nursing home in Sheridan, WY

Big Horn Rehabilitation and Care Center

1851 Big Horn Ave, Sheridan, WY 82801 · (307) 674-4416

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★1
  • Staffing★★★★★2
  • Quality measures★★★★★3
  • Special Focus candidate

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Big Horn Rehabilitation and Care Center at a glance

Big Horn Rehabilitation and Care Center is a 128-bed for-profit nursing home in Sheridan, Wyoming (Sheridan County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Wyoming average of 2.9.

Residents receive about 3.3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.9 hours.

Its most recent standard health inspection (May 7, 2026) found 30 health citations. The Wyoming average is 7.8.

Federal regulators fined it 1 time in the past three years, totaling $7,163.

Nursing staff turnover is 56.5% per year (state average 51.8%).

Facility details

Type
Nursing home
Ownership
For Profit - Limited Liability Company
Beds
128
Certified for
Medicare and Medicaid
Medicare-certified since
June 1, 1978
Resident/family council
Both
County
Sheridan County
CMS Certification Number
535026

Ratings

MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.9 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)1 / 52.7 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)2 / 53.6 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)3 / 53.3 / 53.6 / 5Worse
Long-stay quality rating (higher is better)4 / 53.3 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)3 / 53.5 / 53.3 / 5Average

Staffing

This facility3.28 hrsWyoming average3.87 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Wyoming and U.S. averages
MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)3.28 hrs3.87 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.52 hrs0.94 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)2.33 hrs2.43 hrs2.32 hrsAverage
Weekend nurse staff hours per resident per day (higher is better)3.07 hrs3.37 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)56.5%51.8%45.8%Worse
Registered nurse turnover (yearly) (lower is better)64.7%44.1%42.9%Worse
Administrators who left in the past year (lower is better)311Worse

Inspections

This facility30Wyoming average8U.S. average9
Health citations in the most recent inspection: this facility vs. Wyoming and U.S. averages
MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)3089Worse
Citations from complaint investigations (latest cycle) (lower is better)2243Worse
Weighted health inspection score ⓘ (lower is better)196.566.580.6Worse

Penalties

This facility1Wyoming average1U.S. average1
Fines in the past 3 years: this facility vs. Wyoming and U.S. averages
MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$7,163$28,128$30,972Better
All federal penalties in the past 3 years (lower is better)211Worse

Size

MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Certified beds12882107
Average residents per day685686
Occupancy53.2%70.7%80.9%

Long-stay residents

This facility4.2%Wyoming average4.7%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Wyoming and U.S. averages
MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)4.2%4.7%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)3.5%4.6%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)25%21.8%15.4%Worse
Long-stay residents with a urinary tract infection (lower is better)0.8%3.1%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)1.9%1.5%0.8%Worse
Long-stay residents needing more help with daily activities (lower is better)6.7%16.8%13.9%Better
Long-stay residents whose walking worsened (lower is better)5.3%15.3%14.1%Better
Long-stay residents who lose too much weight (lower is better)10.8%5.9%5.2%Worse
Long-stay residents with depressive symptoms (lower is better)13.7%6.5%12.8%Worse
Long-stay residents who were physically restrained (lower is better)0%0.1%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)14.6%15.4%19.5%Better
Long-stay residents with new or worse incontinence (lower is better)22.4%22.7%19%Worse
Long-stay residents given a flu vaccine (higher is better)67.9%94.3%95.5%Worse
Long-stay residents given a pneumonia vaccine (higher is better)87%94.3%93.6%Worse

Short-stay residents

This facility0%Wyoming average1.2%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Wyoming and U.S. averages
MeasureThis facilityWyoming avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)0%1.2%1.6%Better
Short-stay residents given a flu vaccine (higher is better)52.9%77%79.8%Worse
Short-stay residents given a pneumonia vaccine (higher is better)59.9%77%82%Worse

Inspection citations

State inspectors cited this home for 46 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm.

DateCitationSeverityStatus
May 7, 2026
Fire safety
Establish staff and initial training requirements.
Emergency Preparedness Deficiencies · Tag E0037
F
Potential harm, widespread
Corrected June 3, 2026
May 7, 2026
Fire safety
Conduct testing and exercise requirements.
Emergency Preparedness Deficiencies · Tag E0039
F
Potential harm, widespread
Corrected June 2, 2026
May 7, 2026
Fire safety
Install emergency lighting that can last at least 1 1/2 hours.
Egress Deficiencies · Tag K0291
F
Potential harm, widespread
Corrected June 1, 2026
May 7, 2026
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected May 29, 2026
May 7, 2026
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected May 29, 2026
May 7, 2026
Fire safety
Have properly installed electrical wiring and gas equipment.
Services Deficiencies · Tag K0511
E
Potential harm, pattern
Corrected June 3, 2026
May 7, 2026
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected June 3, 2026
May 7, 2026
Complaint
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
F
Potential harm, widespread
Corrected June 11, 2026
May 7, 2026
Complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
E
Potential harm, pattern
Corrected June 11, 2026
May 7, 2026
Standard
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Tag F0883
E
Potential harm, pattern
Corrected June 11, 2026
May 7, 2026
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected June 11, 2026
May 7, 2026
Complaint
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.
Administration Deficiencies · Tag F0849
E
Potential harm, pattern
Corrected June 11, 2026
May 7, 2026
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected June 11, 2026
May 7, 2026
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
E
Potential harm, pattern
Corrected June 11, 2026
May 7, 2026
Standard
Provide care or services that was trauma informed and/or culturally competent.
Quality of Life and Care Deficiencies · Tag F0699
D
Potential harm, isolated
Corrected June 11, 2026
May 7, 2026
Standard
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies · Tag F0679
D
Potential harm, isolated
Corrected June 11, 2026
May 7, 2026
Complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Tag F0628
D
Potential harm, isolated
Corrected June 11, 2026
May 7, 2026
Complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Resident Rights Deficiencies · Tag F0627
D
Potential harm, isolated
Corrected June 11, 2026
May 7, 2026
Standard
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
D
Potential harm, isolated
Corrected June 11, 2026
May 7, 2026
Standard
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected June 11, 2026
May 7, 2026
Standard
Ensure the activities program is directed by a qualified professional.
Quality of Life and Care Deficiencies · Tag F0680
C
No harm, widespread
Corrected June 11, 2026
February 5, 2026
Complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected March 10, 2026
February 5, 2026
Complaint
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected March 10, 2026
February 5, 2026
Complaint
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies · Tag F0850
D
Potential harm, isolated
Corrected March 10, 2026
February 5, 2026
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected March 10, 2026
February 5, 2026
Complaint
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Tag F0565
D
Potential harm, isolated
Corrected April 19, 2025
October 23, 2025
Complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Tag F0658
G
Actual harm, isolated
Corrected November 21, 2025
October 23, 2025
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
G
Actual harm, isolated
Corrected November 21, 2025
October 23, 2025
Complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected November 21, 2025
October 23, 2025
Complaint
Provide 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 Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected November 21, 2025
October 23, 2025
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected November 21, 2025
October 23, 2025
Complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected November 21, 2025
October 8, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
E
Potential harm, pattern
Corrected October 30, 2025
October 8, 2025
Complaint
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610
E
Potential harm, pattern
Corrected October 30, 2025
October 8, 2025
Complaint
Protect 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 Deficiencies · Tag F0600
D
Potential harm, isolated
Corrected October 30, 2025
October 8, 2025
Complaint
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.
Quality of Life and Care Deficiencies · Tag F0688
D
Potential harm, isolated
Corrected October 30, 2025
October 8, 2025
Complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Tag F0580
D
Potential harm, isolated
Corrected October 30, 2025
January 15, 2025
Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609
D
Potential harm, isolated
Corrected February 24, 2025
November 7, 2024
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected December 6, 2024
November 7, 2024
Complaint
Provide 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 Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected December 2, 2024
November 7, 2024
Complaint
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Tag F0692
D
Potential harm, isolated
Corrected January 6, 2025
September 13, 2024
Fire safety
Meet requirements for the installation and maintenance of electrical systems.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911
F
Potential harm, widespread
Corrected October 7, 2024
September 13, 2024
Fire safety
Construct fire resistant interior walls.
Smoke Deficiencies · Tag K0331
E
Potential harm, pattern
Corrected October 7, 2024
September 13, 2024
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected October 7, 2024
September 13, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
E
Potential harm, pattern
Corrected October 7, 2024
September 13, 2024
Standard
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Tag F0576
E
Potential harm, pattern
Corrected October 7, 2024
September 13, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected October 7, 2024
September 13, 2024
Standard
Provide 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 Deficiencies · Tag F0725
E
Potential harm, pattern
Corrected December 2, 2024
September 13, 2024
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
D
Potential harm, isolated
Corrected October 7, 2024
September 13, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected October 7, 2024
April 4, 2024
Fire safety
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.
Egress Deficiencies · Tag K0222
F
Potential harm, widespread
Corrected May 25, 2024
April 4, 2024
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected April 30, 2024
April 4, 2024
Fire safety
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies · Tag K0353
F
Potential harm, widespread
Corrected May 25, 2024
April 4, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected April 24, 2024
April 4, 2024
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected May 25, 2024
April 4, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
E
Potential harm, pattern
Corrected April 10, 2024
April 4, 2024
Standard
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Tag F0641
D
Potential harm, isolated
Corrected April 10, 2024
April 4, 2024
Standard
Develop 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 Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected April 10, 2024
December 21, 2023
Complaint
Protect 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 Deficiencies · Tag F0600
G
Actual harm, isolated
Corrected November 30, 2023
October 5, 2023
Complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Tag F0684
D
Potential harm, isolated
Corrected October 27, 2023
October 5, 2023
Complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Tag F0919
D
Potential harm, isolated
Corrected October 27, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 2 federal penalties in the past three years, including $7,163 in fines.

DatePenaltyAmount / length
October 8, 2025Payment Denial8 days from November 13, 2025
December 21, 2023Fine$7,163

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
CONNELL, ERIC
Individual
adp of the snfNOT APPLICABLE10/01/2024
ROBERTS, ANA
Individual
adp of the snfNOT APPLICABLE10/01/2024
SHERIDAN OPCO LLC
Organization
adp of the snfNOT APPLICABLE10/01/2024
SIMMONS, BENJAMIN
Individual
corporate directorNOT APPLICABLE10/01/2024
WINTERHOLLER, DAVID
Individual
corporate directorNOT APPLICABLE10/01/2024
CONNELL, ERIC
Individual
corporate officerNOT APPLICABLE10/01/2024
SIMMONS, BENJAMIN
Individual
corporate officerNOT APPLICABLE10/01/2024
NORTH BIG HORN HOSPITAL DISTRICT
Organization
direct ownership interestNOT APPLICABLE10/01/2024
MORRISON, ROBERT
Individual
managing control - governing bodyNOT APPLICABLE10/01/2024
CHEYENNE SHERIDAN OPCO HOLDINGS LLC
Organization
operational/managerial controlNOT APPLICABLE11/26/2024
CONNELL, ERIC
Individual
operational/managerial controlNOT APPLICABLE10/01/2024
MORRISON, ROBERT
Individual
operational/managerial controlNOT APPLICABLE10/01/2024
ROBERTS, ANA
Individual
operational/managerial controlNOT APPLICABLE10/01/2024
SHERIDAN OPCO LLC
Organization
operational/managerial controlNOT APPLICABLE10/01/2024

Other nursing homes near Big Horn Rehabilitation and Care Center

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    ★★★★★1Much below average
  2. Westview Health Care Center

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  3. Amie Holt Care Center

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    ★★★★★5Much above average
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Frequently asked questions

What is Big Horn Rehabilitation and Care Center's rating?

Big Horn Rehabilitation and Care Center has 1 out of 5 stars on the CMS overall star rating. The average for Wyoming nursing homes is 2.9 stars.

How many inspection citations did Big Horn Rehabilitation and Care Center receive?

Its most recent standard health inspection found 30 citations, compared with a Wyoming average of 7.8. Every citation is listed on this page with its severity.

Does Big Horn Rehabilitation and Care Center accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Big Horn Rehabilitation and Care Center?

It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.

Where is Big Horn Rehabilitation and Care Center and how do I contact it?

Big Horn Rehabilitation and Care Center is at 1851 Big Horn Ave, Sheridan, WY 82801. Phone: (307) 674-4416.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.