Staffing
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 1.37 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 4-star staffing rating for this facility.
RN staffing was 1.37 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jun 12, 2025 cited 3 deficiencies.
View inspection evidenceCMS-published records list 42 ownership or control parties.
CMS records show an ownership change effective January 2024.
View ownership evidenceCMS records show a $9,718 fine in the loaded enforcement dataset.
View enforcement evidence →Ownership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
23 currently connected nursing homes share this CMS organization identity with EIDE BAILLY LLP.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 1, 2021
Other facilities connected through this exact CMS organization identity: 0 across WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 10, 2024
Other facilities connected through this exact CMS organization identity: 0 across WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 12, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 12, 2025
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 3, 2026
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 3, 2026
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 3, 2026
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 3, 2026
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 3, 2026
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 3, 2026
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 3, 2026
Individual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
Association date reported to CMS: Apr 3, 2026
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 29, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 12, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across WY.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2024
Organization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 1, 2021
Other facilities connected through this exact CMS organization identity: 0 across WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Nov 29, 2023
Organization · ADP OF THE SNF
Association date reported to CMS: Sep 10, 2024
Other facilities connected through this exact CMS organization identity: 22 across CA, IA, MN, ND, WA, WY.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 4, 2025
Other facilities connected through this exact CMS organization identity: 0 across WY.
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 14, 2026
CMS classifications: Management services company
Other facilities connected through this exact CMS organization identity: 0 across WY.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across WY.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2025
Other facilities connected through this exact CMS organization identity: 0 across WY.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 12, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across WY.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 11, 2025
Other facilities connected through this exact CMS organization identity: 0 across WY.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 4, 2025
Other facilities connected through this exact CMS organization identity: 0 across WY.
Organization · ADP OF THE SNF
Association date reported to CMS: Nov 3, 2025
Other facilities connected through this exact CMS organization identity: 0 across WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Apr 1, 2024
Individual · ADP OF THE SNF
Association date reported to CMS: Sep 12, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across WY.
Individual · ADP OF THE SNF
Association date reported to CMS: Jan 1, 2024
Individual · CORPORATE OFFICER
Association date reported to CMS: Sep 12, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Nov 29, 2023
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Aug 31, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Sep 12, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2024
Other facilities connected through this exact CMS organization identity: 0 across WY.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jan 1, 2024
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across WY.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Ensure that residents are free from significant medication errors.
CMS scope/severity G: Isolated; Actual harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 10, 2025)
No health-deficiency rows were deterministically linked to this inspection.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2025)
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jul 11, 2025)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2024)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2024)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 20, 2024)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 20, 2024)
No health-deficiency rows were deterministically linked to this inspection.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2023)
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Feb 28, 2023)
Penalties & enforcement
Published fine amount: $9,718.00
Questions to ask
Facility history
13 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
Total nurse staffing decreased from 4.90 to 4.25 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
4.90 → 4.25
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.50 to 4.90 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
3.50 → 4.90
CMS · Reported in a source release · View related evidence
RN staffing increased from 1.21 to 1.36 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
1.21 → 1.36
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 3.85 to 3.50 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
3.85 → 3.50
CMS · Reported in a source release · View related evidence
RN staffing decreased from 1.44 to 1.21 hours per resident day between 2025Q2 and 2025Q3. Staffing declined across those reported periods.
1.44 → 1.21
CMS · Reported in a source release · View related evidence
1 deficiencies were recorded. That includes 1 higher-severity deficiency.
CMS · Recorded event date · View related evidence
CMS recorded a $9,718 civil monetary penalty.
CMS · Recorded event date · View related evidence
3 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: SUBLETTE COUNTY HOSPITAL DISTRICT.
SUBLETTE CENTER → SUBLETTE COUNTY HOSPITAL DISTRICT
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 4 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 4.501 | 3.614 |
| RN categories | 1.538 | 0.939 |
Contract staff accounted for 29.2% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.007 higher than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 3.854 | 1.436 | 0.161 | 2.258 | 13.7% | 91 |
| 2025Q3 | 3.496 | 1.212 | 0.102 | 2.182 | 10% | 92 |
| 2025Q4 | 4.9 | 1.358 | 0.372 | 3.17 | 37.1% | 92 |
| 2026Q1 | 4.246 | 1.365 | 0.296 | 2.584 | 29.2% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.