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 Official CMS rating based on health inspections, staffing and quality measures.
1/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
2/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
3/5
Quality Measures Info Official CMS rating 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 52.9%
Residents per day (avg) 49
Occupancy rate
52.9%
Residents per day (avg)
49

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

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

Proprietary home
Corporation
Home revenue
$8.3M
Operating loss
-$740.3K
Proprietary home Corporation
Home revenue
$8,291,160.00
Operating loss
$-740,283.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.0M
35.9% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$6.1M
Total costs $9.0M

What does this home offer?

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Rehabilitative support icon
Rehabilitative support icon

Rehabilitative Support

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Types of Care at Laramie Health and Rehabilitation

Nursing Home Assisted Living
Contact Laramie Health and Rehabilitation

Compare Assisted Living around Laramie

The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.
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
-
53.4%
$2,486,762.00
$798,698.00
32.1%
48.80
4/5
4.0023
4/5
4/5
3/5
-
-
Morning Star Care Center
SNF

Nursing Home 24/7 care needed

AL

Assisted Living For seniors needing help with daily tasks but not full-time nursing.

WY 82514
45
No
-
-
MORNING STAR CARE CENTER
61.2%
$5,304,436.00
$2,128,355.00
40.1%
28.20
4/5
7.5357
4/5
4/5
2/5
1
-
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
52.9%
$8,290,036.00
$2,979,106.00
35.9%
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

Total Health inspections 5
11% below Wyoming average
Wyoming average: 5.6

Last Health inspection on Oct 2024

Total Health citations 26
38% above Wyoming average
Wyoming average: 18.9

5.2 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 21 citations
Complaint investigations 6 citations
Breakdown of citations
Critical Health citations 0
100% below Wyoming average
Wyoming average: 0.2
Serious Health citations 3
67% above Wyoming average
Wyoming average: 1.8
Moderate Health citations 22

Minor Health citations 1
Citations history (last 3 years)
Environmental moderate citation Oct 10, 2024
Corrected

Infection Control moderate citation Oct 10, 2024
Corrected

Infection Control moderate citation Oct 10, 2024
Corrected

Nutrition moderate citation Oct 10, 2024
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 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 13.7
26% worse than Wyoming average
Wyoming average: 10.9
Functional decline score 24.4
18% worse than Wyoming average
Wyoming average: 20.8
Long-Stay Resident Measures
Daily care & independence

Need for Help with Daily Activities Increased 22.7%
13% above Wyoming average.

Walking Ability Worsened 28.0%
46% above Wyoming average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 22.6%
3% below Wyoming average.
Safety & clinical stability

Falls with Major Injury 1.7%
66% below Wyoming average.

High Risk Residents with Pressure Ulcers 11.8%
138% above Wyoming average.

Urinary Tract Infection 2.3%
27% below Wyoming average.
Emotional & behavioral wellbeing

Depressive Symptoms 1.4%
79% below Wyoming average.

Antipsychotic Use 18.3%
20% below Wyoming average.
Preventive care

Pneumococcal Vaccine 64.3%
32% below Wyoming average.

Influenza Vaccine 77.6%
18% below Wyoming average.
Nutrition & physical health

Lost Too Much Weight 4.4%
33% below Wyoming average.
Short-stay resident measures
Pneumococcal Vaccine 49.8%

33% worse than Wyoming average
Antipsychotic medication increase 2.4%

5% worse than Wyoming average
Influenza Vaccine 60.0%

22% worse than Wyoming average

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
This home paid 49% more in fines than the state average.
Wyoming average: $40K
Number of Fines 3
This home received 12% more fines than the state average.
Wyoming average: 2.7
Payment Denials 0
This home had 100% fewer payment denials than the state average.
Wyoming average: 0.2
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

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

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for Wyoming Seniors

Get financial aid guidance

Community Choices Waiver

WY Medicaid CCW

Age 65+ or disabled, Wyoming resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Sparse population; rural access focus.

Wyoming Home Services

WY Home Services

Age 60+, Wyoming resident, at risk of nursing home.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; rural emphasis.

Older Americans Act (OAA) Services

Wyoming OAA Services

Age 60+, WY resident; no income/asset limits.

None; donations encouraged.

Not assessed.

Includes Meals on Wheels; serves ~10,000 annually; rural emphasis.

Medicare Savings Program (MSP)

Wyoming Medicare Savings Program

Age 65+ or disabled, WY resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Energy Assistance Program (LIEAP)

Wyoming LIEAP

Age 60+ prioritized, WY resident, low-income household.

~$3,970/month (185% FPL).

Not assessed.

Covers gas, electric, wood; emergency aid available; serves ~15,000 households.

Family Caregiver Support Program (FCSP)

Wyoming National Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; WY resident; 2+ ADLs.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed.

Covers Big Horn, Carbon, Converse, Fremont, Goshen, Hot Springs, Laramie, Natrona, Washakie; serves ~1,000 annually.

Senior Community Service Employment Program (SCSEP)

Wyoming SCSEP

Age 55+, unemployed, low-income, WY resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; serves Big Horn, Fremont, Natrona, Park, Washakie.

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

Wyoming VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, WY resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High rural veteran use; supports care costs.

Property Tax Refund Program

Wyoming Property Tax Refund Program

Age 65+ or disabled, WY resident 5+ years, homeowner/renter, paid property taxes/rent.

~$22,500/year (individual in high-cost counties), ~$18,000 (low-cost); $36,000/$28,800 (couples).

Not assessed beyond income.

Refunds up to $900 (homeowners) or 50% rent paid; serves ~5,000 annually.

Senior Farmers’ Market Nutrition Program (SFMNP)

Wyoming SFMNP

Age 60+, WY resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$50/season); serves ~5,000 annually.

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