Summit Ridge Skilled Nursing & Rehabilitation
1108 Birch Street, Douglas, WY 82633 · Converse County · 60 certified beds · avg 46 residents/day · certified since Jan 1, 1990
Abuse citation flag (CMS)
Part of chain: ROCKY MOUNTAIN CARE (10 facilities, chain avg rating 3.0★)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
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 · Sep 17, 2025 · F-0600 · triggered by a complaint
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.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
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: Oct 10, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Nov 15, 2024 · F-0740 · triggered by a complaint
The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Why it matters: A resident's untreated mental health needs can worsen and take a toll on their physical health too.
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: Dec 20, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (28)
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 |
|---|---|---|
| Jun 18, 2026 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Apr 30, 2026 | 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 |
| Sep 17, 2025 | ▲ G · Actual 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 |
| Sep 17, 2025 | 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 |
| Jan 3, 2025 | D · Potential for harm, one-off | The facility did not honor residents' right to manage their own money and financial affairs. · from a complaint |
| Jan 3, 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 |
| Jan 3, 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 |
| Nov 15, 2024 | ▲ G · Actual 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. · from a complaint |
| Nov 15, 2024 | F · Potential for harm, facility-wide | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · from a complaint |
| Nov 15, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · from a complaint |
| Nov 15, 2024 | F · Potential for harm, facility-wide | 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 |
| Nov 15, 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. · from a complaint |
| Nov 15, 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. · from a complaint |
| Nov 15, 2024 | D · Potential for harm, one-off | The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint |
| Nov 15, 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. |
| Aug 30, 2023 | E · Potential for harm, repeated | 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. |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. |
| Aug 30, 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. |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 30, 2023 | 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. |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Aug 30, 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. |
| Aug 30, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Aug 10, 2022 | F · Potential for harm, facility-wide | The facility did not perform required COVID-19 testing on residents and staff. |
| Aug 10, 2022 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Aug 10, 2022 | D · Potential for harm, one-off | The facility hired someone with an official finding of abuse, neglect, exploitation, or theft against them. Facilities are not allowed to employ people with such findings. |
| Aug 10, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Aug 10, 2022 | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (8 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 5 | 0 | F |
| 2023 | 8 | 0 | E |
| 2024 | 8 | 1 | G ▲ |
| 2025 | 5 | 1 | G ▲ |
| 2026 | 2 | 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)
2 fines totaling $34,646.
| Date | Type | Amount / length |
|---|---|---|
| Sep 17, 2025 | Fine | $14,950 |
| Nov 15, 2024 | Fine | $19,696 |
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) | 3.99 | 4.47 | 3.95 | bottom 46% in Wyoming; top 40% in the U.S. |
| Registered Nurse hours | 0.81 | 1.09 | 0.69 | bottom 43% in Wyoming; top 26% in the U.S. |
| Weekend total nurse staffing | 3.52 | 3.89 | 3.50 | bottom 40% in Wyoming; top 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.65 | 0.48 | bottom 29% in Wyoming; top 42% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 51.8 | 45.8 | top 7% in Wyoming; top 20% in the U.S. |
| RN turnover (%) | 14.3 | 44.1 | 42.9 | top 1% in Wyoming; top 7% 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 3.37, RN 0.69, weekend 2.97. 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: 2/5
Who owns this facility
For profit - Limited Liability company · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bangerte, Nathan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Bangerter, Edward | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Bangerter, Johnathan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Connell, Eric | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Connell, Eric | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Darby, Megan | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Gatherum, Jason | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Lake, Crystal | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Lake, Crystal | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| McMillan, Karli | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| McMillan, Karli | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Morrison, Robert | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Morrison, Robert | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Neves, Courtney | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Rocky Mountain Care LLC | Organization | ADP of the SNF | NOT APPLICABLE | 09/24/2025 |
| Simmons, Benjamin | Individual | Managing Control - Governing Body | NOT APPLICABLE | 09/01/2025 |
| Simmons, Benjamin | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
| Simmons, Benjamin | Individual | ADP of the SNF | NOT APPLICABLE | 09/01/2025 |
| Snowball, Kelly | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2025 |
| Summit Ridge Oc LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What mental health services do you provide on-site, and who delivers them?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How are residents' personal funds handled here, and what records can families review?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "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.
Facility data as of CMS processing date 2026-08-01. CCN 535040.