Westward Heights Care Center
Nursing Home, Respite Care & Skilled Nursing · Lander, WY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Westward Heights Care Center

Nursing Home, Respite Care & Skilled Nursing · Lander, WY
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Westward Heights Care Center accepts Medicare, Medicaid, and private pay.

Health Inspection History

Inspections since 2022
Total health inspections 4

State average N/A


Last Health inspection on Mar 2025

Total health citations
8 Rank #1 / 13Health citations — State benchmarkedThis home is ranked 1st out of 13 homes in Wyoming for Health Citations. Shows this facility's total health deficiency citations benchmarked to the Wyoming State average, with a ranking across all 13 WY facilities. Lower citation counts earn a better rank.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wyoming that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
2 Rank #1 / 13Citations per inspection — State benchmarkedThis home is ranked 1st out of 13 homes in Wyoming for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the Wyoming mean across 13 facilities with citation data. Lower is better.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wyoming that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


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 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
0
In line with State average

State average: N/A

0 critical citations State average: N/A

0 serious citations State average: N/A

7 moderate citations State average: N/A

1 minor citation State average: N/A
Citations history (last 4 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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 86
Employees 76
Contractors 10
Staff to resident ratio 1.56 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 29
Average shift 8.2 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 21,758

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 18 RN Staff are full-time employees. No contractors work on this role. 18
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 2 LPN Staff are full-time employees. No contractors work on this role. 2
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 12.7 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 44 CNA Staff are full-time employees. No contractors work on this role. 44
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

7.4%

1,615 contractor hours this quarter

Physical Therapy Aide: 3 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Speech Language Pathologist: 1 Qualified Social Worker: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4404410,49592100%8.3
Registered Nurse180183,13192100%9
Clinical Nurse Specialist3031,5608390%8.2
Other Dietary Services Staff3031,3359098%7.6
Medication Aide/Technician3031,2748997%10.6
Licensed Practical Nurse2028245964%12.7
Administrator1015286672%8
Nurse Practitioner1015286672%8
Respiratory Therapy Technician0224776470%7.2
Dental Services Staff1014686267%7.5
Physical Therapy Assistant0223496773%5.2
Speech Language Pathologist0113355762%5.9
Physical Therapy Aide0333236571%4.6
Qualified Social Worker0111182729%4.4
Medical Director011132628%0.5
44 Certified Nursing Assistant
% of Days 100%
18 Registered Nurse
% of Days 100%
3 Clinical Nurse Specialist
% of Days 90%
3 Other Dietary Services Staff
% of Days 98%
3 Medication Aide/Technician
% of Days 97%
2 Licensed Practical Nurse
% of Days 64%
1 Administrator
% of Days 72%
1 Nurse Practitioner
% of Days 72%
2 Respiratory Therapy Technician
% of Days 70%
1 Dental Services Staff
% of Days 67%
2 Physical Therapy Assistant
% of Days 73%
1 Speech Language Pathologist
% of Days 62%
3 Physical Therapy Aide
% of Days 71%
1 Qualified Social Worker
% of Days 29%
1 Medical Director
% of Days 28%

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

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 State average

State average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 17.7
15% better than State average

State average: 20.8

Long-stay resident measures
Significantly above average State avg: 3.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 16.6%
17% better than State average

State average: 20.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.3%
In line with State average

State average: 19.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 18.3%
21% better than State average

State average: 23.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 6.5%
32% worse than State average

State average: 4.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 1.4%
72% better than State average

State average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.0%
100% better than State average

State average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 4.7%
28% better than State average

State average: 6.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.6%
91% better than State average

State average: 6.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 6.0%
74% better than State average

State average: 22.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
6% better than State average

State average: 94.1%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
6% better than State average

State average: 94.3%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.00
23% better than State average

State average: 1.30

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.37
8% worse than State average

State average: 2.19

Short-stay resident measures
Above average State avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 92.4%
24% better than State average

State average: 74.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 2.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.9%
25% better than State average

State average: 77.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 18.7%
10% better than State average

State average: 20.8%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 22.3%
63% worse than State average

State average: 13.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 34.7%
35% worse than State average

State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 65.7%
30% better than State average

State average: 50.6%

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 55
Medicare
8
14.5% of residents
Medicaid
32
58.2% of residents
Private pay or other
15
27.3% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.1M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$141.5K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.1M Rank #8 / 13Revenue — State benchmarkedThis home is ranked 8th out of 13 homes in Wyoming for Revenue. Shows this facility's annual revenue compared to the Wyoming average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wyoming that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$141.5K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$248.4K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #10 / 13Payroll — State benchmarkedThis home is ranked 10th out of 13 homes in Wyoming for Payroll. Shows total annual staff payroll benchmarked to the Wyoming average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wyoming that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$4.3M 60.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #4 / 13Payroll % — State benchmarkedThis home is ranked 4th out of 13 homes in Wyoming for Payroll %. Shows payroll as a percentage of revenue versus the Wyoming average. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in Wyoming that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.0M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.3M

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.

Most new residents arrive under Medicare (56% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
160 total

Coverage residents most often arrive under.

Medicare 56%
Private pay 28%
Medicaid 16%
Discharges
169 total

Coverage residents most often leave under.

Medicare 46%
Private pay 30%
Medicaid 24%

Places of interest near Westward Heights Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Lander's city center to Westward Heights Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Westward Heights Care Center

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Address

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Frequently Asked Questions about Westward Heights Care Center

Who is the Director of Nursing at Westward Heights Care Center?

Shayna Goff is the Director of Nursing at Westward Heights Care Center.

Is Westward Heights Care Center in a walkable area?

Westward Heights Care Center has a walk score of 70. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Westward Heights Care Center?

According to WY state health department records, Westward Heights Care Center's license number is 15338.

What is the occupancy rate at Westward Heights Care Center?

Westward Heights Care Center's occupancy is 83%.

Are pets allowed at Westward Heights Care Center?

No, Westward Heights Care Center has a no-pet policy.

What is the best email address for Westward Heights Care Center?

The team at Westward Heights Care Center can be reached at westwardheightscarecenter@vhsmail.com.

Does Westward Heights Care Center operate as a for-profit or non-profit?

Westward Heights Care Center is registered as a non-profit in WY.

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