Shepherd of the Valley Rehabilitation and Wellness, Casper, Wyoming
- 43
- Citations from health inspectionsWyoming average: 21 a home
- 8
- Residents harmed or put in dangerWyoming average: 2.0 a home
- $97,031
- Fines from the federal governmentWyoming average: $28,128 a home
- 1 out of 5
- Overall rating in starsWyoming average: 2.9
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
12 inspection visits produced 43 citations. Residents were in immediate danger in one finding. Residents were found hurt in seven cases. Federal fines came to $97,031 (five fines).
A candidate for Special Focus. For its list of nursing homes with past poor inspection results, CMS has named this home a candidate.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 3 out of 5
- Rating for quality of care
- 2 out of 5
- Nurse time for each resident
- 3.26 hours each dayThe Wyoming average is 3.87 hours
- Time from registered nurses
- 0.62 hours each dayThe Wyoming average is 0.94 hours
- Nursing staff who left during one year
- 47.4%against the Wyoming average of 51.8%
- Beds that are certified
- 192
- Ownership
- Corporation (for profit)
- Chain
- Evergreen Healthcare Group, with 43 homes
- Street address
- 60 Magnolia St, Casper, Wyoming 82604
- County
- Natrona
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
12 citations dated July 30, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F755 Pharmacy Services: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F740 Behavioral Health Care and Services: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
- F677 Help With Daily Living: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F637 Reassess After a Major Change in Condition: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F628 Required Transfer Paperwork and Notices: risk of harm, no one found hurt, one or a few residents.
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
- F550 Dignity and Resident Rights: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Three citations dated March 13, 2026
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F689 Accident Hazards and Supervision: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Jan. 29, 2026
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated May 22, 2025
- F600 Freedom From Abuse and Neglect: residents were harmed, one or a few residents, found on a complaint visit.
Three citations dated March 20, 2025
- F686 Pressure Ulcer (Bedsore) Care: residents were harmed, one or a few residents, found on a complaint visit.
- F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
- F580 Telling the Family About a Change: residents were harmed, one or a few residents, found on a complaint visit.
Seven citations dated Oct. 31, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
- F842 Medical Records and Privacy: risk of harm, no one found hurt, a pattern, several residents.
- F761 Labeling and Locking Up Medicines: risk of harm, no one found hurt, a pattern, several residents.
- F758 Psychotropic Drugs and PRN Orders: risk of harm, no one found hurt, a pattern, several residents.
- F725 Enough Nursing Staff: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, a pattern, several residents.
- F676 Help Residents Keep Daily Living Abilities: risk of harm, no one found hurt, one or a few residents.
Two citations dated Sept. 10, 2024
One citation dated Aug. 15, 2024
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated March 22, 2024
- F684 Quality of Care: residents were harmed, one or a few residents, found on a complaint visit.
One citation dated Feb. 1, 2024
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
One citation dated Nov. 9, 2023
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
10 citations dated Aug. 10, 2023
- F919 Working Call System in Bathrooms: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, a pattern, several residents.
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F803 Menus That Meet Nutrition Needs: risk of harm, no one found hurt, one or a few residents.
- F695 Breathing and Oxygen Care: risk of harm, no one found hurt, one or a few residents.
- F689 Accident Hazards and Supervision: risk of harm, no one found hurt, one or a few residents.
- F688 Range of Motion and Mobility: risk of harm, no one found hurt, one or a few residents.
- F684 Quality of Care: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F554 Let Residents Take Own Medicines When Appropriate: risk of harm, no one found hurt, one or a few residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| March 13, 2026 | Fine | $26,685 |
| May 22, 2025 | Fine | $12,438 |
| March 20, 2025 | Fine | $15,857 |
| Aug. 15, 2024 | Fine | $7,718 |
| March 22, 2024 | Fine | $34,333 |
Ownership and Management of the Home
- The home is run by Couve Financial Services LLC (operational or managerial control).
- The home is run by Couve Healthcare Consulting LLC (operational or managerial control).
- The home is run by Pacific Northwest Opco Management LLC (operational or managerial control).
- The home is run by Shepherd of the Valley SNF Operations, LLC (operational or managerial control).
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 535042. Other homes in Wyoming.