Total health inspections
5
Wyoming average 5.6
Last Health inspection on Sep 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Wyoming
CMS overall rating
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.
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.
North Big Horn Hospital District
Nursing Home in Wyoming
CMS overall rating
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.
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.
North Big Horn 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. The hospital offers a variety of services including cardiac rehabilitation, diabetes education, and home health.
Quality ratings
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.2%
Residents per day (avg)
41
Occupancy rate
78.2%
Residents per day (avg)
41
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
61% of new residents, usually for short-term rehab.
Typical stay
2 - 3 months
Private pay
31% of new residents, often for short stays.
Typical stay
11 - 12 months
Medicaid
8% of new residents, often for long-term daily care.
Typical stay
11 years
Finances and operations
Privately-owned community
Home revenue
$5.6M
Operating loss
-$984.6K
Privately-owned community
Home revenue
$5.6M
Operating loss
-$984.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.9M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$6.6M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility TypeNh
StatusActive
CountyConverse
License Number15450
CMS Certification Number535040
North Big Horn Hospital District is administrated by Crystal Lake.
Staffing
Key information about the people who lead and staff this community.
Director of NursingChelsea Edison
Rehabilitation Services
Email
[email protected]
Fax307-358-1891
Specific ProgramsCardiac Rehabilitation, Diabetes Education, Home Health, Hospital Services, Infusion Clinic, Specialty Clinics
Health Inspection History
Inspections
Total health citations
26
Wyoming average 18.9
Citations per inspection
5.2
Wyoming average 3.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 26 citations resulted from standard inspections; 5 of 26 resulted from complaint investigations; and 7 of 26 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Wyoming averageWyoming average: 0.2
Serious Health citations
2
2
11% worse than Wyoming averageWyoming average: 1.8
0 critical citations
2 serious citations
24 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect serious citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 17, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Sep 17, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 17, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 17, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 03, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 03, 2025
Corrected
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 03, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
Jan 03, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Wyoming The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.
Filter by care type
| Morning Star Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Fort Washakie | 45 | 61.2% | -12% | 7.54 | +38% | +66% | 1 | 16 | 4.0 | 0 | 28 | - | - | Morning Star Care Center | $5.3M | $2.1M | 40.1% | 535050 | ||||
| Laramie Health and Rehabilitation |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Laramie | 105 | 52.9% | -24% | 3.70 | -61% | -18% | 3 | 26 | 5.2 | 3 | 49 | - | 69 | Stellar Laramie Management, Llc | $8.3M | $3.0M | 35.9% | 535043 | ||||
| North Big Horn Hospital District |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Douglas | 60 | 78.2% | +13% | 3.75 | -30% | -17% | 1 | 26 | 5.2 | 2 | 41 | - | - | Health And Marketing West | $4.6M | $2.8M | 59.6% | 535040 | ||||
| Memorial Hospital of Sheridan County | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Sheridan | 88 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
| Rocky Mountain Care – Summit Ridge Assisted Living OC LLC | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Douglas | 36 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - | - |
Places of interest near North Big Horn Hospital District
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Estimated distance in miles from Douglas's city center to North Big Horn Hospital District's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
59
Employees
59
Contractors
0
Staff to resident ratio
1.37:1
14% worse than Wyoming averageWyoming average ratio: 1.60:1
Avg staff/day
20
Average shift
8.1 hours
0% compared with Wyoming averageWyoming average: 8.4 hours
Total staff hours (quarter)
14,794
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
7
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
21
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0%
0 contractor hours this quarter
No contractor roles were reported this quarter.
Staff by category
| Certified Nursing Assistant | 21 | 0 | 21 | 5,972 | 91 | 100% | 8.1 |
| Licensed Practical Nurse | 7 | 0 | 7 | 2,105 | 91 | 100% | 9.1 |
| Registered Nurse | 6 | 0 | 6 | 1,745 | 86 | 95% | 8.9 |
| Nurse Aide in Training | 4 | 0 | 4 | 700 | 68 | 75% | 6.2 |
| Other Dietary Services Staff | 2 | 0 | 2 | 689 | 73 | 80% | 8.4 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 540 | 64 | 70% | 7.6 |
| Nurse Practitioner | 2 | 0 | 2 | 500 | 67 | 74% | 7.5 |
| Administrator | 1 | 0 | 1 | 465 | 62 | 68% | 7.5 |
| Dental Services Staff | 1 | 0 | 1 | 437 | 55 | 60% | 7.9 |
| Medication Aide/Technician | 1 | 0 | 1 | 372 | 34 | 37% | 10.9 |
| Dietitian | 1 | 0 | 1 | 359 | 45 | 49% | 8 |
| Respiratory Therapist | 1 | 0 | 1 | 335 | 39 | 43% | 8.6 |
| Speech Language Pathologist | 2 | 0 | 2 | 252 | 33 | 36% | 7.6 |
| Physical Therapy Aide | 2 | 0 | 2 | 135 | 28 | 31% | 4.8 |
| RN Director of Nursing | 1 | 0 | 1 | 96 | 16 | 18% | 6 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 70 | 15 | 16% | 4.7 |
| Physical Therapy Assistant | 2 | 0 | 2 | 24 | 10 | 11% | 2.4 |
21 Certified Nursing Assistant
% of Days
100%
7 Licensed Practical Nurse
% of Days
100%
6 Registered Nurse
% of Days
95%
4 Nurse Aide in Training
% of Days
75%
2 Other Dietary Services Staff
% of Days
80%
3 Clinical Nurse Specialist
% of Days
70%
2 Nurse Practitioner
% of Days
74%
1 Administrator
% of Days
68%
1 Dental Services Staff
% of Days
60%
1 Medication Aide/Technician
% of Days
37%
1 Dietitian
% of Days
49%
1 Respiratory Therapist
% of Days
43%
2 Speech Language Pathologist
% of Days
36%
2 Physical Therapy Aide
% of Days
31%
1 RN Director of Nursing
% of Days
18%
2 Respiratory Therapy Technician
% of Days
16%
2 Physical Therapy Assistant
% of Days
11%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
43
Medicare
3
7% of residents
Medicaid
26
60.5% of residents
Private pay or other
14
32.6% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.8
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.8
10% better than Wyoming averageWyoming average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
21.1
In line with Wyoming averageWyoming average: 20.8
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
21.3%
Percent of long-stay residents whose need for help with daily activities has increased
21.3%
6% worse than Wyoming averageWyoming average: 20.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
16.7%
Percent of long-stay residents whose ability to move independently worsened
16.7%
13% better than Wyoming averageWyoming average: 19.1%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.3%
9% worse than Wyoming averageWyoming average: 23.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.6%
7% better than Wyoming averageWyoming average: 4.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.1%
Percent of long-stay high risk residents with pressure ulcers
5.1%
In line with Wyoming averageWyoming average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
11.3%
Percent of long-stay residents with a urinary tract infection
11.3%
260% worse than Wyoming averageWyoming average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
1.4%
Percent of long-stay residents who lose too much weight
1.4%
78% better than Wyoming averageWyoming average: 6.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
1.5%
Percent of long-stay residents who have depressive symptoms
1.5%
76% better than Wyoming averageWyoming average: 6.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
22.8%
Percent of long-stay residents who received an antipsychotic medication
22.8%
In line with Wyoming averageWyoming average: 22.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
85.0%
10% worse than Wyoming averageWyoming average: 94.1%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
85.0%
10% worse than Wyoming averageWyoming average: 94.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
61.6%
17% worse than Wyoming averageWyoming average: 74.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
Percent of short-stay residents who newly received an antipsychotic medication
3.4%
50% worse than Wyoming averageWyoming average: 2.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
78.8%
In line with Wyoming averageWyoming average: 77.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
$20K
50% lower than Wyoming averageWyoming average: $40K
Number of fines
1
63% fewer fines than Wyoming averageWyoming average: 2.7
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$20K
Wyoming average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 15, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Nov 15, 2024
$20K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for North Big Horn Hospital District based on CMS SNF Cost Reports.
Occupancy Rate
78.2%
↓ 6.4pp vs 2022
Net Income
-$984.6K
↓ ~$375.5K vs 2022
Total Payroll
$3.4M
↑ ~$44.9K vs 2022
Profit Margin
-21.3%
↓ 7.7pp vs 2022
Loading trend charts...
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