Mission at Castle Rock
1445 Uinta Dr, Green River, WY 82935 · Sweetwater County · 59 certified beds · avg 51 residents/day · certified since Jan 3, 1989
Part of chain: MISSION HEALTH SERVICES (7 facilities, chain avg rating 3.4★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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.
All citations in the current public record (12)
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 |
|---|---|---|
| Apr 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 |
| Apr 2, 2025 | 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. · from a complaint |
| Jan 19, 2024 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Jan 19, 2024 | D · Potential for harm, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. |
| Nov 29, 2023 | 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 |
| Oct 6, 2022 | 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. |
| Oct 6, 2022 | E · Potential for harm, repeated | The facility did not make sure that paid feeding assistants — staff hired to help residents eat and drink — had the training they need. |
| Oct 6, 2022 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Oct 6, 2022 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Oct 6, 2022 | D · Potential for harm, one-off | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | F |
| 2023 | 1 | 0 | D |
| 2024 | 4 | 0 | E |
| 2025 | 2 | 0 | D |
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)
No fines or payment denials in the published 3-year window.
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) | 3.57 | 4.47 | 3.95 | bottom 17% in Wyoming; bottom 40% in the U.S. |
| Registered Nurse hours | 0.73 | 1.09 | 0.69 | bottom 23% in Wyoming; top 33% in the U.S. |
| Weekend total nurse staffing | 3.10 | 3.89 | 3.50 | bottom 17% in Wyoming; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.65 | 0.48 | bottom 17% in Wyoming; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 41.7 | 51.8 | 45.8 | top 27% in Wyoming; top 41% in the U.S. |
| RN turnover (%) | 27.3 | 44.1 | 42.9 | top 21% in Wyoming; top 24% 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 3.36, RN 0.69, weekend 2.91. Staffing rating: 4/5.
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: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Mission Health Services | Organization | 5% or Greater Direct Ownership Interest | 100% | 05/01/2014 |
| Anjewierden, Dirk | Individual | Corporate Director | NOT APPLICABLE | 06/01/2020 |
| Covey, Joseph | Individual | Corporate Director | NOT APPLICABLE | 12/07/2015 |
| Ellis, Ashley | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/01/2021 |
| Ellis, Ashley | Individual | ADP of the SNF | NOT APPLICABLE | 06/01/2021 |
| Gessel, David | Individual | Corporate Director | NOT APPLICABLE | 08/25/2008 |
| Hunter, Kurt | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/01/2024 |
| Hunter, Kurt | Individual | ADP of the SNF | NOT APPLICABLE | 12/01/2024 |
| Keele, Eddie | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2023 |
| Keele, Eddie | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2023 |
| Keele, Eddie | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 09/10/2025 |
| Keller, Austin | Individual | Corporate Officer | NOT APPLICABLE | 08/21/2024 |
| Keller, Austin | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/21/2024 |
| Keller, Austin | Individual | ADP of the SNF | NOT APPLICABLE | 08/21/2024 |
| Kelso, Gary | Individual | Corporate Director | NOT APPLICABLE | 05/01/2014 |
| Mission Health Services | Organization | Operational/Managerial Control | NOT APPLICABLE | 05/01/2024 |
| Mission Health Services | Organization | ADP of the SNF | NOT APPLICABLE | 05/01/2024 |
| Wootton, Zachary | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2024 |
| Wootton, Zachary | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/01/2024 |
| Wootton, Zachary | Individual | ADP of the SNF | NOT APPLICABLE | 04/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What mental health services do you provide on-site, and who delivers them?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who helps residents eat at mealtimes, and what training have they completed?"
- "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)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Sage View Care Center | 14.7 mi | Rock Springs, WY | ★★★☆☆ | 3/5 |
Compare this facility with the 1 closest →
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Facility data as of CMS processing date 2026-08-01. CCN 535033.