Thermopolis Rehabilitation and Wellness
1210 Canyon Hills Rd, Thermopolis, WY 82443 · Hot Springs County · 60 certified beds · avg 39 residents/day · certified since Jun 1, 1994
Part of chain: EVERGREEN HEALTHCARE GROUP (44 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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)
▲ Immediate jeopardy, repeated · Mar 6, 2024 · F-0610 · triggered by a complaint
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.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Apr 1, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 6, 2024 · 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: Apr 1, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Aug 22, 2023 · 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: Sep 13, 2023 (Deficient, Provider has date of correction)
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 |
|---|---|---|
| Feb 26, 2026 | 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 20, 2025 | 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. |
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Nov 20, 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. |
| Oct 23, 2025 | 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. · from a complaint |
| Oct 23, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jul 7, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Jul 7, 2025 | D · Potential for harm, one-off | The facility did not provide timely, approved x-ray services or have an agreement with an approved provider to supply them. · from a complaint |
| Jun 27, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Mar 6, 2024 | ▲ K · Immediate jeopardy, repeated | 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. · from a complaint |
| Mar 6, 2024 | ▲ 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 |
| Aug 22, 2023 | ▲ 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 |
| Apr 20, 2023 | 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. |
| Apr 20, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for residents with a colostomy, urostomy, or ileostomy — surgical openings in the abdomen that let waste leave the body into a pouch. These require regular, skilled attention to stay clean and healthy. |
| Apr 20, 2023 | D · Potential for harm, one-off | 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. |
| Apr 20, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 1 | G ▲ |
| 2024 | 3 | 2 | K ▲ |
| 2025 | 7 | 0 | D |
| 2026 | 1 | 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)
2 fines totaling $27,072.
| Date | Type | Amount / length |
|---|---|---|
| Mar 6, 2024 | Fine | $17,761 |
| Aug 22, 2023 | Fine | $9,311 |
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) | 4.40 | 4.47 | 3.95 | top 46% in Wyoming; top 26% in the U.S. |
| Registered Nurse hours | 0.77 | 1.09 | 0.69 | bottom 31% in Wyoming; top 30% in the U.S. |
| Weekend total nurse staffing | 4.11 | 3.89 | 3.50 | top 37% in Wyoming; top 20% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.43 | 0.65 | 0.48 | bottom 23% in Wyoming; top 44% in the U.S. |
| Total nursing staff turnover (%) | 73.2 | 51.8 | 45.8 | bottom 13% in Wyoming; bottom 4% in the U.S. |
| RN turnover (%) | 66.7 | 44.1 | 42.9 | bottom 17% in Wyoming; bottom 15% 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 3.52, RN 0.61, weekend 3.29. Staffing rating: 3/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: 4/5
Who owns this facility
For profit - Limited Liability company · changed ownership in the last 12 months
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Connell, Eric | Individual | Corporate Officer | NOT APPLICABLE | 09/30/2025 |
| Connell, Eric | Individual | ADP of the SNF | NOT APPLICABLE | 09/30/2025 |
| Couve Financial Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/30/2025 |
| Couve Financial Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/30/2025 |
| Couve Healthcare Consulting LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/30/2025 |
| Couve Healthcare Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/30/2025 |
| Morrison, Robert | Individual | Corporate Director | NOT APPLICABLE | 09/30/2025 |
| Pacific Northwest Opco Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/30/2025 |
| Pacific Northwest Opco Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/15/2025 |
| Simmons, Benjamin | Individual | Corporate Director | NOT APPLICABLE | 09/30/2025 |
| Spielman, Shimon | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/30/2025 |
| Spielman, Shimon | Individual | ADP of the SNF | NOT APPLICABLE | 09/30/2025 |
| Stannard, Andrea | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/30/2025 |
| Stannard, Andrea | Individual | ADP of the SNF | NOT APPLICABLE | 09/30/2025 |
| Thermopolis SNF Operations, LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 09/30/2025 |
| Thermopolis SNF Operations, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/30/2025 |
| Thermopolis SNF Realty LLC | Organization | ADP of the SNF | NOT APPLICABLE | 10/15/2025 |
| Weyer, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/30/2025 |
| Weyer, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 09/30/2025 |
| Winterholler, David | Individual | Corporate Director | NOT APPLICABLE | 09/30/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "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 |
|---|---|---|---|---|---|
| Worland Health and Rehabilitation | 29.4 mi | Worland, WY | ★☆☆☆☆ | 1/5 | abuseSFF |
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Facility data as of CMS processing date 2026-08-01. CCN 535051.