Summit Ridge Skilled Nursing & Rehabilitation — Skilled Nursing Facility Profile (CCN #535040)

Douglas, Wyoming · CCN 535040 · Phone: 3073583397 · 60 beds · Ownership: For Profit - Limited Liability Company

Summit Ridge Skilled Nursing & Rehabilitation is a Medicare-certified skilled nursing facility (CCN 535040) in Douglas, Wyoming. It holds a CMS overall Five-Star rating of 2 of 5 stars on CMS Care Compare. FileFlo scores its CMS survey-readiness at 36/100 (High Risk).

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Compliance Indicator: 36/100 — High Risk

About Summit Ridge Skilled Nursing & Rehabilitation

Summit Ridge Skilled Nursing & Rehabilitation is a Medicare- and Medicaid-certified skilled nursing facility in Douglas, Wyoming, operating under CMS Certification Number (CCN) 535040. 60-bed facility. For Profit - Limited Liability Company. Part of the Rocky Mountain Care chain. The facility is required to comply with the Requirements for Long-Term Care Facilities at 42 CFR Part 483.

Summit Ridge Skilled Nursing & Rehabilitation has held its Medicare/Medicaid certification for approximately 36 years (certification date on file: 1990-01-01). Long-tenured facilities (15+ years) often have established F-tag remediation playbooks and a deeper standard-survey trail; newly-certified facilities (under 3 years) are subject to a different initial survey cadence under 42 CFR 488.308.

Local market context (Converse County): Summit Ridge Skilled Nursing & Rehabilitation is the only Medicare-certified skilled nursing facility in the same-county sample for Wyoming. Sole-provider counties concentrate post-acute placement decisions into a single facility, which can either be operational leverage or a regulatory-visibility risk depending on quality trajectory.

CMS Five-Star Quality Ratings

CMS publishes Five-Star ratings for nursing homes monthly, drawn from the most recent three years of standard surveys, complaint surveys, and Minimum Data Set (MDS) submissions.

Long-Stay vs Short-Stay Quality Measures

Long-Stay Quality Measure rating: ★★☆☆☆ (2 of 5). Long-stay measures cover residents in the facility 100+ days and include indicators like residents experiencing one or more falls with major injury, residents whose ability to move independently worsened, and residents with a urinary tract infection.

Short-Stay Quality Measure rating: ★★☆☆☆ (2 of 5). Short-stay measures cover post-acute residents discharged within 100 days and include rehospitalization within 30 days, successful return to community, and improvement in function.

Differentiating long-stay from short-stay QMs matters for placement decisions — a facility with strong short-stay QMs may still underperform on long-stay metrics, and vice versa.

Compliance Red Flags

Abuse Icon present: CMS has applied the Abuse Icon to Summit Ridge Skilled Nursing & Rehabilitation's Care Compare listing. The icon flags facilities cited for substantiated abuse, neglect, exploitation, or misappropriation findings under the F600-series Long-Term Care Resident Rights and Abuse / Neglect F-tags within the most recent two survey cycles, where citations met the scope-and-severity threshold defined in CMS Care Compare's Five-Star Quality Rating Methodology. The icon stays in place until the facility completes a full survey cycle with no further qualifying citations.

Survey History and Deficiencies

Recent health deficiencies cited at last standard survey: 10. National average for facilities of this size is approximately 8 deficiencies per cycle. In its most recent reporting cycle, Summit Ridge Skilled Nursing & Rehabilitation received 2 CMS fines totaling $34,646. Last documented standard health survey: 2024-11-15. CMS conducts standard surveys at most every 15 months for SNFs, with substandard-quality findings triggering more frequent revisits.

Infection Control and Deficiency Weighting

CMS health survey weighted score: 93. The weighted score multiplies deficiency severity (A-L) by scope (isolated, pattern, widespread); higher weighted scores translate directly into the Health Inspection star rating tier breakpoints CMS publishes monthly.

CMS Enforcement Actions

Total enforcement penalties assessed in the most recent reporting window: $2. This figure aggregates Civil Money Penalties (CMPs), DPNA-equivalent revenue impacts, and other monetary remedies under 42 CFR Part 488 Subpart F.

Staffing Detail

At today's staffing levels, Summit Ridge Skilled Nursing & Rehabilitation would not meet the cadre-specific minimums scheduled to take effect on the May 2029 timeline under 89 FR 40876: nurse-aide HPRD is 1.89 vs the 2.45 floor, a 0.56-hour gap. Closing this gap typically requires either net new hires at the specific cadre, shifted scheduling that reallocates existing FTEs to direct-care hours, or a hardship exemption application under 42 CFR 483.35.

Total nurse staffing: 3.252 hours per resident day (HPRD), which is 0.23 hours below the 3.48 total HPRD floor scheduled to take effect for rural-facility facilities by May 2029 (89 FR 40876, May 2024); facilities projected to remain below the floor at the effective date must either close the gap, qualify for a hardship exemption, or face citation under 42 CFR 483.35.

Staffing mix: RN 1.024 HPRD, LPN 0.337 HPRD, CNA 1.89 HPRD. The same CMS final rule also phases in cadre-specific minimums of 0.55 RN HPRD and 2.45 nurse aide HPRD on the 2029 timeline; RN-specific shortfalls have historically been the most common single-facility staffing deficiency at standard surveys.

Weekend RN staffing: 0.604 HPRD. Weekend RN coverage is a separately reported CMS measure; facilities with low weekend RN HPRD frequently see resident-acuity-driven adverse events spike on the weekend shift.

Chain Context and Facility Type

Summit Ridge Skilled Nursing & Rehabilitation is operated as part of Rocky Mountain Care, a chain operating 10 Medicare-certified facilities (CMS chain identifier 455). Chain-operated facilities tend to share corporate compliance staff, standard operating procedures, and survey-prep resources — but also share enforcement exposure when CMS designates a chain-wide issue under the system-wide quality assurance framework.

Provider type designation: Medicare And Medicaid.

The facility is classified by CMS as rural (outside metropolitan statistical areas). Rural SNFs face different challenges — referral pipeline depth, RN availability, ambulance distance for transfers — and CMS applies certain modifiers to the staffing minimums under hardship exemption pathways for rural facilities.

How Summit Ridge Skilled Nursing & Rehabilitation Compares to Peers in Wyoming

Peer comparisons use a same-state cohort of 36 Medicare-certified SNFs, pulled live from CMS Provider Data. The cohort excludes terminated and surrendered certifications.

FileFlo Compliance Indicator

FileFlo's compliance indicator for Summit Ridge Skilled Nursing & Rehabilitation is 36/100 (High Risk). The score is derived from publicly published health-deficiency counts, weighted survey scores, infection-control citations, fines, and staffing hours per resident day. It is not a CMS rating. The full survey-readiness audit (covering F-tags from the most recently cited deficiencies, infection control, staffing minimums, MDS accuracy) is at /tools/cms-survey-readiness-score.

Why This Page Exists

FileFlo publishes a profile for every Medicare-certified nursing home so administrators, DONs, and family members can find the same publicly-published quality data without bouncing between Care Compare, the SFF list, and the CMS Provider Data Catalog. Field-level CFR citations are linked throughout. Dispute this record if any field is incorrect — we resync with CMS monthly and process correction requests within five business days.

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Frequently asked questions about Summit Ridge Skilled Nursing & Rehabilitation

What is Summit Ridge Skilled Nursing & Rehabilitation's CMS overall Five-Star rating?

Summit Ridge Skilled Nursing & Rehabilitation (CCN 535040) holds a CMS overall Five-Star rating of 2 of 5 stars on CMS Care Compare. CMS updates these ratings quarterly from the facility's submitted assessment and claims data.

Is Summit Ridge Skilled Nursing & Rehabilitation Medicare-certified, and where is it located?

Summit Ridge Skilled Nursing & Rehabilitation is a Medicare-certified skilled nursing facility (CMS Certification Number 535040) in Douglas, Wyoming.

How survey-ready is Summit Ridge Skilled Nursing & Rehabilitation?

FileFlo scores Summit Ridge Skilled Nursing & Rehabilitation's CMS survey-readiness at 36/100 (High Risk). This is a FileFlo indicator built from CMS-published data, not an official CMS rating.

Which CMS Conditions of Participation must Summit Ridge Skilled Nursing & Rehabilitation meet?

As a Medicare-certified skilled nursing facility, Summit Ridge Skilled Nursing & Rehabilitation is surveyed against the Conditions of Participation in 42 CFR Part 483 — covering patient/resident rights, assessment and care planning, quality (QAPI), infection control, and aide services. Each CoP section is linked on this page.

How can Summit Ridge Skilled Nursing & Rehabilitation prepare for its next CMS survey?

Run FileFlo's free CMS survey-readiness audit for Summit Ridge Skilled Nursing & Rehabilitation — it grades the skilled nursing facility against every Condition of Participation in 42 CFR Part 483 in about three minutes, names each gap's F-Tag, and requires no signup.

Conditions of Participation Summit Ridge Skilled Nursing & Rehabilitation is surveyed against

The 42 CFR Part 483 CoP sections a CMS survey actually checks, in plain English:

Compliance terms: F-Tag · Joint Commission. See the Skilled Nursing Facility directory and the Healthcare compliance guide →

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Data sourced from CMS Care Compare (publish 2026-04-01). Information may not reflect the facility's current status. Resync occurs monthly. Dispute this record · Claim this profile

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