Amie Holt Care Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 50 beds and averages 39.0 residents a day — about 78% occupied, or roughly 11 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.97 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.78 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 3.30 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 4.20 hrs/resident/day on weekends vs 5.28 on weekdays — 21% thinner on weekends — a notable drop. RN hours go from 0.89 to 0.53 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 41% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Potential for harm · E2025-04-24 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident and staff interview, and policy and procedure review, the facility failed to ensure infection prevention practices were implemented during meal delivery during 2 of 3 meal observations in the main dining room. The census was 32. The findings were: 1. Observation on 4/22/25 from 4:48 PM showed dietary aide #1 was taking orders for the evening meal using a pen and pad of paper. After obtaining the orders the dietary aide returned to the kitchen and obtained milk, coffee, and hot water, and served the beverages to residents with her fingers touching the rims of the cups. Further observation showed the dietary aide continued to serve beverages to residents in the same manner without performing hand hygiene. 2. Interview on 4/22/25 at 10:55 AM during resident council with resident # 20 revealed staff handled the cups at the top when they served beverages at meals. 3. Observation on 4/23/25 at 12:33 PM showed CNA #1 carried a beverage cup to a resident with her palm covering the top of the cup and fingers wrapped around the sides of the cup. Further…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-02-29 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff interview, review of the dishwasher and refrigerator/freezer temperature log sheets, manufacturer's instructions, hot and cold food temperature logs, policy and procedures, and the 2022 FDA Food Code, the facility failed to ensure a sanitary environment in 1 of 1 kitchen and failed to ensure temperatures were monitored for 5 of 5 refrigerator/freezers which stored food for resident use outside of the kitchen (downstairs pantry, upstairs pantry, 100 hallway, 200 hallway, and 400 hallway). The census was 28. The findings were: Related to temperature monitoring of food storage units: 1. Review of the December 2023, the January 2024, and February 2024 temperature monitoring log sheets for food storage areas outside of the kitchen showed the following concerns: a. Review of the downstairs pantry refrigerator/freezer log sheets showed the temperature of the refrigerator/freezer was to be checked by the evening shift CNA daily. The facility was unable to locate the December log sheet. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2024-02-29 · tag F0583 — failed to protect personal privacy — pattern
  Keep residents' personal and medical records private and confidential.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and policy and procedure review, the facility failed to ensure residents' private health information was protected for 3 out of 16 (#11, #19, #26) resident rooms observed and during multiple random observations of the medication cart. The census was 28. The findings were: 1. Random observation on 2/26/24 from 4 PM to 6 PM showed LPN #1 left the medication cart unattended (not in the vicinity) several times with private medical information observable on the computer screen (EMR) which included the resident's name, medication, medication dose, and administration time, and was visible for unauthorized people to read. Staff from different departments, visitors, and other residents were noted to pass by the medication cart during this timeframe. 2. Observation on 2/27/24 at 8:03 AM showed LPN #2 left the medication cart with the EMR visible and unsecured in the dining room. 3. Observation on 2/28/24 at 9:21 AM showed LPN #1 had left the medication cart unsecured with visible EMR in the intersection of the 100 and 200 hallways. 4. Observation on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-29 · tag F0578 — failed to honor advance directives / code status — isolated
  Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on medical record review and staff interview, the facility failed to ensure an advanced directive was formulated for 1 of 16 residents (#25) reviewed. The findings were: 1. Review of the electronic medical record (EMR) showed resident #25 was listed as do not resuscitate (DNR). Further review of the medical record showed no evidence of an advanced directive signed by the resident or the resident's representative. 2. Interview on 2/27/24 at 2:21 PM with the NHA and the RAC confirmed the facility did not have a record of the DNR status of the resident.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-29 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, review of temperature log sheets, staff interview, and manufacturer's instructions, the facility failed to ensure the temperature of 1 of 1 medication storage refrigerator was monitored. The findings were: 1. Observation on 2/28/24 at 10:25 AM of the medication storage room showed a GE refrigerator contained medications for resident use which included Ozempic (a diabetic medication) and eye drops. The follow concerns were identified: a. Review of the temperature monitoring logs from 2/24/24 to 2/28/24 showed the facility failed to record the temperature of the medication storage refrigerator. b. Observation on 2/28/24 at 10:25 AM showed the thermometer inside the refrigerator read 32 degrees Fahrenheit. 2. Interview on 2/28/24 at 4:11 PM with the RAC revealed it was the facility's expectation the temperature of the medication storage refrigerator be monitored every shift and be recorded. 3. Review of the Temperature Ranges For GE Refrigerators with no date, provided by the facility on 2/29/24 at 12:38 PM showed The temperature ranges available .can vary…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2024-02-29 · tag F0883 — failed to offer flu and pneumonia vaccines — isolated
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of facility policies and CDC immunization recommendations, the facility failed to ensure residents were offered pneumococcal immunizations based on CDC recommendations for 2 of 5 sample residents (#7, #20) reviewed for immunizations. The findings were: 1. Review of the medical record showed resident #7 was [AGE] years old. Further review showed the resident received the pneumococcal 13 valent conjugate (PCV13) on 2/1/18. There was no evidence the resident was offered a pneumococcal immunization since the last administration in 2018. 2. Review of the medical record showed resident #20 was [AGE] years old. Further review showed the resident received the PCV13 on 10/28/14. There was no evidence the resident was offered a pneumococcal immunization since the last administration in 2014. 3. Interview with the NHA on 2/28/24 at 5:53 PM revealed the facility followed CDC recommendations for immunizations and confirmed there was no evidence resident #7 or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• No harm found · C2025-04-24 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on payroll-based journal (PBJ) staffing data report review, facility time clock records review, staff interview, and policy and procedure review, the facility failed to submit to CMS complete and accurate direct staffing information for 28 days out of a 10-month period (March 1, 2024 through December 31, 2024). The findings were: 1. Review of PBJ staffing data report for quarter 4 of fiscal year 2024 and quarter 1 of fiscal year 2025 showed the facility failed to ensure eight consecutive RN hours for 10 days, 8/18, 8/25, 9/1, 9/25, 9/28, 9/29, 10/5, 10/12, 10/20 and 10/26. Further review of the PBJ staffing data report showed the facility failed to have licensed nursing coverage 24 hours per day on 8/18, 8/24, 8/25, 8/31, 9/1, 9/2, 9/7, 9/8, 9/14, 9/15, 9/21, 9/22, 9/23, 9/24, 9/25, 9/27, 9/28, 9/29, 9/30, 10/1, 10/2, 10/5, 10/6, 10/12, 10/13, 10/19, 10/20 and 10/26. 2. Review of facility time clock records showed the facility did have at least eight consecutive RN hours and did have licensed nursing coverage 24 hours per day on the above-referenced dates; however, they were…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in WY