CCN 535051 · Hot Springs County, Wyoming
Thermopolis Rehabilitation and Wellness
1210 Canyon Hills Rd, Thermopolis, WY 82443
Thermopolis Rehabilitation and Wellness is a 60-bed for-profit nursing home in Thermopolis, Wyoming, first certified for Medicare or Medicaid in 1994. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 38.7 residents a day, about 65% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $5.5 million in June 2019 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 60
- Average residents per day
- 38.7 (64.5% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- North Big Horn Hospital District
- Certified since
- Jun 1, 1994
- 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 | 3 of 5 | State spread: 7 at 1, 10 at 2, 7 at 3, 3 at 4, 8 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.52 | 3.56 | 3.68 |
| RN hours per resident per day | 0.61 | 0.78 | 0.58 |
| Weekend nurse hours per resident per day | 3.29 | ||
| Nursing staff turnover | 73.2% | 47.9% | 44.9% |
| Occupancy (residents / beds) | 64.5% | 72.5% | 85.7% |
| Fines reported by CMS | 1 totaling $17,761 | ||
| Health deficiencies, latest standard survey | 6 (Nov 20, 2025) | ||
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). Thermopolis Rehabilitation and Wellness meets that part today: 3 stars overall, 3 on health inspections, no 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 |
| Pacific Northwest Opco Management LLCOrganization | Operational / Managerial Control | n/a | 09/30/2025 |
| Thermopolis SNF Operations, LLCOrganization | Operational / Managerial Control | n/a | 09/30/2025 |
| Spielman, ShimonIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
| Stannard, AndreaIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
| Weyer, JasonIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
| Yenowitz, YitzchokIndividual | Operational / Managerial Control | n/a | 09/30/2025 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Sep 30, 2025 | North Big Horn Hospital District | Thermopolis SNF Operations, LLC |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jun 7, 2019 | 223(f) refinance or purchaseHUD project name: Thermopolis Rehabilitation & Care Center, 60 beds. Lender at endorsement: Blueprint Real Estate Capital LLC | $5,453,600 | Ended Aug 31, 2023Prepayment | 10922013 |
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.