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Nursing HomeMedicaid Investigative

Shepherd of the Valley Rehabilitation and Wellness

On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.

60 Magnolia St, Casper, WY 82604192 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 30 Google reviews

5
4
3
2
1
Shepherd of the Valley Rehabilitation and Wellness Nursing Home in Casper, WY — Street View
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8/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Special Focus Facility (under heightened CMS scrutiny)
  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Above-median deficiencies (12 vs median 5.0)

Bottom 25% in WY · Below recommended RN staffing · Worst in EVERGREEN HEALTHCARE GROUP chain · $78,536 in fines · Special Focus Facility (CMS) · Abuse citation

Source: Medicare data

What this means for your family

While the facility offers effective rehabilitation services and has some very kind staff, the reports of understaffing and medication management issues are concerning. We strongly recommend that you visit in person during off-hours or weekends to observe staffing levels and ask management specifically how they ensure medication schedules are strictly followed.

Google Reviews

Google Reviews

30 reviews on Google
Shepherd of the Valley Rehabilitation and Wellness receives highly polarized feedback, with some families praising the kindness of specific staff members and the quality of rehabilitation therapy. However, there are recurring, serious reports of understaffing, neglect, and poor communication that leave residents and their families feeling ignored or mistreated. Prospective families should be aware of significant inconsistencies in the quality of care provided.

Quality Themes

Tap a score for details
Food8.0Staff4.0Clean8.0Activities9.0Meds2.0Memory7.0Comms3.0ValueN/A

Strengths

  • Effective rehabilitation therapy
  • Kind and attentive individual staff members
  • Clean and well-maintained facility environment
  • Positive experiences with activity volunteers

Concerns

  • Chronic understaffing leading to neglect (mentioned by 4 reviewers)
  • Medication management and administration errors (mentioned by 2 reviewers)
  • Poor communication and responsiveness to family concerns (mentioned by 3 reviewers)

Rating Trends

Tap a year to see what changed

2343.0'17(2)3.63.7'19(3)3.01.0'23(1)5.03.8'25(12)1.0'26(1)

Distribution · 33 analyzed

5
18
4
3
3
0
2
1
1
11

How They Respond to Reviews

63%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the recent focus on enhancing communication, what is the best way for our family to stay updated on our loved one's daily progress and any changes in their care plan?
  • 2I noticed the facility has a strong reputation for rehabilitation therapy; how do you ensure that same level of dedicated attention is maintained for residents who are here for long-term nursing care?
  • 3Could you walk us through your current process for medication management to ensure accuracy and timely administration for residents?
  • 4We appreciate that you actively engage with online feedback; how do you use that input from families to improve your day-to-day staffing and care delivery?
  • 5With 192 residents, how do you ensure that individual needs are met promptly, especially during busy shifts or transitions?
  • 6We saw some wonderful comments about your activity volunteers; what does a typical week look like for residents who enjoy staying active and social?

Personalized based on this facility's data


Key Review Excerpts

Grandpa is currently thriving at Shepard and his condition actually seems to be improving. The foods good and the rooms are clean.

Memory care family member · 2025★★★★★

I am a resident and what id like to say is that most of the staff are nice but this place is horribly understaffed so alot of us get neglected and we are not getting the proper care we need.

Long-term resident · 2022☆☆☆☆

They were bad about giving her the pain meds that had been ordered and that she needed.

Long-term resident's family · 2019☆☆☆☆
Source: 30 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.61hrs
81%
Registered nurses for medical care
Total Nursing
3.31hrs
81%
All nurses + aides combined
Staff Turnover
49%
Lower is better (< 30% = good)
RN Turnover
44%
Lower is better (< 30% = good)

Both 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 · 17 measures

Medicare Rating
2/ 5
Better Than Avg

5

measures

Worse Than Avg

7

measures

Mixed Results

5

measures

Long-Stay Residents
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility25.2%
Worse than Avg
Here
25.2%
US
15.4%
WY
22.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility22.7%
Worse than Avg
Here
22.7%
US
15.3%
WY
16.8%
😔

Residents with depression symptoms

↓ Lower is better
This Facility7.5%
Mixed vs Avgs
Here
7.5%
US
12.1%
WY
6.3%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for the flu

↑ Higher is better
This Facility90.9%
Worse than Avg
Here
90.9%
US
95.5%
WY
94.3%
⚠️

Residents who fell and were seriously hurt

↓ Lower is better
This Facility6.4%
Worse than Avg
Here
6.4%
US
3.2%
WY
4.5%
🩹

Residents with pressure sores (bedsores)

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
4.9%
WY
4.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility63.0%
Worse than Avg
Here
63.0%
US
79.7%
WY
77.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility79.7%
Mixed vs Avgs
Here
79.7%
US
81.8%
WY
76.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility3.7%
Worse than Avg
Here
3.7%
US
1.6%
WY
1.4%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
6penalties
Well above state avg (6.8)
22 complaint-triggered
$78,536 in fines

This facility has concerning patterns of neglect and abuse violations triggered by family complaints, with recent issues including failure to protect residents from abuse (May 2025), inadequate wound care, and poor treatment planning. The most recurring problems involve resident protection from harm, care planning failures, and medication management issues. While most deficiencies show correction plans, the persistent complaints about basic resident safety and the facility's failure to provide appropriate care according to medical orders suggest ongoing quality concerns that families should carefully evaluate.

Mar 13, 2026Complaint
3
0689Immediate jeopardy · PatternResolved (past non-compliance)

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Jan 29, 2026Complaint
1
0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

May 22, 2025Complaint
1
0600Actual harm · IsolatedResolved (past non-compliance)

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.

Mar 20, 2025Complaint
3
0580Actual harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Oct 31, 2024Routine
11
0761Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0679Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide activities to meet all resident's needs.

0758Potential for harm · PatternCorrected

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.

0761Potential for harm · PatternCorrected

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.

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0676Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

Oct 31, 2024Complaint
1
0725Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Federal Penalties

Fine

Mar 13, 2026

$26,685

Fine

May 22, 2025

$12,438

Fine

Mar 20, 2025

$15,857

Fine

Aug 15, 2024

$7,718

Fine

Mar 22, 2024

$34,333

Fine

May 18, 2023

$8,190

Ownership & Operations

Who Operates This Facility

Owner / Operator

Shepherd of the Valley Rehabilitation and Wellness

Organization Type

for profit

Chain Affiliation

Chain Name

Evergreen Healthcare Group

Chain Size

43 facilities nationwide

Chain avg rating: 2.3/5 · Rank 33 of 41 (Worst)

Ownership & Management

Owners

Yenowitz, Yitzchok

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Morrison, RobertManaging Control - Governing BodySimmons, BenjaminManaging Control - Governing BodyCouve Financial Services LLCManagerCouve Healthcare Consulting LLCManagerPacific Northwest Opco Management LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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