Skilled nursing · Pinedale, WY

Heritage Home

550 Fremont Lake Road, Pinedale, WY 82941

50 bedsGovernment - Hospital district
2.0Clarity
Score history
Aug 20262.0 flagged
Jul 20262.0 flagged
Jun 20262.0 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 27 Jul 2026

The record on Heritage Home cuts both ways. On one side, nurses here log 1.7 times the national average of registered-nurse time with each resident. On the other, 98% of the nursing staff leaves each year, and inspectors levied $9,718 in federal fines over the last 36 months. The sections below show exactly where each number comes from — read them before you tour.

palmelle

Written by Palmelle from federal and state records. Last updated 27 Jul 2026. Not paid for or edited by the facility.

In their own words

No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.

The record

CMS Care Compare · Jun 2026
Federal ratings
Overall★★★☆☆ 3 of 5
Health inspection★★★☆☆ 3 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★☆ 4 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
1 hr 21 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
4 hr 54 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
97.9%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
36.7%
National
14%

On sedatives / sleep medicationlower is better

This home
22.9%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
7.2%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$9,718 · 1 penalty
Abuse iconNone
Conflict flags in latest reconcile7

WY does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Warehouse warning signs — read the findings below before touring.

  • A sedation pattern. Antipsychotic use (37%) and sleep-medication use (23%) are BOTH far above national norms — the pattern associated with medicating residents instead of staffing for them.
  • The falls number is the outlier: 4× the national rate. 7.2% of long-stay residents had a fall with major injury vs 1.6% nationally. High staffing makes this surprising, which is exactly why it needs asking about: one bad cluster, a reporting artifact, or a real problem.
  • $9,718 in federal fines. 1 penalty in the last 36 months — the citation detail is in the record above.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for Heritage Home?
Heritage Home has an overall CMS Care Compare rating of 3 out of 5 stars.
Has Heritage Home been cited for resident harm?
Heritage Home has $9,718 in federal fines across 1 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.