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Nursing homeFAID #13378

Morning Star Care Center

4 North Fork Rd, FORT WASHAKIE, WY, 82514

(307) 332-6902

45 licensed beds

CMS rates Morning Star Care Center 3 out of 5 overall. Federal inspectors issued 28 citations across 7 inspections in the last three years, with $5,168 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall4/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

4 North Fork Rd

Fort Washakie, WY 82514

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

535050

Care type

Nursing home

County

Fremont

Facility name

Morning Star Care Center

Street address

4 North Fork Rd

City / state / ZIP

Fort Washakie, WY 82514

Phone

(307) 332-6902

About this facility — Morning Star Care Center

Morning Star Care Center is a Medicare/Medicaid-certified skilled nursing facility in Fort Washakie, Wyoming. It is licensed for 45 beds — below the median for skilled nursing facilities in Wyoming (81 beds).

It is one of 1 senior care facility in Fort Washakie 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 Morning Star Care Center 28 times across 7 inspections in the last three years, and CMS has imposed $5,168 in fines. 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

Ownership type

Government - Federal

Registered owners & officers

Morning Star Care Center

Direct owner — 100% stake — since 1986

Hash, Tiffany

Operational control · Additional disclosable party — since 2025

Rivera, Kaeli

Operational control · Additional disclosable party — since 2025

St Clair, Robin

Operational control · Additional disclosable party — since 2025

Regulatory standing

Licensed / certified since

1994-05-15

CMS overall rating

3 of 5 stars

Health deficiencies

1 at the last standard inspection

Federal fines

$5,168 total

Last standard inspection

2025-04-10

Nurse staffing

5.6 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$528 per day (≈ $16,050/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

96% Medicaid · 3% Medicare · 1% private/other

Occupancy

61% (fiscal year 2023)

Vs. state median

11% above 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

CleanNo food-safety or dietary citations in the last three years of federal inspections.

2025-04-10Health inspection1 citation

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-05-22

2024-11-05Health inspectionComplaint-triggered2 citations

F-0622

D · No harm foundFrom a complaint

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2024-11-22

F-0745

D · No harm foundFrom a complaint

Provide medically-related social services to help each resident achieve the highest possible quality of life.

Corrected 2024-11-22

5 earlier / fire-safety inspections (25 citations)

2024-01-25Health inspection7 citations

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-03-01

F-0661

D · No harm found

Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

Corrected 2024-03-01

F-0697

D · No harm found

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-03-01

F-0755

D · No harm found

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-03-01

F-0756

E · No harm found

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2024-03-01

F-0758

E · No harm found

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.

Corrected 2024-03-01

F-0883

D · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2024-03-01

2023-01-12Health inspection6 citations

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-02-11

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2023-02-11

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2023-02-11

F-0657

D · No harm found

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

Corrected 2023-02-11

F-0688

D · No harm found

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2023-02-11

F-0758

E · No harm found

Corrected 2023-02-11

2025-04-10Fire-safety inspection5 citations

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-20

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-20

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-05-20

K-0761

F · No harm found

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-05-07

K-0923

E · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-05-30

2024-01-25Fire-safety inspection3 citations

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-03-11

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-02-22

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-22

2023-01-12Fire-safety inspection4 citations

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2023-02-11

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2023-02-11

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-02-15

K-0918

F · No harm found

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

Corrected 2023-01-20

Federal penalties

2024-11-05Fine$5,168

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 535050.

Quality of care & staffing

How it compares in Wyoming.

Inspection citations, 3 years

More than 39% of nursing homes in the state

State median: 35

Federal fines, 3 years

$5,168

More than 25% of nursing homes in the state

State median: $16,868

Nurse staffing, hours per resident per day

5.6

Higher than 89% of nursing homes in the state

State median: 3.6

Resident outcomes

On 17 federal quality measures, this facility does better than the Wyoming average on 8 and worse on 6. 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	14.6%	17.2%	13.5%	Better than state
Lose too much weight	1.8%	5.6%	5.1%	Better than state
With a catheter inserted and left in their bladder	8.8%	1.4%	0.7%	Worse than state
With a urinary tract infection	11.9%	3.0%	1.5%	Worse than state
Have depressive symptoms	2.7%	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	3.4%	5.0%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	94.1%	94.0%	93.7%	Near state average
Ability to walk independently worsened	11.3%	14.4%	12.7%	Better than state
Received an antianxiety or hypnotic medication	8.2%	15.3%	19.5%	Better than state
Assessed and appropriately given the seasonal influenza vaccine	93.3%	95.9%	95.3%	Near state average
With pressure ulcers	13.7%	4.5%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	8.6%	21.4%	18.3%	Better than state
Received an antipsychotic medication	25.0%	21.4%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.25	1.33	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	3.72	2.21	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	53.3%	77.4%	82.3%	Worse than state

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.

K-0345 3 inspections. Have approved installation, maintenance and testing program for fire alarm systems.
K-0353 2 inspections. Inspect, test, and maintain automatic sprinkler systems.
F-0758 2 inspections. 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.

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

Sagewest Health Care, about 23 miles. CMS rating 2 of 5.
Hot Springs County Memorial Hospital, about 56 miles. CMS rating 3 of 5.
Washakie Medical Center, about 84 miles. CMS rating 4 of 5.

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

Nearby facilities with inspection records

Mountain View Skilled Nursing Community At Wlrc, Lander, about 14 miles. CMS rating 2 of 5.
Westward Heights Care Center, Lander, about 15 miles. CMS rating 4 of 5.
Wind River Rehabilitation and Wellness, Riverton, about 25 miles. CMS rating 2 of 5.
Heritage Home, Pinedale, about 48 miles. CMS rating 4 of 5.
Thermopolis Rehabilitation and Wellness, Thermopolis, about 55 miles. CMS rating 3 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

Locked

The 28 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

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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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