Big Horn Rehabilitation and Care Center in Sheridan, WY

Big Horn Rehabilitation and Care Center is a medicare and medicaid certified nursing home in Sheridan, Wyoming. It is located in Sheridan county at 1851 Big Horn Ave, Sheridan, Wyoming 82801. You can reach out to the office of Big Horn Rehabilitation and Care Center via phone at (307) 674-4416. This skilled nursing facility has 128 federally certified beds with average occupancy rate of 53.2%. The nursing facility is a candidate for the "Special Focus Facility" program of CMS (nursing homes with a history of serious quality problems) and its legal business name is North Big Horn Hospital District and has the following ownership type - For Profit - Limited Liability Company.

Big Horn Rehabilitation and Care Center (Medicare CCN 535026) is certified by CMS (Centers for Medicare & Medicaid Services) and participates in both medicare and medicaid program. This means if you are part of medicare or medicaid program, you may consider this nursing facility for your medical needs. It was first certified by CMS in 1978 (48 years certified) and the last quality survey was conducted in May, 2026.

Contact Information

Big Horn Rehabilitation and Care Center
1851 Big Horn Ave, Sheridan, Wyoming 82801
(307) 674-4416

Map and Direction



Nursing Home Profile

NameBig Horn Rehabilitation and Care Center
Location1851 Big Horn Ave, Sheridan, Wyoming
Certified ByMedicare and Medicaid
No. of Certified Beds128
Occupancy Rate53.2%
Medicare ID (CCN)535026
Legal Business NameNorth Big Horn Hospital District
Ownership TypeFor Profit - Limited Liability Company

NPI Associated with this Nursing Home:

Nursing homes may have several NPI numbers. NPIs marked Confirmed are listed with Big Horn Rehabilitation and Care Center in Medicare enrollment records; Possible ones were matched in NPPES by name, address or phone number, so please use them accordingly.

NPI Number1669290854
MatchConfirmed listed in Medicare enrollment records
Organization NameNorth Big Horn Hospital District
Doing Business AsBig Horn Rehabilitation and Care Center
Address1851 Big Horn Ave, Sheridan, WY 82801
Phone Number307-674-4416

NPI Number1184745457
MatchPossible same name, address or phone number
Organization NameSsc Sheridan Operating Company LLC
Doing Business AsSheridan Manor
Address1851 Big Horn Ave, Sheridan, WY 82801
Phone Number307-674-4416

NPI Number1598359085
MatchPossible same name, address or phone number
Organization NameSheridan Opco LLC
Address1851 Big Horn Ave, Sheridan, WY 82801
Phone Number307-674-4416

Quality Ratings:

Nursing homes vary in the quality of care and services they provide to their residents. The below quality ratings for Big Horn Rehabilitation and Care Center are calculated from three sources - health inspection results, staffing data, and quality measure data. This information gives you an indication of the care Big Horn Rehabilitation and Care Center give to their patients.
Ratings from Surveys (Inspections):
Ratings from Quality Measures:
Ratings from Staffing Data:
Overall Rating:

Staffing and Staff Turnover:

Staffing hours per resident per day and staff turnover of Big Horn Rehabilitation and Care Center, from the payroll data it reports to CMS, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Staffing MeasureProviderNational Avg.
Total nurse staff hours per resident per day3.283.86
Registered nurse (RN) hours per resident per day0.520.69
Licensed practical nurse (LPN) hours per resident per day0.430.86
Nurse aide hours per resident per day2.332.32
Total nurse staff hours per resident per day on the weekend3.073.42
RN hours per resident per day on the weekend0.410.48
Physical therapist hours per resident per day0.080.07
Total nursing staff turnover56.5%45.8%
Registered nurse turnover64.7%42.9%
Number of administrators who have left the nursing home30.5

Complaints, Fines and Penalties:

Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon)No
Number of Fines1
Total Amount of Fines in Dollars$7,163
Number of Payment Denials1
Total Number of Penalties2

Health Inspections:

In its most recent inspection cycle (standard health inspection in May, 2026, plus any complaint inspections), inspectors cited Big Horn Rehabilitation and Care Center for 30 health deficiencies (national average: 9.3). The 30 most recent of its 46 citations since 2023 are listed below.

DateDeficiencyHarm LevelStatus
May 7, 2026Keep residents' personal and medical records private and confidential.
F0583, Resident Rights, Standard inspection, Complaint inspection
Potential for harm, widespreadCorrected by Jun 11, 2026
May 7, 2026Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
F0561, Resident Rights, Standard inspection, Complaint inspection
Potential for harm, patternCorrected by Jun 11, 2026
May 7, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684, Quality of Life and Care, Standard inspection, Complaint inspection
Potential for harm, patternCorrected by Jun 11, 2026
May 7, 2026Ensure 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.
F0761, Pharmacy Service, Standard inspection
Potential for harm, patternCorrected by Jun 11, 2026
May 7, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
F0849, Administration, Standard inspection, Complaint inspection
Potential for harm, patternCorrected by Jun 11, 2026
May 7, 2026Provide and implement an infection prevention and control program.
F0880, Infection Control, Standard inspection
Potential for harm, patternCorrected by Jun 11, 2026
May 7, 2026Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883, Infection Control, Standard inspection
Potential for harm, patternCorrected by Jun 11, 2026
May 7, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection
Potential for harm, isolatedCorrected by Jun 11, 2026
May 7, 2026Respond appropriately to all alleged violations.
F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection
Potential for harm, isolatedCorrected by Jun 11, 2026
May 7, 2026Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
F0627, Resident Rights, Standard inspection, Complaint inspection
Potential for harm, isolatedCorrected by Jun 11, 2026
May 7, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628, Resident Rights, Standard inspection, Complaint inspection
Potential for harm, isolatedCorrected by Jun 11, 2026
May 7, 2026Provide activities to meet all resident's needs.
F0679, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by Jun 11, 2026
May 7, 2026Provide care or services that was trauma informed and/or culturally competent.
F0699, Quality of Life and Care, Standard inspection
Potential for harm, isolatedCorrected by Jun 11, 2026
May 7, 2026Ensure the activities program is directed by a qualified professional.
F0680, Quality of Life and Care, Standard inspection
Minimal harm potential, widespreadCorrected by Jun 11, 2026
Feb 5, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812, Nutrition and Dietary, Complaint inspection
Potential for harm, widespreadCorrected by Mar 10, 2026
Feb 5, 2026Honor 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.
F0584, Resident Rights, Complaint inspection
Potential for harm, patternCorrected by Mar 10, 2026
Feb 5, 2026Honor the resident's right to organize and participate in resident/family groups in the facility.
F0565, Resident Rights, Complaint inspection
Potential for harm, isolatedPast non-compliance (already corrected)
Feb 5, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by Mar 10, 2026
Feb 5, 2026Hire a qualified full-time social worker in a facility with more than 120 beds.
F0850, Administration, Complaint inspection
Potential for harm, isolatedCorrected by Mar 10, 2026
Oct 23, 2025Ensure services provided by the nursing facility meet professional standards of quality.
F0658, Resident Assessment and Care Planning, Complaint inspection
Actual harm, isolatedCorrected by Nov 21, 2025
Oct 23, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684, Quality of Life and Care, Complaint inspection
Actual harm, isolatedCorrected by Nov 21, 2025
Oct 23, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677, Quality of Life and Care, Complaint inspection
Potential for harm, patternCorrected by Nov 21, 2025
Oct 23, 2025Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725, Nursing and Physician Services, Complaint inspection
Potential for harm, patternCorrected by Nov 21, 2025
Oct 23, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by Nov 21, 2025
Oct 23, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842, Resident Assessment and Care Planning, Complaint inspection
Potential for harm, isolatedCorrected by Nov 21, 2025
Oct 8, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection
Potential for harm, patternCorrected by Oct 30, 2025
Oct 8, 2025Respond appropriately to all alleged violations.
F0610, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection
Potential for harm, patternCorrected by Oct 30, 2025
Oct 8, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580, Resident Rights, Complaint inspection
Potential for harm, isolatedCorrected by Oct 30, 2025
Oct 8, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection
Potential for harm, isolatedCorrected by Oct 30, 2025
Oct 8, 2025Provide 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.
F0688, Quality of Life and Care, Complaint inspection
Potential for harm, isolatedCorrected by Oct 30, 2025

Quality of Resident Care:

These quality measures of Big Horn Rehabilitation and Care Center, from the regular health assessments of its residents, are compared against the national average with the color code indicators: Better than National Average Worse than National Average

Quality MeasureProviderNational Avg.
Percentage of long-stay residents whose need for help with daily activities has increased6.713.87
Percentage of long-stay residents who lose too much weight10.825.19
Percentage of long-stay residents with a catheter inserted and left in their bladder1.880.82
Percentage of long-stay residents with a urinary tract infection0.771.59
Percentage of long-stay residents who have depressive symptoms13.6612.8
Percentage of long-stay residents who were physically restrained00.13
Percentage of long-stay residents experiencing one or more falls with major injury4.213.23
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine86.9793.55
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine59.9182.04
Percentage of short-stay residents who newly received an antipsychotic medication01.56
Percentage of long-stay residents whose ability to walk independently worsened5.314.07
Percentage of long-stay residents who received an antianxiety or hypnotic medication14.5919.52
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine67.9595.46
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine52.9479.75
Percentage of long-stay residents with pressure ulcers3.484.62
Percentage of long-stay residents with new or worsened bowel or bladder incontinence22.419.01
Percentage of long-stay residents who received an antipsychotic medication2515.38

Reviews and Comments


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Nursing Home

A nursing home (also called skilled nursing facility) is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living.

A skilled nursing facility (SNF) may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation.

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