Nursing Care Index

Thermopolis Rehabilitation And Wellness

Thermopolis, Hot Springs County, Wyoming · CCN 535051 · For-profit (LLC) · part of Evergreen Healthcare Group (44 facilities, chain average 2.5 stars)

CMS rates Thermopolis Rehabilitation And Wellness 3 of 5 overall as of August 2026. 60 certified beds, 39 residents a day on average. 16 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $27,072.

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★★★☆☆ 3 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / 4 of 5

Staffing

Total nurse staffing3.52052 hours per resident per day
Registered nurses0.61326 hours per resident per day
Weekend total3.29333 hours per resident per day
Nursing staff turnover73.2% (registered nurses 66.7%)
Administrators who left0

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
2026-02-26
complaint survey
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
2026-03-12
2025-11-20 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-11-28
2025-11-20 Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · tag F0760
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-11-28
2025-11-20 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
2025-11-28
2025-10-23
complaint survey
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · tag F0580
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-10-25
2025-10-23
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-10-25
2025-07-07
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-09
2025-07-07
complaint survey
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Administration Deficiencies · tag F0776
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-09
2024-06-27 Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · tag F0883
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-07-31
2024-03-06
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
K Immediate jeopardy to resident health or safety; pattern Deficient, Provider has date of correction
2024-04-01
2024-03-06
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
2024-04-01
2023-08-22
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
2023-09-13
2023-04-20 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
2023-05-31
2023-04-20 Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0691
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-31
2023-04-20 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
2023-05-31
2023-04-20 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
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-05-31

Fines and payment denials

DatePenaltyAmount
2024-03-06Fine$17,761
2023-08-22Fine$9,311

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
Couve Financial Services LLC
Organization
adp of the snf2025-10-30
Couve Healthcare Consulting LLC
Organization
adp of the snf2025-10-30
Pacific Northwest Opco Management LLC
Organization
adp of the snf2025-10-15
Thermopolis Snf Operations, LLC
Organization
adp of the snf2025-10-30
Thermopolis Snf Realty LLC
Organization
adp of the snf2025-10-15
Couve Financial Services LLC
Organization
operational/managerial control2025-09-30
Couve Healthcare Consulting LLC
Organization
operational/managerial control2025-09-30
Pacific Northwest Opco Management LLC
Organization
operational/managerial control2025-09-30
Thermopolis Snf Operations, LLC
Organization
operational/managerial control2025-09-30
Connell, Eric
Individual
adp of the snf2025-09-30
Spielman, Shimon
Individual
adp of the snf2025-09-30
Stannard, Andrea
Individual
adp of the snf2025-09-30
Weyer, Jason
Individual
adp of the snf2025-09-30
Yenowitz, Yitzchok
Individual
adp of the snf2025-09-30
Morrison, Robert
Individual
corporate director2025-09-30
Simmons, Benjamin
Individual
corporate director2025-09-30
Winterholler, David
Individual
corporate director2025-09-30
Connell, Eric
Individual
corporate officer2025-09-30
Spielman, Shimon
Individual
operational/managerial control2025-09-30
Stannard, Andrea
Individual
operational/managerial control2025-09-30
Weyer, Jason
Individual
operational/managerial control2025-09-30
Yenowitz, Yitzchok
Individual
operational/managerial control2025-09-30

What changed

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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 Hot Springs County.