Shepherd of the Valley Rehabilitation and Wellness: Staffing, Turnover, and Inspection Record
Shepherd of the Valley Rehabilitation and Wellness is a 192-bed for-profit nursing home in Casper, Wyoming, part of Evergreen Healthcare Group. In the CMS August 2026 release it reported 2.27 nurse aide hours per resident per day, 7% below the Wyoming average of 2.43, and 47.4% nursing staff turnover (Wyoming average 51.8%).
Shepherd of the Valley Rehabilitation and Wellness
60 Magnolia StCasper, WY 82604
Natrona County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Shepherd of the Valley Rehabilitation and Wellness, nurse aides logged 2.27 hours per resident per day, 7% below the Wyoming average. With about 162 residents a day, that works out to roughly 368 aide hours a day, or about 46 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 18% below the all-days figure.
| Hours per resident per day | This home | Wyoming avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.27 | 2.43 | 2.32 |
| Licensed practical nurses | 0.37 | 0.50 | 0.86 |
| Registered nurses | 0.62 | 0.94 | 0.69 |
| All nursing staff | 3.26 | 3.87 | 3.86 |
| All nursing staff, weekends | 2.65 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
47.4% of nursing staff at Shepherd of the Valley Rehabilitation and Wellness left over the year CMS measured, against a Wyoming average of 51.8% and a US average of 45.8%. Registered nurse turnover was 45.2%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Oct 31, 2024. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 11 health deficiencies (Wyoming average 7.6). CMS lists 5 fines totaling $97,031 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 13, 2026 | Fine | $26,685 |
| May 22, 2025 | Fine | $12,438 |
| Mar 20, 2025 | Fine | $15,857 |
| Aug 15, 2024 | Fine | $7,718 |
| Mar 22, 2024 | Fine | $34,333 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Shepherd of the Valley Rehabilitation and Wellness holds 1 of 5 overall; the Wyoming average is 2.9.
About Shepherd of the Valley Rehabilitation and Wellness
- Ownership: For profit - Corporation
- Chain: Evergreen Healthcare Group, 44 homes
- Legal name: North Big Horn Hospital District
- Medicare and Medicaid certified since: Nov 1, 1990
- Changed ownership in the last 12 months
- Councils: resident council
- Area: urban
Nursing homes near Shepherd of the Valley Rehabilitation and Wellness
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Life Care Center of Casper Casper | 3.1 | 120 | 2.25 | 4.17 | 44.2% | 5 | None |
| Casper Mountain Rehabilitation and Care Center Casper · SFF candidate | 3.2 | 120 | 2.01 | 2.80 | 64.8% | 1 | $62,647 |
| Summit Ridge Skilled Nursing & Rehabilitation Douglas · abuse citation | 52.4 | 60 | 2.11 | 3.37 | 33.3% | 1 | $34,646 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.