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Big Horn Rehabilitation And Care Center

1851 Big Horn Ave, Sheridan, WY 828013076744416Ownership: For profit - Limited Liability companyCertified beds: 128Avg. daily residents: 68County: Sheridan
Special Focus Facility candidate — CMS has identified this facility as one of the most poorly performing in the state and it is eligible for the Special Focus program, which brings inspections twice as often as normal.

The complete public record on Big Horn Rehabilitation And Care Center, a Medicare & Medicaid–certified nursing home in Sheridan, Wyoming, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Wyoming average: 2.9 stars.
Health inspection
★☆☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★☆☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Big Horn Rehabilitation And Care Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Federal regulators have fined this facility $7,163 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.28 total nurse staff hours per resident per day
below the state average (3.87)
0.52 RN hours per resident per day
below the state average (0.94)
3.07 weekend nurse staff hours per resident per day
56.5% total nursing staff turnover
above the state average (51.8)
64.7% RN turnover
3 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

May 7, 2026 most recent standard health inspection
30 health deficiencies cited in the most recent inspection cycle
above the state average (7.6)
13 health deficiencies in the two prior cycles combined
$7,163 in federal fines across 1 penalty (last 3 years)
below the state average ($25,322)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

46 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
May 7, 20260583Keep residents' personal and medical records private and confidential. ComplaintF · Potential for more than minimal harm
May 7, 20260561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. ComplaintE · Potential for more than minimal harm
May 7, 20260684Provide appropriate treatment and care according to orders, resident’s preferences and goals. ComplaintE · Potential for more than minimal harm
May 7, 20260761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
May 7, 20260849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision… ComplaintE · Potential for more than minimal harm
May 7, 20260880Provide and implement an infection prevention and control program.E · Potential for more than minimal harm
May 7, 20260883Develop and implement policies and procedures for flu and pneumonia vaccinations.E · Potential for more than minimal harm
May 7, 20260609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D · Potential for more than minimal harm
May 7, 20260610Respond appropriately to all alleged violations.D · Potential for more than minimal harm
May 7, 20260627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. ComplaintD · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.