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Home Care Services Provider On-Line Complaint Form
Complaint Date:
3/4/2021
Participant Information
Participant's Name
Select The Waiver The Participant Is Served By (if known):
ALF
LTC
Select The Provider That The Complaint Will Be Filed Against:
307 CORNERSTONE CASE MANAGEMENT, LLC
A+ COMMUNITY SERVICES
A.C.E. CASE MANAGEMENT
ACES$ FISCAL MANAGEMENT SERVICES
ADT, LLC
AFFINITY CASE MANAGEMENT LLC
ALIGN SERVICES, LLC
ALL ABOUT FAMILY, INC.
ALL ABOUT INDEPENDENCE LLC
ALLIANCE CASE MANAGEMENT
AS WE GROW - LADEANA BROWN
ASPEN WIND ASSISTED LIVING COMMUNITY
ASPIRE CASE MANAGEMENT SERVICES
AUNKIA FOWLER AND ASSOCIATES, LLC.
B.A.C.A. CASE MANAGEMENT
B.A.C.A. CASE MANAGEMENT, LLC
BAIRD HUDSON ENTERPRISES dba MONDELL HEIGHTS RETIREMENT COMMUNITY
BEAR COUNTRY HOME HEALTHCARE, LLC
BEST HOME HEALTH & HOSPICE, LLC
BEYOND HOME ASSISTED LIVING LLC
BIGHORN SECURITY, LLC
BISHOP SUGARLAND RIDGE LESSEE LLC
BROOKDALE ABSAROKA
BUFFALO SENIOR CENTER
CAMPBELL CO. HOME HEALTH AND HOSPICE
CARBON COUNTY SENIOR SERVICES
Carmen Harrison Case Management
CASPER/NATRONA CO. HEALTH DEPT.
CHEYENNE REGIONAL MEDICAL CENTER HH
CITY OF CHEYENNE TRANSIT (CTP)
CODY COUNCIL ON AGING
COMMUNITY HOME CARE
COMMUNITY HOME HEALTH SERVICE, LLC
COMPASSIONATE HOME CARE LTD
COMPASSIONATE JOURNEY, LLC
COMPASSIONATE JOURNEY, LLC - ALF
CONNECT AMERICA, LLC
CONTINUE CARE OF CHEYENNE
CONVERSE COUNTY AGING SERVICES
CORPORATE PROTECTIVE SERVICES
COWBOY CARES INC
CROOK COUNTY SENIOR SERVICES
DAVIS HOME HEALTH
ELITE MEDICAL SUPPLIES, LLC
EMERGENCY LIFELINE WEST
EMPOWER REHABILITATION AND CASE MANAGEMENT, LLC
ENCOMPASS HOME HEALTH OF WYOMING
EPPSON CENTER FOR SENIOR, INC
EPSILON HEALTH SOLUTIONS LLC
FRONT RANGE PERS
FRONTIER HOME HEALTH - CHEYENNE
FRONTIER HOME HEALTH AND HOSPICE - LANDER/RIVERTON
GARDEN SQUARE OF CASPER
GOLDEN HOUR SENIOR CITIZENS CENTER
GOSHEN CO. WY SENIOR FRIENDSHIP CTR
GOSHEN COMMUNITY HOSPITAL AUXILLARY
GREAT PLAINS SECURITY SYS INC
GREENER PATHS, INC
Guardian Medical Monitoring, LLC
HANDS 2 HELP, LLC
HIGH COUNTRY HEALTHWATCH
HIGH COUNTRY SENIOR CITIZEN
HOME STYLE DIRECT
HOMESTEAD ASSISTED LIVING
HOT SPRINGS CO SENIOR CTR
HUMBLE HORIZON HOME HEALTH LLC
INDEPENDENT LIVING SYSTEMS, LLC
INTERMOUNTAIN HOME COMPANIONS, INC
JENNIFER SCHUMACHER, LLC
JOHNSON COUNTY HEALTHCARE CENTER HOME HEALTH
KELLIE JENSEN COUNSELING & CASE MANAGEMENT
KEMMERER SENIOR CENTER
LANDER SENIOR CENTER
LEGACY HOMES ASSISTED LIVING FACILITY
LEGACY LODGE AT JACKSON HOLE
LIFE LINK OF SHERIDAN COUNTY
LIFELINE SYSTEMS
LINDA TRUJILLO CASE MANAGEMENT
LIV HEALTH
MEADOW WIND ASSISTED LIVING FACILITY
MEALS ON WHEELS OF CHEYENNE
MEALS ON WHEELS OF NATRONA COUNTY
MEMORIAL HOSPITAL OF SHERIDAN HC
MISSION AT THE VILLA
MOM'S MEALS
MOUNTAIN LODGE LLC
NIOBRARA SENIOR CENTER INC
NORTH BIG HORN SENIOR CENTER
PARK PLACE ASSISTED LIVING COMMUNITY
Participants not in Services - CCW
PINE BLUFFS SENIOR CENTER
PLATTE COUNTY HOME CARE
PREMIER HOME HEALTH
PREMIUM HEALTH AT HOME LLC, RAWLINS
PREMIUM HEALTH AT HOME, LARAMIE
PRIMROSE RETIREMENT COMMUNITY OF GILLETTE
PVHC VOLUNTEER SERVICES
QUALITY HOME CARE INC
RIVERTON SENIOR CITIZENS CENTER
ROBIN SEELEY CASE MANAGEMENT, LLC
ROBINS NEST HOME CARE
ROCK SPRINGS YOUNG AT HEART
ROCKY MOUNTAIN HEALTHCARE ADVOCATES, INC
ROCKY MOUNTAIN HOME CARE
SALT RIVER CENTER/STAR VALLEY SENIOR CITIZENS INC
SENIOR ACTIVITY CENTER OF CAMPBELL COUNTY
SENIOR CENTER OF JACKSON HOLE
SENIOR CITIZEN'S COUNCIL
SENIOR CITIZENS AGO-GO
SERVICES FOR SENIORS, INC.
SHARON'S HOME HEALTH
SHARON'S HOME HEALTH CARE - CASPER
Sharon's Home Health- Big Horn Division
SHILOH CASE MANAGEMENT, LLC
SHOSHONI SENIOR CENTER
SHOWBOAT RETIREMENT CENTER
SIERRA HILLS ASSISTED LIVING COMMUNITY
SPRING WIND ASSISTED LIVING COMMUNITY
ST JOHNS HOME CARE
STAR TRANSIT
State-Not a Waiver Provider
SUNDANCE ASSISTED CARE
SWEETWATER COMMUNITY NURSING
TEN SLEEP SENIOR CENTER, INC
UINTA HOME HEALTH
WANDA NOFTSKER CASE MANAGEMENT
WARM VALLEY LODGE
WASHAKIE CO. SENIOR CITIZEN CTR.
WESTON COUNTY SENIOR SERVICES
WESTON COUNTY HEALTH SERVICES
WILLOW CREEK HOMES OF EVANSTON
WILLOWCREEK HOMES OF BUFFALO
WIND CITY CASE MANAGEMENT, LLC
WYOMING INDEPENDENT LIVING, INC. (WIL)
WYOMING PIONEER HOME
WYOMING SERVICES FOR INDEPENDENT LIVING
Your Relationship with the Participant:
Parent/Guardian
Self
Family - not guardian
Provider
Community Member
Other Agency
Aging Staff
Your Contact Information (Please Enter Your Information So We May Contact You)
Name
Address
City
State
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CO
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DE
DC
FL
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ID
IL
IN
IA
KS
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LA
ME
MD
MA
MI
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MS
MO
MT
NE
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NH
NJ
NM
NY
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00
OH
OK
OR
PA
RI
SC
SD
TN
TX
UN
UT
VT
VA
WA
WV
WI
WY
Zip
Phone
Email
Complaint Summary
* Note: After you select "Submit" you will go to a Confirmation page where you will be able to Print your Complaint.