Big Horn Rehabilitation and Care Center

1851 Big Horn Ave, Sheridan, WY 82801 · CCN 535026 · 128 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

CMS currently lists this facility as: SFF Candidate (the Special Focus program tracks facilities with a persistent pattern of serious inspection findings).

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Serious inspection findings

2025-10-23 — ACTUAL HARM (tag F0684, severity G)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-10-23 — ACTUAL HARM (tag F0658, severity G)

Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data

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

2023-12-21 — ACTUAL HARM (tag F0600, severity G)

Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

2.55

state median 3.18

Weekend staffing gap

−2%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.38

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

57%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $7,163 in fines.

Date	Type	Amount
2025-10-08	Payment Denial	payment denial
2023-12-21	Fine	$7,163

Ownership

Ownership type: For profit - Limited Liability company.

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 3 · Potential for more than minimal harm: 42

Survey date	Tag	Category	Severity	Corrected
2026-05-07	F0561	Resident Rights Deficiencies	E	not recorded
2026-05-07	F0583	Resident Rights Deficiencies	F	not recorded
2026-05-07	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-05-07	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2026-05-07	F0627	Resident Rights Deficiencies	D	not recorded
2026-05-07	F0628	Resident Rights Deficiencies	D	not recorded
2026-05-07	F0679	Quality of Life and Care Deficiencies	D	not recorded
2026-05-07	F0680	Quality of Life and Care Deficiencies	C	not recorded
2026-05-07	F0684	Quality of Life and Care Deficiencies	E	not recorded
2026-05-07	F0699	Quality of Life and Care Deficiencies	D	not recorded
2026-05-07	F0761	Pharmacy Service Deficiencies	E	not recorded
2026-05-07	F0849	Administration Deficiencies	E	not recorded
2026-05-07	F0880	Infection Control Deficiencies	E	not recorded
2026-05-07	F0883	Infection Control Deficiencies	E	not recorded
2026-02-05	F0565	Resident Rights Deficiencies	D	not recorded
2026-02-05	F0584	Resident Rights Deficiencies	E	not recorded
2026-02-05	F0689	Quality of Life and Care Deficiencies	D	not recorded
2026-02-05	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2026-02-05	F0850	Administration Deficiencies	D	not recorded
2025-10-23	F0658	Resident Assessment and Care Planning Deficiencies	G	not recorded
2025-10-23	F0677	Quality of Life and Care Deficiencies	E	not recorded
2025-10-23	F0684	Quality of Life and Care Deficiencies	G	not recorded
2025-10-23	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-10-23	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2025-10-23	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-10-08	F0580	Resident Rights Deficiencies	D	not recorded
2025-10-08	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-10-08	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-10-08	F0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2025-10-08	F0688	Quality of Life and Care Deficiencies	D	not recorded
2025-01-15	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-11-07	F0692	Quality of Life and Care Deficiencies	D	not recorded
2024-11-07	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2024-11-07	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-09-13	F0576	Resident Rights Deficiencies	E	not recorded
2024-09-13	F0578	Resident Rights Deficiencies	D	not recorded
2024-09-13	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-09-13	F0677	Quality of Life and Care Deficiencies	E	not recorded
2024-09-13	F0725	Nursing and Physician Services Deficiencies	E	not recorded
2024-09-13	F0761	Pharmacy Service Deficiencies	E	not recorded
2024-04-04	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-04-04	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-04-04	F0761	Pharmacy Service Deficiencies	E	not recorded
2023-12-21	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	G	not recorded
2023-10-05	F0684	Quality of Life and Care Deficiencies	D	not recorded
2023-10-05	F0919	Environmental Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Big Horn Rehabilitation and Care Center, Sheridan” at medicare.gov/care-compare.