,869,126.00
31.9%
49.20
1/5
3.7000
2/5
3/5
1/5
3
-
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

Laramie Health and Rehabilitation Reviews

Share your thoughts and experiences about Laramie Health and Rehabilitation. Let’s celebrate the stories that make a difference!
Reviewer avatar
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

Address 1.4 miles from city center

Address 503 S 18th St, Laramie, WY 82070

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Address

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 Nurse58.4 No
Licensed Practical Nurse89.6 No
Certified Nursing Assistant477.2 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 Assistant470479,10091100%7.2
Licensed Practical Nurse8082,78691100%9.6
Registered Nurse5051,3118897%8.4
RN Director of Nursing3031,2327380%8.1
Medication Aide/Technician5059687380%9.1
Occupational Therapy Aide1126818088%5.9
Physical Therapy Assistant4045557481%4.1
Administrator1015206571%8
Nurse Practitioner1015206571%8
Clinical Nurse Specialist1015206571%8
Respiratory Therapy Technician1015046369%8
Speech Language Pathologist2024236470%6.5
Dietitian1014115763%7.2
Mental Health Service Worker1014005763%7
Other Dietary Services Staff2023705156%7.3
Physical Therapy Aide101651213%5.4
Occupational Therapy Assistant011293033%1
Medical Director0112433%8

Health Inspection History

Source: CMS Health Citations (Jun 2022 – Oct 2024)

5
Inspections
26
Total Citations
0
Critical (J-L)
3
Serious (G-I)
5.2
Citations/Inspection
Oct 2024
Last Inspection
Citation Severity Distribution
Minor (A-C)
1
Moderate (D-F)
22
Serious (G-I)
3
Critical (J-L)
0
What do these levels mean?
Top Deficiency Categories
Infection Control
5
19% of total
Pharmacy Services
5
19% of total
Quality of Life & Care
3
12% of total
Abuse, Neglect & Exploitation
3
12% of total
Resident Rights
2
8% of total
Environmental
1
4% of total
Citation Sources
Standard Inspections 21
Complaint Investigations 6
State Comparison (WY)
Avg Citations (State)
18.9
This Facility: 26
Avg Critical (State)
0.2
This Facility: 0
Recent Citations (Last 3 Years)
DateSeverity ?CategoryTagStatus
Oct 10, 2024 E EnvironmentalF0923 Corrected
Oct 10, 2024 E Infection ControlF0880 Corrected
Oct 10, 2024 F Infection ControlF0882 Corrected
Oct 10, 2024 F NutritionF0801 Corrected
Oct 10, 2024 D PharmacyF0758 Corrected
Oct 10, 2024 E PharmacyF0761 Corrected
Oct 10, 2024 E Resident RightsF0584 Corrected
May 22, 2024 G Abuse/NeglectF0600 Corrected
Jul 27, 2023 G Abuse/NeglectF0600 Corrected
Jul 27, 2023 D Abuse/NeglectF0609 Corrected
Jul 27, 2023 E Infection ControlF0880 Corrected
Jul 27, 2023 E Infection ControlF0883 Corrected
Jul 27, 2023 F NutritionF0801 Corrected
Jul 27, 2023 F NutritionF0812 Corrected
Jul 27, 2023 D PharmacyF0756 Corrected
Jul 27, 2023 D PharmacyF0758 Corrected
Mar 14, 2023 D Quality of CareF0677 Corrected
Mar 14, 2023 G Quality of CareF0686 Corrected
Mar 14, 2023 D Care PlanningF0656 Corrected
Jun 09, 2022 D Infection ControlF0880 Corrected
Jun 09, 2022 B Nursing ServicesF0732 Corrected
Jun 09, 2022 D PharmacyF0758 Corrected
Jun 09, 2022 D Quality of CareF0679 Corrected
Jun 09, 2022 D Care PlanningF0656 Corrected
Jun 09, 2022 D Care PlanningF0657 Corrected
Jun 09, 2022 D Resident RightsF0580 Corrected

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.

Quality Measures

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)

High-Risk Clinical Events
13.7 Score
26% worse than avg Wyoming avg: 10.9

Composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and ADL decline

Functional Decline
24.4 Score
18% worse than avg Wyoming avg: 20.8

Composite score based on ADL decline, walking ability decline, and incontinence

Long-Stay Resident Measures

Measures for residents who stay 101 days or more. For most measures, lower percentages indicate better care.

Need for Help with Daily Activities Increased
22.7%
Lost Too Much Weight
4.4%
Urinary Tract Infection
2.3%
Depressive Symptoms
1.4%
Falls with Major Injury
1.7%
Pneumococcal Vaccine
64.3%
Antipsychotic Use
18.3%
Walking Ability Worsened
28.0%
Influenza Vaccine
77.6%
High Risk Residents with Pressure Ulcers
11.8%
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
22.6%
Short-Stay Resident Measures

Measures for residents who stay 100 days or less (typically rehabilitation patients).

Pneumococcal Vaccine
49.8% 33% worse than avg Wyoming: 74.6%
Short-Stay Residents Who Received a New Antipsychotic Medication
2.4% Near average Wyoming: 2.3%
Influenza Vaccine
60.0% 22% worse than avg Wyoming: 77.0%

Penalties & 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 $59K Wyoming avg: $40K 49% worse than avg
Number of Fines 3 Wyoming avg: 2.7
Compared to Wyoming Average Facility: $59K | Wyoming Avg: $40K
Penalty History

Showing all 3 penalties (Mar 2023 - May 2024)

May 22, 2024 Civil Money Penalty
$36K
Jul 27, 2023 Civil Money Penalty
$8K
Mar 14, 2023 Civil Money Penalty
$15K

Guides for Better Senior Living

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Claim What’s Yours: Financial Aid for Wyoming Seniors

Program
State Program Name
Eligibility
Benefits
Community Choices Waiver
WY Medicaid CCW
  • General: Age 65+ or disabled, Wyoming resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • WY Specifics: Sparse population; rural access focus.
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($60/day), home modifications ($1,500 avg.).
Wyoming Home Services
WY Home Services
  • General: Age 60+, Wyoming resident, at risk of nursing home.
  • Income Limits: ~$2,000/month (individual, varies).
  • Asset Limits: $5,000 (individual).
  • WY Specifics: Limited funding; rural emphasis.
  • Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
Older Americans Act (OAA) Services
Wyoming OAA Services
  • General: Age 60+, WY resident; no income/asset limits.
  • Income Limits (2025): None; donations encouraged.
  • Asset Limits: Not assessed.
  • WY Specifics: Includes Meals on Wheels; serves ~10,000 annually; rural emphasis.
  • Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Medicare Savings Program (MSP)
Wyoming Medicare Savings Program
  • General: Age 65+ or disabled, WY resident, Medicare Part A/B.
  • Income Limits (2025): ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits: $9,430 (individual), $14,130 (couple).
  • WY Specifics: Includes Extra Help for Part D; no waitlist.
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Low-Income Energy Assistance Program (LIEAP)
Wyoming LIEAP
  • General: Age 60+ prioritized, WY resident, low-income household.
  • Income Limits (2025): ~$3,970/month (185% FPL).
  • Asset Limits: Not assessed.
  • WY Specifics: Covers gas, electric, wood; emergency aid available; serves ~15,000 households.
  • Services: Heating aid ($300-$1,000/season), emergency aid ($500 max).
Family Caregiver Support Program (FCSP)
Wyoming National Family Caregiver Support Program
  • General: Caregivers of 60+ needing care or 55+ caregivers of others; WY resident; 2+ ADLs.
  • Income Limits (2025): No strict cap; prioritizes low-income (~$24,980/year).
  • Asset Limits: Not assessed.
  • WY Specifics: Covers Big Horn, Carbon, Converse, Fremont, Goshen, Hot Springs, Laramie, Natrona, Washakie; serves ~1,000 annually.
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Senior Community Service Employment Program (SCSEP)
Wyoming SCSEP
  • General: Age 55+, unemployed, low-income, WY resident.
  • Income Limits (2025): ~$1,983/month (125% FPL).
  • Asset Limits: Not specified.
  • WY Specifics: Priority for veterans, rural residents; serves Big Horn, Fremont, Natrona, Park, Washakie.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
VA Aid and Attendance (A&A) and Housebound Benefits
Wyoming VA Aid and Attendance/Housebound
  • General: Age 65+ or disabled veteran/spouse, WY resident, wartime service, ADL help (A&A) or homebound.
  • Income Limits (2025): Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits: ~$155,356 (net worth).
  • WY Specifics: High rural veteran use; supports care costs.
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Property Tax Refund Program
Wyoming Property Tax Refund Program
Official government program page
  • General: Age 65+ or disabled, WY resident 5+ years, homeowner/renter, paid property taxes/rent.
  • Income Limits (2025): ~$22,500/year (individual in high-cost counties), ~$18,000 (low-cost); $36,000/$28,800 (couples).
  • Asset Limits: Not assessed beyond income.
  • WY Specifics: Refunds up to $900 (homeowners) or 50% rent paid; serves ~5,000 annually.
  • Services: Tax refund (~$200-$900/year avg.).
Senior Farmers’ Market Nutrition Program (SFMNP)
Wyoming SFMNP
  • General: Age 60+, WY resident, low-income.
  • Income Limits (2025): ~$2,322/month (185% FPL).
  • Asset Limits: Not assessed.
  • WY Specifics: Vouchers (~$50/season); serves ~5,000 annually.
  • Services: Vouchers (~$50/season) for produce at farmers’ markets.

Claim What’s Yours Financial Aid for Wyoming Seniors

WY Medicaid CCW

Community Choices Waiver

Requirements:
  • General:
    Age 65+ or disabled, Wyoming resident, Medicaid-eligible, nursing home-level care need.
  • Income Limits (2025):
    ~$2,829/month (300% FBR, individual).
  • Asset Limits:
    $2,000 (individual), $3,000 (couple).
  • WY Specifics:
    Sparse population; rural access focus.
Benefits without Contact:
  • Services: Personal care (5-7 hours/day), respite (240 hours/year), adult day care ($60/day), home modifications ($1,500 avg.).
WY Home Services

Wyoming Home Services

Requirements:
  • General:
    Age 60+, Wyoming resident, at risk of nursing home.
  • Income Limits:
    ~$2,000/month (individual, varies).
  • Asset Limits:
    $5,000 (individual).
  • WY Specifics:
    Limited funding; rural emphasis.
Benefits without Contact:
  • Services: In-home care (3-5 hours/week), respite (up to 10 days/year), transportation (~5 trips/month).
Wyoming OAA Services

Older Americans Act (OAA) Services

Requirements:
  • General:
    Age 60+, WY resident; no income/asset limits.
  • Income Limits (2025):
    None; donations encouraged.
  • Asset Limits:
    Not assessed.
  • WY Specifics:
    Includes Meals on Wheels; serves ~10,000 annually; rural emphasis.
Benefits without Contact:
  • Services: Meals (~$5-$7/meal), transportation, homemaker services (~4 hours/week), respite (~5 days/year), legal aid.
Wyoming Medicare Savings Program

Medicare Savings Program (MSP)

Requirements:
  • General:
    Age 65+ or disabled, WY resident, Medicare Part A/B.
  • Income Limits (2025):
    ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
  • Asset Limits:
    $9,430 (individual), $14,130 (couple).
  • WY Specifics:
    Includes Extra Help for Part D; no waitlist.
Benefits without Contact:
  • Services: Covers Part B premiums ($174.70/month), deductibles ($240/year), copays (~20%).
Wyoming LIEAP

Low-Income Energy Assistance Program (LIEAP)

Requirements:
  • General:
    Age 60+ prioritized, WY resident, low-income household.
  • Income Limits (2025):
    ~$3,970/month (185% FPL).
  • Asset Limits:
    Not assessed.
  • WY Specifics:
    Covers gas, electric, wood; emergency aid available; serves ~15,000 households.
Benefits without Contact:
  • Services: Heating aid ($300-$1,000/season), emergency aid ($500 max).
Wyoming National Family Caregiver Support Program

Family Caregiver Support Program (FCSP)

Requirements:
  • General:
    Caregivers of 60+ needing care or 55+ caregivers of others; WY resident; 2+ ADLs.
  • Income Limits (2025):
    No strict cap; prioritizes low-income (~$24,980/year).
  • Asset Limits:
    Not assessed.
  • WY Specifics:
    Covers Big Horn, Carbon, Converse, Fremont, Goshen, Hot Springs, Laramie, Natrona, Washakie; serves ~1,000 annually.
Benefits without Contact:
  • Services: Respite (4-6 hours/week or 5 days/year), adult day care ($60/day), training, supplies (~$500/year).
Wyoming SCSEP

Senior Community Service Employment Program (SCSEP)

Requirements:
  • General:
    Age 55+, unemployed, low-income, WY resident.
  • Income Limits (2025):
    ~$1,983/month (125% FPL).
  • Asset Limits:
    Not specified.
  • WY Specifics:
    Priority for veterans, rural residents; serves Big Horn, Fremont, Natrona, Park, Washakie.
Benefits without Contact:
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
Wyoming VA Aid and Attendance/Housebound

VA Aid and Attendance (A&A) and Housebound Benefits

Requirements:
  • General:
    Age 65+ or disabled veteran/spouse, WY resident, wartime service, ADL help (A&A) or homebound.
  • Income Limits (2025):
    Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
  • Asset Limits:
    ~$155,356 (net worth).
  • WY Specifics:
    High rural veteran use; supports care costs.
Benefits without Contact:
  • Services: Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs.
Wyoming Property Tax Refund Program

Property Tax Refund Program

Requirements:
  • General:
    Age 65+ or disabled, WY resident 5+ years, homeowner/renter, paid property taxes/rent.
  • Income Limits (2025):
    ~$22,500/year (individual in high-cost counties), ~$18,000 (low-cost); $36,000/$28,800 (couples).
  • Asset Limits:
    Not assessed beyond income.
  • WY Specifics:
    Refunds up to $900 (homeowners) or 50% rent paid; serves ~5,000 annually.
Benefits without Contact:
  • Services: Tax refund (~$200-$900/year avg.).
Wyoming SFMNP

Senior Farmers’ Market Nutrition Program (SFMNP)

Requirements:
  • General:
    Age 60+, WY resident, low-income.
  • Income Limits (2025):
    ~$2,322/month (185% FPL).
  • Asset Limits:
    Not assessed.
  • WY Specifics:
    Vouchers (~$50/season); serves ~5,000 annually.
Benefits without Contact:
  • Services: Vouchers (~$50/season) for produce at farmers’ markets.
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