1551 SUGARLAND DR, Sheridan, WY 82801
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Medicare-certifiedSkilled Nursing
Big Horn Rehabilitation and Care Center
Sheridan, WyomingMedicare inspection record
About Big Horn Rehabilitation and Care Center
Big Horn Rehabilitation and Care Center brings skilled nursing and rehabilitation services to Sheridan, Wyoming with a commitment to helping patients regain independence and return home. Our team focuses on personalized recovery plans, compassionate 24-hour care, and the clinical expertise families trust during critical healing periods.
Community at a glance
Capacity
128 residents
Location
Sheridan, WY
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1851 Big Horn Ave, Sheridan, Wyoming 82801
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Big Horn Rehabilitation and Care Center is a candidate for Medicare's Special Focus Facility list, kept for homes with a history of serious quality problems.
At its most recent standard inspection, on May 7, 2026, state inspectors cited 30 health deficiencies (the Wyoming average is 7.8).
Nurses and nurse aides spend 3 hours 17 minutes with each resident a day, below the Wyoming average of 3 hours 52 minutes.
Medicare fined Big Horn Rehabilitation and Care Center once in the last three years, $7,163 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 17 minutesBelow the Wyoming average |
| Registered nurse time per resident, per day | 31 minutesBelow the Wyoming average |
| Nursing staff who left in the past year | 57%Above the Wyoming average |
3 administrators have left the home in the past year.
Inspections
44 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 7, 2026 · Standard inspection · 14 citations
Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, widespread (level F)Resident RightsFrom a complaintCorrected Jun 11, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Jun 11, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 11, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 11, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 11, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Jun 11, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Jun 11, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 11, 2026Provide activities to meet all resident's needs.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 11, 2026Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 11, 2026Provide care or services that was trauma informed and/or culturally competent.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 11, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 11, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 11, 2026Ensure the activities program is directed by a qualified professional.
Minimal harm or risk, widespread (level C)Quality of Life and CareCorrected Jun 11, 2026
February 5, 2026 · Complaint investigation · 5 citations
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Mar 10, 2026Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Mar 10, 2026Honor the resident's right to organize and participate in resident/family groups in the facility.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintAlready fixed by Apr 19, 2025Hire a qualified full-time social worker in a facility with more than 120 beds.
Risk of harm, no one hurt, a few residents (level D)AdministrationFrom a complaintCorrected Mar 10, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Mar 10, 2026
October 23, 2025 · Complaint investigation · 6 citations+
Ensure services provided by the nursing facility meet professional standards of quality.
Residents were harmed, a few residents (level G)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 21, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Residents were harmed, a few residents (level G)Quality of Life and CareFrom a complaintCorrected Nov 21, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Nov 21, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Nov 21, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Nov 21, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Nov 21, 2025
October 8, 2025 · Complaint investigation · 5 citations+
Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 30, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 30, 2025Provide 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Oct 30, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Oct 30, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Oct 30, 2025
January 15, 2025 · Complaint investigation · 1 citation+
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 24, 2025
November 7, 2024 · Complaint investigation · 3 citations+
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Dec 6, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Dec 2, 2024Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 6, 2025
September 13, 2024 · Standard inspection · 6 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Oct 7, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CarePlan to fix it acceptedEnsure residents have reasonable access to and privacy in their use of communication methods.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Oct 7, 2024Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Dec 2, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Oct 7, 2024Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Oct 7, 2024
April 4, 2024 · Standard inspection · 3 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Apr 10, 2024Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 10, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 10, 2024
December 21, 2023 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed by Nov 30, 2023
Fines and payment denials
1 fine totaling $7,163 and 1 Medicare payment denial in the last three years.
- October 8, 2025Payment denial, 8 days
- December 21, 2023Fine: $7,163
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- North Big Horn Hospital District
- Medicare-certified beds
- 128
- Average residents per day
- 68
- Accepts
- Medicare and Medicaid
- First certified
- June 1, 1978
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Both
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 535026
Location
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1851 Big Horn AveSheridan, WY 82801
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Questions about Big Horn Rehabilitation and Care Center
How did Big Horn Rehabilitation and Care Center do on its last inspection?+
State inspectors visited on May 7, 2026 and cited 30 health deficiencies, 22 of them from complaint investigations. The Wyoming average is 7.8.
How much nursing care does each resident get at Big Horn Rehabilitation and Care Center?+
Nurses and aides spend 3 hours 17 minutes with each resident per day, including 31 minutes from registered nurses. 57% of nursing staff left over the past year.
Has Big Horn Rehabilitation and Care Center been fined by Medicare?+
Yes. Medicare fined Big Horn Rehabilitation and Care Center once in the last three years, totaling $7,163.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.