Big Horn Rehabilitation and Care Center
1851 Big Horn Ave, Sheridan, WY 82801 · Sheridan County · (307) 674-4416
128 certified beds, about 68 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1978
Special Focus Facility candidate Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535026 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 7, 2026, inspectors cited 14 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 46 health citations since October 2023, 3 were rated as actual harm or immediate jeopardy to residents.
CMS lists 1 fine totaling $7,163 in the last three years; the largest was $7,163, and the latest is dated October 8, 2025.
Nurses and nurse aides worked 3.28 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.52 of those hours.
56.5% of nursing staff left within the year CMS measured (Wyoming average 51.8%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
210/23
112/23
304/24
609/24
311/24
101/25
510/25
610/25
502/26
1405/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 46 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
3G
0H
0I
Potential for more than minimal harm
22D
18E
2F
Potential for minimal harm
0A
0B
1C
May 7, 2026Standard inspection, Complaint inspection · 14 citations
- F Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure residents' right to secure and confidential personal and medical records. The census was 73.
- E Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure residents' right to choose health care and providers of healthcare for 3 of 12 sample residents (#26, #83, #84) reviewed for hospice services.
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, medical record review, staff and family interview, and policy review, the facility failed to implement interventions and treatment for 4 of 4 sample residents (#1, #6, #69, #81) reviewed for a change in condition.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, review of manufacturer's instructions, and policy and procedure review, the facility failed to label medications with the date medications were opened and/or expired in 2 of 2 medication fridges.
- E Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure hospice services met professional standards for 3 of 12 sample residents (#7, #83, #84) reviewed for hospice services.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to ensure infection prevention and control standards were implemented for 3 of 8 sample residents (#66, #69, #71) reviewed for resident care. In addition, the facility failed to implement infection prevention and control in 1 of 3 dining areas (main dining room) reviewed for meal service. The census was 73.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on medical record review, staff interview, and review of CDC recommendations, the facility failed to ensure the residents were immunized for pneumococcal disease in 5 of 5 sample residents (#66, #69, #1, #33, #4) reviewed for current vaccination status.
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on grievance review, resident, volunteer, and staff interview, state survey agency incident database review, and policy and procedure review, the facility failed to ensure allegations of abuse were reported timely for 1 of 3 sample residents (#55) reviewed for abuse allegations.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on grievance review, resident, volunteer, and staff interview, and policy and procedure review, the facility failed to ensure allegations of abuse were thoroughly investigated for 1 of 3 sample residents (#55) reviewed for abuse.
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to ensure residents were allowed to return following acute hospitalization for 1 of 4 sample residents (#82) reviewed for transfer and discharge.
- D Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Inspectors wroteBased on medical record review, staff and guardian interview, the facility failed to provide a notice of transfer/discharge prior to a facility-initiated hospital transfer for 3 of 6 sample residents (#6, #69, #77) and failed to provide written information on the bed-hold policy to the resident or the resident's representative for 1 of 6 sample residents ( #77) reviewed for facility-initiated transfers. In addition, the facility failed to send a copy of the transfer/discharge notice to a representative of the Office of the State Long-Term Care Ombudsman.
- D Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, medical record review, resident representative and staff interview, and policy review, the facility failed to ensure individual activities of preference were provided to 1 of 3 sample residents (#80) reviewed.
- D Provide care or services that was trauma informed and/or culturally competent.
Inspectors wroteBased on resident interview, staff interview, and medical record review, the facility failed to ensure that residents received care that accounted for resident preferences that mitigated triggers for past trauma for 1 of 8 sample residents (#66) reviewed for trauma informed care.
- C Ensure the activities program is directed by a qualified professional.
Inspectors wroteBased on resident and staff interview, the facility failed to ensure the activities program was directed by a qualified professional. The census was 73.
February 5, 2026Complaint inspection · 5 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, staff interview, review of manufacturer's instructions, and facility policy review, the facility failed to ensure a sanitary environment in 1 of 1 kitchen.
- E Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Inspectors wroteBased on observation, staff interview, and resident and resident representative interview, the facility failed to provide a safe, clean, comfortable and homelike environment for 3 of 4 (Secure unit, 100, 400 halls) units reviewed.
- D Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on staff and family council president interview, and review of family council minutes, the facility failed to provide and support a private meeting space for family council meetings in 1 out of 12 months in the year 2025. Corrective measures were implemented prior to the survey and compliance was determined to be met on 4/29/25. The census was 66.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interview, medical record review and policy review, the facility failed to ensure residents received adequate supervision to prevent accidents for 1 of 4 residents (#3) reviewed for accident hazards.
- D Hire a qualified full-time social worker in a facility with more than 120 beds.
Inspectors wroteBased on staff interview, the facility failed to ensure social services were provided to residents by a qualified social worker.
October 23, 2025Complaint inspection · 6 citations
- G Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on medical record review, facility incident review, and staff interview, the facility failed to ensure that services provided met professional standards for 2 of 4 sampled residents (#1, #7) reviewed for quality of care. This failure resulted in actual harm to resident #1 and #7.
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff interview, facility incident review, and policy review, the facility failed to implement interventions and treatment to prevent a decline in condition for 1 of 4 sampled residents (#1) reviewed for quality of care. This failure resulted in actual harm to residents #1.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on resident and staff interview, medical record review, and facility policy and procedure review, the facility failed to ensure bathing was performed per residents' preference for 3 of 4 sample residents (#2, #3, #4) reviewed for bathing.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on resident and staff interview and medical record review, the facility failed to ensure there was sufficient nursing staff for 1 of 4 resident care units (Chapel) reviewed for sufficient staffing. The facility census was 77 and the Chapel unit census was 17.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on resident representative and staff interview, medical record review, and policy review, the facility failed to ensure the environment was free of accident hazards for 1 of 3 sample residents (#5) reviewed for falls.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on staff interview, medical record review, and policy review, the facility failed to maintain accurately documented medical records for 2 of 3 sample residents (#1, #5) reviewed for falls.
October 8, 2025Complaint inspection · 5 citations
- E Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on staff interview, facility investigation review, Office of Healthcare Licensing and Surveys ([NAME]) incident report log review, and policy and procedure review, the facility failed to report the results of abuse investigations within 5 working days to the State Agency for 4 of 11 sample residents (#7, #8, #9, and #10) reviewed for allegations of abuse.
- E Respond appropriately to all alleged violations.
Inspectors wroteBased on staff interview, facility investigation review, [NAME] incident report log review, policy and procedure review, the facility failed to ensure a thorough investigation was completed and failed to report the results of the investigation to the State Agency for 4 of 11 sample residents (#7, #8, #9, and #10) reviewed for allegations of abuse.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on resident representative, and staff interview, medical record review, and policy and procedure review, the facility failed to ensure resident representatives were notified of a change in condition for 1 of 3 sample residents (#1) who were transferred to the hospital. The census was 79.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on staff interview, facility investigation review, and policy and procedure review, the facility failed to ensure residents were free from abuse from staff for 1 of 11 sample residents (#4) reviewed for allegations of abuse.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on medical record review, and resident representative and staff interview, the facility failed to provide services to prevent a decrease in mobility for 1 of 3 sample residents (#1) with limited mobility.
January 15, 2025Complaint inspection · 1 citation
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on the facility's abuse investigation forms, State Survey Agency incident database review, policy and procedure review, and staff interview, the facility failed to implement policies and procedures for ensuring the reporting of 3 of 3 resident-to-resident altercations reviewed for allegations of abuse which involved resident #2, #3, #4, and #5.
November 7, 2024Complaint inspection · 3 citations
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on medical record review, and staff interviews, and review of the staff schedule,the facility failed to ensure sufficient nursing staff was provided on 1 of 4 units (Courtyard) reviewed for medication administration.
- E Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure medical records were accurately documented for 6 of 8 sample residents (#7, #8, #9, #11, #12, #14) reviewed for significant medication errors.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure acceptable parameters of nutritional status for 2 of 5 sample residents (#5, #6) reviewed for nutrition.
September 13, 2024Standard inspection · 6 citations
- E Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on observation and resident and staff interview, the facility failed to ensure mail was delivered and unopened, including on Saturday. The census was 78.
- E Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, resident, resident representative, and staff interview, and medical record review, the facility failed to ensure residents received services to maintain good personal hygiene for 3 of 5 sample residents (#8, #25, #53) reviewed for activities of daily living.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on observation, resident, resident representative, and staff interviews, facility staff posting review, and facility assessment review, the facility failed to ensure sufficient nursing staff was provided to attain or maintain the highest practicable physical, mental and psychosocial well-being of each resident on 3 of 4 resident care units (Deer, Chapel, Courtyard). The census was 78.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, and policy review, the facility failed to ensure medications available for resident use were labeled appropriately in 2 of 5 medication storage areas (Rock Creek Hall medication cart, Deer Hall medication cart).
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure residents choice for advance directive for 1 of 18 sample residents (#50).
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure preadmission screening was performed and was accurate for 2 of 18 sample residents (#8, #59) with qualifying diagnoses.
April 4, 2024Standard inspection · 3 citations
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, staff interview, and review of the facility policy, the facility failed to ensure medications available for resident use were not expired in 1 of 3 medication storage areas (medication storage room).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review, staff interview, and MDS 3.0 Resident Assessment Instrument (RAI) manual review, the facility failed to ensure MDS assessments were accurate for 2 of 4 sample residents (#37, #41) reviewed for MDS discrepancies.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on medical record review, staff, resident and family interviews, and review of facility policies, the facility failed to ensure residents and their representative(s) participated in the development of the care plan for 2 of 2 sample residents (#8, #41) reviewed for care planning.
December 21, 2023Complaint inspection · 1 citation
- G Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on medical record review, resident and staff interviews, facility performance improvement plan review, State Survey Agency incident database review, and policy and procedure review, the facility failed to protect the resident's right to be free from physical abuse by a resident for 2 of 4 sample residents (#2, #4) reviewed for abuse allegations. This failure resulted in actual harm to resident #2 who sustained injuries during a resident to resident altercation. Corrective measures were implemented by the facility prior to the survey and compliance was determined to be met on 11/30/23.
October 5, 2023Complaint inspection · 2 citations
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure residents received timely care in accordance with professional standards for 1 of 24 sample residents (#15).
- D Make sure that a working call system is available in each resident's bathroom and bathing area.
Inspectors wroteBased on observation, staff interview, and policy review the facility failed to provide call light accessibility for 1 of 24 initial pool residents (#15).
Fire safety inspections
15 fire safety citations on file: 7 on May 7, 2026, 3 on September 13, 2024, 5 on April 4, 2024.
Every fire safety citation15 citations
- F Establish staff and initial training requirements.
- F Conduct testing and exercise requirements.
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Provide properly protected cooking facilities.
- E Have properly installed electrical wiring and gas equipment.
- F Meet requirements for the installation and maintenance of electrical systems.
- E Provide properly protected cooking facilities.
- E Construct fire resistant interior walls.
- F Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| October 8, 2025 | Payment Denial | 8 days from November 13, 2025 |
| December 21, 2023 | Fine | $7,163 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Wyoming | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.28 | 3.87 | 3.86 |
| Registered nurses | 0.52 | 0.94 | 0.69 |
| All nursing staff on weekends | 3.07 | 3.37 | 3.42 |
| Nurse aides | 2.33 | ||
| Licensed practical nurses | 0.43 | ||
| Nursing staff turnover (share who left in a year) | 56.5% | 51.8% | 45.8% |
| Registered nurse turnover | 64.7% | 44.1% | 42.9% |
| Administrators who left | 3 |
CMS expects 3.46 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.36 on weekdays and 3.07 on weekends, 9% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.62 in April to June 2025 to 3.28 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.28 | 0.52 | 3.36 | 3.07 | 0.0% | 0 of 90 | 68 |
| Oct to Dec 2025 | 3.30 | 0.48 | 3.44 | 2.95 | 0.0% | 0 of 92 | 74 |
| Jul to Sep 2025 | 3.65 | 0.56 | 3.87 | 3.07 | 0.0% | 0 of 92 | 79 |
| Apr to Jun 2025 | 3.62 | 0.59 | 3.83 | 3.08 | 0.0% | 0 of 91 | 73 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wyoming, Jan to Mar 2026 | 3.61 | 0.86 | 3.80 | 3.15 | 7.5% | 0.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Wyoming
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Wyoming, all employers | |||
| CNAs (nursing assistants) | $18.83 | $17.88 to $22.76 | 2,830 |
| LPNs and LVNs | $30.51 | $28.27 to $34.06 | 480 |
| Registered nurses | $40.27 | $37.45 to $48.61 | 5,330 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wyoming | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.7 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.9 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.8 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 4.7 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.3 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.5 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 25.0 | 21.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.4 | 18.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 12.9 | 16.7 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.4 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.8 | 2.3 | 1.8 |
Owners and operators
Legal business name: NORTH BIG HORN HOSPITAL DISTRICT.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| North Big Horn Hospital District | Direct ownership interest | Organization | 10/01/2024 | |
| Morrison, Robert | Managing control - governing body | Individual | 10/01/2024 | |
| Simmons, Benjamin | Corporate director | Individual | 10/01/2024 | |
| Winterholler, David | Corporate director | Individual | 10/01/2024 | |
| Connell, Eric | Corporate officer | Individual | 10/01/2024 | |
| Simmons, Benjamin | Corporate officer | Individual | 10/01/2024 | |
| Cheyenne Sheridan Opco Holdings LLC | Operational/managerial control | Organization | 11/26/2024 | |
| Sheridan Opco LLC | Operational/managerial control | Organization | 10/01/2024 | |
| Connell, Eric | Operational/managerial control | Individual | 10/01/2024 | |
| Morrison, Robert | Operational/managerial control | Individual | 10/01/2024 | |
| Roberts, Ana | Operational/managerial control | Individual | 10/01/2024 | |
| Sheridan Opco LLC | Adp of the SNF | Organization | 10/01/2024 | |
| Connell, Eric | Adp of the SNF | Individual | 10/01/2024 | |
| Roberts, Ana | Adp of the SNF | Individual | 10/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 12 problems in this area, most recently on May 7, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on May 7, 2026: "Keep residents' personal and medical records private and confidential."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on May 7, 2026: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
- When is the care plan meeting, and can family attend it?Inspectors cited 6 problems in this area, most recently on October 23, 2025: "Ensure services provided by the nursing facility meet professional standards of quality."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.07 hours per resident per day, below the Wyoming average of 3.37.
- How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.
Other nursing homes nearby
- Green House Living for Sheridan Sheridan, 0.8 mi · 1 of 5 stars · 35 citations
- Westview Health Care Center Sheridan, 1.4 mi · 5 of 5 stars · 8 citations
Wyoming contacts for a concern about a nursing home
These are the official offices in Wyoming. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Wyoming Department of Health, Healthcare Licensing and Surveys, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Wyoming Long-Term Care Ombudsman Program, 307-287-7757. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Wyoming HLS Newest Facility Inspection Reports, where Wyoming publishes its own records on licensed homes.
Common questions
- What is Big Horn Rehabilitation and Care Center's Medicare star rating?
- CMS rates Big Horn Rehabilitation and Care Center 1 out of 5 stars overall, with 1 for health inspections, 2 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Big Horn Rehabilitation and Care Center get at its last inspection?
- 14 health deficiencies at the standard inspection on May 7, 2026. The Wyoming average is 7.8.
- Has Big Horn Rehabilitation and Care Center been fined?
- Yes. CMS lists 1 fine totaling $7,163 in the last three years.
- Does Big Horn Rehabilitation and Care Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Big Horn Rehabilitation and Care Center?
- CMS lists 14 owners and managers. Legal business name: NORTH BIG HORN HOSPITAL DISTRICT.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.