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Big Horn Rehabilitation and Care Center

1851 Big Horn Ave
Sheridan, WY 82801 · 3076744416 · Sheridan County
⚠ Special Focus Candidate. CMS lists this facility as a candidate for the Special Focus Facility program due to a history of serious quality problems.

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds128
OwnershipFor profit - Limited Liability company
State rank#29

By the numbers

46
Health citations (3 cycles)
0
Immediate-jeopardy (J/K/L)
3
Actual-harm (G/H/I)
$7,163
Federal fines (CMPs)
The trend: Citations are rising — 30 in the most recent cycle versus 6 two cycles ago.

Recent Health Citations

May 7, 2026 · Health survey · F-tag 0680
C — Cited
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
May 7, 2026 · Health survey · F-tag 0699
D — No actual harm
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
May 7, 2026 · Health survey · F-tag 0679
D — No actual harm
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
May 7, 2026 · Health survey · F-tag 0628
D — No actual harm
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
May 7, 2026 · Health survey · F-tag 0627
D — No actual harm
Resident Rights Deficiencies
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
May 7, 2026 · Health survey · F-tag 0610
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
May 7, 2026 · Health survey · F-tag 0609
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
May 7, 2026 · Health survey · F-tag 0883
E — No actual harm
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
May 7, 2026 · Health survey · F-tag 0880
E — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
May 7, 2026 · Health survey · F-tag 0849
E — No actual harm
Administration Deficiencies
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 · Health survey · F-tag 0761
E — No actual harm
Pharmacy Service Deficiencies
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 · Health survey · F-tag 0684
E — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
May 7, 2026 · Health survey · F-tag 0561
E — No actual harm
Resident Rights Deficiencies
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
May 7, 2026 · Health survey · F-tag 0583
F — No actual harm
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Feb 5, 2026 · Health survey · F-tag 0850
D — No actual harm
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Feb 5, 2026 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Feb 5, 2026 · Health survey · F-tag 0565
D — No actual harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Feb 5, 2026 · Health survey · F-tag 0584
E — No actual harm
Resident Rights Deficiencies
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.
Feb 5, 2026 · Health survey · F-tag 0812
F — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Oct 23, 2025 · Health survey · F-tag 0842
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Wyoming →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.