Nursing HomeInspections

Green House Living for Sheridan

Nursing home in Sheridan, WY

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

Call (307) 672-0600Send a messageMap ↗

Public-record details

Address
2311 Shirley Cove, Sheridan, WY 82801
Phone
(307) 672-0600
Listed under
For-profit
Medicare CCN
535054
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
4 of 5
Quality measures rating
2 of 5
Certified beds
48
Average residents per day
36
Ownership
For-profit, corporation
Legal business name
Alternative Elder Living INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 20, 2012
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 535054. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 13, 2025. CMS lists 35 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 17, 2022 to Feb 3, 2026): 18 from complaint inspections, 4 at the “actual harm” level or higher. CMS lists this facility as a candidate for its Special Focus Facility program.

InspectionCitationSeverity
Feb 3, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 3, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 3, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 19, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Mar 13, 2025Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Nursing and Physician Services · complaint inspection		C
Potential for minimal harm, widespread
Mar 13, 2025Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 13, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Mar 13, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Mar 13, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		E
Potential for more than minimal harm, pattern
Mar 13, 2025Provide activities to meet all resident's needs.
Quality of Life and Care · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 13, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services · complaint inspection		E
Potential for more than minimal harm, pattern
Mar 13, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 35. 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 3 fines totalling $61,929 and 2 denials of Medicare payment for new admissions in the last three years.

Nov 19, 2025Fine: $14,773
Mar 13, 2025Fine: $40,256
Mar 13, 2025Payment denial for 29 days from May 8, 2025
Feb 1, 2024Fine: $6,900
Feb 1, 2024Payment denial for 61 days from May 1, 2024

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
4.53 hours
Registered nurse (RN) time per resident per day
1.69 hours
Nurse aide time per resident per day
2.59 hours
Total nurse staffing on weekends
4.21 hours
Nursing staff turnover (yearly)
74%
RN turnover (yearly)
74%
Administrators who left in the past year
0

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)Big Horn Rehabilitation and Care Center1851 Big Horn Ave · Sheridan, WY 82801 · (307) 674-4416 · For-profit46 health citations in 3 inspection cycles · last standard inspection May 7, 2026 · $7,163 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)SFF candidate (CMS)

All 3 in Sheridan →