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Data / Nursing homes / Wyoming / Laramie Health and Rehabilitation

Laramie Health and Rehabilitation, Laramie, WY: 2 star rating, fined $35,880 across 1 fine

Laramie Health and Rehabilitation in Laramie, WY is run by North Big Horn Hospital District, with no owner listed in the CMS ownership file, is rated 2 of 5 stars by Medicare, and was fined $35,880 across 1 fine in the three years to October 1, 2026. CMS lists 21 health citations from inspections in that time, the latest survey on June 3, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Wyoming
Address
503 S 18th St, Laramie, WY 82070
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
3 of 5
Certified beds
105
Residents per day
52 on average
Ownership type
For profit, corporation
Legal business name
North Big Horn Hospital District
Chain
Evergreen Healthcare Group, 43 facilities
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$35,880 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
21, of which 2 with actual harm or immediate jeopardy
Latest survey
June 3, 2026
CMS Certification Number
535043
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
May 22, 2024Fine$35,880Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 3, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmPast noncompliancedata.cms.gov
June 3, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 3, 2026F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 3, 2026F732Post nurse staffing information every day.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 3, 2026F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.F: widespread, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 3, 2026F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 3, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 3, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 3, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 3, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 3, 2026F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
June 3, 2026F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 10, 2026data.cms.gov
February 12, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmPast noncompliancedata.cms.gov
October 10, 2024F923Have enough outside ventilation via a window or mechanical ventilation, or both.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 24, 2024data.cms.gov
October 10, 2024F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 24, 2024data.cms.gov
October 10, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 8, 2024data.cms.gov
October 10, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F: widespread, no actual harm, potential for more than minimal harmCorrectedNovember 1, 2024data.cms.gov
October 10, 2024F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 24, 2024data.cms.gov
October 10, 2024F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 24, 2024data.cms.gov
October 10, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 24, 2024data.cms.gov
May 22, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmCorrectedJune 13, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 17 individual or personal trusts (10 managers, 1 officers, directors or trustees, 6 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Couve Financial Services LLCOperational or managerial controlNot listedSeptember 30, 2025data.cms.gov
Couve Healthcare Consulting LLCOperational or managerial controlNot listedSeptember 30, 2025data.cms.gov
Laramie SNF Operations LLCOperational or managerial controlNot listedSeptember 30, 2025data.cms.gov
Wy2 SNF Operations Manager LLCOperational or managerial controlNot listedSeptember 30, 2025data.cms.gov
Couve Financial Services LLCAdditional disclosable partyNot listedOctober 17, 2025data.cms.gov
Couve Healthcare Consulting LLCAdditional disclosable partyNot listedOctober 17, 2025data.cms.gov
Laramie SNF Operations LLCAdditional disclosable partyNot listedOctober 17, 2025data.cms.gov
Laramie SNF Realty LLCAdditional disclosable partyNot listedOctober 17, 2025data.cms.gov
North Big Horn Hospital DistrictAdditional disclosable partyNot listedMay 19, 2026data.cms.gov
Wy2 SNF Operations Manager LLCAdditional disclosable partyNot listedOctober 17, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.