Morning Star Care Center

Name: Morning Star Care Center
Address: 4 North Fork Rd, Fort Washakie, WY, 82514, US
Telephone: 3073326902

4 North Fork Rd, Fort Washakie, WY 82514 · Fremont County · 45 certified beds · avg 33 residents/day · certified since May 15, 1994

4/5

Health inspection rating (on-site)

Serious findings on record

$5,168

Fines, last 3 years

6.31

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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 (16)

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 10, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 5, 2024	D · Potential for harm, one-off	The facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint
Nov 5, 2024	D · Potential for harm, one-off	The facility did not provide the social services residents need — such as counseling, help with adjustment, or connecting to outside resources — to achieve the best possible quality of life. · from a complaint
Jan 25, 2024	E · Potential for harm, repeated	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.
Jan 25, 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.
Jan 25, 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.
Jan 25, 2024	D · Potential for harm, one-off	When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care.
Jan 25, 2024	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it.
Jan 25, 2024	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 25, 2024	D · Potential for harm, one-off	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations.
Jan 12, 2023	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.
Jan 12, 2023	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.
Jan 12, 2023	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.
Jan 12, 2023	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Jan 12, 2023	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jan 12, 2023	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (7 → 1).

Year	Citations	Worst severity that year
2023	6	E
2024	9	E
2025	1	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)

1 fine totaling $5,168.

Date	Type	Amount / length
Nov 5, 2024	Fine	$5,168

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)	6.31	4.47	3.95	top 11% in Wyoming; top 3% in the U.S.
Registered Nurse hours	1.25	1.09	0.69	top 26% in Wyoming; top 8% in the U.S.
Weekend total nurse staffing	4.80	3.89	3.50	top 20% in Wyoming; top 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.80	0.65	0.48	top 26% in Wyoming; top 11% in the U.S.
Total nursing staff turnover (%)	0.0	51.8	45.8	—
RN turnover (%)	0.0	44.1	42.9	—

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 5.23, RN 1.04, weekend 3.98. 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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Who owns this facility

Government - Federal

Owner / manager	Type	Role	Stake	Since
Morning Star Care Center	Organization	5% or Greater Direct Ownership Interest	100%	01/01/1986
Hash, Tiffany	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Hash, Tiffany	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Rivera, Kaeli	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Rivera, Kaeli	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
St Clair, Robin	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
St Clair, Robin	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who completes resident assessments here, and how do you check them for accuracy?"
"Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
"Who provides social services here, and how would they support my family member's emotional and social needs?"
"Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
"What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
"How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
"What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"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
Mountain View Skilled Nursing Community at WLRC	13.5 mi	Lander, WY	★★☆☆☆	2/5	abuse
Westward Heights Care Center	14.6 mi	Lander, WY	★★★★☆	4/5

Compare this facility with the 2 closest →

All facilities in Fort Washakie →

Facility data as of CMS processing date 2026-08-01. CCN 535050.

The Care File

Visit checklist — Morning Star Care Center

4 North Fork Rd, Fort Washakie, WY 82514 · 3073326902

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $5,168

Questions for the administrator:

☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "Under what circumstances would you discharge or transfer a resident, and what notice and appeal rights would we have?"
☐ "Who provides social services here, and how would they support my family member's emotional and social needs?"
☐ "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
☐ "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
☐ "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
☐ "What exactly do you hand off to the next provider when a resident is discharged, and how do you confirm they received it?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 535050 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)