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Data / Nursing homes / Wyoming / Big Horn Rehabilitation and Care Center

Big Horn Rehabilitation and Care Center, Sheridan, WY: 1 star rating, fined $7,163 across 1 fine and had 1 payment denial

Big Horn Rehabilitation and Care Center in Sheridan, WY is owned by North Big Horn Hospital District, is rated 1 of 5 stars by Medicare, and was fined $7,163 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 46 health citations from inspections in that time, the latest survey on May 7, 2026, and 3 of them found actual harm or immediate jeopardy.

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Address
1851 Big Horn Ave, Sheridan, WY 82801
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
3 of 5
Certified beds
128
Residents per day
74 on average
Ownership type
For profit, limited liability company
Legal business name
North Big Horn Hospital District
Special focus
Special focus candidate
Fines
$7,163 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
46, of which 3 with actual harm or immediate jeopardy
Latest survey
May 7, 2026
CMS Certification Number
535026
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
October 8, 2025Payment denialNot listedNovember 13, 20258data.cms.gov
December 21, 2023Fine$7,163Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 7, 2026F883Develop and implement policies and procedures for flu and pneumonia vaccinations.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F699Provide care or services that was trauma informed and/or culturally competent.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F680Ensure the activities program is directed by a qualified professional.C: widespread, minimal harm potentialCorrectedJune 11, 2026data.cms.gov
May 7, 2026F679Provide activities to meet all resident's needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F583Keep residents' personal and medical records private and confidential.F: widespread, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 7, 2026F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
February 5, 2026F850Hire a qualified full-time social worker in a facility with more than 120 beds.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2026data.cms.gov
February 5, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2026data.cms.gov
February 5, 2026F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2026data.cms.gov
February 5, 2026F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 10, 2026data.cms.gov
February 5, 2026F565Honor the resident's right to organize and participate in resident/family groups in the facility.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceApril 19, 2025data.cms.gov
October 23, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.G: isolated, actual harmCorrectedNovember 21, 2025data.cms.gov
October 23, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.G: isolated, actual harmCorrectedNovember 21, 2025data.cms.gov
October 23, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
October 23, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
October 23, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
October 23, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
October 8, 2025F688Provide 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 30, 2025data.cms.gov
October 8, 2025F610Respond appropriately to all alleged violations.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 30, 2025data.cms.gov
October 8, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 30, 2025data.cms.gov
October 8, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 30, 2025data.cms.gov
October 8, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 30, 2025data.cms.gov
January 15, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2025data.cms.gov
November 7, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 6, 2024data.cms.gov
November 7, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 2, 2024data.cms.gov
November 7, 2024F692Provide enough food/fluids to maintain a resident's health.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 6, 2025data.cms.gov
September 13, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 7, 2024data.cms.gov
September 13, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 2, 2024data.cms.gov
September 13, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmPlan of correctionOctober 7, 2024data.cms.gov
September 13, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 7, 2024data.cms.gov
September 13, 2024F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 7, 2024data.cms.gov
September 13, 2024F576Ensure residents have reasonable access to and privacy in their use of communication methods.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 7, 2024data.cms.gov
April 4, 2024F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 10, 2024data.cms.gov
April 4, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 10, 2024data.cms.gov
April 4, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 10, 2024data.cms.gov
December 21, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G: isolated, actual harmPast noncomplianceNovember 30, 2023data.cms.gov
October 5, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 27, 2023data.cms.gov
October 5, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 27, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 10 individual or personal trusts (4 managers, 4 officers, directors or trustees, 2 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
North Big Horn Hospital DistrictDirect ownerNot listedOctober 1, 2024data.cms.gov
Cheyenne Sheridan OPCO Holdings LLCOperational or managerial controlNot listedNovember 26, 2024data.cms.gov
Sheridan OPCO LLCOperational or managerial controlNot listedOctober 1, 2024data.cms.gov
Sheridan OPCO LLCAdditional disclosable partyNot listedOctober 1, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.