Weston County Health Services

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

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 58 beds and averages 51.9 residents a day — about 89% occupied, or roughly 6 beds typically open. It runs fairly full. 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the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026.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 3.81 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.59 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 3.45 hrs/resident/day on weekends vs 3.96 on weekdays — 13% thinner on weekends. RN hours go from 0.67 to 0.47 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 59% is well above the national median of 45%.

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.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

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.

18 citations, most serious first. The 11 most serious are shown; the remaining 7 are one tap away and print in full.

• Actual harm · Gcited before2025-12-11 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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, facility incident review, resident and staff interview, and policy and procedure review, the facility failed to protect the resident's right to be free from physical abuse by a resident for 1 of 6 sample residents (#50) reviewed for abuse. This failure resulted in actual physical harm to resident #50. The findings were:1. Review of the quarterly MDS assessment dated [DATE] showed resident #50 had a BIMS score of 5 out of 15, which indicated severe cognitive impairment, and diagnoses which included non-traumatic brain dysfunction, non-Alzheimer's dementia, and asthma. Further review showed the resident required substantial/maximal assistance from staff to move from sitting to lying, lying to sitting, sitting to standing, and chair/bed-to-chair transfer. The following concerns were identified:a. Interview with resident #50 on 12/9/25 at 9:52 AM revealed another resident had gotten upset with him/her and grabbed resident #50 around his/her neck and twisted.b. Review of a facility…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-03-31 · tag F0602 — failed to protect residents from theft of their belongings — isolated
  Protect each resident from the wrongful use of the resident's belongings or money.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY This requirement was not met as evidenced by:Based on observation, resident trust account review, Amazon order review, medical record review and staff and resident representative interview, the facility failed to protect residents from misappropriation of resident property for 1 of 3 sampled residents (#2) reviewed for misappropriation of property. The findings were: 1. Review of the 1/14/25 quarterly MDS assessment showed resident #2 had a BIMS score of 3 out of 15, which indicated severe cognitive impairment, and diagnoses which included dementia, non-traumatic brain dysfunction, and meniere's disease. Further review showed the facility managed the resident's funds through a trust account. Attempts to interview the resident were unsuccessful due to cognitive debilities. The following concerns were identified:a. Review of the document titled Business Order Information provided by the NHA on 3/30/26 at 4:30 PM showed an Amazon order was placed for resident #2 on 2/10/25 which included 3 Meta [NAME] virtual…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-12-11 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  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 resident, resident representative, and staff interview, grievance log review, call light log review, and policy and procedure review, the facility failed to ensure sufficient nursing staff was provided to ensure the highest practicable physical, mental and psychological well-being of 3 of 4 units (Four Corners, [NAME] Creek, Unit 6) reviewed for staffing. The findings were: 1. Review of the quarterly MDS assessment dated [DATE] showed resident #36 had a BIMS score of 15 out of 15, which indicated the resident was cognitively intact, and had diagnoses which included left foot drop, lumbago with sciatica, major depressive disorder, and pneumonia. Further review showed the resident was dependent for toilet transfers. The following concerns were identified: a. Interview with the resident on 12/9/25 at 8:27 AM revealed s/he had to wait a long time for the call light to be answered, and meal times were a longer wait time. b. Interview with the resident's representative on 12/9/25 at 11:31 AM revealed 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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-07-11 · tag F0837 — widespread
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, QAPI minutes review, and staff interview, the facility failed to ensure a qualified administrator was able to manage the facility and report to the governing body. The census was 38. The findings were: 1. Observation on 7/10/24 at 9:45 AM of the current open positions showed the nursing home administrator position was included. Further, observations throughout the survey showed no administrator was in the facility. 2. Review of the 5/9/24 and 6/13/24 QAPI committee attendance sign in sheet showed the administrator was not present. 3. Interview with the CEO on 7/8/24 at 1:20 PM revealed the administrator was put on leave. Further, she stated the facility did not have a delegated administrator, and it was a problem and it was something the facility was working on. 4. Interview with the DON on 7/10/24 at 10:09 AM revealed the administrator had been on leave for the last 3 months. 5. Interview with the administrator on leave on 7/10/24 at 3:12 PM revealed the former CEO put her on leave on 4/23/24 and she was told not to enter the building. She stated it was…

  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
• Potential for harm · F2024-07-11 · 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 — the official record, unedited, may be distressing

  Based on staff interview and review of the Payroll Based Journal (PBJ), the facility failed to ensure the mandatory submission of staffing was submitted to CMS for 1 of 4 quarters reviewed (10/1/23 through 12/31/23). The census was 38. The findings were: 1. Interview with the DON on 7/10/24 at 4:32 PM revealed the staffing was not submitted for the 10/1/23 through 12/31/24 quarter. She stated the data did not get submitted in time so it was missed. 2. Review of the PBJ for 10/1/23 through 12/31/23 showed the facility failed to submit data for the quarter.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-07-11 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, QAPI minutes review, job posting review, and staff interview, the facility failed to ensure the QAPI committee included a qualified administrator who attended meetings. The census was 38. The findings were: 1. Observation on 7/10/24 at 9:45 AM of the current open positions showed the nursing home administrator position was included. Further, observations throughout the survey showed no administrator was in the facility. 2. Review of the 5/9/24 and 6/13/24 QA committee attendance sign in sheet showed the administrator was not present. 3. Interview with the CEO on 7/8/24 at 1:20 PM revealed the administrator was put on leave. Further, she stated the facility did not have a delegated administrator, and it was a problem and it was something the facility was working on. 4. Interview with the DON on 7/10/24 at 10:09 AM revealed the administrator had been on leave for the last 3 months. Further interview with the DON on 7/11/24 at 11:29 AM revealed the facility met monthly for QAPI, with all attendees, for facility improvement and to increase communication. 5.…

  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
• Potential for harm · D2024-07-11 · tag F0880 — failed to prevent and control infections — isolated
  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, staff interview, and policy review the facility failed to ensure clean dressing changes were kept clean for 1 of 1 wound care observation (resident #8). The findings were: 1. Observation on 7/9/24 at 10:12 AM of resident #8 wound care with LPN #1 and LPN #2 showed they performed hand hygiene, and donned gloves and gowns. LPN #2 then closed the curtains, turned on the lights, pulled the supplies out of the storage bag, and opened the dressing packages, and dated the dressing. She then moved the extra gloves twice. The nurses turned the resident to his/her side. LPN #2 removed the old dressing, and cleaned the wound. She then doffed her gloves and donned the gloves she had moved earlier, without performing hand hygiene. 2. Interview with the LPN #2 on 7/9/24 at 10:28 AM revealed the procedure performed was her normal routine when doing a dressing change. She stated she should have used hand sanitizer between dirty and clean. 3. Interview with DON on 7/9/24 at 2:22 PM revealed it is the facility's expectation for staff to do hand hygiene, put on gloves, and…

  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 · E2023-04-13 · tag F0680 — pattern
  Ensure the activities program is directed by a qualified professional.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation and staff interview the facility failed to to ensure the activities program was directed by a qualified professional. The census was 39. The findings were: 1. Random observations from 4/10/23 to 4/13/23 in the solarium and activities room showed residents participating in various activities. 2. Interview on 4/10/23 at 3:39 PM with the activities director revealed she had not completed the special training needed to coordinate the program. 3. Interview on 4/12/23 at 10:16 AM with the human resources director confirmed the activities director had not completed the training required to coordinate the activities program.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-04-13 · tag F0727 — failed to provide required RN coverage — pattern
  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.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on staff interview, review of staff schedules, and review of the Staffing Data Submission Payroll Based Journal (PBJ) report, the facility failed to ensure an RN worked at least 8 consecutive hours within each 24 hour period, 7 days a week. The census was 39. The findings were: 1. Review of the PBJ report showed no RN coverage for 8 consecutive hours in a 24 hour period for the following 12 days: 5/14/22 and 5/15/22, 6/5/22, 6/11/22 and 6/16/22, 8/6/22 and 8/7/22, 10/1/22 and 10/2/22, 11/13/22, 12/10/22 and 12/11/22. Further review of the facility staff schedules showed no RN coverage for the following 8 days: 10/30/22, 11/11/22, 11/27/22, 1/8/23, 2/4/23, 2/5/23, 2/17/23 and 2/18/23. 2. Interview with the DON on 4/13/23 at 2:34 PM revealed s/he could not recall the facility having a day without an RN present in the building; however, due to a new scheduling program she was unable to provide evidence RN staffing requirements were met.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2023-04-13 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  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 review of the facility investigation report, staff and resident representative interview, review of policy and procedure, review of facility training documentation, and State Survey Agency incident report review, the facility failed to protect the residents right to be free from physical abuse by staff for 1 of 1 sample residents (#23) reviewed for abuse allegations. The findings were: 1. Review of the 2/7/23 quarterly MDS assessment showed resident #23 had a staff assessment which determined the resident was severely cognitively impaired. The resident exhibited physical behavioral symptoms directed toward others; behavioral symptoms not directed toward others; and rejection of care 4 to 6 days of the 7-day look-back period. In addition, the resident exhibited verbal behavioral symptoms directed toward others 1 to 3 days of the look-back period. Review of State Survey Agency incident reports showed an allegation of abuse was reported by the facility on 4/3/23 at 9:33 AM. The following concerns 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-04-13 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility policies, the review of State Survey Agency incident report logs, and staff interview, the facility failed to develop and/or implement policies and procedures for ensuring the reporting of a reasonable suspicion of a crime in accordance with Section 1150B of the Act for 1 of 1 allegations of abuse reviewed. The findings were: 1. Review of the facility's policy Abuse/Neglect Policy, last reviewed 9/2022 showed .a. Employees must always report any abuse or suspicion of abuse immediately to the Administrator or designee .Each covered individual shall report to the State Agency and one or more law enforcement entities for the political subdivision in which the facility is located, any reasonable suspicion of a crime against any individual who is a resident of or is receiving care from, the facility, and each covered individual shall report immediately, but not more than 2 hours after forming the suspicion . Review of the State Survey Agency incident report logs showed an allegation of abuse was reported by the facility on 4/3/23 at 9:33 AM. The following…

  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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 16 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

What families pay in WY