Laramie Health and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 28 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (6 vs median 5.0)
- High RN turnover (57%)
Below average in WY · Below recommended RN staffing · $43,618 in fines
What this means for your family
While some families report positive end-of-life care, the facility has a recurring pattern of serious neglect allegations, including hygiene issues and understaffing. If you consider this facility, conduct unannounced visits at different times of the day and specifically observe the cleanliness of rooms and the responsiveness of staff to call lights.
Google Reviews
Google Reviews
28 reviews analyzed“Laramie Health and Rehabilitation (also known as Cottonwood) receives highly polarized feedback, with recent reviews oscillating between high praise for individual staff members and severe allegations of neglect. Families report significant concerns regarding basic hygiene, understaffing, and poor communication, while others highlight compassionate care during end-of-life transitions. Prospective families should be aware of the stark contrast between these experiences and exercise caution.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate individual nursing staff
- Supportive end-of-life care
- Helpful admission process
- Responsive communication for some families
Concerns
- Severe understaffing leading to neglect (mentioned by 5 reviewers)
- Poor hygiene and lack of basic care (unshaved, soiled, dehydrated) (mentioned by 4 reviewers)
- Loss of resident personal property (mentioned by 2 reviewers)
- Unresponsive management and lack of follow-up (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We noticed the management team is very active in responding to feedback; how do you typically handle it when a family member has a concern about their loved one's daily care?
- 2With the recent focus on improving staffing, what specific steps are being taken to ensure there are enough caregivers available during night and weekend shifts?
- 3How do you ensure that residents' personal hygiene and grooming needs, like shaving or skin care, are consistently met every day?
- 4What is your process for managing medications to ensure everything is administered accurately and on schedule?
- 5Could you tell us more about the dining experience and how you are working to improve the variety and quality of the meals served?
- 6How does the facility handle medical emergencies or sudden changes in a resident's health after hours?
Personalized based on this facility's data
Key Review Excerpts
“My mother was in Cottonwood recently for the last few weeks of her life. Everyone on their staff was amazing! They were prompt and attentive and she felt safe when we weren’t there.”
“Care here is poor food on the floor in residences room with ants all over, patients are sitting in there own urine. And when a patient is unable to feed themselves they don't feed them.”
“The staff were extremely supportive and kind towards me and made the admission process an easy one. I’ve been able to get to know the nursing staff and they are wonderful.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 34 measures
10
measures
14
measures
10
measures
Residents vaccinated for pneumonia
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaint reports against this facility, with serious concerns about resident protection from abuse and neglect appearing twice in recent years (2023-2024). The facility shows recurring problems with medication management, infection control, and fire safety systems that persist across multiple surveys. While most issues have correction dates, the pattern of repeated deficiencies in critical care areas suggests ongoing operational challenges families should carefully consider.
Feb 12, 2026Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Oct 10, 2024Routine11
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Infection Control Deficiencies
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pharmacy Service Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Construction Deficiencies
Use approved construction type or materials.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Oct 10, 2024Complaint1
Environmental Deficiencies
Have enough outside ventilation via a window or mechanical ventilation, or both.
May 22, 2024Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jul 27, 2023Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Jul 27, 2023Routine12
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
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.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Miscellaneous Deficiencies
Have restrictions on the use of highly flammable decorations.
Federal Penalties
Fine
May 22, 2024
$35,880
Fine
Jul 27, 2023
$7,738
Ownership & Operations
Who Operates This Facility
Laramie Health and Rehabilitation
for profit
Chain Affiliation
Evergreen Healthcare Group
41 facilities nationwide
Chain avg rating: 2.3/5 · Rank 27 of 41
Ownership & Management
Owners
Sptihs Properties Trust
Owner · Organization
Charles Schwab Investment Management, INC.
Owner (parent company) · Organization
D.e. Shaw & Co., L.p.
Owner (parent company) · Organization
Diversified Healthcare Trust
Owner (parent company) · Organization
H/2 Special Opportunities IV L.p.
Owner (parent company) · Organization
Snh Proj Lincoln Trs LLC
Owner (parent company) · Organization
Snh Trs Licensee Holdco LLC
Owner (parent company) · Organization
Snh Trs, INC.
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
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References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
28 reviews from families & visitors
Official Website
Visit laramiecare.com
Medicare data downloads
Original nursing home datasets
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