Nursing Care Index

Weston County Health Services

Newcastle, Weston County, Wyoming · CCN 535023 · Non-profit (Corporation) · not part of a chain

CMS rates Weston County Health Services 2 of 5 overall as of August 2026. 58 certified beds, 52 residents a day on average. 18 citations on record from the current inspection cycles, 1 involving actual harm; no fines on record.

On record

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★☆☆☆ 2 of 5
Quality: long-stay / short-stay2 / — of 5

Staffing

Total nurse staffing3.8124 hours per resident per day
Registered nurses0.61033 hours per resident per day
Weekend total3.45429 hours per resident per day
Nursing staff turnover58.9% (registered nurses 33.3%)

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-31
complaint survey
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-05-26
2025-12-11
complaint survey
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-01-05
2025-12-11
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2026-01-05
2024-07-11 Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies · tag F0837
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-08-25
2024-07-11 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · tag F0851
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-08-25
2024-07-11 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · tag F0868
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-08-25
2024-07-11 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-08-25
2023-04-13 Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · tag F0680
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-05-01
2023-04-13 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · tag F0727
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2023-05-01
2023-04-13 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-01
2023-04-13 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-01
2023-04-13 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · tag F0623
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-01
2023-04-13 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-01
2023-04-13 Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · tag F0740
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-01
2023-04-13 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-01
2023-04-13 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · tag F0758
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-01
2023-04-13 Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies · tag F0888
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2023-05-01
2022-03-10 Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · tag F0553
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2022-03-31

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Weston County Hospital District
Organization
5% or greater direct ownership interest100%1966-01-01
Drost, Kari
Individual
adp of the snf2022-05-03
Haeberle, John
Individual
adp of the snf2025-01-01
Maiellano, Paul
Individual
adp of the snf2025-11-17
Ryan, Patricia
Individual
adp of the snf2026-05-11
Scharf, Kimberly
Individual
adp of the snf2026-01-01
Drost, Kari
Individual
corporate officer2022-05-03
Maiellano, Paul
Individual
corporate officer2025-11-17
Ryan, Patricia
Individual
corporate officer2026-05-11
Drost, Kari
Individual
indirect ownership interest2022-05-03
Maiellano, Paul
Individual
indirect ownership interest2025-11-17
Ryan, Patricia
Individual
indirect ownership interest2026-05-11
Haeberle, John
Individual
operational/managerial control2025-01-01
Ryan, Patricia
Individual
operational/managerial control2026-05-11
Scharf, Kimberly
Individual
operational/managerial control2026-01-01
Drost, Kari
Individual
trustee of the snf2022-05-03

What changed

Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Weston County.