Big Horn Rehabilitation and Care Center

Special Focus Facility candidate · Sheridan · WY · For profit - Limited Liability company · 128 certified beds · CCN 535026 · NORTH BIG HORN HOSPITAL DISTRICT


Big Horn Rehabilitation and Care Center operates 128 certified beds in Sheridan, Wyoming. Its Medicare and Medicaid certification dates to 1978-06-01. It averages 68.1 residents a day.

What harm was found in the violations cited at Big Horn Rehabilitation and Care Center?

CMS lists 46 health-inspection deficiencies for Big Horn Rehabilitation and Care Center, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is G; the most recent health inspection was 2026-05-07.

Survey dateTagDeficiencySeverity
2026-05-07F0583Keep residents' personal and medical records private and confidential.F
2026-05-07F0561, F0684, F0761, F0849, F0880, F0883Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / 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. / 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. / Provide and implement an infection prevention and control program. / Develop and implement policies and procedures for flu and pneumonia vaccinations.E
2026-05-07F0609, F0610, F0627, F0628, F0679, F0699Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. / Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. / Provide activities to meet all resident's needs. / Provide care or services that was trauma informed and/or culturally competent.D
2026-05-07F0680Ensure the activities program is directed by a qualified professional.C
2026-02-05F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2026-02-05F0584Honor 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.E
2026-02-05F0565, F0689, F0850Honor the resident's right to organize and participate in resident/family groups in the facility. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Hire a qualified full-time social worker in a facility with more than 120 beds.D
2025-10-23F0658, F0684Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals.G
2025-10-23F0677, F0725Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.E
2025-10-23F0689, F0842Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2025-10-08F0609, F0610Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations.E
2025-10-08F0580, F0600, F0688Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / 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.D
2025-01-15F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2024-11-07F0725, F0842Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-11-07F0692Provide enough food/fluids to maintain a resident's health.D
2024-09-13F0576, F0677, F0725, F0761Ensure residents have reasonable access to and privacy in their use of communication methods. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / 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.E
2024-09-13F0578, F0645Honor 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. / PASARR screening for Mental disorders or Intellectual DisabilitiesD
2024-04-04F0761Ensure 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.E
2024-04-04F0641, F0657Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D
2023-12-21F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.G
2023-10-05F0684, F0919Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Make sure that a working call system is available in each resident's bathroom and bathing area.D

Why was Big Horn Rehabilitation and Care Center fined?

DateTypeAmount
2023-12-21Fine$7,163

Has Big Horn Rehabilitation and Care Center had payment denied by Medicare?

Payment denial startLength in days
2025-11-138

How is Big Horn Rehabilitation and Care Center staffed relative to the WY average?

MeasureThis facilityWY average
Total nurse staffing hours per resident per day3.277923.86766
Total nursing staff turnover (%)56.551.8
Average number of residents per day68.155.6

Who owns Big Horn Rehabilitation and Care Center?

Big Horn Rehabilitation and Care Center is registered with CMS as For profit - Limited Liability company, operates under the legal business name NORTH BIG HORN HOSPITAL DISTRICT.

RoleOwnerAssociation date
DIRECT OWNERSHIP INTERESTNORTH BIG HORN HOSPITAL DISTRICTsince 10/01/2024
MANAGING CONTROL - GOVERNING BODYMORRISON, ROBERTsince 10/01/2024
CORPORATE DIRECTORSIMMONS, BENJAMIN, WINTERHOLLER, DAVIDsince 10/01/2024
CORPORATE OFFICERCONNELL, ERIC, SIMMONS, BENJAMINsince 10/01/2024
OPERATIONAL/MANAGERIAL CONTROLCHEYENNE SHERIDAN OPCO HOLDINGS LLC, SHERIDAN OPCO LLC, CONNELL, ERIC, MORRISON, ROBERT, ROBERTS, ANAsince 10/01/2024
ADP OF THE SNFSHERIDAN OPCO LLC, CONNELL, ERIC, ROBERTS, ANAsince 10/01/2024

Were you or a family member harmed at Big Horn Rehabilitation and Care Center?