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HomeWyomingBig Horn Rehabilitation and Care Center

Big Horn Rehabilitation and Care Center

1851 Big Horn Ave, Sheridan, WY 828013076744416WebsiteGoogle Maps
3.7on Google(22 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
3/5
Beds
128
certified
Special Focus Facility: SFF Candidate
1 fine(s) totaling $7,163

How Big Horn Rehabilitation and Care Center Compares in Wyoming

Facility results compared with averages for CMS-certified nursing homes in Wyoming. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
WY average
3.0/5
Below state average
Health inspection rating
1/5
WY average
2.8/5
Below state average
Staffing rating
2/5
WY average
3.6/5
Below state average
Nursing hours per resident
3.28 hrs/day
WY average
3.87 hrs/day
Below state average
RN hours per resident
0.52 hrs/day
WY average
0.94 hrs/day
Below state average
Staff turnover
56.5%
WY average
51.8%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Wyoming average of 3.0/5.
Its 1/5 health inspection rating is below the Wyoming average of 2.8/5.
Reported nursing time is 3.28 hours per resident per day, below the state average of 3.87.
Reported RN time is 0.52 hours per resident per day, below the state average of 0.94.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
13
deficiency citations
Inspected Sep 13, 2024
Most recent cycle
30
deficiency citations
Inspected May 7, 2026
The most recent cycle recorded 17 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$9,277/mo
Wyoming median
Private Room
$10,220/mo
Wyoming median
Sheridan County 65+
6,758
21.7% of county
County Population
31,176
Sheridan County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Big Horn Rehabilitation and Care Center is a 1-star Medicare and Medicaid certified nursing home in Sheridan, Wyoming with 128 certified beds. It has been operating since 1978. Its overall CMS rating is 1 out of 5.

Beds
128
Avg Residents/Day
68.1
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 1, 1978
Sprinklers
Yes
Council
Both
County
Sheridan
Last Inspection
May 7, 2026
Deficiencies (Cycle 1)
30
Weighted Score
196.5
Infection Citations
0

Deficiency Citations (46)

F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: May 7, 2026Corrected: NoCycle: 1
F0561Potential for Harm

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Survey: May 7, 2026Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 7, 2026Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 7, 2026Corrected: NoCycle: 1
F0849Potential for Harm

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.

Survey: May 7, 2026Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 7, 2026Corrected: NoCycle: 1
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: May 7, 2026Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: May 7, 2026Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: May 7, 2026Corrected: NoCycle: 1
F0627Potential for Harm

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Survey: May 7, 2026Corrected: NoCycle: 1
F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: May 7, 2026Corrected: NoCycle: 1
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: May 7, 2026Corrected: NoCycle: 1
F0699Potential for Harm

Provide care or services that was trauma informed and/or culturally competent.

Survey: May 7, 2026Corrected: NoCycle: 1
F0680Minimal Harm

Ensure the activities program is directed by a qualified professional.

Survey: May 7, 2026Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0584Potential for Harm

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.

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0850Potential for Harm

Hire a qualified full-time social worker in a facility with more than 120 beds.

Survey: Feb 5, 2026Corrected: NoCycle: 1
F0658Actual Harm

Ensure services provided by the nursing facility meet professional standards of quality.

Survey: Oct 23, 2025Corrected: NoCycle: 1
F0684Actual Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Oct 23, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Oct 23, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Oct 23, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 23, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Oct 23, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Oct 8, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Oct 8, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Oct 8, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Oct 8, 2025Corrected: NoCycle: 1
F0688Potential for Harm

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.

Survey: Oct 8, 2025Corrected: NoCycle: 1

+ 16 more deficiencies

Total Fines
$7,163
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineDec 21, 2023
$7,163
Payment DenialOct 8, 2025
8 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.33 hrs
National avg: 2.32 hrs
LPN0.43 hrs
National avg: 0.86 hrs
RN0.52 hrs
National avg: 0.69 hrs
Total Nursing3.28 hrs
National avg: 3.86 hrs
Weekend Total3.07 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
56.5%
RN Turnover
64.7%
Administrators Left
3

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
NORTH BIG HORN HOSPITAL DISTRICTDIRECT OWNERSHIP INTERESTOrganizationN/AOct 1, 2024
MORRISON, ROBERTMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 1, 2024
SIMMONS, BENJAMINCORPORATE DIRECTORIndividualN/AOct 1, 2024
WINTERHOLLER, DAVIDCORPORATE DIRECTORIndividualN/AOct 1, 2024
CONNELL, ERICCORPORATE OFFICERIndividualN/AOct 1, 2024
SIMMONS, BENJAMINCORPORATE OFFICERIndividualN/AOct 1, 2024
CHEYENNE SHERIDAN OPCO HOLDINGS LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 26, 2024
SHERIDAN OPCO LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2024
CONNELL, ERICOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024
MORRISON, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024
ROBERTS, ANAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2024
SHERIDAN OPCO LLCADP OF THE SNFOrganizationN/AOct 1, 2024
CONNELL, ERICADP OF THE SNFIndividualN/AOct 1, 2024
ROBERTS, ANAADP OF THE SNFIndividualN/AOct 1, 2024

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Big Horn Rehabilitation and Care Center and nearby alternatives.

All Wyoming facilities
Big Horn Rehabilitation and Care Center
Sheridan, WYCurrent facility
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $7,163
Green House Living for Sheridan
Sheridan, WY4,224 ft
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $61,929
Westview Health Care Center
Sheridan, WY1.4 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
Amie Holt Care Center
Buffalo, WY32.0 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: None
Wyoming Veterans' Skilled Nursing Facility
Buffalo, WY32.4 miAbuse flag
CMS
2/5
Health
2/5
Staffing
4/5
Recorded fines: None
Wyoming Retirement Center
Basin, WY60.5 miAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $41,201
New Horizons Care Center
Lovell, WY70.2 mi
CMS
5/5
Health
4/5
Staffing
5/5
Recorded fines: $7,521
FacilityDistanceCMSHealthStaffingRecorded fines
Big Horn Rehabilitation and Care Center
Sheridan, WY · Current facility
—1/51/52/5$7,163
Green House Living for Sheridan
Sheridan, WY
4,224 ft1/51/54/5$61,929
Westview Health Care Center
Sheridan, WY
1.4 mi5/54/53/5None recorded
Amie Holt Care Center
Buffalo, WY
32.0 mi5/54/55/5None recorded
Wyoming Veterans' Skilled Nursing Facility
Buffalo, WY
32.4 mi2/52/54/5None recorded
Wyoming Retirement Center
Basin, WY
60.5 mi1/52/51/5$41,201
New Horizons Care Center
Lovell, WY
70.2 mi5/54/55/5$7,521

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Big Horn Rehabilitation and Care Center?▾
Big Horn Rehabilitation and Care Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Big Horn Rehabilitation and Care Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Wyoming is $9,277/month for a semi-private room and $10,220/month for a private room (Genworth/CareScout 2024). Big Horn Rehabilitation and Care Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Big Horn Rehabilitation and Care Center had any health inspection violations?▾
Big Horn Rehabilitation and Care Center had 30 deficiency citations in its most recent health inspection (May 7, 2026). The current CMS dataset records 1 fine(s) totaling $7,163.
What are the staffing levels at Big Horn Rehabilitation and Care Center?▾
Big Horn Rehabilitation and Care Center provides 3.28 total nursing staff hours per resident per day, including 0.52 RN hours, 0.43 LPN hours, and 2.33 nurse aide hours. The total staff turnover rate is 56.5%.
How many beds does Big Horn Rehabilitation and Care Center have?▾
Big Horn Rehabilitation and Care Center has 128 certified beds with an average of 68.1 residents per day, resulting in approximately 53% occupancy. The facility is For profit - Limited Liability company owned.
Are there other nursing homes near Big Horn Rehabilitation and Care Center?▾
Yes. This page lists 6 nearby nursing homes in Wyoming, including 2 in Sheridan. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Big Horn Rehabilitation and Care Center?▾
On Google Maps, Big Horn Rehabilitation and Care Center has a rating of 3.7 out of 5 based on 22 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.