Heritage Home

550 Fremont Lake Road · Pinedale, WY · 82941 · 3073674161

50 certified beds Government - Hospital district

  • Staffing hours comfortably above national benchmarks.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

98% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 64
Serious harm & abuse 20% 94
Staffing 20% 82
Federal penalties 15% 76
Trend 10% 50
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.903.48 min · 4.1 strong
RN hours / resident-day1.360.55–0.75
Weekend hours / resident-day4.36≈ weekday level
Nursing turnover / year98%median 45%
Fines (3-yr window)1 · $9,718

Inspection citations (11 in the current record)

  • Actual harm · G August 19, 2025 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected September 10, 2025 · Pharmacy Service

  • Potential for harm · D June 12, 2025

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Corrected July 11, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 12, 2025

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected July 11, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E June 12, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 11, 2025 · Infection Control

  • Potential for harm · D April 17, 2024 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected May 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 17, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected May 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 23, 2024

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 20, 2024 · Quality of Life and Care

  • Potential for harm · D February 23, 2024

    Implement 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.

    Corrected March 20, 2024 · Pharmacy Service

  • Potential for harm · E February 23, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected April 4, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D February 2, 2023

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected February 28, 2023 · Pharmacy Service

  • Potential for harm · D February 2, 2023

    Ensure 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.

    Corrected February 28, 2023 · Pharmacy Service

Federal penalties

DateTypeAmount / length
August 19, 2025Fine$9,718

Better-scoring options nearby

No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 535017 · certified since May 20, 1982. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.