Weston County Health Services
1124 Washington Blvd, Newcastle, WY 82701 · Weston County · 58 certified beds · avg 52 residents/day · certified since Sep 4, 1984
Abuse citation flag (CMS)
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: ★★☆☆☆2/5 · CMS overall rating: 2/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
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 · Dec 11, 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: Jan 5, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (18)
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 |
|---|---|---|
| Mar 31, 2026 | D · Potential for harm, one-off | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Dec 11, 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 |
| Dec 11, 2025 | E · Potential for harm, repeated | 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 |
| Jul 11, 2024 | F · Potential for harm, facility-wide | The facility did not have a proper governing body legally responsible for its policies and operations, or that body failed to appoint a properly licensed administrator to manage the facility. |
| Jul 11, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jul 11, 2024 | F · Potential for harm, facility-wide | The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months. |
| Jul 11, 2024 | 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. |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility's activities program was not run by a qualified professional. The person directing recreation and social activities must have proper training or credentials. |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Apr 13, 2023 | 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. |
| Apr 13, 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. |
| Apr 13, 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 13, 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. |
| Apr 13, 2023 | D · Potential for 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. |
| Apr 13, 2023 | 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. |
| Apr 13, 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 13, 2023 | C · Minimal risk, facility-wide | The facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. |
| Mar 10, 2022 | E · Potential for harm, repeated | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (10 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 1 | 0 | E |
| 2023 | 10 | 0 | E |
| 2024 | 4 | 0 | F |
| 2025 | 2 | 1 | G ▲ |
| 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)
No fines or payment denials in the published 3-year window.
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) | 4.66 | 4.47 | 3.95 | top 40% in Wyoming; top 19% in the U.S. |
| Registered Nurse hours | 0.75 | 1.09 | 0.69 | bottom 26% in Wyoming; top 32% in the U.S. |
| Weekend total nurse staffing | 4.23 | 3.89 | 3.50 | top 34% in Wyoming; top 17% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.47 | 0.65 | 0.48 | bottom 37% in Wyoming; top 36% in the U.S. |
| Total nursing staff turnover (%) | 58.9 | 51.8 | 45.8 | bottom 27% in Wyoming; bottom 18% in the U.S. |
| RN turnover (%) | 33.3 | 44.1 | 42.9 | top 31% in Wyoming; top 33% 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 3.81, RN 0.61, weekend 3.45. 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
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Drost, Kari | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/03/2022 |
| Maiellano, Paul | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/17/2025 |
| Ryan, Patricia | Individual | Indirect Ownership Interest | NOT APPLICABLE | 05/11/2026 |
| Weston County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1966 |
| Drost, Kari | Individual | Corporate Officer | NOT APPLICABLE | 05/03/2022 |
| Drost, Kari | Individual | Trustee of the SNF | NOT APPLICABLE | 05/03/2022 |
| Drost, Kari | Individual | ADP of the SNF | NOT APPLICABLE | 05/03/2022 |
| Haeberle, John | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Haeberle, John | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2025 |
| Maiellano, Paul | Individual | Corporate Officer | NOT APPLICABLE | 11/17/2025 |
| Maiellano, Paul | Individual | ADP of the SNF | NOT APPLICABLE | 11/17/2025 |
| Ryan, Patricia | Individual | Corporate Officer | NOT APPLICABLE | 05/11/2026 |
| Ryan, Patricia | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/11/2026 |
| Ryan, Patricia | Individual | ADP of the SNF | NOT APPLICABLE | 05/11/2026 |
| Scharf, Kimberly | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2026 |
| Scharf, Kimberly | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2026 |
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 safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
- "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
- "Who owns and governs this facility, and how long has the current administrator been here?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "How does your quality committee work, and can you share an example of a problem it identified and fixed?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Who runs your activities program, what are their qualifications, and can I see this week's activity calendar?"
- "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 |
|---|---|---|---|---|---|
| Custer Care and Rehab Center | 30.4 mi | Custer, SD | —/5 | ||
| Crook County Medical Services District Long Term C | 39.7 mi | Sundance, WY | ★★☆☆☆ | 3/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 535023.