nursing home in Newcastle, WY

Weston County Health Services

1124 Washington Blvd, Newcastle, WY 82701 · (307) 746-2793

★★★★★2
Below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★4
  • Quality measures★★★★★2
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Weston County Health Services at a glance

Weston County Health Services is a 58-bed government nursing home in Newcastle, Wyoming (Weston County).

CMS gives it 2 out of 5 stars on its overall star rating, worse than the Wyoming average of 2.9.

Residents receive about 3.8 hours of nursing care per day (0.6 of them from registered nurses), close to the state average of 3.9 hours.

Its most recent standard health inspection (December 11, 2025) found 11 health citations. The Wyoming average is 7.8.

It has not received a federal fine in the past three years.

Nursing staff turnover is 58.9% per year (state average 51.8%).

Facility details

Type
Nursing home
Ownership
Government - Federal
Beds
58
Certified for
Medicare and Medicaid
Medicare-certified since
September 4, 1984
Resident/family council
Resident
County
Weston County
CMS Certification Number
535023

Ratings

MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)2 / 52.9 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.7 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)4 / 53.6 / 52.9 / 5Better
Quality measures rating ⓘ (higher is better)2 / 53.3 / 53.6 / 5Worse
Long-stay quality rating (higher is better)2 / 53.3 / 53.8 / 5Worse

Staffing

This facility3.81 hrsWyoming average3.87 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Wyoming and U.S. averages
MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.81 hrs3.87 hrs3.86 hrsAverage
Registered nurse hours per resident per day (higher is better)0.61 hrs0.94 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.59 hrs2.43 hrs2.32 hrsBetter
Weekend nurse staff hours per resident per day (higher is better)3.45 hrs3.37 hrs3.42 hrsAverage
Nursing staff turnover (yearly) (lower is better)58.9%51.8%45.8%Worse
Registered nurse turnover (yearly) (lower is better)33.3%44.1%42.9%Better

Inspections

This facility11Wyoming average8U.S. average9
Health citations in the most recent inspection: this facility vs. Wyoming and U.S. averages
MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1189Worse
Citations from complaint investigations (latest cycle) (lower is better)343Worse
Weighted health inspection score ⓘ (lower is better)7066.580.6Better

Penalties

This facility0Wyoming average1U.S. average1
Fines in the past 3 years: this facility vs. Wyoming and U.S. averages
MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)011Better
Total fines in the past 3 years (lower is better)$0$28,128$30,972Better
All federal penalties in the past 3 years (lower is better)011Better

Size

MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Certified beds5882107
Average residents per day525686
Occupancy89.5%70.7%80.9%

Long-stay residents

This facility5.5%Wyoming average4.7%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Wyoming and U.S. averages
MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)5.5%4.7%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)3.6%4.6%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)22%21.8%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)4.5%3.1%1.6%Worse
Long-stay residents with a catheter left in the bladder (lower is better)1.2%1.5%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)20.8%16.8%13.9%Worse
Long-stay residents whose walking worsened (lower is better)9.8%15.3%14.1%Better
Long-stay residents who lose too much weight (lower is better)6.1%5.9%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)0.5%6.5%12.8%Better
Long-stay residents who were physically restrained (lower is better)2%0.1%0.1%Worse
Long-stay residents given anti-anxiety or sleep medication (lower is better)7.7%15.4%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)20.6%22.7%19%Worse
Long-stay residents given a flu vaccine (higher is better)100%94.3%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)96.5%94.3%93.6%Average

Short-stay residents

This facility92%Wyoming average77%U.S. average82%
Short-stay residents given a pneumonia vaccine: this facility vs. Wyoming and U.S. averages
MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Short-stay residents given a pneumonia vaccine (higher is better)92%77%82%Better

Inspection citations

State inspectors cited this home for 25 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm.

DateCitationSeverityStatus
March 31, 2026
Complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602
D
Potential harm, isolated
Corrected May 26, 2026
December 11, 2025
Fire safety
Have restrictions on the use of highly flammable decorations.
Miscellaneous Deficiencies · Tag K0753
E
Potential harm, pattern
Corrected January 5, 2026
December 11, 2025
Fire safety
Meet other general requirements.
Construction Deficiencies · Tag K0100
D
Potential harm, isolated
Corrected January 5, 2026
December 11, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
D
Potential harm, isolated
Corrected January 5, 2026
December 11, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected January 5, 2026
December 11, 2025
Complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
G
Actual harm, isolated
Corrected January 5, 2026
December 11, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected January 5, 2026
December 11, 2025
Complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected January 5, 2026
December 11, 2025
Standard
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
D
Potential harm, isolated
Corrected January 5, 2026
December 11, 2025
Standard
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected January 5, 2026
December 11, 2025
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
D
Potential harm, isolated
Corrected January 5, 2026
December 11, 2025
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected January 5, 2026
December 11, 2025
Standard
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Tag F0644
D
Potential harm, isolated
Corrected January 5, 2026
December 11, 2025
Standard
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605
D
Potential harm, isolated
Corrected January 5, 2026
December 11, 2025
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected December 23, 2025
July 11, 2024
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected September 4, 2024
July 11, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
D
Potential harm, isolated
Corrected September 4, 2024
July 11, 2024
Fire safety
Meet Health Care Facilities Code mechanical requirements.
Miscellaneous Deficiencies · Tag K0900
D
Potential harm, isolated
Corrected September 4, 2024
July 11, 2024
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
D
Potential harm, isolated
Corrected September 4, 2024
July 11, 2024
Standard
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Administration Deficiencies · Tag F0837
F
Potential harm, widespread
Corrected August 25, 2024
July 11, 2024
Standard
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Tag F0868
F
Potential harm, widespread
Corrected August 25, 2024
July 11, 2024
Standard
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Tag F0851
F
Potential harm, widespread
Corrected August 25, 2024
July 11, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
D
Potential harm, isolated
Corrected August 25, 2024
April 13, 2023
Fire safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Miscellaneous Deficiencies · Tag K0761
F
Potential harm, widespread
Corrected May 1, 2023
April 13, 2023
Fire safety
Install an approved automatic sprinkler system.
Smoke Deficiencies · Tag K0351
E
Potential harm, pattern
Corrected May 1, 2023
April 13, 2023
Fire safety
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Egress Deficiencies · Tag K0223
D
Potential harm, isolated
Corrected May 1, 2023
April 13, 2023
Fire safety
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction.
Egress Deficiencies · Tag K0255
D
Potential harm, isolated
Corrected May 1, 2023
April 13, 2023
Fire safety
Have exits that are accessible at all times.
Egress Deficiencies · Tag K0271
D
Potential harm, isolated
Corrected May 16, 2023
April 13, 2023
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
D
Potential harm, isolated
Corrected May 1, 2023
April 13, 2023
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
D
Potential harm, isolated
Corrected May 1, 2023
April 13, 2023
Standard
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Tag F0680
E
Potential harm, pattern
Corrected May 1, 2023
April 13, 2023
Standard
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Tag F0727
E
Potential harm, pattern
Corrected May 1, 2023
April 13, 2023
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
D
Potential harm, isolated
Corrected May 1, 2023
April 13, 2023
Standard
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Quality of Life and Care Deficiencies · Tag F0740
D
Potential harm, isolated
Corrected May 1, 2023
April 13, 2023
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected May 1, 2023
April 13, 2023
Standard
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights Deficiencies · Tag F0623
D
Potential harm, isolated
Corrected May 1, 2023
April 13, 2023
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected May 1, 2023
April 13, 2023
Standard
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected May 1, 2023
April 13, 2023
Standard
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.
Pharmacy Service Deficiencies · Tag F0758
D
Potential harm, isolated
Corrected May 1, 2023
April 13, 2023
Standard
Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies · Tag F0888
C
No harm, widespread
Corrected May 1, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports no federal fines or payment denials in the past three years.

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
WESTON COUNTY HOSPITAL DISTRICT
Organization
5% or greater direct ownership interest100%01/01/1966
DROST, KARI
Individual
adp of the snfNOT APPLICABLE05/03/2022
HAEBERLE, JOHN
Individual
adp of the snfNOT APPLICABLE01/01/2025
MAIELLANO, PAUL
Individual
adp of the snfNOT APPLICABLE11/17/2025
RYAN, PATRICIA
Individual
adp of the snfNOT APPLICABLE05/11/2026
SCHARF, KIMBERLY
Individual
adp of the snfNOT APPLICABLE01/01/2026
DROST, KARI
Individual
corporate officerNOT APPLICABLE05/03/2022
MAIELLANO, PAUL
Individual
corporate officerNOT APPLICABLE11/17/2025
RYAN, PATRICIA
Individual
corporate officerNOT APPLICABLE05/11/2026
DROST, KARI
Individual
indirect ownership interestNOT APPLICABLE05/03/2022
MAIELLANO, PAUL
Individual
indirect ownership interestNOT APPLICABLE11/17/2025
RYAN, PATRICIA
Individual
indirect ownership interestNOT APPLICABLE05/11/2026
HAEBERLE, JOHN
Individual
operational/managerial controlNOT APPLICABLE01/01/2025
RYAN, PATRICIA
Individual
operational/managerial controlNOT APPLICABLE05/11/2026
SCHARF, KIMBERLY
Individual
operational/managerial controlNOT APPLICABLE01/01/2026
DROST, KARI
Individual
trustee of the snfNOT APPLICABLE05/03/2022

Other nursing homes near Weston County Health Services

  1. Custer Care and Rehab Center

    1065 Montgomery St, Custer, SD 57730 · 30.4 mi

    Non-profit · 43 beds

    ★★★★★1Much below average
  2. Crook County Medical Services District Long Term C

    713 Oak St, Sundance, WY 82729 · 39.7 mi

    Non-profit · 32 beds

    ★★★★★2Below average

All nursing homes in Newcastle, WY · Compare side by side

Frequently asked questions

What is Weston County Health Services's rating?

Weston County Health Services has 2 out of 5 stars on the CMS overall star rating. The average for Wyoming nursing homes is 2.9 stars.

How many inspection citations did Weston County Health Services receive?

Its most recent standard health inspection found 11 citations, compared with a Wyoming average of 7.8. Every citation is listed on this page with its severity.

Does Weston County Health Services accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Weston County Health Services?

It is government - federal. The ownership section on this page lists the owners and managers reported to CMS.

Where is Weston County Health Services and how do I contact it?

Weston County Health Services is at 1124 Washington Blvd, Newcastle, WY 82701. Phone: (307) 746-2793.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.