Summit Ridge Skilled Nursing & Rehabilitation
1108 Birch Street · Douglas, WY · 82633 · 3073583397
60 certified beds For profit - Limited Liability company Chain: Rocky Mountain Care
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results are getting worse cycle over cycle, not better.
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.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
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: 2 of 5
| Total nurse hours / resident-day | 3.25 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.02 | 0.55–0.75 |
| Weekend hours / resident-day | 2.78 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $34,646 |
Inspection citations (27 in the current record)
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Potential for harm · D April 30, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Deficient, Provider has no plan of correction · Quality of Life and Care
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Actual harm · G September 17, 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 October 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 17, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 10, 2025 · Quality of Life and Care
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Potential for harm · D January 3, 2025 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected February 14, 2025 · Resident Rights
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Potential for harm · D January 3, 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 December 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 3, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected February 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 15, 2024 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · D November 15, 2024
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · D November 15, 2024 · found via complaint
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected December 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 15, 2024 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · F November 15, 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 20, 2024 · Nursing and Physician Services
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Potential for harm · D November 15, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · F November 15, 2024 · found via complaint
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 December 20, 2024 · Nutrition and Dietary
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Potential for harm · F November 15, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 20, 2024 · Infection Control
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Potential for harm · D August 30, 2023
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected October 16, 2023 · Resident Rights
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Potential for harm · D August 30, 2023
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected October 16, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 30, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 30, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected October 16, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 30, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 16, 2023 · Quality of Life and Care
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Potential for harm · E August 30, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 16, 2023 · Nutrition and Dietary
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Potential for harm · D August 30, 2023
Provide and implement an infection prevention and control program.
Corrected October 16, 2023 · Infection Control
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Potential for harm · D August 30, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected October 16, 2023 · Infection Control
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Potential for harm · D August 10, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected September 15, 2022 · Resident Rights
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Potential for harm · D August 10, 2022
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
Corrected September 15, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 10, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 15, 2022 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 17, 2025 | Fine | $14,950 |
| November 15, 2024 | Fine | $19,696 |
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
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 535040 · certified since January 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.