Laramie Health and Rehabilitation
503 S 18th St · Laramie, WY · 82070 · 3077423728
105 certified beds For profit - Corporation Chain: Evergreen Healthcare Group
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results have improved across recent cycles.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.07 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.53 | 0.55–0.75 |
| Weekend hours / resident-day | 2.63 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 2 · $43,618 |
Inspection citations (24 in the current record)
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Potential for harm · D February 12, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 10, 2024
Honor 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.
Corrected November 24, 2024 · Resident Rights
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Potential for harm · D October 10, 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 November 24, 2024 · Pharmacy Service
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Potential for harm · E October 10, 2024
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 November 24, 2024 · Pharmacy Service
-
Potential for harm · F October 10, 2024
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected November 1, 2024 · Nutrition and Dietary
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Potential for harm · E October 10, 2024
Provide and implement an infection prevention and control program.
Corrected November 8, 2024 · Infection Control
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Potential for harm · F October 10, 2024
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected November 24, 2024 · Infection Control
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Potential for harm · E October 10, 2024 · found via complaint
Have enough outside ventilation via a window or mechanical ventilation, or both.
Corrected November 24, 2024 · Environmental
-
Actual harm · G May 22, 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 June 13, 2024 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G July 27, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected July 19, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 27, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 24, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 27, 2023
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected August 24, 2023 · Pharmacy Service
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Potential for harm · D July 27, 2023
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 August 24, 2023 · Pharmacy Service
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Potential for harm · F July 27, 2023
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected August 24, 2023 · Nutrition and Dietary
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Potential for harm · F July 27, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 24, 2023 · Nutrition and Dietary
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Potential for harm · E July 27, 2023
Provide and implement an infection prevention and control program.
Corrected August 24, 2023 · Infection Control
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Potential for harm · E July 27, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected August 24, 2023 · Infection Control
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Potential for harm · D June 9, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected July 13, 2022 · Resident Rights
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Potential for harm · D June 9, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected July 13, 2022 · Resident Assessment and Care Planning
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Potential for harm · D June 9, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 13, 2022 · Resident Assessment and Care Planning
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Potential for harm · D June 9, 2022
Provide activities to meet all resident's needs.
Corrected July 13, 2022 · Quality of Life and Care
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Potential for harm · D June 9, 2022
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 July 13, 2022 · Pharmacy Service
-
Potential for harm · D June 9, 2022
Provide and implement an infection prevention and control program.
Corrected July 13, 2022 · Infection Control
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No harm found · B June 9, 2022
Post nurse staffing information every day.
Corrected July 13, 2022 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 22, 2024 | Fine | $35,880 |
| July 27, 2023 | Fine | $7,738 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 535043 · certified since March 1, 1991. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.