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C
Below Standard

Shepherd of the Valley Rehabilitation and Wellness

60 Magnolia St · Casper, WY 82604

3072349381 · For profit - Corporation

192 beds162.8 residents200 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Shepherd of the Valley Rehabilitation and Wellness receives an overall staffing grade of C (Below Standard). With 3.1685 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6251 HPRD, below the recommended 0.75. It is 0.73 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 24.59% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1685 HPRD — needs 0.31 more hours per resident per day.
⚠️RN staffing (0.6251 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1685hrs/resident/day▼ 0.73
CMS benchmark: 3.48
RN HPRD
0.6251hrs/resident/day▼ 0.06
Recommended: 0.75
Weekend Drop-off
24.59%
3.4052 weekday → 2.5679 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.6449hrs/resident/day
Direct care aides
LPN HPRD
0.3645hrs/resident/day
Licensed practical nurses
Consistency
0.474std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Natrona County Average-0.25 HPRD
3.42
03.17 HPRD
vs. Wyoming State Average-0.70 HPRD
3.87
03.17 HPRD
vs. National Average-0.73 HPRD
3.90
03.17 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Shepherd of the Valley Rehabilitation and Wellness ★
Casper · This facility
—
C
3.16850.6251★☆☆☆☆
Life Care Center of Casper
Casper
3.1 mi
B
4.08351.1867★★★★☆
Casper Mountain Rehabilitation and Care Center
Casper
3.1 mi
C
3.00030.6051★☆☆☆☆
Summit Ridge Skilled Nursing & Rehabilitation
Douglas
52.3 mi
D
2.52290.7422★☆☆☆☆
dba/Rawlins Rehabilitation and Wellness
Rawlins
83.1 mi
B
3.74051.0302★★★☆☆
Platte County Legacy Home
Wheatland
89.7 mi
C
3.39470.85★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

11
Inspections
37
Total Deficiencies
$85,233
Fines Assessed
May 22, 2025Health
1 deficiency cited· Includes actual harm
▼
Mar 20, 2025Health
3 deficiencies cited· Includes actual harm
▼
Oct 31, 2024Health
7 deficiencies cited
▼
Sep 10, 2024Health
2 deficiencies cited· Includes actual harm
▼
Aug 15, 2024Health
1 deficiency cited
▼
Mar 22, 2024Health
1 deficiency cited· Includes actual harm
▼
Feb 1, 2024Health
1 deficiency cited
▼
Nov 9, 2023Health
1 deficiency cited
▼
Aug 10, 2023Health
10 deficiencies cited
▼
May 18, 2023Health
2 deficiencies cited· Includes actual harm
▼
Aug 31, 2022Health
8 deficiencies cited
▼

Penalty History

May 22, 2025Fine
$19,135
Mar 20, 2025Fine
$15,857
Aug 15, 2024Fine
$7,718
Mar 22, 2024Fine
$34,333
May 18, 2023Fine
$8,190
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.