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A
Very Good

Amie Holt Care Center

497 W Lott · Buffalo, WY 82834

3076845521 · Government - Hospital district

50 beds38.9 residents84 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A+
Excellent
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Amie Holt Care Center receives an overall staffing grade of A (Very Good). With 5.1338 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 1.24 HPRD above the national average.

Weekend staffing drops significantly — dropping 32.57% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️Weekend staffing drops 32.57% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.
📊Staffing levels are highly variable day to day (consistency score: 1.0101). This means the care experience can be very different depending on the day.

✨ Strengths (4)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
5.1338hrs/resident/day▲ 1.24
CMS benchmark: 3.48
RN HPRD
0.889hrs/resident/day▲ 0.21
Recommended: 0.75
Weekend Drop-off
32.57%
5.6542 weekday → 3.8129 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.5506hrs/resident/day
Direct care aides
LPN HPRD
0.9503hrs/resident/day
Licensed practical nurses
Consistency
1.0101std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Johnson County Average+0.00 HPRD
5.13
05.13 HPRD
vs. Wyoming State Average+1.26 HPRD
3.87
05.13 HPRD
vs. National Average+1.24 HPRD
3.90
05.13 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Amie Holt Care Center ★
Buffalo · This facility
—
A
5.13380.889★★★★★
Wyoming Veterans' Skilled Nursing Facility
Buffalo
1.8 mi
—
00☆☆☆☆☆
Big Horn Rehabilitation and Care Center
Sheridan
32 mi
B
3.64490.559★☆☆☆☆
Green House Living for Sheridan
Sheridan
32.8 mi
A+
5.47851.8876★☆☆☆☆
Westview Health Care Center
Sheridan
33.3 mi
C
3.28380.7058★★★★★
The Legacy Living and Rehabilitation Center
Gillette
60.4 mi
A
4.14950.9689☆☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
7
Total Deficiencies
$0
Fines Assessed
Apr 24, 2025Health
2 deficiencies cited
▼
Feb 29, 2024Health
5 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.