Morning Star Care Center

4 North Fork Rd, Fort Washakie, WY 82514 (opens Google Maps) · Fremont County · (307) 332-6902· 45 certified beds · avg 33 residents/day · certified since May 15, 1994 · 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 →

4/5

Health inspection rating (on-site)

inspected Apr 10, 2025

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)

New to these records? How to read an inspection report →

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

Inspection findings in the public record

Showing the latest 3 of 16 inspection findings. Open the full record below to read every finding.

Apr 10, 2025D · Potential for more than minimal harm, isolated
The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641
Nov 5, 2024D · Potential for more than minimal harm, isolated
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 F-0622
Nov 5, 2024D · Potential for more than minimal harm, isolated
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 F-0745

View all 16 inspection findingsShow only the latest 3 findings

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 10, 2025	D · Potential for more than minimal harm, isolated	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Nov 5, 2024	D · Potential for more than minimal harm, isolated	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 · F-0622
Nov 5, 2024	D · Potential for more than minimal harm, isolated	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 · F-0745
Jan 25, 2024	E · Potential for more than minimal harm, pattern	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. · F-0756
Jan 25, 2024	E · Potential for more than minimal harm, pattern	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. · F-0758
Jan 25, 2024	D · Potential for more than minimal harm, isolated	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. · F-0578
Jan 25, 2024	D · Potential for more than minimal harm, isolated	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. · F-0661
Jan 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide safe and appropriate pain management for a resident who needed it. · F-0697
Jan 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jan 25, 2024	D · Potential for more than minimal harm, isolated	The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. · F-0883
Jan 12, 2023	E · Potential for more than minimal harm, pattern	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. · F-0758
Jan 12, 2023	D · Potential for more than minimal harm, isolated	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. · F-0609
Jan 12, 2023	D · Potential for more than minimal harm, isolated	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. · F-0610
Jan 12, 2023	D · Potential for more than minimal harm, isolated	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. · F-0637
Jan 12, 2023	D · Potential for more than minimal harm, isolated	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. · F-0657
Jan 12, 2023	D · Potential for more than minimal harm, isolated	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. · F-0688

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01

All citationsSerious citations (G–L)

2023

2024

2025

All bars start at zero. Exact values and supporting details remain below.

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)

How to file a complaint about care →

1 fine totaling $5,168.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

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

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01

This facilityWyoming averageU.S. average

Total nurse staffing (hours per resident per day)

6.31

4.47

3.95

Registered Nurse hours

1.25

1.09

0.69

Weekend total nurse staffing

4.80

3.89

3.50

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)	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 (%)	—	51.8	45.8	—
RN turnover (%)	—	44.1	42.9	—

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 5.23, RN 1.04, weekend 3.98.Comparing with Medicare Care Compare? Care Compare shows the raw figure (5.23 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.

Quality measures: assessments & claims

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: 2/5 · long-stay residents: 2/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Morning Star Care Center. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

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.

Before you compare prices

Request the room type, effective date and itemized daily rate in writing.
Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

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 →

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

All 7 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the plan of correction for the findings in your most recent state inspection?"
"Can I visit again unannounced, at a mealtime or on a weekend?"

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 →

Other facilities in the same county

CMS records place this facility in Fremont, WY — 4 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Wind River Rehabilitation and Wellness — Riverton, WY · overall 2/5

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Fort Washakie →

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

This page is the printable visit checklist. If your browser did not open the print dialog automatically, use File → Print (Ctrl/⌘-P).

The Care File

Visit checklist — Morning Star Care Center

4 North Fork Rd, Fort Washakie, WY 82514 · (307) 332-6902

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 plan of correction for the findings in your most recent state inspection?"
☐ "Can I visit again unannounced, at a mealtime or on a weekend?"

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)