Nursing HomeInspections

Big Horn Rehabilitation and Care Center

Nursing home in Sheridan, WY

Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

Call (307) 674-4416Send a messageMap ↗

Public-record details

Address
1851 Big Horn Ave, Sheridan, WY 82801
Phone
(307) 674-4416
Listed under
For-profit
Medicare CCN
535026
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
3 of 5
Certified beds
128
Average residents per day
68
Ownership
For-profit, limited Liability company
Legal business name
North Big Horn Hospital District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1978
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 535026. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 7, 2026. CMS lists 46 health citations for this facility across its last three standard inspection cycles and complaint inspections (Oct 5, 2023 to May 7, 2026): 29 from complaint inspections, 3 at the “actual harm” level or higher. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
May 7, 2026Ensure the activities program is directed by a qualified professional.
Quality of Life and Care		C
Potential for minimal harm, widespread
May 7, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 7, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 7, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 7, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
May 7, 2026Provide activities to meet all resident's needs.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 7, 2026Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 7, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · complaint inspection		E
Potential for more than minimal harm, pattern
May 7, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
May 7, 2026Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
May 7, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration · complaint inspection		E
Potential for more than minimal harm, pattern
May 7, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 46. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $7,163 and 1 denial of Medicare payment for new admissions in the last three years.

Oct 8, 2025Payment denial for 8 days from Nov 13, 2025
Dec 21, 2023Fine: $7,163

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.28 hours
Registered nurse (RN) time per resident per day
0.52 hours
Nurse aide time per resident per day
2.33 hours
Total nurse staffing on weekends
3.07 hours
Nursing staff turnover (yearly)
57%
RN turnover (yearly)
65%
Administrators who left in the past year
3

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Sheridan

Westview Health Care Center1990 West Loucks St · Sheridan, WY 82801 · (307) 672-9789 · For-profit8 health citations in 3 inspection cycles · last standard inspection Feb 14, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Green House Living for Sheridan2311 Shirley Cove · Sheridan, WY 82801 · (307) 672-0600 · For-profit35 health citations in 3 inspection cycles · last standard inspection Mar 13, 2025 · $61,929 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

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