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    Nursing home · Sheridan, WY

    Big Horn Rehabilitation and Care Center

    1851 Big Horn Ave, Sheridan, WY 82801

    CMS certification number: 535026 · Updated October 1, 2026

    CMS overall rating

    1 / 5

    Certified beds

    128

    Residents / day

    74.1

    Ownership

    For profit - Limited Liability company

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Limited Liability company
    County
    Sheridan
    Certified beds
    128
    Average residents per day
    74.1
    First certified
    June 1, 1978

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    2 / 5
    Quality measures
    3 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Sheridan, Wyoming. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    3.00
    n=2
    State peers
    2.85

    Nurse hours / resident / day

    This home
    3.54
    County peers
    4.87
    n=2
    State peers
    3.99
    n=34

    Weekend nurse hours / resident / day

    This home
    3.17
    County peers
    4.18
    n=2
    State peers
    3.38
    n=34

    Nursing staff turnover (%)

    This home
    53.50
    County peers
    63.30
    n=2
    State peers
    52.03
    n=29

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 10.5% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 53.5% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    15
    Health citations
    46
    Resident measures
    17
    Ownership records
    14
    Penalties
    2
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.54419
    Reported RN Staffing Hours per Resident per Day
    0.46570
    Reported LPN Staffing Hours per Resident per Day
    0.36018
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.71831
    Total number of nurse staff hours per resident per day on the weekend
    3.17341
    Registered Nurse hours per resident per day on the weekend
    0.48217
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.12501
    Total nursing staff turnover
    53.5
    Registered Nurse turnover
    56.3
    Number of administrators who have left the nursing home
    1
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    SFF Candidate
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Both
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    WY
    Urban
    N
    Chain ID
    Not reported
    Latitude
    44.7774
    Location
    1851 Big Horn Ave,Sheridan,WY,82801
    ZIP Code
    82801
    City/Town
    Sheridan
    Longitude
    -106.96
    QM Rating
    3
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Sheridan
    Provider Name
    Big Horn Rehabilitation and Care Center
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Limited Liability company
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    2
    Provider Address
    1851 Big Horn Ave
    Telephone Number
    3076744416
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    NORTH BIG HORN HOSPITAL DISTRICT
    Long-Stay QM Rating
    3
    High Performing Icon
    N
    Short-Stay QM Rating
    3
    Special Focus Status
    SFF Candidate
    Nursing Case-Mix Index
    1.30968
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    128
    Provider SSA County Code
    160
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    1
    Registered Nurse turnover
    56.3
    Total Number of Penalties
    2
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.92869
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    53.5
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    Not reported
    CMS Certification Number (CCN)
    535026
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    7163.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    216
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    196.500
    With a Resident and Family Council
    Both
    Average Number of Residents per Day
    74.1
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    138
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    46
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    216
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    92
    Rating Cycle 1 Standard Survey Health Date
    2026-05-07
    Rating Cycle 2 Standard Health Survey Date
    2024-09-13
    Rating Cycle 2/3 Number of Health Revisits
    2
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.49753
    Case-Mix RN Staffing Hours per Resident per Day
    0.64231
    Reported RN Staffing Hours per Resident per Day
    0.46570
    Adjusted LPN Staffing Hours per Resident per Day
    0.38480
    Case-Mix LPN Staffing Hours per Resident per Day
    0.80040
    Reported LPN Staffing Hours per Resident per Day
    0.36018
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    30
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    13
    Rating Cycle 1 Number of Standard Health Deficiencies
    14
    Rating Cycle 2 Number of Standard Health Deficiencies
    6
    Reported Licensed Staffing Hours per Resident per Day
    0.82588
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    22
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.90408
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.17995
    Number of administrators who have left the nursing home
    1
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.71831
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.78641
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.62266
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    7
    Reported Total Nurse Staffing Hours per Resident per Day
    3.54419
    Registered Nurse hours per resident per day on the weekend
    0.48217
    Date First Approved to Provide Medicare and Medicaid Services
    1978-06-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.12501
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.39029
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.18821
    Total number of nurse staff hours per resident per day on the weekend
    3.17341

    COMMUNITY EXPERIENCE

    Reviews of Big Horn Rehabilitation and Care Center

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

    Community reviews & discussions

    Explore independent experiences alongside the official record. These links search the named source; a matching listing or discussion is not guaranteed. Confirm the address before relying on a review.

    Third-party opinions are not verified CMS findings. Reviews have not been imported or combined into the CMS rating.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026