CCN 535043 · Albany County, Wyoming
Laramie Health and Rehabilitation
503 S 18th St, Laramie, WY 82070
Laramie Health and Rehabilitation is a 105-bed for-profit nursing home in Laramie, Wyoming, first certified for Medicare or Medicaid in 1991. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 51.8 residents a day, about 49% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 105
- Average residents per day
- 51.8 (49.3% of beds)
- Ownership type
- For profit - Corporation
- Certification
- Medicare and Medicaid
- Legal business name
- North Big Horn Hospital District
- Certified since
- Mar 1, 1991
- Chain or affiliated group
- Evergreen Healthcare Group (43 facilities, chain average 2.4 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Wyoming median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 7 at 1, 10 at 2, 7 at 3, 3 at 4, 8 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 2 of 5 | ||
| Total nurse hours per resident per day | 2.89 | 3.56 | 3.68 |
| RN hours per resident per day | 0.54 | 0.78 | 0.58 |
| Weekend nurse hours per resident per day | 2.40 | ||
| Nursing staff turnover | 51.8% | 47.9% | 44.9% |
| Occupancy (residents / beds) | 49.3% | 72.5% | 85.7% |
| Fines reported by CMS | 1 totaling $35,880 | ||
| Health deficiencies, latest standard survey | 13 (Jun 3, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Laramie Health and Rehabilitation does not meet it today: the abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Couve Financial Services LLCOrganization | Operational / Managerial Control | n/a | 09/30/2025 |
| Couve Healthcare Consulting LLCOrganization | Operational / Managerial Control | n/a | 09/30/2025 |
| Laramie SNF Operations LLCOrganization | Operational / Managerial Control | n/a | 09/30/2025 |
| Wy2 SNF Operations Manager LLCOrganization | Operational / Managerial Control | n/a | 09/30/2025 |
| Connell, EricIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
| Kaufman, TrentIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
| Mikesell, DarrenIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
| Morrison, RobertIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
| Simmons, BenjaminIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
| Spielman, ShimonIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
| Winterholler, DavidIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
| Yenowitz, YitzchokIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.