How to file a complaint about care →
No fines or payment denials in the published 3-year window.
1445 Uinta Dr, Green River, WY 82935 (opens Google Maps) · Sweetwater County · (307) 872-4600· 59 certified beds · avg 51 residents/day · certified since Jan 3, 1989 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
Part of chain: MISSION HEALTH SERVICES (7 facilities, chain avg rating 3.4★)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
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 quality measures from resident assessments and claims.
Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.
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 F-0600
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 F-0880
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. F-0761
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 2, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| Apr 2, 2025 | D · Potential for more than minimal harm, isolated | 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 · F-0880 |
| Jan 19, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0761 |
| Jan 19, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. · F-0679 |
| Jan 19, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0700 |
| Jan 19, 2024 | D · Potential for more than minimal harm, isolated | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · F-0740 |
| Nov 29, 2023 | D · Potential for more than minimal harm, isolated | 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 · F-0600 |
| Oct 6, 2022 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Oct 6, 2022 | E · Potential for more than minimal harm, pattern | The facility did not make sure that paid feeding assistants — staff hired to help residents eat and drink — had the training they need. · F-0948 |
| Oct 6, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0623 |
| Oct 6, 2022 | D · Potential for more than minimal harm, isolated | 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. · F-0625 |
| Oct 6, 2022 | D · Potential for more than minimal harm, isolated | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. · F-0888 |
Citations from standard inspections decreased between the last two inspection cycles (4 → 2).
All bars start at zero. Exact values and supporting details remain below.
| 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.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| 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 for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.36 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 5/5 · long-stay residents: 4/5 · short-stay residents: 5/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Mission at Castle Rock. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
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 |
Showing 20 of 23 parties CMS has on file for this facility; 3 are not displayed. The full list is in the CMS Ownership dataset.
CMS lists this facility under the chain Mission Health Services — 7 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.
Listed by state, then facility name — not a ranking.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Sage View Care Center | 14.7 mi | Rock Springs, WY | ★★★☆☆ | 3/5 |
Facility data as of CMS processing date 2026-08-01. CCN 535033.
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