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Nursing homeFAID #13366

Mission At Castle Rock

1445 Uinta Dr, GREEN RIVER, WY, 82935

(307) 872-4600

59 licensed beds

CMS rates Mission At Castle Rock 5 out of 5 overall. Federal inspectors issued 24 citations across 8 inspections in the last three years, with no federal fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall5/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

1445 Uinta Dr

Green River, WY 82935

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Public record summary

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Bed capacity

CMS facility ID

535033

Care type

Nursing home

County

Sweetwater

Facility name

Mission At Castle Rock

Street address

1445 Uinta Dr

City / state / ZIP

Green River, WY 82935

Phone

(307) 872-4600

About this facility — Mission At Castle Rock

Mission At Castle Rock is a Medicare/Medicaid-certified skilled nursing facility in Green River, Wyoming. It is licensed for 59 beds — below the median for skilled nursing facilities in Wyoming (81 beds).

It is one of 1 senior care facility in Green River and 36 skilled nursing facilities across Wyoming. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Mission At Castle Rock 24 times across 8 inspections in the last three years, including 1 food-safety citation; no federal fines are on record. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Mission Health Services

Ownership type

Non profit - Corporation

Registered owners & officers

Mission Health Services

Direct owner · Operational control · Additional disclosable party — 100% stake — since 2014

Anjewierden, Dirk

Director — since 2020

Covey, Joseph

Director — since 2015

Ellis, Ashley

Operational control · Additional disclosable party — since 2021

Gessel, David

Director — since 2008

Hunter, Kurt

Operational control · Additional disclosable party — since 2024

Keele, Eddie

Officer · Operational control · Owner of a disclosable party — since 2023

Keller, Austin

Officer · Operational control · Additional disclosable party — since 2024

Kelso, Gary

Director — since 2014

Wootton, Zachary

Officer · Operational control · Additional disclosable party — since 2024

Zimbelman, Michelle

Officer · Operational control · Additional disclosable party — since 2016

Regulatory standing

Licensed / certified since

1989-01-03

CMS overall rating

5 of 5 stars

Health deficiencies

2 at the last standard inspection

Federal fines

None on record

Last standard inspection

2025-04-02

Nurse staffing

3.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$412 per day (≈ $12,520/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

45% Medicaid · 24% Medicare · 31% private/other

Occupancy

72% (fiscal year 2023)

Vs. state median

13% below the WY median of $474/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2025-04-02Health inspectionComplaint-triggered2 citations

F-0600

D · No harm foundFrom a complaint

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

Corrected 2025-04-02

F-0880

D · No harm foundFrom a complaint

Provide and implement an infection prevention and control program.

Corrected 2025-05-23

2024-01-19Health inspection4 citations

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2024-02-16

F-0700

D · No harm found

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-02-16

F-0740

D · No harm found

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-02-16

F-0761

E · No harm found

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Corrected 2024-02-16

5 earlier / fire-safety inspections (18 citations)

2023-11-29Health inspectionComplaint-triggered1 citation

F-0600

D · No harm foundFrom a complaint

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

Corrected 2023-12-29

2022-10-06Health inspection5 citations

F-0623

D · No harm found

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-12-01

F-0625

D · No harm found

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2022-12-01

F-0812

F · No harm foundFood safety

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

Corrected 2022-12-01

F-0888

D · No harm found

Ensure staff are vaccinated for COVID-19

Corrected 2022-12-01

F-0948

E · No harm found

Ensure that paid feeding assistants have the training they need.

Corrected 2022-12-01

2025-04-02Fire-safety inspection6 citations

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2025-05-23

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2025-05-23

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2025-05-23

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2025-05-23

K-0902

D · No harm found

Meet requirements for the installation and maintenance of medical gas and medical vacuum systems.

Corrected 2025-05-23

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-23

2024-01-19Fire-safety inspection1 citation

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-02-29

2022-10-06Fire-safety inspection5 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-12-12

K-0324

D · No harm found

Provide properly protected cooking facilities.

Corrected 2022-12-01

K-0341

E · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2022-12-01

K-0511

D · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2022-12-01

K-0911

E · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-12-01

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 535033.

Quality of care & staffing

How it compares in Wyoming.

Inspection citations, 3 years

More than 31% of nursing homes in the state

State median: 35

Federal fines, 3 years

No federal fines on record

State median: $16,868

Nurse staffing, hours per resident per day

3.6

Higher than 49% of nursing homes in the state

State median: 3.6

Nursing staff turnover, annual

42%

Higher than 26% of nursing homes in the state

State median: 53%

Resident outcomes

On 21 federal quality measures, this facility does better than the Wyoming average on 13 and worse on 2. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	11.0%	17.2%	13.5%	Better than state
Lose too much weight	2.8%	5.6%	5.1%	Better than state
With a catheter inserted and left in their bladder	0.0%	1.4%	0.7%	Better than state
With a urinary tract infection	2.6%	3.0%	1.5%	Better than state
Have depressive symptoms	0.0%	6.9%	13.5%	Better than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	6.8%	5.0%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	97.5%	94.0%	93.7%	Near state average
Ability to walk independently worsened	9.6%	14.4%	12.7%	Better than state
Received an antianxiety or hypnotic medication	15.8%	15.3%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	97.7%	95.9%	95.3%	Near state average
With pressure ulcers	1.4%	4.5%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	19.4%	21.4%	18.3%	Near state average
Received an antipsychotic medication	17.5%	21.4%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.41	1.33	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	1.82	2.21	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	85.8%	77.4%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.6%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	86.9%	74.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	20.8%	17.3%	23.4%	Worse than state
Had an outpatient emergency department visit	16.9%	15.9%	11.8%	Near state average

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0600 2 inspections. Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
K-0324 2 inspections. Provide properly protected cooking facilities.
K-0511 2 inspections. Have properly installed electrical wiring and gas equipment.
K-0211 2 inspections. Keep aisles, corridors, and exits free of obstruction in case of emergency.

What its owners also hold

Mission Health Services has an ownership stake on file at 6 nursing homes, averaging 3.8 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Wyoming

Licensing: Wyoming Department of Health, Healthcare Licensing and Surveys (HLS)
File a complaint: 307-777-7123 · Online
Long-Term Care Ombudsman: 800-856-4398. A free advocate for residents and families.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Ashley Regional Medical Center, about 73 miles. CMS rating 4 of 5.
Evanston Regional Hospital, about 80 miles.
Uintah Basin Medical Center, about 88 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Sage View Care Center, Rock Springs, about 15 miles. CMS rating 3 of 5.
South Lincoln Nursing Center, Kemmerer, about 58 miles. CMS rating 3 of 5.
Uintah Health Care Special Service District, Vernal, about 72 miles. CMS rating 3 of 5.
Rocky Mountain Care - Evanston, Evanston, about 81 miles. CMS rating 5 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

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The 24 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

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Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered