Shepherd of the Valley Rehabilitation and Wellness
60 Magnolia St · Casper, WY · 82604 · 3072349381
192 certified beds For profit - Corporation Chain: Evergreen Healthcare Group
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $62,698 in fines in the last 24 months.
- 6 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
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.
$62,698 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
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: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 3.31 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.61 | 0.55–0.75 |
| Weekend hours / resident-day | 2.68 | ≈ weekday level |
| Nursing turnover / year | 49% | median 45% |
| Fines (3-yr window) | 5 · $97,031 |
Inspection citations (39 in the current record)
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Immediate jeopardy · K March 13, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 16, 2026 · Quality of Life and Care
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Potential for harm · D March 13, 2026 · found via complaint
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected April 3, 2026 · Quality of Life and Care
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Potential for harm · E March 13, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 3, 2026 · Infection Control
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Potential for harm · D January 29, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 16, 2026 · Quality of Life and Care
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Actual harm · G May 22, 2025 · 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 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G March 20, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 4, 2025 · Resident Rights
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Actual harm · G March 20, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 4, 2025 · Quality of Life and Care
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Actual harm · G March 20, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · D October 31, 2024
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · E October 31, 2024
Provide activities to meet all resident's needs.
Corrected December 6, 2024 · Quality of Life and Care
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Potential for harm · E October 31, 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 December 6, 2024 · Pharmacy Service
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Potential for harm · E October 31, 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 December 6, 2024 · Pharmacy Service
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Potential for harm · E October 31, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected December 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 31, 2024
Provide and implement an infection prevention and control program.
Corrected December 6, 2024 · Infection Control
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Potential for harm · E October 31, 2024 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 6, 2024 · Nursing and Physician Services
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Actual harm · G September 10, 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 September 6, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 10, 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 October 11, 2024 · Resident Assessment and Care Planning
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Potential for harm · D August 15, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected September 13, 2024 · Infection Control
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Actual harm · G March 22, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 26, 2024 · Quality of Life and Care
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Potential for harm · D February 1, 2024 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected January 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D November 9, 2023 · 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 December 8, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 10, 2023
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected September 4, 2023 · Resident Rights
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Potential for harm · D August 10, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 4, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 10, 2023
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected September 4, 2023 · Nutrition and Dietary
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Potential for harm · E August 10, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 4, 2023 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 13, 2026 | Fine | $26,685 |
| May 22, 2025 | Fine | $12,438 |
| March 20, 2025 | Fine | $15,857 |
| August 15, 2024 | Fine | $7,718 |
| March 22, 2024 | Fine | $34,333 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 535042 · certified since November 1, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.