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Nursing homeFAID #13360

Big Horn Rehabilitation and Care Center

1851 BIG HORN AVE, SHERIDAN, WY, 82801

(307) 674-4416

128 licensed beds

CMS rates Big Horn Rehabilitation and Care Center 1 out of 5 overall. Federal inspectors issued 61 citations across 14 inspections in the last three years, with $7,163 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of BIG HORN REHABILITATION AND CARE CENTER

Photo via Google · Big Horn Rehabilitation and Care Center

Address

1851 Big Horn Ave

Sheridan, WY 82801

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Public record summary

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Bed capacity

128

CMS facility ID

535026

Care type

Nursing home

County

Sheridan

Facility name

Big Horn Rehabilitation and Care Center

Street address

1851 BIG HORN AVE

City / state / ZIP

Sheridan, WY 82801

Phone

(307) 674-4416

Website

bighornhc.com

About this facility — Big Horn Rehabilitation and Care Center

Big Horn Rehabilitation and Care Center is a Medicare/Medicaid-certified skilled nursing facility in Sheridan, Wyoming. It is licensed for 128 beds — well above the median for skilled nursing facilities in Wyoming (81 beds).

It is one of 6 senior care facilities in Sheridan and 36 skilled nursing facilities across Wyoming. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Big Horn Rehabilitation and Care Center 61 times across 14 inspections in the last three years, including 1 food-safety citation, and CMS has imposed $7,163 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Limited Liability company

Registered owners & officers

Cheyenne Sheridan Opco Holdings Llc

Operational control — since 2024

Connell, Eric

Officer · Operational control · Additional disclosable party — since 2024

Morrison, Robert

Governing body · Operational control — since 2024

North Big Horn Hospital District

Direct owner — since 2024

Roberts, Ana

Operational control · Additional disclosable party — since 2024

Sheridan Opco Llc

Operational control · Additional disclosable party — since 2024

Simmons, Benjamin

Director · Officer — since 2024

Winterholler, David

Director — since 2024

Regulatory standing

Licensed / certified since

1978-06-01

CMS overall rating

1 of 5 stars

Health deficiencies

30 at the last standard inspection

Federal fines

$7,163 total

Last standard inspection

2026-05-07

Nurse staffing

3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$491 per day (≈ $14,930/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

68% Medicaid · 9% Medicare · 23% private/other

Occupancy

60% (fiscal year 2023)

Vs. state median

4% above the WY median of $474/day — full state cost breakdown

Services & coverage

Licensed beds

128

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 1 food-safety citation on its three-year record — flagged below among the inspections.

2026-05-07Health inspectionComplaint-triggered14 citations

F-0561

E · No harm foundFrom a complaint

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2026-06-11

F-0583

F · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2026-06-11

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-06-11

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2026-06-11

F-0627

D · No harm foundFrom a complaint

Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

Corrected 2026-06-11

F-0628

D · No harm foundFrom a complaint

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2026-06-11

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2026-06-11

F-0680

C · No harm found

Ensure the activities program is directed by a qualified professional.

Corrected 2026-06-11

F-0684

E · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2026-06-11

F-0699

D · No harm found

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2026-06-11

F-0761

E · No harm found

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 drugs.

Corrected 2026-06-11

F-0849

E · No harm foundFrom a complaint

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.

Corrected 2026-06-11

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-06-11

F-0883

E · No harm found

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Corrected 2026-06-11

2026-02-05Health inspectionComplaint-triggered5 citations

F-0565

D · No harm foundFrom a complaint

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-04-19

F-0584

E · No harm foundFrom a complaint

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-03-10

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-03-10

F-0812

F · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-03-10

F-0850

D · No harm foundFrom a complaint

Hire a qualified full-time social worker in a facility with more than 120 beds.

Corrected 2026-03-10

11 earlier / fire-safety inspections (42 citations)

2025-10-23Health inspectionComplaint-triggered6 citations

F-0658

G · Actual harmFrom a complaint

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-11-21

F-0677

E · No harm foundFrom a complaint

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-11-21

F-0684

G · Actual harmFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-11-21

F-0689

D · No harm foundFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-11-21

F-0725

E · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-11-21

F-0842

D · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-11-21

2025-10-08Health inspectionComplaint-triggered5 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-10-30

F-0600

D · No harm foundFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-10-30

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-30

F-0610

E · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2025-10-30

F-0688

D · No harm foundFrom a complaint

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-10-30

2025-01-15Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-02-24

2024-11-07Health inspectionComplaint-triggered3 citations

F-0692

D · No harm foundFrom a complaint

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-01-06

F-0725

E · No harm foundFrom a complaint

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-12-02

F-0842

E · No harm foundFrom a complaint

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-12-06

2024-09-13Health inspection6 citations

F-0576

E · No harm found

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-10-07

F-0578

D · No harm found

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2024-10-07

F-0645

D · No harm found

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2024-10-07

F-0677

E · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2024-10-07

F-0725

E · No harm found

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-12-02

F-0761

E · No harm found

Corrected 2024-10-07

2024-04-04Health inspection3 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-04-10

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2024-04-10

F-0761

E · No harm found

Corrected 2024-04-10

2023-12-21Health inspectionComplaint-triggered1 citation

F-0600

G · Actual harmFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-11-30

2023-10-05Health inspectionComplaint-triggered2 citations

F-0684

D · No harm foundFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-10-27

F-0919

D · No harm foundFrom a complaint

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-10-27

2026-05-07Fire-safety inspection7 citations

E-0037

F · No harm found

Establish staff and initial training requirements.

Corrected 2026-06-03

E-0039

F · No harm found

Conduct testing and exercise requirements.

Corrected 2026-06-02

K-0291

F · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2026-06-01

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2026-06-03

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2026-05-29

K-0511

E · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2026-06-03

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2026-05-29

2024-09-13Fire-safety inspection3 citations

K-0324

E · No harm found

Provide properly protected cooking facilities.

Corrected 2024-10-07

K-0331

E · No harm found

Construct fire resistant interior walls.

Corrected 2024-10-07

K-0911

F · No harm found

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2024-10-07

2024-04-04Fire-safety inspection5 citations

K-0222

F · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-05-25

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-05-25

K-0345

F · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-04-30

K-0353

F · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-25

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-24

Federal penalties

2023-12-21Fine$7,163

2025-10-08Medicare payment denial — 8 days

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 535026.

Quality of care & staffing

How it compares in Wyoming.

Inspection citations, 3 years

More than 86% of nursing homes in the state

State median: 35

Federal fines, 3 years

$7,163

More than 28% of nursing homes in the state

State median: $16,868

Nurse staffing, hours per resident per day

3.5

Higher than 46% of nursing homes in the state

State median: 3.6

Nursing staff turnover, annual

54%

Higher than 52% of nursing homes in the state

State median: 53%

Resident outcomes

On 21 federal quality measures, this facility does better than the Wyoming average on 5 and worse on 11. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	19.9%	17.2%	13.5%	Worse than state
Lose too much weight	10.3%	5.6%	5.1%	Worse than state
With a catheter inserted and left in their bladder	1.4%	1.4%	0.7%	Near state average
With a urinary tract infection	1.2%	3.0%	1.5%	Better than state
Have depressive symptoms	16.7%	6.9%	13.5%	Worse than state
Were physically restrained	0.0%	0.1%	0.1%	Better than state
Experiencing one or more falls with major injury	4.6%	5.0%	3.2%	Near state average
Assessed and appropriately given the pneumococcal vaccine	87.0%	94.0%	93.7%	Near state average
Ability to walk independently worsened	9.9%	14.4%	12.7%	Better than state
Received an antianxiety or hypnotic medication	16.9%	15.3%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	94.2%	95.9%	95.3%	Near state average
With pressure ulcers	2.9%	4.5%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	24.2%	21.4%	18.3%	Worse than state
Received an antipsychotic medication	26.4%	21.4%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.24	1.33	1.81	Near state average
Outpatient emergency department visits per 1000 long-stay resident days	2.98	2.21	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	50.5%	77.4%	82.3%	Worse than state
Newly received an antipsychotic medication	1.9%	1.6%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	33.3%	74.4%	80.1%	Worse than state
Were rehospitalized after a nursing home admission	24.2%	17.3%	23.4%	Worse than state
Had an outpatient emergency department visit	13.5%	15.9%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0609 3 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0684 3 inspections. Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F-0761 3 inspections. 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 drugs.
F-0725 3 inspections. Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F-0610 2 inspections. Respond appropriately to all alleged violations.
K-0321 2 inspections. Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

What its owners also hold

North Big Horn Hospital District has an ownership stake on file at 4 nursing homes, averaging 1.8 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Wyoming

Licensing: Wyoming Department of Health, Healthcare Licensing and Surveys (HLS)
File a complaint: 307-777-7123 · Online
Long-Term Care Ombudsman: 800-856-4398. A free advocate for residents and families.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Sheridan Memorial Hospital, about 2.2 miles. CMS rating 3 of 5.
South Big Horn County Hospital, about 59 miles.
Washakie Medical Center, about 72 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Green House Living for Sheridan, Sheridan, about 0.8 miles. CMS rating 1 of 5.
Westview Health Care Center, Sheridan, about 1.4 miles. CMS rating 5 of 5.
Amie Holt Care Center, Buffalo, about 32 miles. CMS rating 4 of 5.
Wyoming Veterans' Skilled Nursing Facility, Buffalo, about 32 miles. CMS rating 2 of 5.
Wyoming Retirement Center, Basin, about 60 miles. CMS rating 1 of 5.

Visitor reviews

What people say on Google.

3.623 ratings on Google

★★★★★Adam Amick · 2024-09-17 · via Google
“I had the pleasure of working with the team at Big Horn Rehabilitation and Care Center in Sheridan about a month ago, and I was truly impressed by their warmth and dedication to the residents. The caregivers I met were not only friendly but deeply invested in providing quality care. You could feel the authenticity in the stories they shared, and it was clear that the residents are genuinely loved …”

★Merry Gleason · 2026-05-17 · via Google
“Our family member is currently there and we are out of state. When trying to call the facility, at different days of the week and times of the day, NO ONE EVER ANSWERS THE PHONE. EVER. NO VOICEMAIL, NOTHING. What kind of a business is that? Residents must think their family and friends have abandoned them! Very disturbing!”

★★★★★Lori Campbell · 2024-09-18 · via Google
“At one time this nursing home had a reputation that made you question whether or not you should place a loved one here. I’m here to tell you that shouldn’t even be a question. My aunt came for therapy, a few months ago and was very reluctant to go. Now, she and my family couldn’t be happier. The staff is very caring, kind and respectful. There is laughter in the halls, there is a sense of pride in…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 61 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered