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Big Horn Rehabilitation and Care Center

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Big Horn Rehabilitation and Care Center is a for profit - corporation facility in Sheridan, WY with 128 certified beds and a 1-star overall CMS rating. The facility has 30 deficiency records on file. Total penalties: $11K.

1851 Big Horn Ave, Sheridan, WY 82801

Phone: 3076744416

Overall Rating

1/5

Health Inspection

1/5

Staffing

2/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
535026
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
128
Residents
79
In Hospital
No
County
Sheridan
Last Inspection
Sep 13, 2024
Special Focus
SFF Candidate

Staffing Data

RN Hours
0.56 (nat'l avg: 0.68)
LPN Hours
0.55
CNA Hours
2.53
Total Nursing Hours
3.65 (nat'l avg: 3.89)
PT Hours
0.12
Nursing Turnover
65.4%
RN Turnover
66.7%

What the CMS Record Reveals About Big Horn Rehabilitation and Care Center

Big Horn Rehabilitation and Care Center operates 128 certified beds in Sheridan, WY with approximately 79 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (1★), staffing levels (2★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 30 deficiency records from recent surveys, of which 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $11K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.65 total nursing hours per resident day (national average 3.89), with RN coverage at 0.56 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature. This facility is currently designated "SFF Candidate" under the CMS Special Focus Facility program, reserved for providers with a persistent pattern of serious quality problems.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Big Horn Rehabilitation and Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 65.4%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (30 most recent)

D — Isolated - Minimal harm Oct 23, 2025 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 21, 2025

E — Pattern - Minimal harm Oct 23, 2025 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 21, 2025

D — Isolated - Minimal harm Oct 23, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2025

G — Isolated - Actual harm Oct 23, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2025

E — Pattern - Minimal harm Oct 23, 2025 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2025

G — Isolated - Actual harm Oct 23, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 21, 2025

D — Isolated - Minimal harm Oct 8, 2025 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 30, 2025

E — Pattern - Minimal harm Oct 8, 2025 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 30, 2025

E — Pattern - Minimal harm Oct 8, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 30, 2025

D — Isolated - Minimal harm Oct 8, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 30, 2025

D — Isolated - Minimal harm Oct 8, 2025 Tag: 0580

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

Category: Resident Rights Deficiencies

Corrected: Oct 30, 2025

D — Isolated - Minimal harm Jan 15, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Feb 24, 2025

E — Pattern - Minimal harm Nov 7, 2024 Tag: 0842

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Dec 6, 2024

E — Pattern - Minimal harm Nov 7, 2024 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 2, 2024

D — Isolated - Minimal harm Nov 7, 2024 Tag: 0692

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

Category: Quality of Life and Care Deficiencies

Corrected: Jan 6, 2025

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Oct 7, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0725

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

Category: Nursing and Physician Services Deficiencies

Corrected: Dec 2, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0677

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 7, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 7, 2024

D — Isolated - Minimal harm Sep 13, 2024 Tag: 0578

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.

Category: Resident Rights Deficiencies

Corrected: Oct 7, 2024

E — Pattern - Minimal harm Sep 13, 2024 Tag: 0576

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

Category: Resident Rights Deficiencies

Corrected: Oct 7, 2024

E — Pattern - Minimal harm Apr 4, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Apr 10, 2024

D — Isolated - Minimal harm Apr 4, 2024 Tag: 0657

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 10, 2024

D — Isolated - Minimal harm Apr 4, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 10, 2024

G — Isolated - Actual harm Dec 21, 2023 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 30, 2023

D — Isolated - Minimal harm Oct 5, 2023 Tag: 0919

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

Category: Environmental Deficiencies

Corrected: Oct 27, 2023

D — Isolated - Minimal harm Oct 5, 2023 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 27, 2023

F — Widespread - Minimal harm Oct 5, 2023 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 27, 2023

D — Isolated - Minimal harm Oct 5, 2023 Tag: 0729

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 27, 2023

G — Isolated - Actual harm May 12, 2023 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 13, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 11.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 10.5% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.7% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.1% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 8.9% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 4.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 92.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 75.4% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.4% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 12.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 67.9% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 52.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.7% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 25.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 27.0% Yes

Penalty History 2 penalties totaling $11K

Date Type Amount
Dec 21, 2023 Fine $7K
May 12, 2023 Fine $3K

Frequently Asked Questions

What is the overall 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. This rating combines health inspection results (1★), staffing levels (2★), and quality measures (3★).
What are the staffing levels at Big Horn Rehabilitation and Care Center?
Big Horn Rehabilitation and Care Center reports 3.65 total nursing hours per resident day (national average: 3.89). RN hours are 0.56 per resident day (national average: 0.68). Nursing staff turnover is 65.4%.
How many beds does Big Horn Rehabilitation and Care Center have?
Big Horn Rehabilitation and Care Center has 128 certified beds with approximately 79 residents. The facility is located at 1851 Big Horn Ave, Sheridan, WY 82801.
Does Big Horn Rehabilitation and Care Center have any deficiencies on record?
Yes, Big Horn Rehabilitation and Care Center has 30 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has Big Horn Rehabilitation and Care Center received any fines or penalties?
Yes, Big Horn Rehabilitation and Care Center has received 2 penalties totaling $11K.
Who owns Big Horn Rehabilitation and Care Center?
Big Horn Rehabilitation and Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Big Horn Rehabilitation and Care Center last inspected?
The most recent health inspection for Big Horn Rehabilitation and Care Center was on Sep 13, 2024. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Big Horn Rehabilitation and Care Center?
Big Horn Rehabilitation and Care Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial