Composite
89.0 / 100 percentile
Screener / 535040
D
Summit Ridge Skilled Nursing & Rehabilitation
snfWY
1108 Birch Street, Douglas, WY 82633 · CCN 535040 · chain NORTH BIG HORN HOSPITAL DISTRICT
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
60
Model
v1.2
Reads as: riskier than 89.0% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals11Components16CHOW radar1Distress radar1Staffing15Penalties2Deficiencies27Licensure0Ownership30Related party4Transactions1Comps12Market rent32
Composite explanation
5| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 86.6 | 73.4 | 0.30 | 0.2308 | 19.98 | in index |
| regulatory risk | 72.6 | 68.3 | 0.30 | 0.2308 | 16.75 | in index |
| staffing risk | 85.0 | 85.0 | 0.25 | 0.1923 | 16.35 | in index |
| billing conduct | 34.1 | 33.4 | 0.30 | 0.2308 | 7.87 | in index |
| chow risk | 43.2 | 41.4 | 0.15 | 0.1154 | 4.98 | in index |
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
11| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +31.3 vs natl | WINTERHOLLER DAVID | 11 facilities |
| connection | Owner fleet risk far above national | +31.3 vs natl | SIMMONS BENJAMIN | 11 facilities |
| connection | Owner fleet risk far above national | +22.8 vs natl | CONNELL ERIC | 11 facilities |
| connection | Owner fleet risk far above national | +21.1 vs natl | BANGERTER EDWARD | 14 facilities |
| connection | Owner fleet risk far above national | +20.5 vs natl | GATHERUM JASON | 14 facilities |
| connection | Owner fleet risk far above national | +20.3 vs natl | MORRISSEY ROBERT | 13 facilities |
| connection | Buyer assembling a chain (5+ takeovers/24mo) | 8 facilities | NORTH BIG HORN HOSPITAL DISTRICT | 8 facilities |
| connection | Owner fleet enforcement cluster | 73% fined | CONNELL ERIC | 11 facilities |
| connection | Owner fleet enforcement cluster | 73% fined | SIMMONS BENJAMIN | 11 facilities |
| connection | Owner fleet enforcement cluster | 73% fined | WINTERHOLLER DAVID | 11 facilities |
| connection | Owner fleet enforcement cluster | 62% fined | MORRISSEY ROBERT | 13 facilities |
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Component scores and registry models
16| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 33.4 | B | v0.1-pacpuf-snf | default · in composite | R22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup. |
| chow risk | 25.0 | B | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| chow risk | 57.8 | C | v0.6 | default · in composite | |
| financial risk | 73.4 | D | v0.5 | default · in composite | R18. |
| p adverse action 12m | 0.1 | — | v0.1 | default · in composite | R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite. |
| p chow 12m | 0.0 | — | v0.1 | default · in composite | R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite. |
| regulatory risk | 68.3 | D | v0.3 | default · in composite | Deficiency-based, SNF population. Runs alongside v0.5-pos. |
| staffing risk | 85.0 | F | v0.3 | default · in composite | Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS. |
| financial risk | 84.2 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 64.2 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 72.5 | D | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 71.9 | D | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 68.1 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| regulatory risk | 68.1 | D | v0.2 | superseded | Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 85.0 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| staffing risk | 85.0 | F | v0.2 | superseded | Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CHOW radar — 12-month sale probability
full board →p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
12.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Current owner tenure (years) | 0.91 | -1.76 | |
| Never sold on record | 0.00 | -1.62 | |
| Ownership changes, last 5 years | 1.00 | -0.87 | |
| For-profit ownership | 1.00 | +0.69 | |
| No PBJ staffing report | 0.00 | +0.42 | |
| Contract staffing share | 0.24 | +0.27 | |
| Deficiencies, last 12 months | 3.00 | -0.10 | |
| Total nurse staffing (HPRD) | 2.68 | +0.07 |
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.
Distress radar — 12-month termination probability
full board →p(termination, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
52.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
| Driver | Value | Pull on odds | |
|---|---|---|---|
| Deficiencies, last 12 months | 3.00 | +0.87 | |
| For-profit ownership | 1.00 | -0.69 | |
| Fine amount, 12m (log) | 9.61 | -0.52 | |
| No PBJ staffing report | 0.00 | +0.39 | |
| Staffing trend, last 4 quarters | 0.75 | +0.32 | |
| Current owner tenure (years) | 0.91 | -0.29 | |
| Never sold on record | 0.00 | -0.28 | |
| Chain size (log) | 1.61 | +0.26 |
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.
Staffing vs peers
15| 2025Q4 HPRD | This facility | WY median | National median | National p25–p75 |
|---|---|---|---|---|
| Total nurse | 2.68 | 3.23 | 3.28 | 2.90–3.77 |
| RN | 0.75 | 0.56 | 0.39 | 0.25–0.58 |
| Weekend total | 2.58 | 3.13 | 3.11 | — |
| Weekday total | 2.73 | 3.27 | 3.35 | — |
| Quarter | Days | Avg census | Total HPRD | RN | LPN | CNA | Weekend | Contract % |
|---|---|---|---|---|---|---|---|---|
| 2025Q4 | 92 | 42.3 | 2.68 | 0.75 | 0.20 | 1.73 | 2.58 | 24.0% |
| 2025Q3 | 92 | 46.2 | 2.08 | 0.53 | 0.20 | 1.35 | 1.78 | 1.4% |
| 2025Q2 | 91 | 40.6 | 2.66 | 0.47 | 0.57 | 1.62 | 2.48 | 0.0% |
| 2025Q1 | 90 | 41.3 | 2.25 | 0.52 | 0.51 | 1.22 | 2.14 | 0.0% |
| 2024Q4 | 92 | 43.4 | 1.94 | 0.47 | 0.44 | 1.03 | 1.84 | 0.0% |
| 2024Q2 | 91 | 46.3 | 2.09 | 0.63 | 0.38 | 1.07 | 1.96 | 0.0% |
| 2024Q1 | 91 | 44.6 | 2.36 | 0.70 | 0.34 | 1.32 | 2.24 | 0.0% |
| 2023Q4 | 92 | 45.8 | 1.91 | 0.72 | 0.16 | 1.03 | 1.73 | 0.0% |
| 2023Q3 | 92 | 44.7 | 2.06 | 0.66 | 0.13 | 1.27 | 1.85 | 0.0% |
| 2023Q2 | 91 | 48.7 | 1.94 | 0.68 | 0.10 | 1.16 | 0.84 | 0.0% |
| 2023Q1 | 90 | 50.6 | 1.97 | 0.69 | 0.12 | 1.16 | 0.97 | 0.0% |
| 2022Q4 | 92 | 51.3 | 1.97 | 0.68 | 0.12 | 1.17 | 0.88 | 1.9% |
| 2022Q3 | 92 | 52.7 | 1.52 | 0.56 | 0.17 | 0.79 | 0.78 | 0.0% |
| 2022Q2 | 91 | 48.5 | 1.27 | 0.51 | 0.12 | 0.65 | 1.06 | 0.0% |
| 2022Q1 | 90 | 48.6 | 1.60 | 0.52 | 0.25 | 0.82 | 1.54 | 0.0% |
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.
Penalties
2fines by year
| Date | Type | Fine | Source |
|---|---|---|---|
| 2025-09-17 | Fine | $14,950 | CMS provider data |
| 2024-11-15 | Fine | $19,696 | CMS provider data |
Total fines on record: $34,646
Deficiencies
27D × 20E × 1F × 4G × 2
deficiencies by survey year
| Survey | Type | Tag | Deficiency | Scope | Corrected |
|---|---|---|---|---|---|
| 2026-04-30 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | — |
| 2025-09-17 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | 2025-10-10 |
| 2025-09-17 | Health · complaint | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2025-10-10 |
| 2025-01-03 | Health · complaint | F0567 | Honor the resident's right to manage his or her financial affairs. | D | 2025-02-14 |
| 2025-01-03 | Health · complaint | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2024-12-20 |
| 2025-01-03 | Health · complaint | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | 2025-02-14 |
| 2024-11-15 | Health · complaint | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2024-12-20 |
| 2024-11-15 | Health · complaint | F0700 | 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. | D | 2024-12-20 |
| 2024-11-15 | Health · complaint | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | 2024-12-20 |
| 2024-11-15 | Health · complaint | F0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | 2024-12-20 |
| 2024-11-15 | Health · complaint | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | 2024-12-20 |
| 2024-11-15 | Health | F0745 | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | 2024-12-20 |
| 2024-11-15 | Health · complaint | F0801 | 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. | F | 2024-12-20 |
| 2024-11-15 | Health · complaint | F0880 | Provide and implement an infection prevention and control program. | F | 2024-12-20 |
| 2023-08-30 | Health | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | 2023-10-16 |
| 2023-08-30 | Health | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | 2023-10-16 |
| 2023-08-30 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2023-10-16 |
| 2023-08-30 | Health | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | 2023-10-16 |
| 2023-08-30 | Health | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | 2023-10-16 |
| 2023-08-30 | Health | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2023-10-16 |
| 2023-08-30 | Health | F0880 | Provide and implement an infection prevention and control program. | D | 2023-10-16 |
| 2023-08-30 | Health | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | 2023-10-16 |
| 2022-08-10 | Health | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | 2022-09-15 |
| 2022-08-10 | Health | F0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | D | 2022-09-15 |
| 2022-08-10 | Health | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-09-15 |
| 2022-08-10 | Health | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2022-09-15 |
| 2022-08-10 | Health | F0886 | Perform COVID19 testing on residents and staff. | F | 2022-09-15 |
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
30| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BANGERTE, NATHAN | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | current | pecos_ownership |
| BANGERTER, EDWARD | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | current | pecos_ownership |
| BANGERTER, JOHNATHAN | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | current | pecos_ownership |
| CONNELL, ERIC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | current | pecos_ownership |
| DARBY, MEGAN | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | current | pecos_ownership |
| GATHERUM, JASON | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | current | pecos_ownership |
| LAKE, CRYSTAL | ADP OF THE SNF | — | 2025-09-01 | current | pecos_ownership |
| MCMILLAN, KARLI | ADP OF THE SNF | — | 2025-09-01 | current | pecos_ownership |
| MORRISON, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | current | pecos_ownership |
| NEVES, COURTNEY | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | current | pecos_ownership |
| ROCKY MOUNTAIN CARE LLC | ADP OF THE SNF | — | 2025-09-24 | current | pecos_ownership |
| SIMMONS, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | current | pecos_ownership |
| SNOWBALL, KELLY | MANAGING CONTROL - GOVERNING BODY | — | 2025-04-01 | current | pecos_ownership |
| SUMMIT RIDGE OC LLC | ADP OF THE SNF | — | 2025-10-11 | current | pecos_ownership |
| SUMMIT RIDGE OC LLC | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | current | pecos_ownership |
| WINTERHOLLER, DAVID | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | current | pecos_ownership |
| NORTH BIG HORN HOSPITAL DISTRICT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| BENJAMIN SIMMONS | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| COURTNEY NEVES | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| CRYSTAL LAKE | ADP OF THE SNF | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| DAVID WINTERHOLLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| EDWARD BANGERTER | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| ERIC CONNELL | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| JASON GATHERUM | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| JOHNATHAN BANGERTER | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| KARLI MCMILLAN | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| KELLY SNOWBALL | MANAGING CONTROL - GOVERNING BODY | — | 2025-04-01 | ended 2026-05-18 | pecos_ownership |
| MEGAN DARBY | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| NATHAN BANGERTE | MANAGING CONTROL - GOVERNING BODY | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
| ROBERT MORRISON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-09-01 | ended 2026-05-18 | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
1| Close date | Price | Buyer | Seller | Evidence |
|---|---|---|---|---|
| 2025-09-01 | — | NORTH BIG HORN HOSPITAL DISTRICT | DOUGLAS CARE CENTER, LLC | chow |
Comparable trades — WY snf
12| Close | Facility | Price | $/bed | Cap rate | Beds | Buyer |
|---|---|---|---|---|---|---|
| 2025-09-30 | Thermopolis Rehabilitation and Wellness | — | — | — | 60 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2025-09-30 | Shepherd of the Valley Rehabilitation and Wellness | — | — | — | 192 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2025-09-30 | Sage View Care Center | — | — | — | 82 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2025-09-30 | Granite Rehabilitation and Wellness | — | — | — | 146 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2025-09-30 | Wind River Rehabilitation and Wellness | — | — | — | 81 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2025-09-01 | Summit Ridge Skilled Nursing & Rehabilitationthis facility | — | — | — | 60 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2024-10-01 | Big Horn Rehabilitation and Care Center | — | — | — | 128 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2024-10-01 | Polaris Rehabilitation and Care Center | — | — | — | 105 | NORTH BIG HORN HOSPITAL DISTRICT |
| 2024-01-01 | Heritage Home | — | — | — | 50 | SUBLETTE COUNTY HOSPITAL DISTRICT |
| 2023-08-31 | Rawlins Rehabilitation and Wellness | — | — | — | 62 | RAWLINS SNF OPERATIONS, LLC |
| 2020-01-01 | Worland Health and Rehabilitation | — | — | — | 87 | SNH WY TENANT LLC |
| 2020-01-01 | Laramie Health and Rehabilitation | — | — | — | 105 | SNH WY TENANT LLC |
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.
Market rent context
32| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 56009 | fmr | 0 | $777 | 2025-10-01 | HUD_USER_FMR |
| county 56009 | acs median gross | 1 | $624 | 2024-12-31 | CENSUS_ACS5 |
| county 56009 | fmr | 1 | $782 | 2025-10-01 | HUD_USER_FMR |
| county 56009 | acs median gross | 2 | $885 | 2024-12-31 | CENSUS_ACS5 |
| county 56009 | fmr | 2 | $1,026 | 2025-10-01 | HUD_USER_FMR |
| county 56009 | acs median gross | 3 | $743 | 2024-12-31 | CENSUS_ACS5 |
| county 56009 | fmr | 3 | $1,412 | 2025-10-01 | HUD_USER_FMR |
| county 56009 | acs median gross | 4 | $1,664 | 2024-12-31 | CENSUS_ACS5 |
| county 56009 | fmr | 4 | $1,695 | 2025-10-01 | HUD_USER_FMR |
| county 56009 | acs median gross | $866 | 2024-12-31 | CENSUS_ACS5 | |
| county 56009 | acs recent mover gross | $736 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 82633 | acs median gross | 1 | $618 | 2024-12-31 | CENSUS_ACS5 |
| zcta 82633 | acs median gross | 2 | $909 | 2024-12-31 | CENSUS_ACS5 |
| zcta 82633 | acs median gross | 3 | $743 | 2024-12-31 | CENSUS_ACS5 |
| zcta 82633 | acs median gross | 4 | $1,664 | 2024-12-31 | CENSUS_ACS5 |
| zcta 82633 | acs median gross | $868 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 82633 | acs recent mover gross | $908 | 2024-12-31 | CENSUS_ACS5 | |
| zip 82633 | payment standard 110 | 0 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | payment standard 90 | 0 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | safmr | 0 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | payment standard 110 | 1 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | payment standard 90 | 1 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | safmr | 1 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | payment standard 110 | 2 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | payment standard 90 | 2 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | safmr | 2 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | payment standard 110 | 3 | $1,496 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | payment standard 90 | 3 | $1,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | safmr | 3 | $1,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | payment standard 110 | 4 | $1,804 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | payment standard 90 | 4 | $1,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 82633 | safmr | 4 | $1,640 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.