Nursing home
Powell Valley Care Center
777 Avenue H, Powell, WY 82435 · Map
Government - Hospital district · 100 certified beds
Powell Valley Care Center is a Medicare-certified nursing home in Powell, Wyoming. CMS rates it 2 out of 5 stars overall (5/5 for staffing, 2/5 for health inspections). Nurse staffing is 5.11 hours per resident per day, above the Wyoming average of 3.84. Its most recent inspection on Jan 31, 2025 cited 2 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 2 fines totaling $40,390In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Powell Valley 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) | 5.11 | 3.84 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.87 | 0.90 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.00 | 2.46 | 2.34 | above avg |
| Nursing staff turnover | 31.3% | 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 December 2, 2025 inspection was corrected by January 5, 2026
Penalties in CMS records: 2 fines totaling $40,390, 2 total penalties.
What inspectors found at Powell Valley Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 2, 2025 · Full report (PDF) - Potential for harm
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care Deficiencies · Jan 31, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Dec 7, 2023 · Full report (PDF) - Potential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pharmacy Service Deficiencies · Dec 7, 2023 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Dec 7, 2023 · Full report (PDF)
Show all 6 deficiencies
- Potential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 14, 2023 · 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
- 777 Avenue H
Powell, WY 82435 - CMS certification #
- 535045
- Ownership
- Government - Hospital district
- Certified beds
- 100
- Avg residents/day
- 43.7
- Provider type
- Medicare and Medicaid
- First certified
- 1991-07-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Powell Valley Care Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2023, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jul 26, 2023: complaint inspection, partial (health). Case closed Jul 26, 2023. No violations cited. OSHA record. OSHA recorded the employer as Powell Valley Health Care INC.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Powell Valley Hospital, Powell. 0.0 miles away, straight line. CMS overall hospital rating: 4 of 5 stars.
- Nearest Medicare nursing home
- New Horizons Care Center, Lovell. 19.2 miles away, straight line.
- Nearest home health agency office
- Hyland Nursing Services LLC, Powell. 0.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 21.3 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 82435 as small town (small town core).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 82435.
Stillwater Hospice Of Northern Wyoming LLC, office in Powell, 0.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Cody Regional Health Spirit Mountain Hospice, office in Cody, 21.8 miles away, straight line - Nearest geriatric medicine practice
- Billings Clinic Specialty Supplies And Services, LLC, Billings. 72.3 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
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave very low, earthquake relatively moderate. 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 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| 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 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Powell Valley Care Center a good nursing home?
CMS gives Powell Valley Care Center an overall rating of 2 out of 5 stars, including 5/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Powell Valley Care Center staffed?
Powell Valley Care Center reports 5.11 total nurse hours per resident per day, compared with the Wyoming average of 3.84.
Has Powell Valley Care Center had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Powell Valley Care Center have?
Powell Valley Care Center is certified for 100 beds.