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Nursing Home in Wyoming

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Morning Star Care Center

Nursing Home in Wyoming

CMS overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Morning Star Care Center

Fort Washakie, WY 82514 View map
Overview of Morning Star Care Center
Morning Star Care Center is a compassionate nursing home located in Fort Washakie, Wyoming. It offers a range of services including 24-hour nursing care, physical and occupational therapy, medication management, and nutritious meals. The center is dedicated to providing high-quality care and support to its residents.
(307) 332-6902

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
4/5
Wyoming average: 2.8/5
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
4/5
Wyoming average: 2.7/5
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
4/5
Wyoming average: 3.5/5
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
2/5
Wyoming average: 2.8/5

Nursing care per resident

Info This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
7h 32m per day

This home provides 63% more nursing time per resident than the Wyoming average.

Wyoming average: 4h 37m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 45

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Wyoming average
Occupancy rate 61.2%
Residents per day (avg) 28
Occupancy rate
61.2%
Residents per day (avg)
28

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

Might be optimal for
Long-term daily care Ongoing support needs

Breakdown by payment type

Medicare

25% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

25% of new residents, often for short stays.

Typical stay 23 days

Medicaid

50% of new residents, often for long-term daily care.

Typical stay 3 - 4 years

Finances and operations

Voluntary non-profit community
Home revenue
$5.9M
Surplus of revenue
$107.4K
Voluntary non-profit community
Home revenue
$5,906,738.00
Surplus of revenue
$107,424.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.1M
36% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$3.7M
Total costs $5.8M
Bed community size
45-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

Occupancy

Occupancy rate
61%
18% lower than Wyoming average

Wyoming average: 74%

Occupied beds
28 / 45
Average residents 54 per day

License details

Facility type
Nh
Status Active
County: Fremont

Additional licensing details

License number: 15142
CMS Certification Number: 535050

Ownership & operating entity

Morning Star Care Center is administrated by Kaeli Rivera.

Staffing

Key information about the people who lead and staff this community.

Leadership

Director of Nursing: Tiffany Hash

Care Services

Nursing Services
Rehabilitation Services
Respite Care
Licensed Nurses/CNAs
24-Hour Staffing

Contact Information

Fax: 307-332-4279

Programs & Activities

Specific Programs
Nursing Care, Rehabilitation, Respite Services, Hospice Services

Dining & Nutrition

Food Description
Delicious and nutritious meals are provided.
Contact Morning Star Care Center

Health Inspection History

Inspections
Total health inspections 4

Wyoming average 5.6


Last Health inspection on Apr 2025

Total health citations 16

Wyoming average 18.9

Citations per inspection
4

Wyoming average 3.4


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

14 of 16 citations resulted from standard inspections; and 2 of 16 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 0
100% better than Wyoming average

Wyoming average: 0.2


Serious Health citations More info 0
100% better than Wyoming average

Wyoming average: 1.8

0 critical citations More info Wyoming average: 0.2

0 serious citations More info Wyoming average: 1.8

16 moderate citations More info Wyoming average: 16.4

0 minor citations More info Wyoming average: 0.6
Citations history (last 3 years)
Care Planning moderate citation Info Issues related to creating and updating personalized care plans for residents based on their needs and conditions. Apr 10, 2025
Corrected

Quality of Care moderate citation Info Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs. Nov 05, 2024
Corrected

Resident Rights moderate citation Info Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care. Nov 05, 2024
Corrected

Infection Control moderate citation Info Issues related to preventing and controlling infections, including hygiene practices and safety protocols. Jan 25, 2024
Corrected

Compare Nursing Homes around Wyoming The information below is reported by the Wyoming Department of Health, Healthcare Licensing and Surveys.

5 facilities compared · CMS & WY Dept. of Health data · Updated Apr 2026

Filter by care type
Morning Star Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Fort Washakie
45
61.2%
-12%
7.54
+38%
+66%
1
16
4.0
0
28
-
Morning Star Care Center
$5.3M
$2.1M
40.1%
535050
Laramie Health and Rehabilitation
AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Laramie
105
52.9%
-24%
3.70
-61%
-18%
3
26
5.2
3
49
69
Stellar Laramie Management, Llc
$8.3M
$3.0M
35.9%
535043
North Big Horn Hospital District
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Douglas
60
78.2%
+13%
3.75
-30%
-17%
1
26
5.2
2
41
-
Health And Marketing West
$4.6M
$2.8M
59.6%
535040
Memorial Hospital of Sheridan County
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Sheridan
88
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
Rocky Mountain Care – Summit Ridge Assisted Living OC LLC
-
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

AL

Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.

Douglas
36
-
-
-
-
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-

Places of interest near Morning Star Care Center

Address 82.3 miles from city center

Address Fort Washakie, WY 82514

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Address

Staffing Data (Q2 2025)

This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.

Total staff 50
Employees 48
Contractors 2
Staff to resident ratio 1.72:1
8% better than Wyoming average

Wyoming average ratio: 1.60:1

Avg staff/day 22
Average shift 9.1 hours
8% better than Wyoming average

Wyoming average: 8.4 hours

Total staff hours (quarter) 18,213
Nursing staff breakdown
Registered Nurse

Manages medical care and health needs.

Total count 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.7 hours

No contractors work on this role.

Licensed Practical Nurse

Assists with medical care and medications.

Total count 2
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

Total count 28
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours

No contractors work on this role.

Contractor staffing

Total hours from contractors

2.5%

447 contractor hours this quarter

Speech Language Pathologist: 1 Licensed Practical Nurse: 1
Staff by category
Certified Nursing Assistant2802811,29691100%9.6
Registered Nurse100103,02691100%10.7
Administrator4041,2306571%7.5
Licensed Practical Nurse1129018088%9
Nurse Practitioner1015036571%7.7
Dietitian2024585459%7.8
Mental Health Service Worker1014446470%6.9
Speech Language Pathologist1123566066%5.6
28 Certified Nursing Assistant
% of Days 100%
10 Registered Nurse
% of Days 100%
4 Administrator
% of Days 71%
2 Licensed Practical Nurse
% of Days 88%
1 Nurse Practitioner
% of Days 71%
2 Dietitian
% of Days 59%
1 Mental Health Service Worker
% of Days 70%
2 Speech Language Pathologist
% of Days 66%

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
29 residents
Residents by payment source
Medicare
2 residents (6.9%)
Medicaid
24 residents (82.8%)
Private pay or other
3 residents (10.3%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 8.0
27% better than Wyoming average

Wyoming average: 10.9

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 6.2
70% better than Wyoming average

Wyoming average: 20.8

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.6%
42% better than Wyoming average

Wyoming average: 20.0%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 0.0%
100% better than Wyoming average

Wyoming average: 19.1%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 7.0%
70% better than Wyoming average

Wyoming average: 23.2%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.1%
38% better than Wyoming average

Wyoming average: 4.9%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 17.5%
253% worse than Wyoming average

Wyoming average: 5.0%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 13.4%
326% worse than Wyoming average

Wyoming average: 3.1%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.7%
18% worse than Wyoming average

Wyoming average: 6.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 4.3%
33% better than Wyoming average

Wyoming average: 6.4%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 19.0%
17% better than Wyoming average

Wyoming average: 22.7%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
In line with Wyoming average

Wyoming average: 94.1%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.0%
In line with Wyoming average

Wyoming average: 94.3%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 76.1%
In line with Wyoming average

Wyoming average: 74.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 18.5%
720% worse than Wyoming average

Wyoming average: 2.3%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $8K
80% lower than Wyoming average

Wyoming average: $40K

Number of fines 1
63% fewer fines than Wyoming average

Wyoming average: 2.7

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Wyoming average

Wyoming average: 0.2

Fines amount comparison
Fines amount comparison
This facility $8K
Wyoming average $40K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Nov 5, 2024
$8K

Last updated: Jan 2026

Guides for Better Senior Living

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Financial Aid for Wyoming Seniors

Get financial aid guidance

Community Choices Waiver

WY Medicaid CCW

Age 65+ or disabled, Wyoming resident, Medicaid-eligible, nursing home-level care need.

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Sparse population; rural access focus.

Wyoming Home Services

WY Home Services

Age 60+, Wyoming resident, at risk of nursing home.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; rural emphasis.

Older Americans Act (OAA) Services

Wyoming OAA Services

Age 60+, WY resident; no income/asset limits.

None; donations encouraged.

Not assessed.

Includes Meals on Wheels; serves ~10,000 annually; rural emphasis.

Medicare Savings Program (MSP)

Wyoming Medicare Savings Program

Age 65+ or disabled, WY resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Energy Assistance Program (LIEAP)

Wyoming LIEAP

Age 60+ prioritized, WY resident, low-income household.

~$3,970/month (185% FPL).

Not assessed.

Covers gas, electric, wood; emergency aid available; serves ~15,000 households.

Family Caregiver Support Program (FCSP)

Wyoming National Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; WY resident; 2+ ADLs.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed.

Covers Big Horn, Carbon, Converse, Fremont, Goshen, Hot Springs, Laramie, Natrona, Washakie; serves ~1,000 annually.

Senior Community Service Employment Program (SCSEP)

Wyoming SCSEP

Age 55+, unemployed, low-income, WY resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; serves Big Horn, Fremont, Natrona, Park, Washakie.

VA Aid and Attendance (A&A) and Housebound Benefits

Wyoming VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, WY resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High rural veteran use; supports care costs.

Property Tax Refund Program

Wyoming Property Tax Refund Program

Age 65+ or disabled, WY resident 5+ years, homeowner/renter, paid property taxes/rent.

~$22,500/year (individual in high-cost counties), ~$18,000 (low-cost); $36,000/$28,800 (couples).

Not assessed beyond income.

Refunds up to $900 (homeowners) or 50% rent paid; serves ~5,000 annually.

Senior Farmers’ Market Nutrition Program (SFMNP)

Wyoming SFMNP

Age 60+, WY resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$50/season); serves ~5,000 annually.

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