Nursing homes across Sheridan County, Wyoming, graded on the federal inspection
record, nurse staffing and staff turnover. County rank is shown on each home's profile.
Westview runs about 3.50 nurse hours per resident per day, roughly 9% under the national average, and weekend coverage drops another 10% below its own weekday levels, so the thinnest coverage lands when families tend to visit. Staff turnover sits at 51.5%, higher than the 45.8% national figure. The inspection history is mixed: a recent February 2025 survey, a 4-star health inspection rating, and strong quality measures, but 10 deficiencies on record, including one at the harm level and one tied to abuse. It's corporate-owned and licensed for 102 beds.
Green House Living for Sheridan has real staffing depth, 4.53 nurse hours per resident day, roughly 17% above the national average, and that shows up in its staffing rating. But look at what else the record holds: 35 deficiencies, four of them serious enough to involve harm or jeopardy, two tied to abuse, and $61,929 in fines across three penalties. CMS has placed it in the Special Focus Facility program, reserved for homes with a persistent pattern of poor care. Its last inspection was March 2025, and with 73.5% annual turnover, well above the 45.8% national figure, the people delivering that care keep changing. Good hours don't fix a troubled inspection history.
Big Horn runs on thinner staffing than most homes, about 3.28 nurse hours per resident day against a national average near 3.86, and weekends dip below its own weekday levels. Annual turnover sits at 56.5%, well above the national 45.8%, so the people around your family member keep changing. CMS has flagged the inspection record at its lowest star, with 46 deficiencies on file, three serious enough to cause harm and seven tied to abuse. That record, plus Special Focus Facility status, is what sits behind the failing grade here.