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Skilled nursing facility · CMS certified · CCN 53A002

Amie Holt Care Center

497 W Lott, Buffalo, WY 82834 · Johnson County · one of 36 skilled nursing facilities in Wyoming
50
certified beds
4 / 5
overall CMS rating
Government
ownership type
78.0%
occupancy, Oct 2026: 39 residents a day · Wyoming 70.7%
1.08
case mix, 0.76x the national average
4.97
nurse hours per resident day · Wyoming 3.87
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There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Amie Holt Care Center compares

Johnson County has 1 other certified building, too few to compare, so this is against Wyoming. 36 buildings.

Better than most of Wyoming on 5 of 8 lines.

Occupancy, Oct 202678.0%Better than mostHigher than 25 of the 35 other buildings in Wyoming

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 72.3%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.97Better than mostHigher than 30 of the 34 other buildings in Wyoming

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.54. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating4 / 5Better than mostHigher than 25 of the 34 other buildings in Wyoming, level with 3

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating4 / 5Better than mostHigher than 24 of the 34 other buildings in Wyoming, level with 7

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating4 / 5Mid-packHigher than 16 of the 33 other buildings in Wyoming, level with 12

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating3 / 5Mid-packHigher than 8 of the 34 other buildings in Wyoming, level with 10

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.80Behind mostHigher than 13 of the 34 other buildings in Wyoming, level with 2

Registered nurse hours for each resident, each day. The middle of the set: 0.88. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited7Better than mostFewer than 26 of the 35 other buildings in Wyoming, the same as 3

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 11. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Wyoming
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Amie Holt Care Center
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Street View
497 W Lott, Buffalo, WY
Map around Amie Holt Care Center
Map · Johnson County
Johnson County, Wyoming
2 skilled nursing facilities; average overall rating 3.0, Wyoming 2.8.
See how Johnson County compares ›
Cost report, against Wyoming
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Wyoming. The rank counts from the top: 1st is the highest figure among Wyoming's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2025. What the buildings in Wyoming that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
69.2%
22
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
12.0%
22
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
60.6%
22
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$377
22
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$398
22
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
−$0
22
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
0.1%
22
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating4 / 5 · state 2.8
Health inspection4 / 5 · state 2.7
Staffing4 / 5 · state 3.4
RN hours per resident per day0.8 · state 0.96
Overall rating, last 8 quarters
054Q3’244Q4’244Q1’254Q2’255Q3’255Q4’255Q1’265Q2’26latest
up 1 star over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingWyomingnationrecent quarters
Needed more help with daily activities9.0%better than state17.2%13.5%2025Q2: 12.5%2025Q3: 6.7%2025Q4: 0.0%2026Q1: 12.5%2026Q2: 16.1%
12.5% → 16.1%
Q2’25 to Q2’26
Catheter inserted and left in0.4%better than state1.4%0.7%2025Q2: 0.0%2025Q3: 0.0%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 1.4%
0.0% → 1.4%
Q2’25 to Q2’26
Urinary tract infection3.5%worse than state3.0%1.5%2025Q2: 7.4%2025Q3: 3.0%2025Q4: 0.0%2026Q1: 8.1%2026Q2: 2.9%
7.4% → 2.9%
Q2’25 to Q2’26
Fall with major injury3.5%better than state5.0%3.2%2025Q2: 3.7%2025Q3: 3.0%2025Q4: 0.0%2026Q1: 2.7%2026Q2: 8.6%
3.7% → 8.6%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report1.6%1.5%too few quarters to chart
Ability to walk independently worsened12.9%better than state14.4%12.7%2025Q2: 4.0%2025Q3: 12.4%2025Q4: 19.7%2026Q1: 13.9%2026Q2: 5.2%
4.0% → 5.2%
Q2’25 to Q2’26
Pressure ulcers11.9%worse than state4.5%4.5%2025Q2: 6.3%2025Q3: 5.1%2025Q4: 6.1%2026Q1: 21.9%2026Q2: 14.3%
6.3% → 14.3%
Q2’25 to Q2’26
Given an antipsychotic16.2%better than state21.4%15.4%2025Q2: 9.1%2025Q3: 15.4%2025Q4: 18.5%2026Q1: 18.2%2026Q2: 12.0%
9.1% → 12.0%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Apr 2025
last standard survey
7
deficiencies cited · Wyoming avg 11.7
$0
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Wyoming
state rate files
$240
median daily rate across the Wyoming buildings in our rate book, Oct 2026 file
Wyoming rates and what changed ›
Johnson County
buildingbedsoverallAmie Holt Care Center504 / 5Wyoming Veterans' Skilled Nursing Facility362 / 5
All Wyoming buildings in Johnson County ›
Also in Buffalo, WY
1 other certified skilled nursing facility in Buffalo
buildingbedsoverallWyoming Veterans' Skilled Nursing Facility362 / 5
Wyoming at a glance
36
buildings
2,938
licensed beds
68%
occupancy
47%
for-profit
Wyoming market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyWyoming Veterans' Skilled Nursing FacilityBuffalo · 1.8 mi362 / 5under 70%Big Horn Rehabilitation and Care CenterSheridan · 32.0 mi1281 / 5under 70%Green House Living for SheridanSheridan · 32.8 mi481 / 570-85%Westview Health Care CenterSheridan · 33.4 mi1025 / 5under 70%The Legacy Living and Rehabilitation CenterGillette · 60.5 mi160under 70%Worland Health and RehabilitationWorland · 65.3 mi871 / 570-85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Amie Holt Care Center?
Amie Holt Care Center in Buffalo, WY carries an overall CMS rating of 4 out of 5 stars in the Oct 2026 CMS file.
How many beds does Amie Holt Care Center have?
Amie Holt Care Center is certified for 50 beds in the Oct 2026 CMS file.
How full is Amie Holt Care Center?
CMS's reported average residents put Amie Holt Care Center's occupancy in the 70-85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.