The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Big Horn Rehabilitation and Care Center
Sheridan, WY · Medicare-certified · 128 beds
Needs attention
Special Focus candidateFor-profit
Data as of July 1, 2026
1 of 5 overall
Big Horn Rehabilitation and Care Center has a 1-star overall rating, with a 1-star health inspection rating and 2-star staffing rating; it is a Special Focus Facility candidate. Reported nurse staffing is 3.28 hours per resident per day, below the federal benchmark of 4.1, and there were $0 fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.2779 hrs/resident/day
Quality measures
Last inspection: May 7, 2026Penalties, last 24 months: $0special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2779.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.43
- Nurse aides
- 2.33
- Weekend nursing
- 3.07
Hours per resident per day.
Total staff turnover: 57%
Registered nurse turnover: 65%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20.8%27.1%Worsening
Residents with a fall causing major injury
3.1%4.8%Worsening
Residents with pressure ulcers (bedsores)
3.7%5.7%Worsening
Residents with a urinary tract infection
1.6%0%Improving
Residents who lost too much weight
8.8%7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7%1.9%Improving
Residents whose ability to walk got worse
11.9%0%Improving
Long-stay residents on antianxiety or sleep medication
19%12.3%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
2.6%0%Improving
Residents with new or worsening incontinence
17.4%21.4%Worsening
Residents with depressive symptoms
7.3%22.4%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—67.9%—
Long-stay residents given the pneumonia vaccine
93.8%75.8%Worsening
Short-stay residents given the seasonal flu vaccine
—52.9%—
Short-stay residents given the pneumonia vaccine
86.3%17%Worsening
What the inspectors found
The nursing home failed to provide services that met professional standards of quality. Cited October 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: G
The nursing home failed to protect residents from abuse and neglect by others. Cited December 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to keep residents’ personal and medical records private and confidential. Cited May 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
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- PENALTY
A federal payment denial was recorded.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $7,163 in total fines · 1 payment denial.
- 8 days
Medicare/Medicaid payment denial
Oct 8, 2025
- $7,163
Federal fine
Dec 21, 2023
Operator & ownership
Recent ownership change · Oct 1, 2024
Now operated by North Big Horn Hospital District, previously Sheridan Opco LLC.
- Ownership
- For profit - Limited Liability company
- Occupancy
- 68.1 residents on an average day (53% of 128 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.