Skip to the page
Get started free

Data / Nursing homes / Wyoming / Shepherd of the Valley Rehabilitation and Wellness

Shepherd of the Valley Rehabilitation and Wellness, Casper, WY: 1 star rating, fined $114,055 across 6 fines

Shepherd of the Valley Rehabilitation and Wellness in Casper, WY is run by North Big Horn Hospital District, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $114,055 across 6 fines in the three years to October 1, 2026. CMS lists 33 health citations from inspections in that time, the latest survey on July 30, 2026, and 8 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
60 Magnolia St, Casper, WY 82604
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
3 of 5
Quality measure rating
3 of 5
Certified beds
192
Residents per day
164 on average
Ownership type
For profit, corporation
Legal business name
North Big Horn Hospital District
Chain
Evergreen Healthcare Group, 43 facilities
Special focus
Special focus candidate
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$114,055 across 6 fines, three years to October 1, 2026
Payment denials
0
Health citations
33, of which 8 with actual harm or immediate jeopardy
Latest survey
July 30, 2026
CMS Certification Number
535042
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
March 13, 2026Fine$26,364Not listeddata.cms.gov
March 13, 2026Fine$17,345Not listeddata.cms.gov
May 22, 2025Fine$12,438Not listeddata.cms.gov
March 20, 2025Fine$15,857Not listeddata.cms.gov
August 15, 2024Fine$7,718Not listeddata.cms.gov
March 22, 2024Fine$34,333Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 30, 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
July 30, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 30, 2026F761Ensure 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 harmCorrectedAugust 14, 2026data.cms.gov
July 30, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 30, 2026F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 30, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 30, 2026F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 30, 2026F677Provide care and assistance to perform activities of daily living for any resident who is unable.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 30, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 30, 2026F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 30, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
July 30, 2026F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 14, 2026data.cms.gov
March 13, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyPast noncomplianceFebruary 16, 2026data.cms.gov
March 13, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
March 13, 2026F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2026data.cms.gov
January 29, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 16, 2026data.cms.gov
May 22, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmPast noncomplianceMay 16, 2025data.cms.gov
March 20, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.G: isolated, actual harmCorrectedApril 4, 2025data.cms.gov
March 20, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedApril 4, 2025data.cms.gov
March 20, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.G: isolated, actual harmCorrectedApril 4, 2025data.cms.gov
October 31, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2024data.cms.gov
October 31, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2024data.cms.gov
October 31, 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 harmCorrectedDecember 6, 2024data.cms.gov
October 31, 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2024data.cms.gov
October 31, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2024data.cms.gov
October 31, 2024F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2024data.cms.gov
October 31, 2024F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2024data.cms.gov
September 10, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmPast noncomplianceSeptember 6, 2024data.cms.gov
September 10, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2024data.cms.gov
August 15, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 13, 2024data.cms.gov
March 22, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedApril 26, 2024data.cms.gov
February 1, 2024F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceJanuary 23, 2024data.cms.gov
November 9, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 8, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 15 individual or personal trusts (9 managers, 1 officers, directors or trustees, 5 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
Pacific Northwest OPCO Management LLCOperational or managerial controlNot listedSeptember 30, 2025data.cms.gov
Shepherd of the Valley SNF Operations, LLCOperational or managerial controlNot listedSeptember 30, 2025data.cms.gov
Couve Financial Services LLCAdditional disclosable partyNot listedOctober 14, 2025data.cms.gov
Couve Healthcare Consulting LLCAdditional disclosable partyNot listedOctober 14, 2025data.cms.gov
Pacific Northwest OPCO Management LLCAdditional disclosable partyNot listedOctober 14, 2025data.cms.gov
Shepherd of the Valley SNF Operations, LLCAdditional disclosable partyNot listedOctober 14, 2025data.cms.gov
Shepherd of the Valley SNF Realty LLCAdditional disclosable partyNot listedOctober 14, 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.