Big Horn Rehabilitation and Care Center

1851 Big Horn Ave, Sheridan, WY 82801 · (307) 674-4416
For profit - Limited Liability company · 128 certified beds

Big Horn Rehabilitation and Care Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2026, found 14 citations (the Wyoming average is 7.8). It was fined 1 time in the last three years, $7,163 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on May 7, 2026 found 14 citations. What an inspection citation means

• Keep residents' personal and medical records private and confidential.May 7, 2026 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.May 7, 2026 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 7, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.May 7, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.May 7, 2026 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.May 7, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement policies and procedures for flu and pneumonia vaccinations.May 7, 2026 · F0883 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 7, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Respond appropriately to all alleged violations.May 7, 2026 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.May 7, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.May 7, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide activities to meet all resident's needs.May 7, 2026 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care or services that was trauma informed and/or culturally competent.May 7, 2026 · F0699 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure the activities program is directed by a qualified professional.May 7, 2026 · F0680 · Level of harm: Potential for minimal harm · Residents affected: Many

Complaint inspections, last three years

Inspections after complaints found 27 citations.

• Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.May 7, 2026 · F0561 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Keep residents' personal and medical records private and confidential.May 7, 2026 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.May 7, 2026 · F0627 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.May 7, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.May 7, 2026 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.May 7, 2026 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Honor the resident's right to organize and participate in resident/family groups in the facility.February 5, 2026 · F0565 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 5, 2026 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 5, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.February 5, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Hire a qualified full-time social worker in a facility with more than 120 beds.February 5, 2026 · F0850 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure services provided by the nursing facility meet professional standards of quality.October 23, 2025 · F0658 · Level of harm: Actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.October 23, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.October 23, 2025 · F0684 · Level of harm: Actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.October 23, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.October 23, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.October 23, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.October 8, 2025 · F0580 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 8, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.October 8, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Respond appropriately to all alleged violations.October 8, 2025 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.October 8, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 15, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.November 7, 2024 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.November 7, 2024 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.November 7, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.December 21, 2023 · F0600 · Level of harm: Actual harm · Residents affected: Few

Fines and payment denials

• Fine of $7,163December 21, 2023
• Medicare payment denial for 8 daysStarting November 13, 2025

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home