Wind River Rehabilitation and Wellness

1002 Forest Dr · Riverton, WY · 82501 · 3078569471

81 certified beds For profit - Corporation Chain: Evergreen Healthcare Group

Why this verdict

  • 3 citations involved actual harm to residents.
  • Inspection results have improved across recent cycles.

Red flags

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.

62% 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 49
Serious harm & abuse 20% 72
Staffing 20% 62
Federal penalties 15% 55
Trend 10% 84
Context 5% 100

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: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.343.48 min · 4.1 strong
RN hours / resident-day0.700.55–0.75
Weekend hours / resident-day2.94≈ weekday level
Nursing turnover / year62%median 45%
Fines (3-yr window)2 · $37,772

Inspection citations (35 in the current record)

  • Potential for harm · D February 5, 2026 · found via complaint

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

    Corrected January 21, 2026 · Quality of Life and Care

  • Potential for harm · D February 5, 2026 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected February 6, 2026 · Infection Control

  • Potential for harm · D June 26, 2025

    Reasonably accommodate the needs and preferences of each resident.

    Corrected July 21, 2025 · Resident Rights

  • Potential for harm · E June 26, 2025

    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 July 21, 2025 · Resident Rights

  • Potential for harm · D June 26, 2025

    Provide activities to meet all resident's needs.

    Corrected July 21, 2025 · Quality of Life and Care

  • Potential for harm · D June 26, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 21, 2025 · Pharmacy Service

  • Potential for harm · E June 26, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 21, 2025 · Nutrition and Dietary

  • Potential for harm · D June 26, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 6, 2025 · Quality of Life and Care

  • Potential for harm · E June 26, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected July 21, 2025 · Infection Control

  • Potential for harm · D November 14, 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 December 11, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 14, 2024 · found via complaint

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

    Corrected December 11, 2024 · Quality of Life and Care

  • Potential for harm · D November 14, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected December 11, 2024 · Quality of Life and Care

  • Potential for harm · D November 14, 2024 · found via complaint

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected December 11, 2024 · Pharmacy Service

  • Actual harm · G March 14, 2024 · found via complaint

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

    Corrected April 19, 2024 · Quality of Life and Care

  • Actual harm · G March 14, 2024 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected April 19, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 19, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected April 19, 2024 · Quality of Life and Care

  • Potential for harm · F March 14, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected April 19, 2024 · Nutrition and Dietary

  • Potential for harm · D March 14, 2024 · found via complaint

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected April 19, 2024 · Resident Rights

  • Potential for harm · D March 14, 2024 · found via complaint

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected April 19, 2024 · Resident Rights

  • Potential for harm · E March 14, 2024 · found via complaint

    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 April 19, 2024 · Nutrition and Dietary

  • Potential for harm · D March 14, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected April 19, 2024 · Infection Control

  • Potential for harm · F March 14, 2024 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected April 19, 2024 · Environmental

  • Actual harm · G July 26, 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 August 19, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D December 8, 2022

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected January 15, 2023 · Resident Rights

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
March 14, 2024Fine$25,984
July 26, 2023Fine$11,788

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 535031 · certified since September 22, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.