Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
86
73 employees · 13 contractors · 30 on an average day Westward Heights Care Center
Nursing Home, Respite Care & Skilled Nursing · Lander, WY
ALM Inspection Grade
A+
ALM's inspection grade is 97 / 100, an A+ — 13 points above the Wyoming average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 97 / 100, an A+ — 13 points above the Wyoming average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
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.
4/5
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
Nursing Home, Respite Care & Skilled Nursing · Lander, WY
ALM Inspection Grade
A+
ALM's inspection grade is 97 / 100, an A+ — 13 points above the Wyoming average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
ALM's inspection grade is 97 / 100, an A+ — 13 points above the Wyoming average for CMS-certified facilities (84/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
CMS overall rating
4/5
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.
4/5
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 accepts Medicare, Medicaid, and private pay.
Overview of Westward Heights Care Center
Westward Heights Care Center provides nursing home, skilled nursing, and respite care in Lander, WY. Nursing home and skilled nursing services include licensed nursing care on site around the clock, while respite care provides a short-term stay when a family caregiver needs to travel or recover.
The community has 66 beds. Occupational, physical, and speech therapies are available, so residents can receive rehabilitation services within the care program, and a salon and spa support personal grooming needs.
Westward Heights Care Center accepts Medicare, Medicaid, and private pay. Medicare can cover short-term skilled care after a hospital stay, Medicaid may help when savings do not cover a long stay, and private pay allows a family to pay directly. Total nurse staffing is 4 hours and 31 minutes per resident per day, representing the daily hands-on nursing time allocated to each resident. Caitlin Delbridge serves as the administrator. Pastoral services, chapel services, and Bible studies provide religious programming for residents who want it. Transportation is available for residents who need community transportation services.
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 5th out of 13 nursing homes we track in Wyoming for nurse hours. 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.
4h 31m
This nursing home is ranked 5th out of 13 nursing homes we track in Wyoming for nurse hours. 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.
4h 31mStandout metric: Physical therapist is +58% above Wyoming average
2 of 6 metrics below Wyoming average
Daily care time per resident, by role
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. All 12 are the facility's own employees; no agency contractors work in this role.
12 staff · 9.4-hour shifts
1h 3m
↑ 16% · WY 54mThis facility: 1h 3m per resident per day, 16% above the Wyoming average of 54m (among Wyoming facilities reporting a recent figure).
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. All 12 are the facility's own employees; no agency contractors work in this role.
12 staff · 9.4-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
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. All 2 are the facility's own employees; no agency contractors work in this role.
2 staff · 10.6-hour shifts
16m
↓ 44% · WY 29mThis facility: 16m per resident per day, 44% below the Wyoming average of 29m (among Wyoming facilities reporting a recent figure).
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. All 2 are the facility's own employees; no agency contractors work in this role.
2 staff · 10.6-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
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. All 47 are the facility's own employees; no agency contractors work in this role.
47 staff · 8.7-hour shifts
3h 12m
↑ 30% · WY 2h 28mThis facility: 3h 12m per resident per day, 30% above the Wyoming average of 2h 28m (among Wyoming facilities reporting a recent figure).
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. All 47 are the facility's own employees; no agency contractors work in this role.
47 staff · 8.7-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
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.
5m
↑ 58% · WY 3mThis facility: 5m per resident per day, 58% above the Wyoming average of 3m (among Wyoming facilities reporting a recent figure).
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.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
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.
RN + LPN + aide · Sat–Sun
3h 54m
↑ 18% · WY 3h 18mThis facility: 3h 54m per resident per day, 18% above the Wyoming average of 3h 18m (among Wyoming facilities reporting a recent figure).
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.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
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.
Sat–Sun
35m
↓ 5% · WY 37mThis facility: 35m per resident per day, 5% below the Wyoming average of 37m (among Wyoming facilities reporting a recent figure).
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.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
86
73 employees · 13 contractors · 30 on an average day
86 total staff / 55 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.56 : 1
↓ 7% · WY 1.69This facility: 1.56 staff per resident, 7% below the Wyoming average of 1.69 (among Wyoming facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
86 staff ÷ 55 residents
See full Wyoming ranking →
Average hours one staff member works on a day they are on shift, across every role.
8.3 h
↓ 2% · WY 8.5 hThis facility: 8.3 h, 2% below the Wyoming average of 8.5 h (among Wyoming facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
22,709 staff hours this quarter
See full Wyoming ranking →94.9% of staff hours were worked by the facility's own employees
Wyoming average: 91.4% · Contractors this quarter: Respiratory Therapy Technician (4), Physical Therapy Aide (3), Physical Therapy Assistant (3), Qualified Social Worker (1), Medical Director (1), Speech Language Pathologist (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
66
Rank #11 / 14Bed count — State benchmarked This nursing home is ranked 11th out of 14 nursing homes we track in Wyoming for bed count. Shows this facility's certified or reported bed count compared to other Wyoming facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
66
Rank #11 / 14Bed count — State benchmarked This nursing home is ranked 11th out of 14 nursing homes we track in Wyoming for bed count. Shows this facility's certified or reported bed count compared to other Wyoming facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Walk Score
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #4 / 16Walk Score — State benchmarked This nursing home is ranked 4th out of 16 nursing homes we track in Wyoming for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Wyoming facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Rank #4 / 16Walk Score — State benchmarked This nursing home is ranked 4th out of 16 nursing homes we track in Wyoming for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across Wyoming facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
70
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #2 / 14Occupancy rate — State benchmarked This nursing home is ranked 2nd out of 14 nursing homes we track in Wyoming for occupancy. Shows this facility's occupancy rate versus the Wyoming average, with its Statewide rank out of 14. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #2 / 14Occupancy rate — State benchmarked This nursing home is ranked 2nd out of 14 nursing homes we track in Wyoming for occupancy. Shows this facility's occupancy rate versus the Wyoming average, with its Statewide rank out of 14. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
83.3%
This home usually has availability
Based on 55 residents and 66 beds. Source: state licensing agency resident count
Higher than the Wyoming average: 62.1%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
128
days
About This Community
Facility TypeNursing Home
StatusActive
CountyFremont
License Number15338
CMS Certification Number535034
Westward Heights Care Center is administered by Caitlin Delbridge.
Resident Council
Director of NursingShayna Goff
CNA Training Program
Outpatient Therapy
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Meals & Snacks
Transportation
Fax307-332-3690
Pets not allowed
Wi-Fi
Beauty Salon
Spiritual Support: Pastoral Services
Chapel Services
Room Types
Private Room
CMS Health Inspection History
ALM Inspection Grade
97 / 100
Calculated from CMS inspection data for this community's nursing-home beds
How it compares
13 points above the Wyoming average for CMS-certified facilities (84/100)
Category breakdown
Citations
Strong
17 severity-weighted points (9 deficiencies) · 5× lower than the typical CMS-certified WY facility (median: 84)
Enforcement
Strong
No fines on record · 0 enforcement actions
Persistence
Typical
27 days to fix issues · faster than the typical CMS-certified WY facility (median: 32)
Total health inspections
5
↓ 14% · WY 5.8This facility: 5, 14% below the WY average of 5.8 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
9
Rank #1 / 13Health citations — State benchmarked This nursing home is ranked 1st out of 13 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 56% · WY 20.6This facility: 9, 56% below the WY average of 20.6 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
1.8
Rank #1 / 13Citations per inspection — State benchmarked This nursing home is ranked 1st out of 13 nursing homes we track 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↓ 49% · WY 3.54This facility: 1.8, 49% below the WY average of 3.54 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
9 of 9 citations corrected
Critical
J–L
0
↓ 100% · WY 0.2This facility: 0, 100% below the WY average of 0.2 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
0
↓ 100% · WY 1.8This facility: 0, 100% below the WY average of 1.8 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
8
↓ 55% · WY 17.9This facility: 8, 55% below the WY average of 17.9 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
1
↑ 67% · WY 0.6This facility: 1, 67% above the WY average of 0.6 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, minimal riskLatest inspection: May 22, 2026 · 1 citation (Resident Rights, moderate), corrected
Most cited category: Infection Control, 3 of 9 citations · 5 categories in total
Citations history
Most recent first
May 22, 2026
1 citation
Resident Rights moderate citation
Corrected
Corrected
Mar 27, 2025
2 citations
Infection Control moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Jan 14, 2025
2 citations
Abuse/Neglect moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Jan 11, 2024
2 citations
Quality of Care moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Nov 03, 2022
2 citations
Pharmacy moderate citation
Corrected
Corrected
Infection Control minor citation
Corrected
Corrected
Top deficiency categories
Share of 9 citations
Infection Control
3 deficiencies (33%)
Quality of Life & Care
2 deficiencies (22%)
Pharmacy Services
2 deficiencies (22%)
Resident Rights
1 deficiency (11%)
Abuse, Neglect & Exploitation
1 deficiency (11%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
6 of 9 citations resulted from standard inspections; and 3 of 9 resulted from complaint investigations.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Enforcement
Penalties and fines
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 Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
WY avg $36KWyoming average: $35,733. Average among the 28 Wyoming facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
WY avg 1.64Wyoming average: 1.64. Average among the 28 Wyoming facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
WY avg 0.32Wyoming average: 0.32. Average among the 28 Wyoming facilities with a penalty on record.US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the Wyoming average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 12% · WY 3.6This facility: 4.0, 12% above the WY average of 3.6 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
CMS star rating for the care of short-stay residents, mostly people recovering after a hospital stay for under 100 days. It is built from the short-stay quality measures below. 5 stars is the best.
5
/ 5
Significantly above average
↑ 73% · WY 2.9This facility: 5.0, 73% above the WY average of 2.9 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
11.0
Score · lower is better
↑ 18% · WY 9.3This facility: 11.0, 18% above the WY average of 9.3 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
19.3
Score · lower is better
↑ 9% · WY 17.7This facility: 19.3, 9% above the WY average of 17.7 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.13 long-stay measures: 7 better, 5 worse, 1 near WY average
8 short-stay measures: 3 better, 1 worse, 1 near WY average, 3 compared with US only
Long-stay residents
People who live at the home · 13 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
21.3%
↑ 24% · WY 17.2This facility: 21.3, 24% above the WY average of 17.2 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
21.3%
↑ 24% · WY 17.2This facility: 21.3, 24% above the WY average of 17.2 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
22.1%
↑ 54% · WY 14.4This facility: 22.1, 54% above the WY average of 14.4 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
22.1%
↑ 54% · WY 14.4This facility: 22.1, 54% above the WY average of 14.4 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.6%
↓ 32% · WY 21.4This facility: 14.6, 32% below the WY average of 21.4 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
14.6%
↓ 32% · WY 21.4This facility: 14.6, 32% below the WY average of 21.4 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
1.2%
↓ 62% · WY 3.0This facility: 1.2, 62% below the WY average of 3.0 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
1.2%
↓ 62% · WY 3.0This facility: 1.2, 62% below the WY average of 3.0 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
↑ 32% · WY 5.0This facility: 6.6, 32% above the WY average of 5.0 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
6.6%
↑ 32% · WY 5.0This facility: 6.6, 32% above the WY average of 5.0 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
3.3%
↓ 27% · WY 4.5This facility: 3.3, 27% below the WY average of 4.5 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
3.3%
↓ 27% · WY 4.5This facility: 3.3, 27% below the WY average of 4.5 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
1.9%
↓ 66% · WY 5.6This facility: 1.9, 66% below the WY average of 5.6 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
1.9%
↓ 66% · WY 5.6This facility: 1.9, 66% below the WY average of 5.6 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
0.6%
↓ 92% · WY 6.9This facility: 0.6, 92% below the WY average of 6.9 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
0.6%
↓ 92% · WY 6.9This facility: 0.6, 92% below the WY average of 6.9 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
2.1%
↓ 90% · WY 21.4This facility: 2.1, 90% below the WY average of 21.4 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
2.1%
↓ 90% · WY 21.4This facility: 2.1, 90% below the WY average of 21.4 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
↑ 1% · WY 94.0This facility: 94.5, 1% above the WY average of 94.0 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.5%
↑ 1% · WY 94.0This facility: 94.5, 1% above the WY average of 94.0 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.2%
↓ 6% · WY 95.9This facility: 90.2, 6% below the WY average of 95.9 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.2%
↓ 6% · WY 95.9This facility: 90.2, 6% below the WY average of 95.9 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.00
↓ 23% · WY 1.30This facility: 1.00, 23% below the WY average of 1.30 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.00
↓ 23% · WY 1.30This facility: 1.00, 23% below the WY average of 1.30 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.37
↑ 8% · WY 2.19This facility: 2.37, 8% above the WY average of 2.19 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.37
↑ 8% · WY 2.19This facility: 2.37, 8% above the WY average of 2.19 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 8 measures
Daily care & independence
Able to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
34.7%
↓ 35% · US 53.7This facility: 34.7, 35% below the US average of 53.7 (among US facilities reporting a recent figure).
Percentage of residents at or above expected ability to care for themselves at discharge.
34.7%
↓ 35% · US 53.7This facility: 34.7, 35% below the US average of 53.7 (among US facilities reporting a recent figure).
Returned home or to the community
Rate of successful return to home or community from a skilled nursing facility.
65.7%
↑ 30% · US 50.6This facility: 65.7, 30% above the US average of 50.6 (among US facilities reporting a recent figure).
Rate of successful return to home or community from a skilled nursing facility.
65.7%
↑ 30% · US 50.6This facility: 65.7, 30% above the US average of 50.6 (among US facilities reporting a recent figure).Safety & clinical stability
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
↓ 100% · US 0.8This facility: 0.0, 100% below the US average of 0.8 (among US facilities reporting a recent figure).Physical & mental health
New antipsychotic medication
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · WY 1.6This facility: 0.0, 100% below the WY average of 1.6 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
↓ 100% · WY 1.6This facility: 0.0, 100% below the WY average of 1.6 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
↑ 27% · WY 77.4This facility: 98.4, 27% above the WY average of 77.4 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.4%
↑ 27% · WY 77.4This facility: 98.4, 27% above the WY average of 77.4 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Flu vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.6%
↑ 2% · WY 74.4This facility: 75.6, 2% above the WY average of 74.4 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
75.6%
↑ 2% · WY 74.4This facility: 75.6, 2% above the WY average of 74.4 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Re-hospitalized after admission
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.7%
↓ 10% · WY 20.8This facility: 18.7, 10% below the WY average of 20.8 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.7%
↓ 10% · WY 20.8This facility: 18.7, 10% below the WY average of 20.8 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits
Percentage of short-stay residents who had an outpatient emergency department visit.
22.3%
↑ 63% · WY 13.7This facility: 22.3, 63% above the WY average of 13.7 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percentage of short-stay residents who had an outpatient emergency department visit.
22.3%
↑ 63% · WY 13.7This facility: 22.3, 63% above the WY average of 13.7 (among WY facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. Grey compares with the US average only, because CMS publishes no state figure. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Westward Heights Care Center’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 11 Wyoming nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, but less than last year
−0.1% operating margin
+1.9 pts vs prior year
An operating loss in 5 of the last 8 reported years. Other income ($0.2M) turns it into a net profit to $0.2M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Payroll in line with Wyoming homes
61.7% payroll share of revenue
WY average 59.8%Rank #4 / 11Payroll % of net patient revenue — State benchmarked This nursing home is ranked 4th out of 11 nursing homes we track in Wyoming for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Wyoming average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll rose $0.5M while revenue rose $0.6M. Check hours per resident in the staffing section to confirm it reaches the floor.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with Wyoming homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | WY median | Compared with WY homesRank in WY | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $7.7M | +$0.6M | Trend 20172024 | WY median $11.4M | Rank in WY Rank #8 / 11Net patient revenue — State benchmarked This nursing home is ranked 8th out of 11 nursing homes we track in Wyoming for net patient revenue. Shows this facility's net patient revenue compared to the Wyoming average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 30% of homes | Below WY median Higher net patient revenue than 30% of WY homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $7.7M | +$0.4M | Trend 20172024 | WY median $11.2M | Rank in WY Rank #9 / 11Operating expenses — State benchmarked This nursing home is ranked 9th out of 11 nursing homes we track in Wyoming for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other Wyoming homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 20% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.0M | +$0.1M | Trend 20172024 | WY median $0.2M | Rank in WY Rank #8 / 11Net patient income — State benchmarked This nursing home is ranked 8th out of 11 nursing homes we track in Wyoming for net patient income. Shows net patient revenue minus operating expenses, compared with other Wyoming homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 30% of homes | Loss, narrowing Resident care lost money this year, less than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −0.1% | +1.9 pts | Trend 20172024 | WY median 1.3% | Rank in WY Rank #8 / 11Operating margin — State benchmarked This nursing home is ranked 8th out of 11 nursing homes we track in Wyoming for operating margin. Shows net patient income as a share of net patient revenue, compared with other Wyoming homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 30% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $0.2M | — | Trend — | WY median $0.0M | Rank in WY Rank #2 / 10Other income — State benchmarked This nursing home is ranked 2nd out of 10 nursing homes we track in Wyoming for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other Wyoming homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 89% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | $0.2M | +$0.1M | Trend — | WY median $0.2M | Rank in WY Rank #8 / 11Net income — State benchmarked This nursing home is ranked 8th out of 11 nursing homes we track in Wyoming for net income. Shows the bottom line after other income, compared with other Wyoming homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 30% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Staff spending in line with Wyoming homes
| Metric | FY 2024 | vs prior year | Trend 2017 → 2024Trend | WY median | Compared with WY homesRank in WY | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $4.8M | +$0.5M | Trend 20172024 | WY median $5.6M | Rank in WY Rank #9 / 11Payroll costs — State benchmarked This nursing home is ranked 9th out of 11 nursing homes we track in Wyoming for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Wyoming average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 20% of homes | Below WY median Higher payroll than 20% of WY homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 61.7% | +1.4 pts | Trend 20172024 | WY median 56.1% | Rank in WY Rank #4 / 11Payroll % of net patient revenue — State benchmarked This nursing home is ranked 4th out of 11 nursing homes we track in Wyoming for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the Wyoming average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wyoming that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 70% of homes | Near WY average The WY average is 59.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2017–2024 2 charts · WY benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the Wyoming payroll average.
% of net patient revenue
Payroll share Operating margin WY payroll average
Year-by-year data, 2017–2024 every reported year · latest first, scroll sideways
| Metric | 2017 | 2018 | 2019 | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $5.6M | $6.2M | $6.1M | $6.5M | $6.6M | $6.6M | $7.1M | $7.7M |
| Operating expenses | $5.5M | $5.8M | $5.9M | $7.2M | $7.7M | $7.6M | $7.3M | $7.7M |
| Net patient income | $0.1M | $0.4M | $0.1M | −$0.7M | −$1.0M | −$1.1M | −$0.1M | −$0.0M |
| Operating margin | 2.5% | 5.9% | 2.2% | −10.1% | −15.5% | −16.4% | −2.0% | −0.1% |
| Net income | $0.4M | $0.3M | $0.5M | $0.4M | −$0.8M | −$1.4M | $0.1M | $0.2M |
| Payroll costs | $3.4M | $3.3M | $3.6M | $4.4M | $4.6M | $4.6M | $4.3M | $4.8M |
| Payroll share of revenue | 60.6% | 53.1% | 58.5% | 68.0% | 69.7% | 69.9% | 60.3% | 61.7% |
| Beds | 60 | 60 | 60 | 95 | 95 | 66 | 66 | 66 |
| Gross revenue | $7.3M | $7.7M | $7.7M | $7.6M | $8.3M | $8.0M | $8.4M | $8.7M |
| Salaries | $2.7M | $2.7M | $2.9M | $3.3M | $3.5M | $3.5M | $3.3M | $3.7M |
| Wage-related costs | $0.7M | $0.6M | $0.7M | $1.1M | $1.1M | $1.1M | $1.0M | $1.0M |
| Contract labor | $0.4M | $0.7M | $0.6M | $0.6M | $0.5M | $0.5M | $0.5M | $0.3M |
| Other operating costs | $2.1M | $2.5M | $2.4M | $2.8M | $3.0M | $3.0M | $3.0M | $3.0M |
| Net patient revenue per day | $293 | $318 | $322 | $347 | $350 | $363 | $378 | $383 |
| Cost per day | $286 | $299 | $315 | $382 | $404 | $422 | $386 | $383 |
| Average length of stay | 299.8 days | 300.2 days | 269.3 days | 281.3 days | 150.9 days | 136.9 days | 112.0 days | 128.2 days |
Showing 2024–2022 · scroll sideways for 5 earlier years
Earlier and partial years are in the download. Download CSV
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
155 admissions · FY2024
Residents admitted during the year.
Medicare
98 · 63%
Medicaid
12 · 8%
Private pay & other
45 · 29%
Resident snapshot
55 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
8 · 15%
Medicaid
32 · 58%
Private pay & other
15 · 27%
Leaving
157 discharges · FY2024
Residents discharged during the year.
Medicare
65 · 41%
Medicaid
34 · 22%
Private pay & other
58 · 37%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Westward Heights Care Center
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Estimated distance in miles from Lander's city center to Westward Heights Care Center's address, calculated via Google Maps.
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Info below is compiled from CMS reports & the WY Dept. of Health (WDH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. This is a proprietary Assisted Living Magazine grade. It is not a government rating. A dash means we have no inspection data for that facility.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Wyoming average is: 59.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Life Care Center of Cheyenne | NH SNF | Cheyenne | 160
Facility
160
WY AVG
97
Rank
#2 / 14 | A |
75.6%
Facility
75.6%
WY AVG
62.1%
Rank
#3 / 14 | +22% | 3.48
Facility
3.48
WY AVG
4.75
Rank
#10 / 13 | +15% | -27% | $0
Facility
$0
WY AVG
$36.7k
Rank
#1 / 13 | 13
Facility
13
WY AVG
20.6
Rank
#3 / 13 | 2.6
Facility
2.6
WY AVG
3.5
Rank
#5 / 13 | 1 | 121 | - |
43
Facility
43
WY AVG
49
Rank
#11 / 16 | Clint Scearce | $17.8MFiscal year ending 12/2024
Facility
$17.8MFiscal year ending 12/2024
WY AVG
$11.2M
Rank
#3 / 11 | $9.9MFiscal year ending 12/2024
Facility
$9.9MFiscal year ending 12/2024
WY AVG
$6.4M
Rank
#1 / 11 | 55.9%Fiscal year ending 12/2024
Facility
55.9%Fiscal year ending 12/2024
WY AVG
59.8%
Rank
#7 / 11 | 535032 | ||||
| Life Care Center of Casper – Nursing Home | NH SNF | Casper | 120
Facility
120
WY AVG
97
Rank
#4 / 14 | ? |
61.1%
Facility
61.1%
WY AVG
62.1%
Rank
#8 / 14 | -2% | 4.61
Facility
4.61
WY AVG
4.75
Rank
#3 / 13 | +5% | -3% | $11.0k
Facility
$11.0k
WY AVG
$36.7k
Rank
#5 / 13 | 14
Facility
14
WY AVG
20.6
Rank
#4 / 13 | 2.3
Facility
2.3
WY AVG
3.5
Rank
#3 / 13 | 1 | 73 | - |
45
Facility
45
WY AVG
49
Rank
#10 / 16 | Ainsley Huber | $11.4MFiscal year ending 06/2025
Facility
$11.4MFiscal year ending 06/2025
WY AVG
$11.2M
Rank
#5 / 11 | $7.7MFiscal year ending 06/2025
Facility
$7.7MFiscal year ending 06/2025
WY AVG
$6.4M
Rank
#4 / 11 | 67.1%Fiscal year ending 06/2025
Facility
67.1%Fiscal year ending 06/2025
WY AVG
59.8%
Rank
#2 / 11 | 535049 | ||||
| Morning Star Care Center | NH HOS RC SNF | Fort Washakie | 45
Facility
45
WY AVG
97
Rank
#12 / 14 | A |
60.0%
Facility
60.0%
WY AVG
62.1%
Rank
#9 / 14 | -3% | 6.86
Facility
6.86
WY AVG
4.75
Rank
#1 / 13 | -33% | +44% | $5.2k
Facility
$5.2k
WY AVG
$36.7k
Rank
#3 / 13 | 16
Facility
16
WY AVG
20.6
Rank
#6 / 13 | 4.0
Facility
4.0
WY AVG
3.5
Rank
#11 / 13 | - | 27 | - |
13
Facility
13
WY AVG
49
Rank
#14 / 16 | Morning Star Care Center | $5.1MFiscal year ending 12/2024
Facility
$5.1MFiscal year ending 12/2024
WY AVG
$11.2M
Rank
#11 / 11 | $5.1MFiscal year ending 12/2024
Facility
$5.1MFiscal year ending 12/2024
WY AVG
$6.4M
Rank
#7 / 11 | 101.6%Fiscal year ending 12/2024
Facility
101.6%Fiscal year ending 12/2024
WY AVG
59.8%
Rank
#1 / 11 | 535050 | ||||
| Westward Heights Care Center | NH RC SNF | Lander | 66
Facility
66
WY AVG
97
Rank
#11 / 14 | A+ |
83.3%
Facility
83.3%
WY AVG
62.1%
Rank
#2 / 14 | +34% | 4.51
Facility
4.51
WY AVG
4.75
Rank
#5 / 13 | 0% | -5% | $0
Facility
$0
WY AVG
$36.7k
Rank
#1 / 13 | 9
Facility
9
WY AVG
20.6
Rank
#1 / 13 | 1.8
Facility
1.8
WY AVG
3.5
Rank
#1 / 13 | - | 55 | - |
70
Facility
70
WY AVG
49
Rank
#4 / 16 | Westward Heights Corp | $7.7MFiscal year ending 12/2024
Facility
$7.7MFiscal year ending 12/2024
WY AVG
$11.2M
Rank
#8 / 11 | $4.8MFiscal year ending 12/2024
Facility
$4.8MFiscal year ending 12/2024
WY AVG
$6.4M
Rank
#9 / 11 | 61.7%Fiscal year ending 12/2024
Facility
61.7%Fiscal year ending 12/2024
WY AVG
59.8%
Rank
#4 / 11 | 535034 | ||||
| Sage View Care Center | NH MC RC SNF | Rock Springs | 82
Facility
82
WY AVG
97
Rank
#10 / 14 | A |
55.9%
Facility
55.9%
WY AVG
62.1%
Rank
#11 / 14 | -10% | 3.30
Facility
3.30
WY AVG
4.75
Rank
#12 / 13 | -18% | -30% | $8.3k
Facility
$8.3k
WY AVG
$36.7k
Rank
#4 / 13 | 12
Facility
12
WY AVG
20.6
Rank
#2 / 13 | 2.0
Facility
2.0
WY AVG
3.5
Rank
#2 / 13 | 1 | 46 | - |
10
Facility
10
WY AVG
49
Rank
#15 / 16 | - | $6.8MFiscal year ending 12/2024
Facility
$6.8MFiscal year ending 12/2024
WY AVG
$11.2M
Rank
#10 / 11 | $3.0MFiscal year ending 12/2024
Facility
$3.0MFiscal year ending 12/2024
WY AVG
$6.4M
Rank
#11 / 11 | 43.8%Fiscal year ending 12/2024
Facility
43.8%Fiscal year ending 12/2024
WY AVG
59.8%
Rank
#11 / 11 | 535056 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other WY nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Financial assistance
Get financial aid guidance Programs that may help with care and living costs in Wyoming
Westward Heights Care Center is in Lander, Wyoming. These programs may support different care settings or living expenses. A listing does not confirm this community participates; our concierge team can help confirm.
VA Aid and Attendance (A&A) and Housebound Benefits
Wyoming VA Aid and Attendance/Housebound
- Who it is for
- Veterans or survivors with VA pension eligibility and an Aid and Attendance or Housebound medical need
- Income limit
- Countable income must be below the applicable Maximum Annual Pension Rate (MAPR); the rate depends on dependents and benefit category; Qualifying unreimbursed medical expenses may reduce countable income.
- Asset limit
- VA pension net-worth limit is $163,699 from December 1 2025 through November 30 2026; net worth includes countable assets and annual income under VA rules.
Eligibility
- General
- Additional pension benefits for qualifying Veterans or survivors who satisfy VA pension eligibility and the medical requirements for Aid and Attendance or Housebound status; being an older veteran or spouse alone does not qualify.
- WY specifics
- This is a federal VA benefit rather than a state-specific grant; Aid and Attendance and Housebound benefits cannot be received together.
What it provides
- Increased monthly VA pension based on the applicable MAPR less countable income.
Community Choices Waiver
WY Medicaid CCW
- Income limit
- 2026 · Maximum countable-income standard $2,982 per month; State policy provides an income-trust process when income exceeds the standard; individual review is required.
Eligibility
- General
- Wyoming resident age 19 or older who meets the aged blind or disabled category; medical necessity funding opportunity and approved plan of care required.
- WY specifics
- Eligibility does not guarantee an immediate funded slot; approved plan of care controls start date; Current policy states no patient contribution for community waiver clients.
What it provides
- Approved Community Choices home/community services under the plan of care.
Wyoming Home Services
WY Home Services
Eligibility
- General
- Wyoming Home Services supports people with assessed needs affecting independent living; service-specific functional criteria apply.
- WY specifics
- Care coordination evaluates needs and authorizes a care plan.
What it provides
- Care coordination personal care minor home modifications medication setup chores homemaker respite emergency response adult day care and hospice as authorized.
Older Americans Act (OAA) Services
Wyoming OAA Services
- Who it is for
- Adults 60+ looking for meals, in-home help or other local aging services
- Income limit
- OAA nutrition services have no income means test; priority is directed to people with greatest economic or social need.
- Asset limit
- OAA nutrition eligibility is not asset-tested.
Eligibility
- General
- Older Americans Act supportive and nutrition services generally serve adults age 60 or older; individual services can have additional criteria and specified exceptions.
- WY specifics
- Wyoming administers OAA supportive nutrition disease-prevention and caregiver programs.
What it provides
- Locally available nutrition and supportive services may include meals and in-home assistance.
Medicare Savings Program (MSP)
Wyoming Medicare Savings Program
- Who it is for
- Medicare beneficiaries with limited income who need help with premiums or cost sharing
- Income limit
- Under state Table 1 effective April 1 2026 SLMB covers 101% to 120% FPL and QI covers 121% to 135% FPL; the applicable counting rules and household size determine eligibility.
Eligibility
- General
- Wyoming resident meeting Medicare-related and Medicaid general eligibility requirements for the applicable MSP tier.
- WY specifics
- Different tiers cover different Medicare costs.
What it provides
- QMB provides qualifying Medicare premium and cost-sharing assistance; SLMB and QI provide Part B premium assistance subject to eligibility.
Low-Income Energy Assistance Program (LIEAP)
Wyoming LIEAP
- Who it is for
- Income-eligible households responsible for home heating costs
- Income limit
- Total household income at or below 60% of Wyoming state median income; household-size limits apply.
Eligibility
- General
- Wyoming households including eligible homeowners renters and people in permanently parked recreational vehicles; responsible heating costs and other requirements apply.
- WY specifics
- Current applications October 1 2026 through April 30 2027; Crisis applicants must show at least one verifiable utility payment in the previous 60 days under rules effective October 1 2026.
What it provides
- Partial winter-heating assistance paid to fuel vendor and qualifying heating-emergency help; amounts depend on energy needs income and family size.
Long-Term Homeowner Property Tax Exemption
Wyoming Long-Term Homeowner Property Tax Exemption
Eligibility
- General
- Wyoming homeowners whose owner or spouse is age 65 or older and has paid Wyoming residential property taxes for at least 25 years, not necessarily consecutively, and who meet primary-residence requirements.
- WY specifics
- Applications for tax year 2027 are open October 1 2026 through March 1 2027. The normal occupancy requirement is at least eight months. Apply through the state portal or county assessor; approval and annual confirmation are required. This is property-tax relief, not senior-living care funding.
What it provides
- Exempts 50% of the fair market value of the qualifying primary residence and associated land up to 35 acres. The exemption applies only to the first $3,000,000 of fair market value.
Know before you visit
Frequently Asked Questions about Westward Heights Care Center
Quick answers from public records and the community's own listing.01 Who is the Director of Nursing at Westward Heights Care Center?
Shayna Goff is the Director of Nursing at Westward Heights Care Center.
02 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.
03 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.
04 What is the occupancy rate at Westward Heights Care Center?
Westward Heights Care Center's occupancy is 83.3%.
05 Are pets allowed at Westward Heights Care Center?
No, Westward Heights Care Center has a no-pet policy.
06 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.
07 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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