Hearth Record

Cheyenne Regional Medical Center

An acute care hospital in Cheyenne, Wyoming 82001

214 East 23rd Street, Cheyenne, Wyoming 82001. (307) 633-2273.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 3 deficiencies in 1 month of the last 36. Last cited Feb 2026. Most serious: Standard-level. Every month

Each figure’s source sits beside it, in its section below.

What these words mean3
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.

What did inspectors find?

The last inspection on record was on Feb 12, 2026: a complaint inspection.

3 deficiencies cited in the last three years.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

3 deficiencies in 1 month of the last 36. Last cited Feb 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

3 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

Each deficiency, as cited

Rule titles as CMS’s inspectors cite them, set in sentence case.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Feb 12, 2026: complaint inspection3 deficiencies

  • Patient Rights: Privacy And Safety

    The inspectors’ words, 281 words

    “PATIENT RIGHTS: PRIVACY AND SAFETY CFR(s): 482.13(c) Patient Rights: Privacy and Safety This Standard is not met as evidenced by: 37603 Based on medical record review, patient and staff interview, and policy review, the facility failed to ensure patient privacy for 1 of 8 sample patients (#5). The findings were: 1.Review of the medical record for patient #5 showed diagnoses of left total knee arthroplasty, osteoarthritis of left knee, and chronic pain of left knee. On 8/28/25 the patient had outpatient surgery for a left total knee arthroplasty. The following concerns were identified: a. Interview with the patient on 2/12/26 at 9:58 AM revealed there were 3 nurses already in the room when the anesthesiologist walked in. The doctor was in the room, the EKG person came in the room, and an electronic medical record specialist was with the anesthesiologist. The patient stated the anesthesiologist lifted the gown and exposed his/her groin. The patient stated staff left the door wide open, s/he was embarrassed, felt a loss of dignity and felt it was unprofessional. b. Interview with physician #1 on 2/11/26 at 11:05 AM revealed while he was in the room the anesthesiologist did pull up the gown. The physician stated the anesthesiologist was in a rush and exposed the patient more than he should have. The physician stated he tried to cover the patient back up. The physician stated there was a nurse, the anesthesiologist, an electronic medical record specialist and himself in the room when it happened. 2. Review of the policy “Patient’s Rights and Responsibilities” last revised 6/6/24 showed “...A. Patient Rights...2. You the patient, have the right to receive care that supports your personal dignity, comfort, ...””

    Rule A0142. Standard-level. From a complaint.

  • Use Of Restraint Or Seclusion

    The inspectors’ words, 361 words

    “USE OF RESTRAINT OR SECLUSION CFR(s): 482.13(e) Patient Rights: Restraint or Seclusion. All patients have the right to be free from physical or mental abuse, and corporal punishment. All patients have the right to be free from restraint or seclusion, of any form, imposed as a means of coercion, discipline, convenience, or retaliation by staff. Restraint or seclusion may only be imposed to ensure the immediate physical safety of the patient, a staff member, or others and must be discontinued at the earliest possible time. This Standard is not met as evidenced by: 37603 Based on medical record review, staff interview, and policy review, the facility failed to ensure restraints were discontinued at the earliest possible time for 1 of 3 patient records reviewed for restraints (#15). The findings were: 1. Review of the medical record for patient #15 showed an entry dated 1/15/26 and timed 8:30 PM by registered nurse (RN) #1 which showed the initiation of soft wrist restraints for pulling at lines and tubes and removing equipment. The medical record showed the provider was at the bedside at 8:40 PM, and 9:05 PM. The 9:05 PM note showed “Provider has remained at bedside during patient aggressive behavior ripping at equipment and pulling at lines.” Further review of the medical record showed the patient was discharged on 1/15/26 at 11:27 PM without any further documentation of the restraints, including when the restraints were disconnected. 2. Review of the physician orders failed to show an order for the restraints. 3. Interview with the ED director on 2/12/26 at 8:50 AM revealed the order for the restraints was not placed in the medical record by the physician. It would be the expectation for the physician to order the restraint for the nurse to perform the task. Further, he confirmed the discontinuation of the restraints was not in the notes. 4. Review of the policy “Restraints and/or Seclusion” last revised 12/14/22 showed “...Procedure, A. General Provisions: ...5. Restraint and/or seclusion are based on an individual order...6. The Practitioner primarily responsible for the patient’s ongoing care, orders the use of restraint and/or seclusion in accordance with laws, regulations and organizational Medical Staff Bylaws.””

    Rule A0154. Standard-level. From a complaint.

  • Patient Rights: Restraint Or Seclusion

    The inspectors’ words, 323 words

    “PATIENT RIGHTS: RESTRAINT OR SECLUSION CFR(s): 482.13(e)(5) §§482.13(e)(5) - The use of restraint or seclusion must be in accordance with the order of a physician or other licensed practitioner who is responsible for the care of the patient and authorized to order restraint or seclusion by hospital policy in accordance with State law. This Standard is not met as evidenced by: 37603 Based on medical record review, staff interview, and policy review the facility failed to ensure restraints were used in accordance with the order of a physician or other licenced practitioner for 1 of 3 patient records reviewed for restraints (#15). The findings were: 1. Review of the medical record for patient #15 showed an entry dated 1/15/26 and timed 8:30 PM by registered nurse (RN) #1 which showed the initiation of soft wrist restraints for pulling at lines and tubes and removing equipment. The medical record showed the provider was at the bedside at 8:40 PM, and 9:05 PM. The 9:05 PM note showed “Provider has remained at bedside during patient aggressive behavior ripping at equipment and pulling at lines.” Further review of the medical record showed the patient was discharged on 1/15/26 at 11:27 PM without any further documentation of the restraints, including when the restraints were disconnected. 2. Review of the physician orders failed to show an order for the restraints. 3. Interview with the ED director on 2/12/26 at 8:50 AM revealed the order for the restraints was not placed in the medical record by the physician. It would be the expectation for the physician to order the restraint for the nurse to perform the task. 4. Review of the policy “Restraints and/or Seclusion” last revised 12/14/22 showed “...Procedure, A. General Provisions: ...5. Restraint and/or seclusion are based on an individual order...6. The Practitioner primarily responsible for the patient’s ongoing care, orders the use of restraint and/or seclusion in accordance with laws, regulations and organizational Medical Staff Bylaws.””

    Rule A0168. Standard-level. From a complaint.

All 5 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Feb 12, 2026Complaint inspection3 deficiencies cited
Nov 21, 2024Complaint inspectionNo deficiencies cited
May 31, 2024Complaint inspectionNo deficiencies cited
Mar 6, 2024Complaint inspectionNo deficiencies cited
Dec 28, 2023Complaint inspectionNo deficiencies cited

How do patients fare?

  • CMS’s overall for it is 3 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 0 better and 0 worse of 8; safety of care, 2 better and 0 worse of 7; readmission, 1 better and 2 worse of 11.
  • Patients rate it 3 of 5 in CMS’s patient survey (462 surveys completed, Oct 1, 2024 to Sep 30, 2025): 71% rated it 9 or 10 out of 10, and 67% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 10.5%, heart failure 10.8%, pneumonia 16.6%, COPD 8.5%, stroke 9.2%, heart bypass surgery 3.3%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 14.4%, heart failure 20.2%, pneumonia 18.1%, COPD 19.6%, heart bypass surgery 13%, hip or knee replacement 6.7%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
  • Emergency department patients spent a median of 191 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
  • 68% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 0.99 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.

CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 53 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 53 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Jul 1, 1966.
  • Ownership: voluntary non-profit - other.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • No deficiency on record in the last three years.
  • It has an inpatient rehabilitation unit of 19 beds, which CMS lists apart as a rehabilitation facility.
  • Voluntary non-profit - Other.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
  • 3 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
  • 92% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • Memorial Hospital of Laramie County owns an unstated share directly since Nov 23, 2011.
  • 11 owners or officers are people: Tanya Keller (corporate director); Karlynn Quist (corporate director); Barbara Y Wigington (corporate officer); David Cook (corporate director); Peter Obermueller (corporate director); Steven Leafgreen (corporate director); Jacob J Merrell (corporate director); Susan J Thompson (corporate director); Brad White (runs it (operational or managerial control)); Paul R Massey (corporate director); Paula Poythress (corporate director).
  • CMS’s Provider of Services file records 2 changes of ownership.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

How does it compare nearby?

  • Of the 2 hospitals CMS lists in Laramie County, 2 have an overall star rating from CMS: 1 rated 5 of 5, 1 rated 3 of 5.
  • CMS rates this one 3 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

1 compared
PlaceOverall star rating
Cheyenne VA Medical Center5

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

Sources

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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