The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Green House Living for Sheridan
Sheridan, WY · Medicare-certified · 48 beds
Needs attention
Special Focus candidateFor-profit
Data as of July 1, 2026
1 of 5 overall
Green House Living for Sheridan has a 1 out of 5 overall rating, with 1 star for health inspections, 2 stars for quality measures, and 4 stars for staffing; reported nursing hours are above the federal benchmark (4.53 vs 4.1). It is listed as a special focus facility candidate, has $55,029 in fines in the last 24 months, and recent citations included accident hazards/supervision, food and fluids, and quality of services.
Facility ratings
Health inspections
Staffing
4.531 hrs/resident/day
Quality measures
Last inspection: February 3, 2026Penalties, last 24 months: $55,029special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.531.
Staffing detail
- Registered nurses
- 1.69
- Licensed practical nurses
- 0.25
- Nurse aides
- 2.59
- Weekend nursing
- 4.21
Hours per resident per day.
Total staff turnover: 74%
Registered nurse turnover: 74%
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
43.5%22.2%Improving
Residents with a fall causing major injury
3.7%12.1%Worsening
Residents with pressure ulcers (bedsores)
5%10.4%Worsening
Residents with a urinary tract infection
0%6.1%Worsening
Residents who lost too much weight
44.4%17.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
26.1%14.3%Improving
Residents whose ability to walk got worse
7.9%13.4%Worsening
Long-stay residents on antianxiety or sleep medication
11.1%13.8%Worsening
Residents with a long-term catheter
0%4%Worsening
Residents with new or worsening incontinence
45.9%26.1%Improving
Residents with depressive symptoms
0%0%No change
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
—92%—
Long-stay residents given the pneumonia vaccine
88.9%42.4%Worsening
Short-stay residents given the pneumonia vaccine
—54.2%—
What the inspectors found
The home failed to provide enough food and fluids to keep residents healthy. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
The nursing home failed to provide services that met professional standards of quality. Cited February 2024 — 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 provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The nursing home failed to ensure a qualified person was assigned to oversee infection prevention and control. Cited March 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 882 — 42 CFR §483.80 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $14,773 was recorded.
- PENALTY
A federal fine of $14,505 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $40,256 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $62,205 was recorded.
- INSPECTION
Health inspection found 11 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 3 fines · $61,929 in total fines · 2 payment denials.
- $14,773
Federal fine
Nov 19, 2025
- 29 days
Medicare/Medicaid payment denial
Mar 13, 2025
- $40,256
Federal fine
Mar 13, 2025
- 61 days
Medicare/Medicaid payment denial
Feb 1, 2024
- $6,900
Federal fine
Feb 1, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 35.5 residents on an average day (74% of 48 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 13 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.