Facility type
Nh
Status
Active
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
Westward Heights Care Center
Westward Heights Care Center is a locally owned, non-profit facility in Lander, Wyoming. It provides comprehensive skilled nursing and rehabilitation services, accommodating up to 60 individuals for long-term care, after-hospital rehabilitation, or short-term respite care. The facility also offers outpatient therapy services including physical, occupational, and speech therapy.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
66
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
78.3%
Residents per day (avg)
51
Occupancy rate
78.3%
Residents per day (avg)
51
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
56% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
28% of new residents, often for short stays.
Typical stay
4 - 5 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Voluntary non-profit community
Home revenue
$8.6M
Surplus of revenue
$106.9K
Voluntary non-profit community
Home revenue
$8,634,654.00
Surplus of revenue
$106,875.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.3M
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.
$5.2M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.5M
66-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License details
County:
Fremont
Additional licensing details
License number:
15338
CMS Certification Number:
535034
Ownership & operating entity
Westward Heights Care Center is administrated by Caitlin Delbridge.
Staffing
Key information about the people who lead and staff this community.
Leadership
Director of Nursing:
Shayna Goff
Care Services
Nursing Services
Rehabilitation Services
Respite Care
Memory Care
Independent Living
Skilled Nursing
Contact Information
Email:
[email protected]
Fax:
307-332-3690
Amenities & Lifestyle
Programs & Activities
Specific Programs
Short-Term Rehab / Sub-Acute Care, Skilled Nursing / Long-Term Care, Specialized Options, Outpatient Therapies, Restorative Programs, Medicare Certified, Respite, Hospice, Amenities, Tours, Testimonials, Who We Are
Religious Services
Yes
Dining & Nutrition
Food Description
Delicious meals and snacks provided.
Meals Included
Yes
Health Inspection History
Inspections
Total health inspections
4
Wyoming average 5.6
Last Health inspection on Mar 2025
Total health citations
8
Citations per inspection
2
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 8 citations resulted from standard inspections; and 2 of 8 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Wyoming averageWyoming average: 0.2
Serious Health citations
0
0
100% better than Wyoming averageWyoming average: 1.8
0 critical citations
0 serious citations
7 moderate citations
1 minor citation
Citations history (last 3 years)
Infection Control moderate citation
Mar 27, 2025
Corrected
Pharmacy moderate citation
Mar 27, 2025
Corrected
Abuse/Neglect moderate citation
Jan 14, 2025
Corrected
Quality of Care moderate citation
Jan 14, 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.
Westward Heights Care Center
+7%
+2%
+13%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WY 82520
66
-
-
WESTWARD HEIGHTS CORP
78.3%
$8,386,255.00
$3,331,573.00
39.7%
51.30
4.6235
-
8
-
+7%+2%+13%
Sage View Care Center
-35%
-12%
-23%
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
A+
10
-
53.4%
$2,486,762.00
$798,698.00
32.1%
49
4.0023
-
11
-
-35%-12%-23%
Morning Star Care Center
+38%
+66%
-12%
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
-
-
MORNING STAR CARE CENTER
61.2%
$5,304,436.00
$2,128,355.00
40.1%
28
7.5357
1
16
-
+38%+66%-12%
Laramie Health and Rehabilitation
-61%
-18%
-24%
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SNF
Nursing Homes 24/7 care needed
Laramie
105
-
69
STELLAR LARAMIE MANAGEMENT, LLC
52.9%
$8,290,036.00
$2,979,106.00
35.9%
49.20
3.7000
3
26
3
-61%-18%-24%
North Big Horn Hospital District
-30%
-17%
+13%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
WY 82633
60
-
-
HEALTH AND MARKETING WEST
78.2%
$4,632,988.00
$2,759,000.00
59.6%
40.60
3.7496
1
26
2
-30%-17%+13%
Westward Heights Care Center
Type of care:
SNF
AL
Community:
WY 82520
Bed Count:
66
Operator:
WESTWARD HEIGHTS CORP
CCN:
535034
Occupancy:
78.3%
Home Revenue:
$8,386,255.00
Payroll Costs:
$3,331,573.00
Payroll %:
39.7%
Avg Residents/Day:
51.30
Overall Rating:
Adj Nurse Hours:
4.6235
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
8
RN share vs State Avg:
+7%
+7%
Staffing vs State Avg:
+2%
+2%
Occupancy vs State Avg:
+13%
+13%
Sage View Care Center
Type of care:
SNF
AL
Community:
Rock Springs
Bed Count:
82
CCN:
535056
Occupancy:
53.4%
Home Revenue:
$2,486,762.00
Payroll Costs:
$798,698.00
Payroll %:
32.1%
Avg Residents/Day:
49
Overall Rating:
Adj Nurse Hours:
4.0023
Health Insp Rating:
Staffing Rating:
QM Rating:
Citations:
11
RN share vs State Avg:
-35%
-35%
Staffing vs State Avg:
-12%
-12%
Occupancy vs State Avg:
-23%
-23%
Morning Star Care Center
Type of care:
SNF
AL
Community:
WY 82514
Bed Count:
45
Operator:
MORNING STAR CARE CENTER
CCN:
535050
Occupancy:
61.2%
Home Revenue:
$5,304,436.00
Payroll Costs:
$2,128,355.00
Payroll %:
40.1%
Avg Residents/Day:
28
Overall Rating:
Adj Nurse Hours:
7.5357
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
16
RN share vs State Avg:
+38%
+38%
Staffing vs State Avg:
+66%
+66%
Occupancy vs State Avg:
-12%
-12%
Laramie Health and Rehabilitation
Type of care:
AL
SNF
Community:
Laramie
Bed Count:
105
Operator:
STELLAR LARAMIE MANAGEMENT, LLC
CCN:
535043
Occupancy:
52.9%
Home Revenue:
$8,290,036.00
Payroll Costs:
$2,979,106.00
Payroll %:
35.9%
Avg Residents/Day:
49.20
Overall Rating:
Adj Nurse Hours:
3.7000
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
3
Citations:
26
Severe Citations:
3
RN share vs State Avg:
-61%
-61%
Staffing vs State Avg:
-18%
-18%
Occupancy vs State Avg:
-24%
-24%
North Big Horn Hospital District
Type of care:
SNF
AL
Community:
WY 82633
Bed Count:
60
Operator:
HEALTH AND MARKETING WEST
CCN:
535040
Occupancy:
78.2%
Home Revenue:
$4,632,988.00
Payroll Costs:
$2,759,000.00
Payroll %:
59.6%
Avg Residents/Day:
40.60
Overall Rating:
Adj Nurse Hours:
3.7496
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
26
Severe Citations:
2
RN share vs State Avg:
-30%
-30%
Staffing vs State Avg:
-17%
-17%
Occupancy vs State Avg:
+13%
+13%Places of interest near Westward Heights Care Center
0.0 miles from city center
Lander, WY 82520
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
84
Total Staff
74
Employees
10
Contractors
21,907
Total Hours (Quarter)
30
Avg Staff/Day
8
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 13 | 8.4 | No |
| Licensed Practical Nurse | 3 | 11.1 | No |
| Certified Nursing Assistant | 46 | 8.2 | No |
Staff by Category
Administration ⓘ
1 staff
8hs shift avg
Nursing Staff ⓘ
64 staff
8.6hs shift avg
Physicians & Practitioners ⓘ
5 staff
7.6hs shift avg
Therapy Services ⓘ
8 staff
5.4hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
3.3hs shift avg
Dietary Services ⓘ
3 staff
7.2hs shift avg
Other Services ⓘ
1 staff
7.7hs shift avg
Contractor Analysis
6.8%
of total hours from contractors
1,483 contractor hours this quarter
Physical Therapy Aide: 2
Physical Therapy Assistant: 2
Respiratory Therapy Technician: 3
Qualified Social Worker: 2
Speech Language Pathologist: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 46 | 0 | 46 | 11,137 | 91 | 100% | 8.2 |
| Registered Nurse | 13 | 0 | 13 | 2,514 | 91 | 100% | 8.4 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 1,556 | 80 | 88% | 7.5 |
| Licensed Practical Nurse | 3 | 0 | 3 | 1,383 | 84 | 92% | 11.1 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,328 | 91 | 100% | 7.2 |
| Medication Aide/Technician | 2 | 0 | 2 | 957 | 82 | 90% | 11.5 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 538 | 70 | 77% | 6.7 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 510 | 66 | 73% | 7.7 |
| Physical Therapy Assistant | 0 | 2 | 2 | 407 | 70 | 77% | 5.2 |
| Physical Therapy Aide | 0 | 2 | 2 | 268 | 56 | 62% | 4.7 |
| Speech Language Pathologist | 0 | 1 | 1 | 201 | 49 | 54% | 4.1 |
| Qualified Social Worker | 0 | 2 | 2 | 70 | 21 | 23% | 3.3 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
55 residents
Residents by payment source
Medicare
8 residents (14.5%)
Medicaid
32 residents (58.2%)
Private pay or other
15 residents (27.3%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
9.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.5
13% 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.
17.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.7
15% better than 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
16.6%
Percent of long-stay residents whose need for help with daily activities has increased
16.6%
17% better than Wyoming averageWyoming average: 20.0%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
18.3%
Percent of long-stay residents whose ability to move independently worsened
18.3%
In line with 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
18.3%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.3%
21% better than Wyoming averageWyoming average: 23.2%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
32% worse than Wyoming averageWyoming average: 4.9%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.4%
Percent of long-stay high risk residents with pressure ulcers
1.4%
72% better than Wyoming averageWyoming average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Wyoming averageWyoming average: 3.1%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.7%
Percent of long-stay residents who lose too much weight
4.7%
28% better than Wyoming averageWyoming average: 6.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.6%
Percent of long-stay residents who have depressive symptoms
0.6%
91% better than Wyoming averageWyoming average: 6.4%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
6.0%
Percent of long-stay residents who received an antipsychotic medication
6.0%
74% better than Wyoming averageWyoming average: 22.7%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Wyoming averageWyoming average: 94.1%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Wyoming averageWyoming average: 94.3%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.4%
24% better than Wyoming averageWyoming average: 74.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Wyoming averageWyoming average: 2.3%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
25% better than Wyoming averageWyoming average: 77.0%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Westward Heights Care Center based on CMS SNF Cost Reports.
Occupancy Rate
78.3%
↑ 3.2pp vs 2022
Net Income
$106,875
↑ ~$1.5M vs 2022
Total Payroll
$4,788,839
↓ ~$300K vs 2022
Profit Margin
1.3%
↑ 18.7pp vs 2022
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