North Big Horn Hospital District

CCN

535043The number CMS certifies the facility under, not a provider identifier

Status

Active

Provider type

Nursing home – SNF/NF dual certification

Listed by Care Compare as

Medicare and Medicaid

Ownership

For profit - Corporation

Control type

Corporation

Participating since

Mar 1, 1991

Last certification

Oct 10, 2024

Beds

105

Overall star rating

2 of 5Care Compare

Address

503 S 18th St
Laramie, WY 82070
(307) 742-3728

• North Big Horn Hospital District

  dba Laramie Health and Rehabilitation

  • Skilled Nursing Facility
  • Laramie, WY
  • NPI 1780566315
  Medicare enrollment

• Number of hospitalizations per 1000 long-stay resident days, Long Stay 1.35
  • State average 1.29 (computed here)
  • National average 1.9 (computed here)
  • Period from 20250101-20251231
• Number of outpatient emergency department visits per 1000 long-stay resident days, Long Stay 1.55
  • State average 2.27 (computed here)
  • National average 1.78 (computed here)
  • Period from 20250101-20251231
• Percentage of short-stay residents who had an outpatient emergency department visit, Short Stay 13.86
  • State average 16.68 (computed here)
  • National average 11.99 (computed here)
  • Period from 20250101-20251231
• Percentage of short-stay residents who were rehospitalized after a nursing home admission, Short Stay 19.78
  • State average 18.91 (computed here)
  • National average 23.75 (computed here)
  • Period from 20250101-20251231

• Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine, Long Stay 77.46
  • State average 94.26 (computed here)
  • National average 93.55 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine, Long Stay 77.55
  • State average 94.31 (computed here)
  • National average 95.46 (computed here)
  • Period from 2024Q3-2025Q2
• Percentage of long-stay residents experiencing one or more falls with major injury, Long Stay 3.47
  • State average 4.67 (computed here)
  • National average 3.23 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents who have depressive symptoms, Long Stay 0
  • State average 6.52 (computed here)
  • National average 12.8 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents who lose too much weight, Long Stay 7.33
  • State average 5.94 (computed here)
  • National average 5.19 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents who received an antianxiety or hypnotic medication, Long Stay 5.03
  • State average 15.44 (computed here)
  • National average 19.52 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents who received an antipsychotic medication, Long Stay 13.51
  • State average 21.82 (computed here)
  • National average 15.38 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents who were physically restrained, Long Stay 0
  • State average 0.13 (computed here)
  • National average 0.13 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents whose ability to walk independently worsened, Long Stay 17.34
  • State average 15.27 (computed here)
  • National average 14.07 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents whose need for help with daily activities has increased, Long Stay 17.42
  • State average 16.83 (computed here)
  • National average 13.87 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents with a catheter inserted and left in their bladder, Long Stay 0.53
  • State average 1.49 (computed here)
  • National average 0.82 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents with a urinary tract infection, Long Stay 3.07
  • State average 3.05 (computed here)
  • National average 1.59 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents with new or worsened bowel or bladder incontinence, Long Stay 23.36
  • State average 22.69 (computed here)
  • National average 19.01 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of long-stay residents with pressure ulcers, Long Stay 6.63
  • State average 4.61 (computed here)
  • National average 4.62 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine, Short Stay 59.83
  • State average 77 (computed here)
  • National average 82.04 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of short-stay residents who newly received an antipsychotic medication, Short Stay 1.48
  • State average 1.18 (computed here)
  • National average 1.56 (computed here)
  • Period from 2025Q2-2026Q1
• Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine, Short Stay 60
  • State average 77.02 (computed here)
  • National average 79.75 (computed here)
  • Period from 2024Q3-2025Q2

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

• Emma Marie Bjore, M.D.

  • Family Medicine Physician
  • Laramie, WY
  • NPI 1922441328
• Robyn Dawn Curtis-Rice, APRN, FNP-C

  • Family Nurse Practitioner
  • Laramie, WY
  • NPI 1679823280
• Tyler Gallo, DO

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1831684463
• Andrea Rockey Habel, MD

  • Family Medicine Physician
  • Laramie, WY
  • NPI 1740787522
• Darren Lamar Mikesell, D.O

  • Family Medicine Physician
  • Laramie, WY
  • NPI 1275733180

• Provider of Services: the certification, provider type, beds and status.
• Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
• NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.