Goshen Healthcare Community
2009 Laramie St, Torrington, WY 82240 · Goshen County · 103 certified beds · avg 78 residents/day · certified since Jul 1, 2017
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Jan 26, 2023 · F-0689
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Feb 28, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (25)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Oct 2, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Jul 24, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 24, 2025 | E · Potential for harm, repeated | The facility did not have a working program to monitor how antibiotics are used. Tracking antibiotic use helps make sure these drugs are given only when needed and remain effective. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay). |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jul 24, 2025 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Jun 17, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Feb 4, 2025 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Feb 4, 2025 | D · Potential for harm, one-off | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · from a complaint |
| Feb 4, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Apr 18, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 18, 2024 | E · Potential for harm, repeated | The facility did not verify that its nurse aides had completed their required training, or did not retrain aides who had been out of nurse aide work for 2 years. |
| Apr 18, 2024 | E · Potential for harm, repeated | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Apr 18, 2024 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 23, 2024 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · from a complaint |
| Jan 23, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Dec 13, 2023 | D · Potential for harm, one-off | The facility did not educate residents and staff about COVID-19 vaccination, offer the vaccine to those eligible after that education, or properly document everyone's vaccination status. · from a complaint |
| Sep 20, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · from a complaint |
| Sep 20, 2023 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · from a complaint |
| Jan 26, 2023 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Jan 26, 2023 | E · Potential for harm, repeated | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Jan 26, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 26, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 7 | 1 | G ▲ |
| 2024 | 8 | 0 | F |
| 2025 | 10 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $29,617, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Jul 24, 2025 | Payment Denial | 53 days from Oct 24, 2025 |
| Apr 18, 2024 | Fine | $29,617 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Wyoming avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.60 | 4.47 | 3.95 | bottom 23% in Wyoming; bottom 42% in the U.S. |
| Registered Nurse hours | 0.56 | 1.09 | 0.69 | bottom 6% in Wyoming; bottom 46% in the U.S. |
| Weekend total nurse staffing | 3.32 | 3.89 | 3.50 | bottom 31% in Wyoming; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.65 | 0.48 | bottom 14% in Wyoming; bottom 35% in the U.S. |
| Total nursing staff turnover (%) | 45.8 | 51.8 | 45.8 | top 40% in Wyoming; bottom 48% in the U.S. |
| RN turnover (%) | 71.4 | 44.1 | 42.9 | bottom 14% in Wyoming; bottom 11% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.05, RN 0.47, weekend 2.81. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Contris, Paul | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2019 |
| Vetras Healthcare LLC | Organization | 5% or Greater Direct Ownership Interest | 99% | 01/18/2019 |
| Vetras, INC. | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2019 |
| Bowers, Amy | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2019 |
| Bruno, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/04/2025 |
| Burry, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/11/2025 |
| Burry, Kimberly | Individual | ADP of the SNF | NOT APPLICABLE | 04/11/2025 |
| Contris, Paul | Individual | Corporate Officer | NOT APPLICABLE | 01/18/2019 |
| Contris, Paul | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/18/2019 |
| Evert, Misty | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/02/2025 |
| Kattaneh, Breezy | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/18/2024 |
| Mathson, Jennifer | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2019 |
| Matlock, Gregory | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/02/2024 |
| Murray, Paula | Individual | Corporate Officer | NOT APPLICABLE | 06/01/2022 |
| Murray, Paula | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2022 |
| Schultz, Mackayleigh | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/16/2025 |
| Smith, Marion | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2024 |
| Smith, Marion | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2019 |
| Vetras Healthcare LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2019 |
| Vetras Healthcare LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who oversees antibiotic use here, and how do you decide when an antibiotic is really needed?"
- "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
No other Medicare-certified nursing homes within 20 miles in the current records.
All facilities in Torrington →
Facility data as of CMS processing date 2026-08-01. CCN 535057.