Skilled nursing · Casper, WY

Shepherd of the Valley Rehabilitation and Wellness

60 Magnolia St, Casper, WY 82604

192 bedsFor profit - Corporation
0.0Clarity
Score history
Aug 20260.0 flagged
Jul 20260.0 flagged
Jun 20260.0 flagged

Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 27 Jul 2026

Read this record before you tour: CMS rates it 1 out of 5 stars overall and 1 for the health inspection that drives it, inspectors levied $97,031 in federal fines over the last 36 months, and antipsychotic use runs 2.4 times the national median. Every number below prints the same way for every facility, good or bad — these are the ones to ask about.

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★☆☆☆☆ 1 of 5
Health inspection★☆☆☆☆ 1 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★☆☆☆ 2 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
36 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
3 hr 19 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
49.3%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
33.5%
National
14%

On sedatives / sleep medicationlower is better

This home
17%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
6.9%
National
1.6%

Physically restrainedlower is better

This home
0%
National
1.1%
Penalties & citations · last 36 months
Federal fines$97,031 · 5 penalties
Abuse iconNone
Conflict flags in latest reconcile4

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

Mixed — worth touring with these questions in hand.

  • Antipsychotic use runs high. 34% of long-stay residents are on antipsychotics against a 14% national median — ask what share have a qualifying diagnosis.
  • The falls number is the outlier: 4× the national rate. 6.9% of long-stay residents had a fall with major injury vs 1.6% nationally. Combined with the staffing picture, ask hard questions: one bad cluster, a reporting artifact, or a real problem.
  • $97,031 in federal fines. 5 penalties 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 Shepherd of the Valley Rehabilitation and Wellness?
Shepherd of the Valley Rehabilitation and Wellness has an overall CMS Care Compare rating of 1 out of 5 stars.
Has Shepherd of the Valley Rehabilitation and Wellness been cited for resident harm?
Shepherd of the Valley Rehabilitation and Wellness has $97,031 in federal fines across 5 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.