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C
Below Standard

Laramie Health and Rehabilitation

503 S 18th St · Laramie, WY 82070

3077423728 · For profit - Corporation

105 beds54.7 residents73 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Laramie Health and Rehabilitation receives an overall staffing grade of C (Below Standard). With 3.1485 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5012 HPRD, below the recommended 0.75. It is 0.75 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.74% 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 (3)

⚠️Had 1 day with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1485 HPRD — needs 0.33 more hours per resident per day.
⚠️RN staffing (0.5012 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (1)

✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1485hrs/resident/day▼ 0.75
CMS benchmark: 3.48
RN HPRD
0.5012hrs/resident/day▼ 0.18
Recommended: 0.75
Weekend Drop-off
18.74%
3.3246 weekday → 2.7016 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
1days this quarter
4+ days = auto 1-star
CNA HPRD
1.6325hrs/resident/day
Direct care aides
LPN HPRD
0.8053hrs/resident/day
Licensed practical nurses
Consistency
0.4178std 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. Albany County Average+0.00 HPRD
3.15
03.15 HPRD
vs. Wyoming State Average-0.72 HPRD
3.87
03.15 HPRD
vs. National Average-0.75 HPRD
3.90
03.15 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
Laramie Health and Rehabilitation ★
Laramie · This facility
—
C
3.14850.5012★★☆☆☆
Life Care Center Of Cheyenne
Cheyenne
40.6 mi
C
3.46170.9498★★★★★
Granite Rehabilitation and Wellness
Cheyenne
42.6 mi
C
3.16010.6331★★☆☆☆
Polaris Rehabilitation and Care Center
Cheyenne
42.6 mi
B
3.52270.8709★☆☆☆☆
Platte County Legacy Home
Wheatland
60.1 mi
C
3.39470.85★★★★☆
Goshen Healthcare Community
Torrington
89.3 mi
C
3.20180.5633★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
26
Total Deficiencies
$58,828
Fines Assessed
Oct 10, 2024Health
7 deficiencies cited
▼
May 22, 2024Health
1 deficiency cited· Includes actual harm
▼
Jul 27, 2023Health
8 deficiencies cited· Includes actual harm
▼
Mar 14, 2023Health
3 deficiencies cited· Includes actual harm
▼
Jun 9, 2022Health
7 deficiencies cited
▼

Penalty History

May 22, 2024Fine
$35,880
Jul 27, 2023Fine
$7,738
Mar 14, 2023Fine
$15,210
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.