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dba/Rawlins Rehabilitation and Wellness

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dba/Rawlins Rehabilitation and Wellness is a for profit - limited liability company facility in Rawlins, WY with 62 certified beds and a 3-star overall CMS rating. The facility has 15 deficiency records on file. Total penalties: $14K.

542 16th St, Rawlins, WY 82301

Phone: 3073242759

Overall Rating

3/5

Health Inspection

3/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

2/5

Facility Information

Provider Number
535036
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
62
Residents
34
In Hospital
No
County
Carbon
Last Inspection
Aug 7, 2025

Staffing Data

RN Hours
1.03 (nat'l avg: 0.68)
LPN Hours
0.37
CNA Hours
2.34
Total Nursing Hours
3.74 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
42.9%
RN Turnover
42.9%

What the CMS Record Reveals About dba/Rawlins Rehabilitation and Wellness

dba/Rawlins Rehabilitation and Wellness operates 62 certified beds in Rawlins, WY with approximately 34 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 15 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $14K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.74 total nursing hours per resident day (national average 3.89), with RN coverage at 1.03 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, dba/Rawlins Rehabilitation and Wellness falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 42.9%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (15 most recent)

E — Pattern - Minimal harm Aug 7, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Sep 3, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 29, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 29, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0605

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 29, 2025

D — Isolated - Minimal harm Jun 27, 2025 Tag: 0627

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Category: Resident Rights Deficiencies

Corrected: Jul 4, 2025

E — Pattern - Minimal harm May 2, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: May 26, 2024

D — Isolated - Minimal harm May 2, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: May 26, 2024

J — Isolated - Jeopardy May 2, 2024 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: May 3, 2024

D — Isolated - Minimal harm Mar 31, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 27, 2023

D — Isolated - Minimal harm Mar 31, 2023 Tag: 0801

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Category: Nutrition and Dietary Deficiencies

Corrected: Apr 27, 2023

D — Isolated - Minimal harm Mar 31, 2023 Tag: 0636

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 27, 2023

E — Pattern - Minimal harm Mar 31, 2023 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 27, 2023

J — Isolated - Jeopardy Mar 31, 2023 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Apr 27, 2023

D — Isolated - Minimal harm Mar 31, 2023 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Apr 27, 2023

D — Isolated - Minimal harm Mar 2, 2023 Tag: 0712

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 29, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 36.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 11.1% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 7.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 23.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.9% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 95.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 53.1% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 44.3% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 31.6% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No
Percentage of long-stay residents with pressure ulcers Long Stay 4.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 23.8% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 35.3% Yes

Penalty History 1 penalties totaling $14K

Date Type Amount
May 2, 2024 Fine $14K
Mar 2, 2023 Fine $15K
Mar 2, 2023 Payment Denial -

Frequently Asked Questions

What is the overall CMS rating for dba/Rawlins Rehabilitation and Wellness?
dba/Rawlins Rehabilitation and Wellness has an overall CMS rating of 3 out of 5 stars. This rating combines health inspection results (3★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at dba/Rawlins Rehabilitation and Wellness?
dba/Rawlins Rehabilitation and Wellness reports 3.74 total nursing hours per resident day (national average: 3.89). RN hours are 1.03 per resident day (national average: 0.68). Nursing staff turnover is 42.9%.
How many beds does dba/Rawlins Rehabilitation and Wellness have?
dba/Rawlins Rehabilitation and Wellness has 62 certified beds with approximately 34 residents. The facility is located at 542 16th St, Rawlins, WY 82301.
Does dba/Rawlins Rehabilitation and Wellness have any deficiencies on record?
Yes, dba/Rawlins Rehabilitation and Wellness has 15 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has dba/Rawlins Rehabilitation and Wellness received any fines or penalties?
Yes, dba/Rawlins Rehabilitation and Wellness has received 1 penalties totaling $14K.
Who owns dba/Rawlins Rehabilitation and Wellness?
dba/Rawlins Rehabilitation and Wellness is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was dba/Rawlins Rehabilitation and Wellness last inspected?
The most recent health inspection for dba/Rawlins Rehabilitation and Wellness was on Aug 7, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for dba/Rawlins Rehabilitation and Wellness?
dba/Rawlins Rehabilitation and Wellness is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial