All states › Wyoming › Sheridan › Big Horn Rehabilitation and Care Center
1851 Big Horn Ave Sheridan, WY 82801 · Sheridan County
All 3 nursing homes in Sheridan, WY (3 take Medicaid)
CMS certification number 535026 · See this home on Medicare Care Compare
Is Big Horn Rehabilitation and Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Big Horn Rehabilitation and Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Wyoming average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.54 hours per resident per day at Big Horn Rehabilitation and Care Center, about the same as the Wyoming median of 3.57 (US median: 3.72). About 0.47 of those hours are from registered nurses. On weekends it falls to 3.17 hours, 10% below its all-week average. 53.5% of nursing staff left within a year (Wyoming median 52.6%).
About this nursing home
Paying for care at Big Horn Rehabilitation and Care Center: Medicare and Medicaid
Big Horn Rehabilitation and Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Wyoming's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 7, 2026 and found 8 deficiencies, plus 22 from complaint inspections in the same period. In total, inspectors issued 46 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 46 citations at Big Horn Rehabilitation and Care Center across 10 inspection dates, 29 of them from complaint investigations. 3 were at the actual-harm level (G–I), most recently on October 23, 2025. The most common areas cited were quality of life and care (12) and resident rights (9). The most serious was cited under the CMS rule to "ensure services provided by the nursing facility meet professional standards of quality" (tag F0658, level G, October 23, 2025). 7 citations were under CMS's abuse, neglect and exploitation rules.
May 7, 2026 · 14 citations · includes complaint inspection
FKeep residents' personal and medical records private and confidential.
EHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
EProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EEnsure 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.
EArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
EProvide and implement an infection prevention and control program.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
DProvide activities to meet all resident's needs.
DProvide care or services that was trauma informed and/or culturally competent.
CEnsure the activities program is directed by a qualified professional.
February 5, 2026 · 5 citations · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor 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.
DHonor the resident's right to organize and participate in resident/family groups in the facility.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DHire a qualified full-time social worker in a facility with more than 120 beds.
October 23, 2025 · 6 citations, includes actual harm · includes complaint inspection
GEnsure services provided by the nursing facility meet professional standards of quality.
GProvide appropriate treatment and care according to orders, resident’s preferences and goals.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
October 8, 2025 · 5 citations · includes complaint inspection
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
ERespond appropriately to all alleged violations.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide 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.
January 15, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
November 7, 2024 · 3 citations · includes complaint inspection
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DProvide enough food/fluids to maintain a resident's health.
September 13, 2024 · 6 citations
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EProvide care and assistance to perform activities of daily living for any resident who is unable.
EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
EEnsure 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.
DHonor 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.
DPASARR screening for Mental disorders or Intellectual Disabilities
April 4, 2024 · 3 citations
EEnsure 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.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
December 21, 2023 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
October 5, 2023 · 2 citations · includes complaint inspection
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DMake sure that a working call system is available in each resident's bathroom and bathing area.
Questions to ask on a tour of Big Horn Rehabilitation and Care Center
- Inspectors cited the home at the actual-harm level on October 23, 2025 under the rule on resident assessment and care planning. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 7, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- The home averages about 58% of its beds filled. Are any units closed?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $7,163 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Oct 8, 2025 | Payment Denial | 8 days of payments denied |
| Dec 21, 2023 | Fine | $7,163 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
| August 2026 | 1/5 | 1/5 | 2/5 | 3/5 |
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Location
Hospitals near Big Horn Rehabilitation and Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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2.3 mi
Sheridan Memorial Hospital SheridanEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 54m for patients treated and sent home
- 4.0 mi
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
- Westview Health Care Center · Sheridan · 5 stars · 1.4 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.