North Big Horn Hospital District, a Wyoming Special Hospital District

Q: Who is the Director of Nursing at North Big Horn Hospital District, a Wyoming Special Hospital District?

Whitney Barrett is the Director of Nursing at North Big Horn Hospital District, a Wyoming Special Hospital District.

Q: What is the license number of North Big Horn Hospital District, a Wyoming Special Hospital District?

According to WY state health department records, North Big Horn Hospital District, a Wyoming Special Hospital District's license number is 15452.

Q: What is the best email address for North Big Horn Hospital District, a Wyoming Special Hospital District?

The team at North Big Horn Hospital District, a Wyoming Special Hospital District can be reached at legal@couvehealthcare.com.

Q: Who is the administrator of North Big Horn Hospital District, a Wyoming Special Hospital District?

Jessica Miller is the administrator of North Big Horn Hospital District, a Wyoming Special Hospital District.

Nursing Home & Memory Care · Casper, WY

CMS overall rating

60 Magnolia Street, Casper, WY 82604 View map

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North Big Horn Hospital District, a Wyoming Special Hospital District accepts Medicare, Medicaid, and private pay.

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North Big Horn Hospital District, a Wyoming Special Hospital District accepts Medicare, Medicaid, and private pay.

Overview of North Big Horn Hospital District, a Wyoming Special Hospital District

North Big Horn Hospital and New Horizons Care Center are located at the foot of the Big Horn Mountains in Lovell, Wyoming. They take pride in their facilities and their staff is fully trained and certified.

(307) 234-9381

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to Wyoming state averages

Total nursing care / resident

3h 57m per day

This facility Wyoming avg (4h 32m per day)

vs Wyoming avg

-13%

5 of 6 metrics below state avg

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.	36m per day	▼ 35% State avg: 56m 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.	20m per day	▼ 29% State avg: 28m 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.	2h 22m per day	■ Avg State avg: 2h 25m per day · National avg: 2h 20m 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.	2h 41m per day	▼ 20% State avg: 3h 20m per day · National avg: 3h 27m 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: 4m 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.	28m per day	▼ 27% State avg: 38m per day · National avg: 29m per day

Capacity and availability

78 days

192-bed community

A large-scale community that may provide a wide range of amenities, services, and structured programs.

Walk Score: 71 / 100

Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate

85%

Higher than the Wyoming average: 74.2%

Occupied beds

163 / 192

Average occupied beds in Wyoming homes 54 beds

Facility TypeNh

StatusActive

CountyNatrona

License Number15452

CMS Certification Number535042

North Big Horn Hospital District, a Wyoming Special Hospital District is administered by Jessica Miller.

Staffing

Key information about the people who lead and staff this community.

Director of NursingWhitney Barrett

Email [email protected]

Fax307-472-3510

Specific ProgramsCardiac Rehabilitation, Diabetes Education, Home Health, Hospital Services, Infusion Clinic, Specialty Clinics

Since 2025 · 1 year of data

Show Inspection Reports

Inspections since 2022

Total health inspections 11

Wyoming average 5.6

Last Health inspection on May 2025

Total health citations

Wyoming average 18.9

Citations per inspection

3.36

Wyoming average 3.4

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

19 of 37 citations resulted from standard inspections; 12 of 37 resulted from complaint investigations; and 6 of 37 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 4 years)

Critical health citations

100% better than Wyoming average

Wyoming average: 0.2

Serious health citations

289% worse than Wyoming average

Wyoming average: 1.8

0 critical citations Wyoming average: 0.2

7 serious citations Wyoming average: 1.8

30 moderate citations Wyoming average: 16.4

0 minor citations Wyoming average: 0.6

Citations history (last 4 years)

Abuse/Neglect serious citation May 22, 2025

Corrected

Quality of Care serious citation Mar 20, 2025

Corrected

Quality of Care serious citation Mar 20, 2025

Corrected

Resident Rights serious citation Mar 20, 2025

Corrected

Total staff 211

Employees 211

Contractors 0

Staff to resident ratio 1.36 : 1

17% fewer staff per resident than Wyoming average

Avg staff/day 82

Average shift 9 hours

7% better than Wyoming average

Total staff hours (quarter) 67,979

Nursing staff breakdown

9.8 hours

10.1 hours

9.9 hours

Contractor staffing

Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category


Certified Nursing Assistant	74	74	26,762	92	100%	9.9
Physical Therapist	33	33	9,623	76	83%	7.2
Registered Nurse	21	21	7,038	92	100%	9.8
Medication Aide/Technician	16	16	6,849	92	100%	10.2
Other Dietary Services Staff	14	14	4,001	92	100%	7.4
Nurse Aide in Training	17	17	3,195	82	89%	9.5
Licensed Practical Nurse	15	15	2,946	91	99%	10.1
RN Director of Nursing	6	6	2,205	87	95%	8.7
Clinical Nurse Specialist	5	5	1,849	82	89%	7.6
Mental Health Service Worker	3	3	1,095	63	68%	7.7
Occupational Therapy Aide	2	2	957	69	75%	8.4
Nurse Practitioner	1	1	504	63	68%	8
Administrator	1	1	488	61	66%	8
Dietitian	1	1	339	39	42%	8.7
Dental Services Staff	2	2	128	11	12%	7.5

74 Certified Nursing Assistant

% of Days 100%

33 Physical Therapist

% of Days 83%

21 Registered Nurse

% of Days 100%

16 Medication Aide/Technician

% of Days 100%

14 Other Dietary Services Staff

% of Days 100%

17 Nurse Aide in Training

% of Days 89%

15 Licensed Practical Nurse

% of Days 99%

6 RN Director of Nursing

% of Days 95%

5 Clinical Nurse Specialist

% of Days 89%

3 Mental Health Service Worker

% of Days 68%

2 Occupational Therapy Aide

% of Days 75%

1 Nurse Practitioner

% of Days 68%

1 Administrator

% of Days 66%

1 Dietitian

% of Days 42%

2 Dental Services Staff

% of Days 12%

View All Staffing Data in Casper

Total fines amount $94K

137% higher than Wyoming average

Wyoming average: $40K

Number of fines 5

87% more fines than Wyoming average

Wyoming average: 2.7

Payment Denials 0

100% fewer payment denials than Wyoming average

Wyoming average: 0.2

Fines amount comparison

This facility $94K

Wyoming average $40K

Penalty History

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

4 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty May 22, 2025

$19K

Civil Money Penalty Mar 20, 2025

$24K

Civil Money Penalty Aug 15, 2024

$8K

Civil Money Penalty Mar 22, 2024

$34K

Last updated: Jan 2026

High-risk clinical events score 12.8

17% worse than Wyoming average

Wyoming average: 10.9

Functional decline score 23.1

11% worse than Wyoming average

Wyoming average: 20.8

Long-stay resident measures

Need for Help with Daily Activities Increased 21.7%

8% worse than Wyoming average

Wyoming average: 20.0%

Walking Ability Worsened 29.7%

55% worse than Wyoming average

Wyoming average: 19.1%

Low Risk Residents with Bowel/Bladder Incontinence 17.9%

23% better than Wyoming average

Wyoming average: 23.2%

Falls with Major Injury 5.4%

9% worse than Wyoming average

Wyoming average: 4.9%

High Risk Residents with Pressure Ulcers 1.5%

69% better than Wyoming average

Wyoming average: 5.0%

Urinary Tract Infection 0.8%

76% better than Wyoming average

Wyoming average: 3.1%

Lost Too Much Weight 5.4%

17% better than Wyoming average

Wyoming average: 6.5%

Depressive Symptoms 9.5%

47% worse than Wyoming average

Wyoming average: 6.4%

Antipsychotic Use 30.1%

32% worse than Wyoming average

Wyoming average: 22.7%

Pneumococcal Vaccine 96.4%

In line with Wyoming average

Wyoming average: 94.1%

Influenza Vaccine 90.9%

In line with Wyoming average

Wyoming average: 94.3%

Short-stay resident measures

Pneumococcal Vaccine 77.4%

In line with Wyoming average

Wyoming average: 74.6%

Antipsychotic medication increase 1.8%

19% better than Wyoming average

Wyoming average: 2.3%

Influenza Vaccine 63.0%

18% worse than Wyoming average

Wyoming average: 77.0%

Breakdown by payment type

Medicare

56% of new residents, usually for short-term rehab.

Typical stay 1 months

Private pay

25% of new residents, often for short stays.

Typical stay 6 - 7 months

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 155

Medicare

9.7% of residents

Medicaid

104

67.1% of residents

Private pay or other

23.2% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for North Big Horn Hospital District, a Wyoming Special Hospital District from 2011–2023, based on CMS SNF Cost Reports.

Occupancy Rate 87.8% ↑ 19.9pp vs 2022

Net Patient Income $983.0K ↑ ~$157.1K vs 2022

Payroll Costs $6.0M ↓ ~$2.6M vs 2022

Operating Margin 7.9% ↑ 3.2pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2019	2020	2021	2022	2023
Occupancy %	85.7%	91.2%	82.7%	82.7%	84.0%	83.9%	86.0%	84.5%	70.9%	60.0%	67.9%	87.8%
Beds	192	192	192	192	192	192	192	192	192	192	216	192
Net Income	$8,232,443	$537,173	-$515,490	$676,014	$771,257	$108,061	$491,900	-$11,689,493	$1,646,331	-$239,170	$937,912	$988,211
Gross Revenue	$7,549,776	$18,597,940	$15,233,184	$15,778,239	$17,535,612	$18,541,874	$20,603,064	$22,967,146	$23,516,014	$20,423,161	$24,886,321	$18,464,801
Operating Expenses	$6,161,676	$16,175,352	$16,245,138	$14,952,588	$15,817,353	$17,244,860	$18,298,329	$19,254,545	$15,657,313	$14,280,445	$16,551,437	$11,447,164
Net Patient Income	-$174,421	$122,515	-$2,943,618	-$1,121,997	-$1,236,290	-$2,090,880	-$2,374,090	-$3,300,837	$530,797	-$1,176,253	$825,897	$983,039
Net Patient Revenue	$5,987,255	$16,297,867	$13,301,520	$13,830,591	$14,581,063	$15,153,980	$15,924,239	$15,953,708	$16,188,110	$13,104,192	$17,377,334	$12,430,203
Payroll Costs	$3,825,843	$9,374,323	$9,401,690	$8,664,981	$8,883,169	$8,896,401	$8,853,099	$8,225,144	$8,162,344	$7,159,194	$8,557,724	$5,987,013
Operating Margin %	-2.9%	0.8%	-22.1%	-8.1%	-8.5%	-13.8%	-14.9%	-20.7%	3.3%	-9.0%	4.8%	7.9%
Medicare %	6.7%	8.8%	11.9%	14.7%	14.3%	15.6%	16.2%	15.7%	16.1%	13.2%	16.9%	10.3%
Medicaid %	65.6%	59.8%	59.0%	62.3%	61.2%	63.1%	64.7%	65.5%	68.0%	72.4%	61.7%	62.9%
Private %	27.8%	31.4%	29.1%	23.0%	24.5%	21.2%	19.1%	18.9%	15.9%	14.4%	21.4%	26.8%
Net Patient Revenue/Day	$238	$254	$230	$239	$248	$257	$264	$248	$325	$312	$324	$305
Cost/Day	$245	$252	$280	$258	$269	$292	$304	$300	$314	$340	$309	$281
Avg Length of Stay	406.2 days	256.4 days	298.6 days	225.5 days	220.5 days	144.9 days	123.0 days	137.3 days	177.4 days	300.4 days	113.9 days	78.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 08/2023.

Net patient revenue

$12.4M

Net patient income

$983.0K

Voluntary non-profit community Operated by a church.

Net patient revenue

$12.4M

Net patient income

$983.0K

Other income

$5.2K

Payroll costs

$6.0M 48.2% of net patient revenue

Other operating costs

$5.5M

Total costs

$11.4M

TYPE OF STAY

Mostly short-term rehab stays

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

Most new residents arrive under Medicare (56% of admissions), and a typical Medicare stay runs around 1 months.

Coverage residents most often arrive under.

Medicare 56%

Private pay 25%

Medicaid 19%

Coverage residents most often leave under.

Medicare 16%

Private pay 44%

Medicaid 40%

0.0 miles from city center Estimated distance in miles from Casper's city center to North Big Horn Hospital District, a Wyoming Special Hospital District's address, calculated via Google Maps.

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Compare Nursing Homes around Casper

The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.

2 facilities compared · CMS & WY Dept. of Health data


Life Care Center of Casper – Nursing Home		NH	Casper	120 Facility 120 WY AVG 82 Rank #5 / 30	71.9% Facility 71.9% WY AVG 69.2% Rank #12 / 28	+4%	4.13 Facility 4.13 WY AVG 4.53 Rank #4 / 14				+34%	-9%	$0 Facility $0 WY AVG $42.4k Rank #1 / 14	15 Facility 15 WY AVG 18.9 Rank #5 / 14	3.0 Facility 3.0 WY AVG 3.4 Rank #4 / 14	-	76	-	45 Facility 45 WY AVG 44 Rank #30 / 55	Ainsley Huber	$11.1M Facility $11.1M WY AVG $8.4M Rank #5 / 13	$7.5M Facility $7.5M WY AVG $3.2M Rank #2 / 13	67.4% Facility 67.4% WY AVG 39.9% Rank #5 / 13	535049
North Big Horn Hospital District, a Wyoming Special Hospital District		NH MC	Casper	192 Facility 192 WY AVG 82 Rank #1 / 30	84.9% Facility 84.9% WY AVG 69.2% Rank #10 / 28	+23%	3.95 Facility 3.95 WY AVG 4.53 Rank #8 / 14				-32%	-13%	$105.2k Facility $105.2k WY AVG $42.4k Rank #13 / 14	37 Facility 37 WY AVG 18.9 Rank #12 / 14	3.4 Facility 3.4 WY AVG 3.4 Rank #7 / 14	7	169	-	71 Facility 71 WY AVG 44 Rank #6 / 55	-	$12.4M Facility $12.4M WY AVG $8.4M Rank #2 / 13	$6.0M Facility $6.0M WY AVG $3.2M Rank #4 / 13	48.2% Facility 48.2% WY AVG 39.9% Rank #11 / 13	535042

Nursing Home Explorer

Community Choices Waiver

WY Medicaid CCW

Age 65+ or disabled

General 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).

Sparse population; rural access focus.

Benefits

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

Age 60+

General Wyoming resident, at risk of nursing home.

Income Limits ~$2,000/month individual, varies

Asset Limits $5,000 individual

Limited funding; rural emphasis.

Benefits

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

Age 60+

General WY resident; no income/asset limits.

Income Limits (2025) None; donations encouraged.

Asset Limits Not assessed.

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

Benefits

Meals (~$5-$7/meal) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Medicare Savings Program (MSP)

Wyoming Medicare Savings Program

Age 65+ or disabled

General 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).

Includes Extra Help for Part D; no waitlist.

Benefits

Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Energy Assistance Program (LIEAP)

Wyoming LIEAP

Age 60+ prioritized

General WY resident, low-income household.

Income Limits (2025) ~$3,970/month 185% FPL

Asset Limits Not assessed.

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

Benefits

Heating aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

Wyoming National Family Caregiver Support Program

Age —

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.

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

Benefits

Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

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

Wyoming VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse

General 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

High rural veteran use; supports care costs.

Benefits

Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs

Property Tax Refund Program

Wyoming Property Tax Refund Program

Age 65+ or disabled

General 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.

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

Benefits

Tax refund (~$200-$900/year avg.)

Senior Farmers’ Market Nutrition Program (SFMNP)

Wyoming SFMNP

Age 60+

General WY resident, low-income.

Income Limits (2025) ~$2,322/month 185% FPL

Asset Limits Not assessed.

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

Benefits

Vouchers (~$50/season) for produce at farmers’ markets

Who is the Director of Nursing at North Big Horn Hospital District, a Wyoming Special Hospital District?

Whitney Barrett is the Director of Nursing at North Big Horn Hospital District, a Wyoming Special Hospital District.

Is North Big Horn Hospital District, a Wyoming Special Hospital District in a walkable area?

North Big Horn Hospital District, a Wyoming Special Hospital District has a walk score of 71. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of North Big Horn Hospital District, a Wyoming Special Hospital District?

According to WY state health department records, North Big Horn Hospital District, a Wyoming Special Hospital District's license number is 15452.

What is the occupancy rate at North Big Horn Hospital District, a Wyoming Special Hospital District?

North Big Horn Hospital District, a Wyoming Special Hospital District's occupancy is 85%.

What is the best email address for North Big Horn Hospital District, a Wyoming Special Hospital District?

The team at North Big Horn Hospital District, a Wyoming Special Hospital District can be reached at [email protected].

Who is the administrator of North Big Horn Hospital District, a Wyoming Special Hospital District?

Jessica Miller is the administrator of North Big Horn Hospital District, a Wyoming Special Hospital District.

How many beds does North Big Horn Hospital District, a Wyoming Special Hospital District have?

North Big Horn Hospital District, a Wyoming Special Hospital District has 192 beds.

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North Big Horn Hospital District, a Wyoming Special Hospital District

Overview of North Big Horn Hospital District, a Wyoming Special Hospital District

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Staffing

Leadership

Contact Information

Amenities & Lifestyle

Contact North Big Horn Hospital District, a Wyoming Special Hospital District

Inspection History

Health Inspection History

Inspections since 2022

Breakdown of citation severity (last 4 years)

Citations history (last 4 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

74 Certified Nursing Assistant

33 Physical Therapist

21 Registered Nurse

16 Medication Aide/Technician

14 Other Dietary Services Staff

17 Nurse Aide in Training

15 Licensed Practical Nurse

6 RN Director of Nursing

5 Clinical Nurse Specialist

3 Mental Health Service Worker

2 Occupational Therapy Aide

1 Nurse Practitioner

1 Administrator

1 Dietitian

2 Dental Services Staff

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near North Big Horn Hospital District, a Wyoming Special Hospital District

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Compare Nursing Homes around Casper

Financial Assistance for Nursing Home in Wyoming

Community Choices Waiver

Wyoming Home Services

Older Americans Act (OAA) Services

Medicare Savings Program (MSP)

Low-Income Energy Assistance Program (LIEAP)

Family Caregiver Support Program (FCSP)

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

Property Tax Refund Program

Senior Farmers’ Market Nutrition Program (SFMNP)

Guides for Better Senior Living

Financial Assistance for
Nursing Home in Wyoming