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.
North Big Horn Hospital District, a Wyoming Special Hospital District is administered by Jessica Miller.
Key information about the people who lead and staff this community.
In Wyoming, the Department of Health, Healthcare Licensing and Surveys is the regulatory authority that conducts unannounced inspections and manages quality reports for all licensed facilities.
Deficiencies
| This Facility | WY Average | vs. WY Avg |
|---|---|---|---|
|
Total deficiencies
| 0 | 15 | This facility has 100% fewer total deficiencies than a typical Wyoming nursing home (0 vs. WY avg 15).↓ 100% better |
Wyoming average 5.6
Last Health inspection on May 2025
Wyoming average 18.9
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).
Wyoming average: 0.2
Wyoming average: 1.8
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
Assists with medical care and medications.
Helps with daily care and mobility.
| Certified Nursing Assistant | 74 | 0 | 74 | 26,762 | 92 | 100% | 9.9 |
| Physical Therapist | 33 | 0 | 33 | 9,623 | 76 | 83% | 7.2 |
| Registered Nurse | 21 | 0 | 21 | 7,038 | 92 | 100% | 9.8 |
| Medication Aide/Technician | 16 | 0 | 16 | 6,849 | 92 | 100% | 10.2 |
| Other Dietary Services Staff | 14 | 0 | 14 | 4,001 | 92 | 100% | 7.4 |
| Nurse Aide in Training | 17 | 0 | 17 | 3,195 | 82 | 89% | 9.5 |
| Licensed Practical Nurse | 15 | 0 | 15 | 2,946 | 91 | 99% | 10.1 |
| RN Director of Nursing | 6 | 0 | 6 | 2,205 | 87 | 95% | 8.7 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 1,849 | 82 | 89% | 7.6 |
| Mental Health Service Worker | 3 | 0 | 3 | 1,095 | 63 | 68% | 7.7 |
| Occupational Therapy Aide | 2 | 0 | 2 | 957 | 69 | 75% | 8.4 |
| Nurse Practitioner | 1 | 0 | 1 | 504 | 63 | 68% | 8 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 66% | 8 |
| Dietitian | 1 | 0 | 1 | 339 | 39 | 42% | 8.7 |
| Dental Services Staff | 2 | 0 | 2 | 128 | 11 | 12% | 7.5 |
Includes penalties issued in 2024-2025
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)
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.
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
56% of new residents, usually for short-term rehab.
25% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
Historical financial and operational data for North Big Horn Hospital District, a Wyoming Special Hospital District from 2012–2022, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 08/2022 — the home's most recent complete cost report, an older period than most facilities report.
Based on the home's most recent complete CMS SNF Cost Report — fiscal year ending in 08/2022. This is an older period than most facilities report, so compare with that in mind.
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.
Coverage residents most often leave under.
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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The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.
| Life Care Center of Casper – Nursing Home | NH SNF | Casper | 120
Facility
120
WY AVG
82
Rank
#5 / 30 |
63.6%
Facility
63.6%
WY AVG
68.6
Rank
#16 / 26 | -7% | 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 / 13 | 3.0
Facility
3.0
WY AVG
3.4
Rank
#4 / 13 | - | 76 | - |
45
Facility
45
WY AVG
45
Rank
#30 / 54 | Ainsley Huber | $11.1MFiscal year ending 06/2024
Facility
$11.1MFiscal year ending 06/2024
WY AVG
$8.4M
Rank
#6 / 13 | $7.5MFiscal year ending 06/2024
Facility
$7.5MFiscal year ending 06/2024
WY AVG
$3.2M
Rank
#5 / 13 | 67.4%Fiscal year ending 06/2024
Facility
67.4%Fiscal year ending 06/2024
WY AVG
39.9%
Rank
#5 / 13 | 535049 | ||||
| North Big Horn Hospital District, a Wyoming Special Hospital District | NH MC SNF | Casper | 192
Facility
192
WY AVG
82
Rank
#1 / 30 |
84.9%
Facility
84.9%
WY AVG
68.6
Rank
#7 / 26 | +24% | 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
#11 / 13 | 3.4
Facility
3.4
WY AVG
3.4
Rank
#7 / 13 | 7 | 163 | - |
71
Facility
71
WY AVG
45
Rank
#6 / 54 | - | $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.
Facility
$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.
WY AVG
$8.4M
Rank
#1 / 13 | $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.
Facility
$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.
WY AVG
$3.2M
Rank
#1 / 13 | 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.
Facility
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.
WY AVG
39.9%
Rank
#10 / 13 | 535042 |
North Big Horn Hospital District, a Wyoming Special Hospital District is located in Casper, Wyoming.
Here are the financial assistance programs available to residents in Wyoming.
Whitney Barrett is the Director of Nursing at North Big Horn Hospital District, a Wyoming Special Hospital District.
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.
According to WY state health department records, North Big Horn Hospital District, a Wyoming Special Hospital District's license number is 15452.
North Big Horn Hospital District, a Wyoming Special Hospital District's occupancy is 85%.
No, North Big Horn Hospital District, a Wyoming Special Hospital District has a no-pet policy.
The team at North Big Horn Hospital District, a Wyoming Special Hospital District can be reached at legal@couvehealthcare.com.
North Big Horn Hospital District, a Wyoming Special Hospital District is registered as a for-profit in WY.
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