Big Horn Rehabilitation and Care Center: Staffing, Turnover, and Inspection Record
Big Horn Rehabilitation and Care Center is a 128-bed for-profit nursing home in Sheridan, Wyoming. In the CMS August 2026 release it reported 2.33 nurse aide hours per resident per day, 4% below the Wyoming average of 2.43, and 56.5% nursing staff turnover (Wyoming average 51.8%).
Big Horn Rehabilitation and Care Center
1851 Big Horn AveSheridan, WY 82801
Sheridan County
CMS Care Compare, August 2026 release
Special Focus Facility candidate. CMS lists this home as a candidate for its Special Focus Facility program, which is for nursing homes with a history of serious quality issues.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Big Horn Rehabilitation and Care Center, nurse aides logged 2.33 hours per resident per day, 4% below the Wyoming average. With about 68 residents a day, that works out to roughly 158 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 6% below the all-days figure.
| Hours per resident per day | This home | Wyoming avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.33 | 2.43 | 2.32 |
| Licensed practical nurses | 0.43 | 0.50 | 0.86 |
| Registered nurses | 0.52 | 0.94 | 0.69 |
| All nursing staff | 3.28 | 3.87 | 3.86 |
| All nursing staff, weekends | 3.07 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
56.5% of nursing staff at Big Horn Rehabilitation and Care Center left over the year CMS measured, against a Wyoming average of 51.8% and a US average of 45.8%. Registered nurse turnover was 64.7%. 3 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 7, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 30 health deficiencies (Wyoming average 7.6). CMS lists 1 fine totaling $7,163 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 8, 2025 | Payment Denial | 8 days from Nov 13, 2025 |
| Dec 21, 2023 | Fine | $7,163 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Big Horn Rehabilitation and Care Center holds 1 of 5 overall; the Wyoming average is 2.9.
About Big Horn Rehabilitation and Care Center
- Ownership: For profit - Limited Liability company
- Legal name: North Big Horn Hospital District
- Medicare and Medicaid certified since: Jun 1, 1978
- Councils: resident and family councils
- Area: rural
Nursing homes near Big Horn Rehabilitation and Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Green House Living for Sheridan Sheridan · SFF candidate | 0.8 | 48 | 2.59 | 4.53 | 73.5% | 1 | $61,929 |
| Westview Health Care Center Sheridan | 1.4 | 102 | 2.37 | 3.50 | 51.5% | 5 | None |
| Amie Holt Care Center Buffalo | 32.0 | 50 | 3.30 | 4.97 | 40.8% | 5 | None |
| Wyoming Veterans' Skilled Nursing Facility Buffalo · abuse citation | 32.4 | 36 | 4.61 | 7.88 | — | 2 | None |
| Wyoming Retirement Center Basin · abuse citation | 60.5 | 90 | 0.00 | 0.39 | — | 1 | $146,485 |
| Awe Kualawaache Care Center Crow Agency | 61.0 | 40 | 2.45 | 4.08 | 61.5% | 4 | None |
| Worland Health and Rehabilitation Worland · SFF candidate · abuse citation | 71.7 | 87 | 2.24 | 3.25 | — | 1 | $41,746 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.