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
For-profit
1 of 5 overall
Overall rating: 1 out of 5 stars. Green House Living for Sheridan has a 1-star health inspection rating, a 2-star quality rating, and a 4-star staffing rating, with reported nurse staffing above the federal benchmark (5.63 vs 4.1 hours per resident/day); it also had $76,710 in fines in the last 24 months and a recent federal penalty.
Facility ratings
Health inspections
Staffing
5.6332 hrs/resident/day
Quality measures
Last inspection: February 3, 2026Penalties, last 24 months: $76,710recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.6332.
Staffing detail
- Registered nurses
- 2.17
- Licensed practical nurses
- 0.26
- Nurse aides
- 3.20
- Weekend nursing
- 5.16
Hours per resident per day.
Total staff turnover: 71%
Registered nurse turnover: 75%
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%—
Residents with a fall causing major injury
0%13.8%Worsening
Residents with pressure ulcers (bedsores)
5.7%0%Improving
Residents with a urinary tract infection
0%3.6%Worsening
Residents who lost too much weight
17.4%16%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
31.8%26.1%Improving
Residents whose ability to walk got worse
7.9%12.1%Worsening
Long-stay residents on antianxiety or sleep medication
13%11.1%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
58.3%9.9%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
87%62.1%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 $14,505 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- 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 · $83,610 in total fines · 2 payment denials.
- $14,505
Federal fine
Nov 19, 2025
- 29 days
Medicare/Medicaid payment denial
Mar 13, 2025
- $62,205
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
- 29 residents on an average day (60% 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.