Big Horn Rehabilitation and Care Center

Nursing Home · Sheridan, WY

CMS overall rating 1/5 SFF candidate For profit - Limited Liability company

CMS certification number535026
CMS lists this nursing home as a Special Focus Facility candidate – one of the lowest-performing nursing homes in its state based on inspection history.

Contact & location

1851 Big Horn Ave
Sheridan, WY 82801
Sheridan County
Phone
(307) 674-4416
ZIP code
82801 – all care providers

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Facility details

Certified beds
128
Residents per day
68.1 (53% occupied)
Ownership
For profit - Limited Liability company
Legal name
North Big Horn Hospital District
Medicare certified since
June 1, 1978
Participates in
Medicare and Medicaid
Council
Both council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.9
Health inspections★★★★★ 1/5
State avg 2.7
Staffing★★★★★ 2/5
State avg 3.6
Quality measures★★★★★ 3/5
State avg 3.3
Long-stay quality★★★★★ 4/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.28 (state 3.87 · U.S. 3.86)
Registered nurses (RN)
0.52 (state 0.94 · U.S. 0.69)
Licensed practical nurses
0.43 (state 0.50 · U.S. 0.86)
Nurse aides
2.33 (state 2.43 · U.S. 2.32)
Weekend total
3.07 (state 3.37 · U.S. 3.42)
Nursing staff turnover
56.5 (state 51.8 · U.S. 45.8)%
RN turnover
64.7 (state 44.1 · U.S. 42.9)%
Administrators who left
3 in the last year

Inspections

Last standard inspection
May 7, 2026
Health deficiencies (last cycle)
30.0 (state 7.6 · U.S. 9.3)
From complaints
22
Citations on record (3 years)
46 health · 15 fire safety · includes actual harm
DateCitationSeverityStatus
2026-05-07 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F0849 · Administration Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-11
2026-05-07 Ensure the activities program is directed by a qualified professional.
F0680 · Quality of Life and Care Deficiencies		 C
No actual harm, potential for minimal harm		 Corrected 2026-06-11
2026-02-05 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-10
2026-02-05 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-03-10
2026-02-05 Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2026-02-05 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-10
2026-02-05 Hire a qualified full-time social worker in a facility with more than 120 beds.
F0850 · Administration Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-03-10
2025-10-23 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-11-21
2025-10-23 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2025-11-21
2025-10-23 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-10-23 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-10-23 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-10-23 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-11-21
2025-10-08 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-30
2025-10-08 Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-10-30
2025-10-08 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-30
2025-10-08 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-30
2025-10-08 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.
F0688 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-30
2025-01-15 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-02-24
2024-11-07 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-11-07 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-06
2024-11-07 Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-06
2024-09-13 Ensure residents have reasonable access to and privacy in their use of communication methods.
F0576 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-07
2024-09-13 Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-07
2024-09-13 Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-12-02
2024-09-13 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-10-07
2024-09-13 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.
F0578 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-07
2024-09-13 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-10-07
2024-04-04 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-04-10
2024-04-04 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-10
2024-04-04 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-04-10
2023-12-21 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 G
Actual harm		 Corrected 2023-11-30
2023-10-05 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-27
2023-10-05 Make sure that a working call system is available in each resident's bathroom and bathing area.
F0919 · Environmental Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-10-27

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

2 penalties in the last three years, including $7,163 in fines.

DateTypeAmount
2025-10-08Payment Denial8 days payment denial
2023-12-21Fine$7,163

Ownership & management

NameRoleSince
Connell, Eric (individual)Administrator · NOT APPLICABLE
Roberts, Ana (individual)Administrator · NOT APPLICABLE
Sheridan Opco LLC (organization)Administrator · NOT APPLICABLE
Simmons, Benjamin (individual)Corporate Director · NOT APPLICABLE
Winterholler, David (individual)Corporate Director · NOT APPLICABLE
Connell, Eric (individual)Corporate Officer · NOT APPLICABLE
Simmons, Benjamin (individual)Corporate Officer · NOT APPLICABLE
North Big Horn Hospital District (organization)Direct Ownership Interest · NOT APPLICABLE
Morrison, Robert (individual)Managing Control - Governing Body · NOT APPLICABLE
Cheyenne Sheridan Opco Holdings LLC (organization)Operational/managerial Control · NOT APPLICABLE
Connell, Eric (individual)Operational/managerial Control · NOT APPLICABLE
Morrison, Robert (individual)Operational/managerial Control · NOT APPLICABLE
Roberts, Ana (individual)Operational/managerial Control · NOT APPLICABLE
Sheridan Opco LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Big Horn Rehabilitation and Care Center?

Big Horn Rehabilitation and Care Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.9-star average in Wyoming.

How many beds does Big Horn Rehabilitation and Care Center have?

It has 128 certified beds and cares for about 68 residents per day.

Has Big Horn Rehabilitation and Care Center been fined?

Yes. CMS lists 2 penalties totaling $7,163 in the last three years.

What is the phone number of Big Horn Rehabilitation and Care Center?

(307) 674-4416. The facility is located at 1851 Big Horn Ave, Sheridan, WY 82801.

Other nursing homes in Sheridan

Compare all nursing homes in Sheridan, WY →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.