39/100
Poor
1851 Big Horn Ave, Sheridan, WY 82801
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Special Focus Facility
CMS has placed this home in its Special Focus Facility program for a persistent pattern of poor care. These homes get inspected twice as often.
3 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$7,163 in federal fines
CMS has fined this facility across 1 penalty action(s).
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: May 7, 2026 (3 months ago).
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
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...
No actual harm, potential for more than minimal harm
Administration Deficiencies
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.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| NORTH BIG HORN HOSPITAL DISTRICT | Organization | DIRECT OWNERSHIP INTEREST | — |
| MORRISON, ROBERT | Individual | MANAGING CONTROL - GOVERNING BODY | — |
| SIMMONS, BENJAMIN | Individual | CORPORATE DIRECTOR | — |
| WINTERHOLLER, DAVID | Individual | CORPORATE DIRECTOR | — |
| CONNELL, ERIC | Individual | CORPORATE OFFICER | — |
| SIMMONS, BENJAMIN | Individual | CORPORATE OFFICER | — |
| CHEYENNE SHERIDAN OPCO HOLDINGS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| SHERIDAN OPCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| CONNELL, ERIC | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MORRISON, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| ROBERTS, ANA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| SHERIDAN OPCO LLC | Organization | ADP OF THE SNF | — |
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Big Horn Rehabilitation And Care Center holds an ElderGrade of F (39 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.28 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 3 of the 46 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Big Horn Rehabilitation And Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.