Skilled Nursing

Big Horn Rehabilitation and Care Center

1851 Big Horn Ave, Sheridan, WY 82801

128beds
Skilled Nursingcare types
1/5CMS rating
Updated2026

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Inspection & Compliance

Data from CMS (Centers for Medicare & Medicaid Services), updated weekly. Medicare.gov Care Compare

Special Focus Candidate — This facility has been identified as a candidate for the Special Focus Facility program, indicating below-average inspection performance.

3.0h

Hrs/resident · weekday

Expected: 3.7h

3.3h

Hrs/resident · weekend

vs 3.0h on weekdays

Not reported

30-day hospital readmission rate

Annual Staff Turnover Rates

High turnover is one of the strongest predictors of care quality. National average CNA turnover is ~75%.

RNs
57%
LPNs
CNAs
63%

Administrator turnover: 5 in the past year — above average

Health Inspection Deficiencies · Last 3 Years

46 standard deficiencies in the last 3 years

View all
0883Severity EMay 7, 2026

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

0880Severity EMay 7, 2026

Provide and implement an infection prevention and control program.

0849Severity EMay 7, 2026

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.

0761Severity EMay 7, 2026

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.

0699Severity DMay 7, 2026

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

0684Severity EMay 7, 2026

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

0680Severity CMay 7, 2026

Ensure the activities program is directed by a qualified professional.

0679Severity DMay 7, 2026

Provide activities to meet all resident's needs.

0628Severity DMay 7, 2026

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

0627Severity DMay 7, 2026

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

0610Severity DMay 7, 2026

Respond appropriately to all alleged violations.

0609Severity DMay 7, 2026

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

0583Severity FMay 7, 2026

Keep residents' personal and medical records private and confidential.

0561Severity EMay 7, 2026

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

0850Severity DFeb 5, 2026

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

0812Severity FFeb 5, 2026

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

0689Severity DFeb 5, 2026

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

0584Severity EFeb 5, 2026

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.

0565Severity DFeb 5, 2026

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

0842Severity DOct 23, 2025

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

0725Severity EOct 23, 2025

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

0689Severity DOct 23, 2025

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

0684Severity GOct 23, 2025

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

0677Severity EOct 23, 2025

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

0658Severity GOct 23, 2025

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

0688Severity DOct 8, 2025

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.

0610Severity EOct 8, 2025

Respond appropriately to all alleged violations.

0609Severity EOct 8, 2025

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

0600Severity DOct 8, 2025

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

0580Severity DOct 8, 2025

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

0609Severity DJan 15, 2025

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

0842Severity ENov 7, 2024

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

0725Severity ENov 7, 2024

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

0692Severity DNov 7, 2024

Provide enough food/fluids to maintain a resident's health.

0761Severity ESep 13, 2024

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.

0725Severity ESep 13, 2024

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

0677Severity ESep 13, 2024

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

0645Severity DSep 13, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

0578Severity DSep 13, 2024

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.

0576Severity ESep 13, 2024

Ensure residents have reasonable access to and privacy in their use of communication methods.

0761Severity EApr 4, 2024

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.

0657Severity DApr 4, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0641Severity DApr 4, 2024

Ensure each resident receives an accurate assessment.

0600Severity GDec 21, 2023

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

0919Severity DOct 5, 2023

Make sure that a working call system is available in each resident's bathroom and bathing area.

0684Severity DOct 5, 2023

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

View full inspection history on Medicare.gov

Civil Monetary Penalties

No civil monetary penalties on record.

Nearby Hospitals

No hospitals found within 10 miles.

Proximity to emergency care is especially important for medically complex residents.

Ownership

NORTH BIG HORN HOSPITAL DISTRICT· For profit - Limited Liability company

Data updated weekly from CMS. Last sync: Jun 26, 2026. Medicare.gov Care Compare →

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Data sourced from the Centers for Medicare & Medicaid Services and state licensing agencies. ← Back to search

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