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The Overall CMS Rating is scored from 1 to 5 stars and 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 is scored from 1 to 5 stars and 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.
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.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 2nd out of 13 homes in Wyoming. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| 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.
|
59m per day | ▲ 9% State avg: 54m 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.
|
14m per day | ▼ 52% State avg: 29m 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 31m per day | ■ Avg State avg: 2h 28m per day · National avg: 2h 20m per day |
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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.
|
3h 17m per day | ■ Avg State avg: 3h 18m per day · National avg: 3h 26m 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.
|
7m per day | ▲ 133% State avg: 3m 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.
|
42m per day | ▲ 14% State avg: 37m per day · National avg: 28m per day |
Occupancy lower than 85% suggests more openings may be available.
Westward Heights Care Center is administrated by Caitlin Delbridge.
Key information about the people who lead and staff this community.
Wyoming average 5.6
Last Health inspection on Mar 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.
6 of 8 citations resulted from standard inspections; and 2 of 8 resulted from complaint investigations.
100% better than Wyoming average
Wyoming average: 0.2
100% better than Wyoming average
Wyoming average: 1.8
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Wyoming average
0% compared with Wyoming average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
No contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
12.7 hours
No contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.3 hours
No contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,615 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 44 | 0 | 44 | 10,495 | 92 | 100% | 8.3 |
| Registered Nurse | 18 | 0 | 18 | 3,131 | 92 | 100% | 9 |
| Clinical Nurse Specialist | 3 | 0 | 3 | 1,560 | 83 | 90% | 8.2 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,335 | 90 | 98% | 7.6 |
| Medication Aide/Technician | 3 | 0 | 3 | 1,274 | 89 | 97% | 10.6 |
| Licensed Practical Nurse | 2 | 0 | 2 | 824 | 59 | 64% | 12.7 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 477 | 64 | 70% | 7.2 |
| Dental Services Staff | 1 | 0 | 1 | 468 | 62 | 67% | 7.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 349 | 67 | 73% | 5.2 |
| Speech Language Pathologist | 0 | 1 | 1 | 335 | 57 | 62% | 5.9 |
| Physical Therapy Aide | 0 | 3 | 3 | 323 | 65 | 71% | 4.6 |
| Qualified Social Worker | 0 | 1 | 1 | 118 | 27 | 29% | 4.4 |
| Medical Director | 0 | 1 | 1 | 13 | 26 | 28% | 0.5 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 average
Wyoming average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
17.7
15% better than Wyoming average
Wyoming average: 20.8
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
16.6%
17% better than Wyoming average
Wyoming average: 20.0%
Percent of long-stay residents whose ability to move independently worsened
18.3%
In line with Wyoming average
Wyoming average: 19.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
18.3%
21% better than Wyoming average
Wyoming average: 23.2%
Percent of long-stay residents experiencing one or more falls with major injury
6.5%
32% worse than Wyoming average
Wyoming average: 4.9%
Percent of long-stay high risk residents with pressure ulcers
1.4%
72% better than Wyoming average
Wyoming average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Wyoming average
Wyoming average: 3.1%
Percent of long-stay residents who lose too much weight
4.7%
28% better than Wyoming average
Wyoming average: 6.5%
Percent of long-stay residents who have depressive symptoms
0.6%
91% better than Wyoming average
Wyoming average: 6.4%
Percent of long-stay residents who received an antipsychotic medication
6.0%
74% better than Wyoming average
Wyoming average: 22.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Wyoming average
Wyoming average: 94.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
6% better than Wyoming average
Wyoming average: 94.3%
Number of hospitalizations per 1,000 long-stay resident days.
1.00
23% better than Wyoming average
Wyoming average: 1.30
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.37
8% worse than Wyoming average
Wyoming average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.4%
24% better than Wyoming average
Wyoming average: 74.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Wyoming average
Wyoming average: 2.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
95.9%
25% better than Wyoming average
Wyoming average: 77.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.7%
10% better than Wyoming average
Wyoming average: 20.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
22.3%
63% worse than Wyoming average
Wyoming average: 13.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Wyoming average
Wyoming average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
34.7%
35% worse than Wyoming average
Wyoming average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
65.7%
30% better than Wyoming average
Wyoming average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
56% of new residents, usually for short-term rehab.
28% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
55
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
Historical financial and operational data for Westward Heights Care Center based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #8 / 12Payroll — State benchmarkedThis home is ranked 8th out of 12 homes in Wyoming. 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
0.0 miles from city center
Estimated distance in miles from Lander's city center to Westward Heights Care Center's address, calculated via Google Maps.
Add your location
Westward Heights Care Center is located in Lander, Wyoming.
Here are the financial assistance programs available to residents in Wyoming.
The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.
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| Westward Heights 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. |
Lander | 66 | 78.3% | +13% | 4.62 | +42% | +2% | $0 | 8 | 2.0 | - | 51 | 70 | Westward Heights Corp | $8.6M | $4.8M | 55.5% | 535034 | ||||
| Laramie Health and Rehabilitation |
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. |
Laramie | 105 | 52.9% | -24% | 3.70 | -64% | -18% | $58.8k | 26 | 5.2 | 3 | 49 | 69 | Stellar Laramie Management, LLC | $8.3M | $4.6M | 55% | 535043 |
Shayna Goff is the Director of Nursing at Westward Heights Care Center.
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.
According to WY state health department records, Westward Heights Care Center's license number is 15338.
The team at Westward Heights Care Center can be reached at [email protected].
Caitlin Delbridge is the administrator of Westward Heights Care Center.
Westward Heights Care Center has 66 beds.
Yes — there are 3 photos of Westward Heights Care Center in the photo gallery on this page.
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