Nursing home · Top rated by CMS
Amie Holt Care Center
497 W Lott, Buffalo, WY 82834 · Map
Government - Hospital district · 50 certified beds
Amie Holt Care Center is a Medicare-certified nursing home in Buffalo, Wyoming. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 5.12 hours per resident per day, above the Wyoming average of 3.84. Its most recent inspection on Apr 24, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Amie Holt Care Center compares
This facility vs. the Wyoming and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Wyoming avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 5.12 | 3.84 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.89 | 0.90 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.28 | 2.46 | 2.34 | above avg |
| Nursing staff turnover | 40.8% | 52.8% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 6.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the April 24, 2025 inspection was corrected by June 8, 2025
What inspectors found at Amie Holt Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 24, 2025 · Full report (PDF) - Minimal
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 29, 2024 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Feb 29, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Feb 29, 2024 · Full report (PDF)
Show all 7 deficiencies
- Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Feb 29, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Feb 29, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 497 W Lott
Buffalo, WY 82834 - CMS certification #
- 53A002
- Ownership
- Government - Hospital district
- Certified beds
- 50
- Avg residents/day
- 38.9
- Provider type
- Medicaid
- First certified
- 1974-03-31
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Amie Holt Care Center using Google Maps.
Other public records
- Programs Medicare-certified hospice at this address; Medicare-certified home health agency at this address
Full public records, with dates and sources
Care and services
Medicare agencies at this address
- Medicare-certified hospice at this address. Medicare-certified hospice SUSIE BOWLING LAWRENCE HOSPICE (Medicare CCN 531506) lists this same street address. Ownership type: Government. Medicare certified since 08/26/1994. (CMS Hospice - General Information, as of Aug 19, 2026)
- Medicare-certified home health agency at this address. Medicare-certified home health agency JOHNSON COUNTY HEALTHCARE CENTER HOME HEALTH AGENCY (Medicare CCN 537026) lists this same street address. Ownership type: GOVERNMENT OPERATED. Medicare certified since 09/19/1984. (CMS Home Health Care Agencies, as of May 27, 2026)
A shared street address is a fact about location. CMS does not say whether the agency is run by the community.
Location and nearby care
- Nearest hospital with an emergency room
- Sheridan Memorial Hospital, Sheridan. 34.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Wyoming Veterans' Skilled Nursing Facility, Buffalo. 1.8 miles away, straight line.
- Nearest home health agency office
- Johnson County Healthcare Center Home Health Agency, Buffalo. 0.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hospital Pharmacy United Drugs. 33.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 82834 as small town (small town core).
- Hospice
- 4 Medicare hospices tell CMS they serve ZIP code 82834.
Susie Bowling Lawrence Hospice, office in Buffalo, 0.1 miles away, straight line - Nearest geriatric medicine practice
- Billings Clinic Specialty Supplies And Services, LLC, Billings. 132.7 miles away, straight line. 4 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective April 3, 1984), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Buffalo, WY, risk to homes is greater than 88% of communities in Wyoming and 89% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively moderate, tornado relatively low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | See above |
| CMS Home Health Care Agencies | May 27, 2026 | See above |
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Frequently asked questions
Is Amie Holt Care Center a good nursing home?
CMS gives Amie Holt Care Center an overall rating of 5 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Amie Holt Care Center staffed?
Amie Holt Care Center reports 5.12 total nurse hours per resident per day, compared with the Wyoming average of 3.84.
Has Amie Holt Care Center had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Amie Holt Care Center have?
Amie Holt Care Center is certified for 50 beds.