Big Horn Rehabilitation and Care Center
Nursing Home Facility
1851 Big Horn Ave, Sheridan, WY 82801
Big Horn Rehabilitation and Care Center is a senior care community located in Sheridan, WY. It provides nursing home care and senior living for older adults in the Sheridan area. To learn more or schedule a tour, call (307) 674-4416.
With 128 beds, Big Horn Rehabilitation and Care Center is one of the larger communities in the area, senior care communities in Sheridan average about 78 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 53% of its licensed beds, so availability is more likely here than at busier communities nearby.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Communities in Sheridan average about 3.0 stars. Its most recent standard health inspection was in May 2026 and recorded 30 deficiencies.
Residents receive about 3.3 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 57%.
The community is located in Sheridan County, WY.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 46 problems at Big Horn Rehabilitation and Care Center. 3 findings involved harm to a resident. 29 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $7,163. Medicare also stopped paying for new admissions once in that period.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Resident Assessment and Care Planning
Ensure services provided by the nursing facility meet professional standards of quality.
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, widespread
Resident Rights
Keep residents' personal and medical records private and confidential.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, a pattern
Administration
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.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
Show 22 more
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Could cause more than minimal harm, a pattern
Infection Control
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide activities to meet all resident's needs.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care or services that was trauma informed and/or culturally competent.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Administration
Hire a qualified full-time social worker in a facility with more than 120 beds.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, a pattern
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, a pattern
Freedom from Abuse, Neglect, and Exploitation
Respond appropriately to all alleged violations.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
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Minimal harm or the potential for it, widespread
Quality of Life and Care
Ensure the activities program is directed by a qualified professional.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Big Horn Rehabilitation and Care Center offers nursing home care and senior living.
Facility details
- Organization type for-profit corporation
- Beds / units 128
- Occupancy 53%
- Nursing hours per resident/day 3.3
- Annual staff turnover 57%
- Last health inspection May 2026
Resident & family reviews
No one has shared a review of Big Horn Rehabilitation and Care Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.