F

Summit Ridge Skilled Nursing & Rehabilitation

1108 Birch Street, Douglas, WY 82633
Score: 15 / 100

With a score of 15/100, Summit Ridge Skilled Nursing & Rehabilitation ranks in the bottom tier of Wyoming nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.

With 2.53 total nurse hours per resident per day, Summit Ridge Skilled Nursing & Rehabilitation falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent inspections identified 26 deficiencies at Summit Ridge Skilled Nursing & Rehabilitation. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.53 3.8 Below Average
Registered Nurses (RN) 0.74 0.7 Average
Licensed Practical Nurses (LPN) 0.28 0.7 Below Average
Certified Nursing Assistants (CNA) 1.51 2.4 Below Average
Weekend Total Nursing 2.06 3.8 Below Average
Weekend RN Hours 0.33 0.7 Below Average

🔍 Inspection & Deficiency History

26
Total Deficiencies
Sep 16, 2025
Most Recent Inspection
🟠 26 Moderate
View recent deficiencies (5 shown)
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Sep 16, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0677 Severity D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Sep 16, 2025 · Quality of Life and Care Deficiencies
  • Tag 0567 Severity D
    Honor the resident's right to manage his or her financial affairs.
    Jan 2, 2025 · Resident Rights Deficiencies
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jan 2, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0609 Severity D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    Jan 2, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.3% 4.5% Worse
Falls with major injury 3.4% 3.0% Worse
On antipsychotic medication 17.2% 14.5% Worse
Urinary tract infections 7.5% 2.5% Worse
ADL decline (daily activities) 21.1% 14.0% Worse
Excessive weight loss 0.7% 7.5% Better
New/worsened incontinence 20.6% 45.0% Better

⚠️ Penalties & Fines

2 penalties recorded by CMS

Total fines: $34,646

How This Grade Was Calculated

This facility's grade of F is based on a score of 15 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -10 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
60
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Nov 14, 2024
Deficiencies (Cycle 1)
10