01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2026-06-03 | 13 | 2026-06-03 | 8 |
| Cycle 2 | 2024-10-10 | 7 | 2024-10-10 | 5 |
| Cycle 3 | 2023-07-27 | 9 | 2023-07-27 | 5 |
CMS CCN 5350432026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Laramie Health And Rehabilitation
503 S 18Th St · Laramie, WY 82070 · Albany County
Certified beds105CMS provider file
Recent citation rows47current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
47 rows in the current release
3 rows carry G–L scope/severity codes; 0 carry J–L. 7 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-03 · FIREE0031Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide emergency officials' contact information.
Correction field: Deficient, Provider has plan of correction · 2026-07-102026-06-03 · FIREE0032Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Provide primary/alternate means for communication.
Correction field: Deficient, Provider has plan of correction · 2026-07-102026-06-03 · HEALTHF0577Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-06-03 · HEALTHF0585Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-06-03 · HEALTHF0600Severity G · isolated actual harm
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.
Correction field: Past Non-Compliance · complaint2026-06-03 · HEALTHF0610Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2026-07-10 · complaint2026-06-03 · HEALTHF0628Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-06-03 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-06-03 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2026-07-10 · complaint2026-06-03 · HEALTHF0679Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-06-03 · HEALTHF0725Severity F · widespread; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-06-03 · HEALTHF0732Severity D · isolated; potential for more than minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-06-03 · HEALTHF0800Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-06-03 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2026-07-102026-06-03 · FIREK0200Severity D · isolated; potential for more than minimal harm
Egress Deficiencies
Meet other general requirements.
Correction field: Past Non-Compliance2026-06-03 · FIREK0222Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Correction field: Deficient, Provider has plan of correction · 2026-07-102026-06-03 · FIREK0321Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has plan of correction · 2026-07-102026-06-03 · FIREK0324Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has plan of correction · 2026-07-102026-06-03 · FIREK0345Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has plan of correction · 2026-07-102026-06-03 · FIREK0918Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has plan of correction · 2026-07-102026-02-12 · HEALTHF0600Severity D · isolated; potential for more than minimal harm
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.
Correction field: Past Non-Compliance · complaint2024-10-10 · FIREE0039Severity F · widespread; potential for more than minimal harm
Emergency Preparedness Deficiencies
Conduct testing and exercise requirements.
Correction field: Deficient, Provider has date of correction · 2024-10-292024-10-10 · HEALTHF0584Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Correction field: Deficient, Provider has date of correction · 2024-11-242024-10-10 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-11-2403 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-05-22 | Fine | $35,880 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- MORRISON, ROBERTIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/30/2025
- SIMMONS, BENJAMINIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 09/30/2025
- COUVE FINANCIAL SERVICES LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- COUVE HEALTHCARE CONSULTING LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- LARAMIE SNF OPERATIONS LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- WY2 SNF OPERATIONS MANAGER LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- CONNELL, ERICIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- KAUFMAN, TRENTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- MIKESELL, DARRENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- MORRISON, ROBERTIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- SIMMONS, BENJAMINIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- SPIELMAN, SHIMONIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- WINTERHOLLER, DAVIDIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- YENOWITZ, YITZCHOKIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 09/30/2025
- YENOWITZ, YITZCHOKIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFNOT APPLICABLE · since 05/19/2026
- COUVE FINANCIAL SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/17/2025
- COUVE HEALTHCARE CONSULTING LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/17/2025
- LARAMIE SNF OPERATIONS LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 10/17/2025
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours2.89per resident day
RN hours0.54per resident day
Weekend nurse hours2.40per resident day
Staff turnover51.8%CMS reported field
06 / LOCAL RECORDS
Open the Wyoming ledger →Other published facilities nearby
No second facility in the same city met the directory rule.