Nursing home
Big Horn Rehabilitation and Care Center
1851 Big Horn Ave, Sheridan, WY 82801 · Map
For profit - Corporation · 128 certified beds
Big Horn Rehabilitation and Care Center is a Medicare-certified nursing home in Sheridan, Wyoming. CMS rates it 1 out of 5 stars overall (2/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.65 hours per resident per day, below the Wyoming average of 3.84. Its most recent inspection on Sep 13, 2024 cited 17 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight.
- Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.
- 2 fines totaling $10,585In CMS records: 3 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Big Horn Rehabilitation and Care Center compares
This facility vs. the Wyoming and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Wyoming avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.65 | 3.84 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.56 | 0.90 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.53 | 2.46 | 2.34 | above avg |
| Nursing staff turnover | 65.4% | 52.8% | 46.4% | above avg |
| Deficiencies cited, last inspection | 17.0 | 6.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $10,585, 3 total penalties, 1 Medicare payment denial.
What inspectors found at Big Horn Rehabilitation and Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Feb 5, 2026 · Full report (PDF)
Show all 12 deficiencies
- Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Oct 23, 2025 · Full report (PDF) - Actual harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Oct 23, 2025 · Full report (PDF) - Potential for harm
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · Oct 23, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Oct 23, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Oct 23, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 23, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Oct 8, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1851 Big Horn Ave
Sheridan, WY 82801 - CMS certification #
- 535026
- Ownership
- For profit - Corporation
- Certified beds
- 128
- Avg residents/day
- 78.8
- Provider type
- Medicare and Medicaid
- First certified
- 1978-06-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Big Horn Rehabilitation and Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Sheridan Memorial Hospital, Sheridan. 2.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Green House Living for Sheridan, Sheridan. 0.8 miles away, straight line.
- Nearest home health agency office
- Sheridan Memorial Hospital Home Care, Sheridan. 2.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Hospital Pharmacy United Drugs. 1.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 82801 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- 532506 Watt Dialysis Center LLC, Sheridan, 2.2 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 82801.
Sheridan Memorial Hospital Hospice, office in Sheridan, 2.2 miles away, straight line - Nearest geriatric medicine practice
- Billings Clinic Specialty Supplies And Services, LLC, Billings. 102.8 miles away, straight line. 4 geriatric medicine doctors listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively high, wildfire relatively low, tornado relatively low, heat wave relatively low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Big Horn Rehabilitation and Care Center a good nursing home?
CMS gives Big Horn Rehabilitation and Care Center an overall rating of 1 out of 5 stars, including 2/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Big Horn Rehabilitation and Care Center staffed?
Big Horn Rehabilitation and Care Center reports 3.65 total nurse hours per resident per day, compared with the Wyoming average of 3.84.
Has Big Horn Rehabilitation and Care Center had inspection problems?
Its most recent CMS inspection cited 17 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.
How many beds does Big Horn Rehabilitation and Care Center have?
Big Horn Rehabilitation and Care Center is certified for 128 beds.