During the first quarter of 2026, North Big Horn Hospital District owned Shepherd of the Valley Rehabilitation and Wellness, according to the Centers for Medicare and Medicaid Services (CMS). The Natrona County nursing home became part of North Big Horn Hospital District as of Sep. 30, 2025.
Shepherd of the Valley Rehabilitation and Wellness operates as a for-profit facility.
Throughout the quarter, the facility received an overall CMS rating of 1, less than the Wyoming state nursing home average of 3.0. CMS determines these ratings based on essential measures including health inspection results, staffing numbers and resident care quality.
The data indicates Shepherd of the Valley Rehabilitation and Wellness served an average of 168.6 residents daily during the first quarter of 2026 and maintained 192 beds. The facility does not operate as a hospital-based nursing home.
For the first quarter of 2026, Shepherd of the Valley Rehabilitation and Wellness accumulated $105,221 in fines from six separate assessments, resulting in six total penalties.
There were 3 for-profit nursing homes located in Natrona County, Wyoming, during that period.
U.S. Census Bureau estimates show the number of older adults is rising nationwide, while the population of younger age groups declines. From 2020 to 2024, Americans age 65 and older saw a 13% increase, as the population younger than 18 fell 1.7%. The nation’s older adult population has expanded significantly in the last century, from 4.9 million in 1920 to more than 61 million reported for 2024.
A 2021 analysis found nearly half of adults in this group—around 28 million—will likely require some form of long-term services and supports, and more than a third may need nursing home care over time.
“Living a long life is something that many of us want and could get,” said Jesse Slome, executive director of the American Association for Long-Term Care Insurance, a group focused on insurance education. “But when we live a long life, the chances of us needing long-term care increase exponentially. But when you need that type of care, there are limited options.”
| Nursing Home | Owner | Ownership Type | Overall Rating | Avg. No. of Residents per day |
|---|---|---|---|---|
| Life Care Center of Casper | Life Care Centers of America, Inc. | For profit – Corporation | 5 | 76.3 |
| Shepherd of the Valley Rehabilitation and Wellness | North Big Horn Hospital District | For profit – Corporation | 1 | 168.6 |
This article’s information was gathered from the Centers for Medicare and Medicaid Services. The source dataset is available here.
