Big Horn Rehabilitation And Care Center
1851 Big Horn Ave, Sheridan, WY, 82801
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
Special Focus Candidate
CMS has identified this facility as a Special Focus Candidate — a track record of serious quality issues that places it one step away from full Special Focus Facility designation.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company
- Certified beds
- 128 · avg 74 residents/day
- Total nursing staff turnover
- 63.2% — higher than most Wyoming nursing homesWyoming avg: 53.7% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 57.1% — higher than most Wyoming nursing homesWyoming avg: 45.6% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 5 departed — near the Wyoming averageWyoming avg: 0.9 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $7,163 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 535026
- Certified beds
- 128 beds · avg 74 residents/day
- Ownership type
- For profit - Limited Liability company
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- North Big Horn Hospital District
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (10 on record)
- (unnamed Owner)
Adp of The Snf · since 2024
- (unnamed Owner)
Adp of The Snf · since 2024
- Cheyenne Sheridan Opco Holdings LlcHolding
Operational/managerial Control · since 2024
- Ana Roberts
Operational/managerial Control · since 2024
- Benjamin Todd Simmons
Corporate Officer · since 2024
- David Winterholler
Corporate Director · since 2024
+ 4 additional owners on the federal record.
Recent change of ownership
October 2024 (1 year ago) · acquired from Big Horn Rehabilitation And Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 46)
- E0883·May 7, 2026
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E0880·May 7, 2026
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0849·May 7, 2026
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.
- E0761·May 7, 2026
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.
- D0699·May 7, 2026
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
- E0684·May 7, 2026
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- C0680·May 7, 2026
Quality of Life and Care Deficiencies
Ensure the activities program is directed by a qualified professional.
- D0679·May 7, 2026
Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
Federal penalties
By year
- 20251 payment denial
- 20231 fine · $7,163
Most recent events
- Oct 8, 2025Payment denial · 8 days · starting Nov 13, 2025
- Dec 21, 2023Fine · $7,163
Fire-safety citations
15 Life-Safety-Code citations on file. Most recent: May 7, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Big Horn Rehabilitation And Care Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.