Green House Living for Sheridan
2311 Shirley Cove, Sheridan, WY 82801 · Sheridan County · (307) 672-0600
48 certified beds, about 36 residents a day · For profit - Corporation · Medicare and Medicaid since 2012
Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
4 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 535054 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on March 13, 2025, inspectors cited 10 health deficiencies (the Wyoming average is 7.8, the national average 9.2).
Of 35 health citations since November 2022, 4 were rated as actual harm or immediate jeopardy to residents.
CMS lists 3 fines totaling $61,929 in the last three years; the largest was $40,256, and the latest is dated November 19, 2025.
Nurses and nurse aides worked 4.53 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 1.69 of those hours.
73.5% 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.
911/22
602/24
403/24
104/24
1103/25
111/25
302/26
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 35 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
4G
0H
0I
Potential for more than minimal harm
13D
8E
7F
Potential for minimal harm
0A
1B
2C
February 3, 2026Complaint inspection · 3 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wroteBased on medical record review, and staff interview, the facility failed to ensure MDS assessments were accurate for 3 of 4 sample residents (#2, #3, #4) reviewed for MDS discrepancies.
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, staff interview, and medical record review, the facility failed to ensure residents were free from neglect for 1 of 3 sample residents (#1) reviewed for abuse and neglect.
- 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 interview, review of the facility incident tracking log, and review of facility policies, the facility failed to ensure care plans were updated for 1 of 3 sample residents (#1) reviewed for care planning.
November 19, 2025Complaint inspection · 1 citation
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on medical record review, resident representative and staff interview, facility incident review, and root cause analysis review, the facility failed to ensure adequate supervision to prevent accidents for 1 of 6 sample residents (#1) reviewed for incidents and accidents. This failure resulted in actual harm to resident #1. Corrective measures were implemented prior to the survey and compliance was determined to be met on 11/12/25
March 13, 2025Standard inspection, Complaint inspection · 11 citations
- G Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, medical record review, staff interview, and policy and procedure review, the facility failed to maintain acceptable parameters of nutritional status for 1 of 2 sample residents (resident #4) with nutritional status concerns. This failure resulted in harm to resident #4 who experienced severe weight loss.
- F Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Inspectors wroteBased on staff interview, the facility failed to ensure a qualified infection preventionist was designated. The census was 28.
- E Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, staff interview, and policy and procedure review, the facility failed to ensure residents were treated with respect and dignity in 1 of 4 resident cottages ([NAME]). The cottage census was 7.
- E Provide activities to meet all resident's needs.
Inspectors wroteBased on observation, resident and staff interview, medical record review, activity calendar review, and policy and procedure review, the facility failed to ensure resident choice of activities were provided for 3 of 4 resident cottages ([NAME], [NAME], Founders) with activity concerns.
- 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, staff, resident representative, and resident interview, and facility staffing review, the facility failed to ensure adequate staff in 1 of 4 cottages ([NAME]). The cottage census was 9.
- E Develop and implement policies and procedures for flu and pneumonia vaccinations.
Inspectors wroteBased on medical record review, staff interview and policy and procedure review, the facility failed to document if residents were educated about the benefits and potential side effects of the influenza and pneumococcal immunizations and if residents received the immunizations for 4 of 6 sample residents (#12, #14, #24, #28) reviewed for immunization status.
- D Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Inspectors wroteBased on observation, medical record review, and resident representative and staff interview, the facility failed to ensure residents with dementia received the appropriate treatment and services to attain their highest practicable physical, mental, and psychosocial well-being for 1 of 4 residents (#20) reviewed for dementia care.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure residents' drug regimen was free of unnecessary drugs for 1 of 6 sample residents (#26) reviewed for unnecessary medications.
- D Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Inspectors wroteBased on observation, resident and staff interview, and recipe review, the facility failed to ensure palatable food was served to 1 of 4 resident cottages (Founders). The cottage census was 9.
- C Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Inspectors wroteBased on employee file review and staff interview, the facility failed to ensure the CNA abuse registry was checked prior to resident contact for 4 of 4 CNA files (#6, #7, #8, #9) reviewed. The census was 28.
- F Implement a program that monitors antibiotic use.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure an antibiotic stewardship program was implemented. The census was 28.
April 4, 2024Complaint inspection · 1 citation
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on resident and staff interview, medical record review, and facility incident report review, the facility failed to ensure a safe functional environment in 3 of 4 cottages ([NAME], [NAME], Founders).
March 20, 2024Complaint inspection · 4 citations
- F 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, review of medical records, staff job descriptions, facility incident reports, the payroll report, and the daily nursing staff postings, and elder and staff interview, the facility failed to ensure sufficient nursing staff to provide nursing and related services to assure elder safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of the elders. The census was 38.
- F Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Inspectors wroteBased on review of the Wyoming Administrative Rules, Nursing Home Administrators, Chapter 2: Licensure Requirements, the facility assessment, the Wyoming Healthcare Facility Change Form, and staff and board of trustee interview, the facility failed to appoint a licensed, administrator as established by the Wyoming Board of Nursing Home Administrators. The census was 38.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on medical record review, and elder and staff interview, the facility failed to have a system in place to ensure respiratory care was provided consistent with the elder's goals and preferences for 1 of 1 elder reviewed (#3) for respiratory care.
- B Post nurse staffing information every day.
Inspectors wroteBased on review of the posted nurse staffing data and staff interview, the facility failed to ensure the posted 24/7 hour nursing staff included all required information. The census was 38.
February 1, 2024Standard inspection, Complaint inspection · 6 citations
- G Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on medical record review, staff interview, facility investigation review, performance improvement plan review, professional standard review, and policy review, the facility failed to ensure timely care and treatment was provided for 1 of 5 sample elders (#90) reviewed for skin conditions. This failure resulted in actual harm to elder #90 who developed a wound infection and had delayed hospitalization. Corrective measures were implemented by the facility prior to the survey and compliance was determined to be met on 1/5/24.
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on medical record review, staff interview, facility investigation review, performance improvement plan review, and policy review, the facility failed to implement interventions and treatment to prevent the deterioration of wounds for 1 of 5 sample elders (#90) reviewed for skin conditions. This failure resulted in actual harm to elder #90 who developed a wound infection and had delayed hospitalization. Corrective measures were implemented by the facility prior to the survey and compliance was determined to be met on 1/5/24.
- F Ensure residents have reasonable access to and privacy in their use of communication methods.
Inspectors wroteBased on resident and staff interview, the facility failed to ensure elders' right to receive mail delivery including Saturdays. The census was 37.
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on schedule review, daily staff posting review, and staff interview, the facility failed to ensure an RN was on duty for at least 8 consecutive hours a day, 7 days a week. The Census was 37.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, review of the Centers for Disease Control (CDC) guidance, professional reference review, and review of the policy and procedure, the facility failed to ensure staff used appropriate personal protective equipment (PPE) in 2 of 4 cottages (Founders, [NAME]) while in elder care areas. In addition, the facility failed to ensure proper hand hygiene was performed and failed to prevent cross-contamination during wound care for 2 of 3 sample residents (#3, #15) with wounds.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on medical record review, staff interview, and facility investigation review, the facility failed to ensure a thorough investigation of injuries of unknown source for 1 of 1 sample elder (#90).
November 17, 2022Standard inspection · 9 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, staff interview, review of the Centers for Disease Control (CDC) guidance, review of the CDC community transmission rates, and review of the policy and procedure, the facility failed to ensure staff used appropriate PPE in 3 of 3 cottages (Founders, [NAME], [NAME]) while in elder care areas. In addition, the facility failed to ensure appropriate infection control techniques were implemented to prevent cross contamination during 1 random observation of catheter care which affected elder #4.
- E Implement a program that monitors antibiotic use.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure an effective antibiotic stewardship program was implemented to identify appropriate use of antibiotics for 2 of 3 sample elders (#1, #8) with prophylactic antibiotic orders.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure elders or elders' representatives received a written transfer notice for 1 of 1 sample elder (#26) reviewed for hospitalization.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure elders or elders' representatives received a written notice of the bed-hold policy for 1 of 1 sample elders (#26) reviewed for hospitalization.
- D Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure a care plan was comprehensive regarding pressure ulcer prevention for 1 of 6 sample elders (#3) reviewed regarding pressure ulcer care.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, medical record review, and staff interview, the facility failed to ensure appropriate safety devices were utilized during transfers for 2 of 4 sample elders (#7, #13) reviewed for accident hazards.
- D Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Inspectors wroteBased on medical record review, staff interview, and review of policy and procedure, the facility failed to ensure appropriate behavior monitoring and interventions were in place for 1 of 4 sample elders (#13) who received psychotropic medications.
- D Have a plan that describes the process for conducting QAPI and QAA activities.
Inspectors wroteBased on the review of the 10/28/21 recertification 2567, QAPI meeting minutes review and staff interview, the facility failed to ensure the QAPI program adequately addressed identified infection control concerns in 3 of 3 cottages (Founders, [NAME], [NAME]) where elders resided.
- C Ensure staff are vaccinated for COVID-19
Inspectors wroteBased on staff interview, staff vaccine documentation review, and policy and procedure review, the facility failed to ensure a procedure was in place to monitor for compliance regarding additional precautionary measures intended to prevent the transmission and spread of COVID-19 for those staff who were not fully vaccinated. There were 19 of 50 employees and 2 of 7 contracted employees who were granted exemptions.
Fire safety inspections
24 fire safety citations on file: 8 on March 13, 2025, 8 on February 1, 2024, 8 on November 17, 2022.
Every fire safety citation24 citations
- F Establish procedures for tracking staff and patients during an emergency.
- F Establish policies and procedures for volunteers.
- F Keep aisles, corridors, and exits free of obstruction in case of emergency.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Have simulated fire drills held at unexpected times.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Have proper medical gas storage and administration areas.
- F Conduct testing and exercise requirements.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure proper usage of power strips and extension cords.
- E Have proper medical gas storage and administration areas.
- F Include a process for Emergency Preparedness collaboration.
- F Conduct testing and exercise requirements.
- F Implement emergency and standby power systems.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Inspect, test, and maintain automatic sprinkler systems.
- F Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- F To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| November 19, 2025 | Fine | $14,773 |
| March 13, 2025 | Fine | $40,256 |
| March 13, 2025 | Payment Denial | 29 days from May 8, 2025 |
| February 1, 2024 | Fine | $6,900 |
| February 1, 2024 | Payment Denial | 61 days from May 1, 2024 |
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) | 4.53 | 3.87 | 3.86 |
| Registered nurses | 1.69 | 0.94 | 0.69 |
| All nursing staff on weekends | 4.21 | 3.37 | 3.42 |
| Nurse aides | 2.59 | ||
| Licensed practical nurses | 0.25 | ||
| Nursing staff turnover (share who left in a year) | 73.5% | 51.8% | 45.8% |
| Registered nurse turnover | 73.9% | 44.1% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.04 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 4.66 on weekdays and 4.21 on weekends, 10% 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 6.16 in April to June 2025 to 4.53 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 | 4.53 | 1.69 | 4.66 | 4.21 | 0.0% | 0 of 90 | 36 |
| Oct to Dec 2025 | 5.63 | 2.17 | 5.82 | 5.16 | 0.0% | 0 of 92 | 29 |
| Jul to Sep 2025 | 5.47 | 1.89 | 5.62 | 5.10 | 3.0% | 0 of 92 | 33 |
| Apr to Jun 2025 | 6.16 | 2.00 | 6.29 | 5.85 | 6.8% | 0 of 91 | 31 |
| 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. If you work here, your report helps start one.
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 | 22.8 | 16.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.5 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.0 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 8.3 | 4.7 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 11.6 | 15.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.8 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 29.6 | 21.8 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.3 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 2.3 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Green House Living for Sheridan's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: ALTERNATIVE ELDER LIVING INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Alternative Elder Living Inc | 5% or greater direct ownership interest | Organization | 100% | 05/01/2007 |
| Boedecker, Brock | Managing control - governing body | Individual | 01/01/2024 | |
| Carlson, Tonya | Managing control - governing body | Individual | 05/06/2024 | |
| Dawson, Allison | Managing control - governing body | Individual | 05/06/2024 | |
| Maguire, Elizabeth | Managing control - governing body | Individual | 01/01/2022 | |
| McCafferty, Michael | Managing control - governing body | Individual | 05/06/2024 | |
| Morgan, Dawn | Managing control - governing body | Individual | 05/06/2024 | |
| Oetken, Erin | Managing control - governing body | Individual | 01/01/2024 | |
| Rieder, Rosemary | Managing control - governing body | Individual | 01/01/2021 | |
| Stutte, Nathan | Managing control - governing body | Individual | 05/06/2024 | |
| Wallick, Catherine | Managing control - governing body | Individual | 01/01/2013 | |
| Williams, Kimberlee | Managing control - governing body | Individual | 01/01/2023 | |
| Boedecker, Brock | Corporate director | Individual | 01/01/2024 | |
| Maguire, Elizabeth | Corporate director | Individual | 01/01/2022 | |
| Oetken, Erin | Corporate director | Individual | 01/01/2024 | |
| Rieder, Rosemary | Corporate director | Individual | 01/01/2021 | |
| Wallick, Catherine | Corporate director | Individual | 01/01/2013 | |
| Williams, Kimberlee | Corporate director | Individual | 01/01/2023 | |
| Alternative Elder Living Inc | Operational/managerial control | Organization | 05/01/2007 | |
| Memorial Hospital of Sheridan County | Operational/managerial control | Organization | 05/06/2024 | |
| Alsup, Tobie | Operational/managerial control | Individual | 05/06/2024 | |
| Bealer, Cathy | Operational/managerial control | Individual | 04/05/2024 | |
| Boedecker, Brock | Operational/managerial control | Individual | 01/01/2024 | |
| Carlson, Tonya | Operational/managerial control | Individual | 05/06/2024 | |
| Coulter, Shirley | Operational/managerial control | Individual | 05/06/2024 | |
| Davis, Jerry | Operational/managerial control | Individual | 05/06/2024 | |
| Dawson, Allison | Operational/managerial control | Individual | 05/06/2024 | |
| Garber, Richard | Operational/managerial control | Individual | 05/06/2024 | |
| Gross, Sierra | Operational/managerial control | Individual | 05/06/2024 | |
| Kessner, Kevin | Operational/managerial control | Individual | 05/06/2024 | |
| Maguire, Elizabeth | Operational/managerial control | Individual | 01/01/2022 | |
| McCafferty, Michael | Operational/managerial control | Individual | 05/06/2024 | |
| Mischke, Ron | Operational/managerial control | Individual | 05/06/2024 | |
| Morgan, Dawn | Operational/managerial control | Individual | 05/06/2024 | |
| Oetken, Erin | Operational/managerial control | Individual | 01/01/2024 | |
| Rieder, Rosemary | Operational/managerial control | Individual | 01/01/2021 | |
| Shassetz, Jennifer | Operational/managerial control | Individual | 05/06/2024 | |
| Sinclair, Cody | Operational/managerial control | Individual | 05/06/2024 | |
| Straley, Tenille | Operational/managerial control | Individual | 05/06/2024 | |
| Stutte, Nathan | Operational/managerial control | Individual | 05/06/2024 | |
| Wallick, Catherine | Operational/managerial control | Individual | 01/01/2013 | |
| Williams, Kimberlee | Operational/managerial control | Individual | 01/01/2023 | |
| Memorial Hospital of Sheridan County | Adp of the SNF | Organization | 05/20/2025 | |
| Alsup, Tobie | Adp of the SNF | Individual | 05/06/2024 | |
| Bealer, Cathy | Adp of the SNF | Individual | 05/06/2024 | |
| Boedecker, Brock | Adp of the SNF | Individual | 01/01/2024 | |
| Carlson, Tonya | Adp of the SNF | Individual | 05/06/2024 | |
| Coulter, Shirley | Adp of the SNF | Individual | 05/06/2024 | |
| Davis, Jerry | Adp of the SNF | Individual | 05/06/2024 | |
| Dawson, Allison | Adp of the SNF | Individual | 05/06/2024 | |
| Garber, Richard | Adp of the SNF | Individual | 05/06/2024 | |
| Gross, Sierra | Adp of the SNF | Individual | 05/06/2024 | |
| Kessner, Kevin | Adp of the SNF | Individual | 05/06/2024 | |
| Maguire, Elizabeth | Adp of the SNF | Individual | 01/01/2022 | |
| McCafferty, Michael | Adp of the SNF | Individual | 05/06/2024 | |
| Mischke, Ron | Adp of the SNF | Individual | 05/06/2024 | |
| Morgan, Dawn | Adp of the SNF | Individual | 05/06/2024 | |
| Oetken, Erin | Adp of the SNF | Individual | 01/01/2024 | |
| Rieder, Rosemary | Adp of the SNF | Individual | 01/01/2021 | |
| Shassetz, Jennifer | Adp of the SNF | Individual | 05/06/2024 | |
| Sinclair, Cody | Adp of the SNF | Individual | 05/06/2024 | |
| Straley, Tenille | Adp of the SNF | Individual | 05/06/2024 | |
| Stutte, Nathan | Adp of the SNF | Individual | 05/06/2024 | |
| Wallick, Catherine | Adp of the SNF | Individual | 01/01/2013 | |
| Williams, Kimberlee | Adp of the SNF | Individual | 01/01/2023 |
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 7 problems in this area, most recently on November 19, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 7 problems in this area, most recently on March 13, 2025: "Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 5 problems in this area, most recently on March 13, 2025: "Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift."
- When is the care plan meeting, and can family attend it?Inspectors cited 4 problems in this area, most recently on February 3, 2026: "Ensure each resident receives an accurate assessment."
Other nursing homes nearby
- Westview Health Care Center Sheridan, 0.6 mi · 5 of 5 stars · 8 citations
- Big Horn Rehabilitation and Care Center Sheridan, 0.8 mi · 1 of 5 stars · 46 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 Green House Living for Sheridan's Medicare star rating?
- CMS rates Green House Living for Sheridan 1 out of 5 stars overall, with 1 for health inspections, 4 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Green House Living for Sheridan get at its last inspection?
- 10 health deficiencies at the standard inspection on March 13, 2025. The Wyoming average is 7.8.
- Has Green House Living for Sheridan been fined?
- Yes. CMS lists 3 fines totaling $61,929 in the last three years.
- Does Green House Living for Sheridan 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 Green House Living for Sheridan?
- CMS lists 65 owners and managers. Legal business name: ALTERNATIVE ELDER LIVING INC.
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.