Mission At Castle Rock
Green River, Sweetwater County, Wyoming · CCN 535033 · Non-profit (Corporation) · part of Mission Health Services (7 facilities, chain average 3.4 stars)
CMS rates Mission At Castle Rock 5 of 5 overall as of August 2026. 59 certified beds, 51 residents a day on average. 12 citations on record from the current inspection cycles; no fines 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 | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★★ 5 of 5 |
| Quality: long-stay / short-stay | 4 / 5 of 5 |
Staffing
| Total nurse staffing | 3.35729 hours per resident per day |
|---|---|
| Registered nurses | 0.68857 hours per resident per day |
| Weekend total | 2.91203 hours per resident per day |
| Nursing staff turnover | 41.7% (registered nurses 27.3%) |
| Administrators who left | 0 |
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.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-04-02 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 |
D No actual harm, with potential for more than minimal harm; isolated | Past Non-Compliance 2025-04-02 |
| 2025-04-02 complaint survey |
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 2025-05-23 |
| 2024-01-19 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-16 |
| 2024-01-19 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-16 |
| 2024-01-19 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · tag F0700 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-16 |
| 2024-01-19 | 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 2024-02-16 |
| 2023-11-29 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 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-12-29 |
| 2022-10-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-12-01 |
| 2022-10-06 | Ensure that paid feeding assistants have the training they need. Nursing and Physician Services Deficiencies · tag F0948 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-01 |
| 2022-10-06 | 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 2022-12-01 |
| 2022-10-06 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-01 |
| 2022-10-06 | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · tag F0888 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-01 |
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.
| Name | Role | Share | Since |
|---|---|---|---|
| Mission Health Services Organization | 5% or greater direct ownership interest | 100% | 2014-05-01 |
| Mission Health Services Organization | adp of the snf | — | 2024-05-01 |
| Mission Health Services Organization | operational/managerial control | — | 2024-05-01 |
| Ellis, Ashley Individual | adp of the snf | — | 2021-06-01 |
| Hunter, Kurt Individual | adp of the snf | — | 2024-12-01 |
| Keller, Austin Individual | adp of the snf | — | 2024-08-21 |
| Wootton, Zachary Individual | adp of the snf | — | 2024-04-01 |
| Zimbelman, Michelle Individual | adp of the snf | — | 2016-03-01 |
| Anjewierden, Dirk Individual | corporate director | — | 2020-06-01 |
| Covey, Joseph Individual | corporate director | — | 2015-12-07 |
| Gessel, David Individual | corporate director | — | 2008-08-25 |
| Kelso, Gary Individual | corporate director | — | 2014-05-01 |
| Keele, Eddie Individual | corporate officer | — | 2023-04-01 |
| Keller, Austin Individual | corporate officer | — | 2024-08-21 |
| Wootton, Zachary Individual | corporate officer | — | 2024-04-01 |
| Zimbelman, Michelle Individual | corporate officer | — | 2016-03-01 |
| Keele, Eddie Individual | individual is an owner, partner or trustee of any adp of the snf | — | 2025-09-10 |
| Ellis, Ashley Individual | operational/managerial control | — | 2021-06-01 |
| Hunter, Kurt Individual | operational/managerial control | — | 2024-12-01 |
| Keele, Eddie Individual | operational/managerial control | — | 2023-04-01 |
| Keller, Austin Individual | operational/managerial control | — | 2024-08-21 |
| Wootton, Zachary Individual | operational/managerial control | — | 2024-04-01 |
| Zimbelman, Michelle Individual | operational/managerial control | — | 2016-03-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Mission At Castle Rock.
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 Sweetwater County.