Big Horn Rehabilitation and Care Center – Sheridan, WY

CMS Verified | 2026-03-01

Big Horn Rehabilitation And Care Center

1851 Big Horn Ave, Sheridan, WY 82801
(307) 674-4416
128 beds
All Sheridan facilities
1.0*
Overall
1.0*
Health Inspection
3.0*
Quality Care
2.0*
Staffing
59.96
Score /100
#12075
National Rank

#12075
of 14703 facilities
National
17.9% position
#31
of 36 in WY
State Rank
#3
of 3 in Sheridan
County Rank
#3
of 3 in Sheridan
City Rank
#3
of 3 in ZIP 82801
ZIP Rank






About Big Horn Rehabilitation And Care CenterBig Horn Rehabilitation And Care Center is located at 1851 Big Horn Ave, Sheridan, WY, reachable at (307) 674-4416. This For profit – Corporation facility operates 128.0 certified beds and serves an average of 78 residents per day. Medicare and Medicaid services have been provided since 1978-06-01. The facility currently holds a poor (1-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Big Horn Rehabilitation And Care Center

Address

1851 Big Horn Ave, Sheridan, WY 82801

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 128 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
❌ Poor (1★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
⚠️ Below Average (2★) staffing rating
Quality of Care
⚠️ Average (3★) quality of care
Compliance
❌ 17 fine(s) over 5 years
5-Year Trend
Declining over 5 years
59.96
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#12075 of 14703 nationally – #31 of 36 in Wyoming

Who Is This Facility Best For?

Big Horn Rehabilitation And Care Center may be considered for families with limited options in Sheridan, WY, but its lower CMS ratings suggest careful due diligence is warranted. Families prioritizing high RN coverage should discuss staffing schedules directly with the facility, as registered nurse hours have trended downward in recent years.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

1 / 5
Health Inspection

1 / 5
Staffing Rating

2 / 5
Quality Measures (QM)

3 / 5
Long-Stay QM Rating

3 / 5
Short-Stay QM Rating

2 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightBig Horn Rehabilitation And Care Center currently provides 3 hours 39 minutes of total nurse staffing per resident per day, including 34 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 2 out of 5 is below average — a point worth discussing with facility management before admission. RN hours per resident have declined from 56 min/day (2022) to 34 min/day (2026) — a trend families should be aware of. Total nursing staff turnover is high at 65.4%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 39 minutes
Nurse Aide Hours2 hours 32 minutes
Licensed Practical Nurse (LPN) Hours33 minutes
Registered Nurse (RN) Hours34 minutes
Physical Therapist Hours7 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 4 minutes
Weekend Registered Nurse (RN) Hours31 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $10,585. 24 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Number of Fines (current period) 2
Total Fines Amount $10585.0
Payment Denials 1
Total Penalties 3
Abuse Flag on Record N
Total Weighted Health Survey Score 170.5 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#12,075
of 14,703
National
Bottom 18%
#31
of 36
WY State
Bottom 14% in WY
#3
of 3
️ Sheridan County
#3 of 3
#3
of 3
️ Sheridan
#3 of 3
#3
of 3
ZIP 82801
#3 of 3

Nationally, Big Horn Rehabilitation And Care Center ranks 12075th out of 14,703 facilities (composite score: 60.0/100), placing it in the bottom 25% nationwide. Within WY, it ranks 31st out of 36 nursing homes. In Sheridan, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #7,664 nationally and RN hours rank #7,474 nationally (#30 in WY).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank WY State Rank Note
2022 3.50 #7,919 / 14,703 #17 / 36 Below average
2023 2.78 #13,000 / 14,703 #28 / 36 ⚠️ Bottom 25%
2024 3.50 #8,245 / 14,703 #19 / 36 Below average
2025 3.17 #11,903 / 14,703 #29 / 36 ⚠️ Bottom 25%
2026 3.65 #7,664 / 14,703 #17 / 36 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank WY State Rank Note
2022 0.94 #2,520 / 14,703 #11 / 36 Top 25%
2023 0.60 #6,163 / 14,703 #26 / 36 Above average
2024 0.95 #2,048 / 14,703 #10 / 36 Top 25%
2025 0.74 #4,186 / 14,703 #20 / 36 Above average
2026 0.56 #7,474 / 14,703 #30 / 36 Below average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Big Horn Rehabilitation And Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1978-06-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (307) 674-4416 or your local Medicaid office to verify current eligibility.

Big Horn Rehabilitation And Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (2★), and Quality of Resident Care (3★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 60.0/100, placing it #12075 of 14703 facilities nationally and #31 of 36 in Wyoming. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Big Horn Rehabilitation And Care Center receives a reported average of 3 hours 39 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 34 minutes; Licensed Practical Nurse (LPN) — 33 minutes; Nurse Aide — 2 hours 32 minutes. On weekends, total nurse staffing is 3 hours 4 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 65.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $10,585. 24 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $10,585, and 1 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 170.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Big Horn Rehabilitation And Care Center ranks 12075th out of 14,703 facilities (composite score: 60.0/100), placing it in the bottom 25% nationwide. Within WY, it ranks 31st out of 36 nursing homes. In Sheridan, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #7,664 nationally and RN hours rank #7,474 nationally (#30 in WY). Our composite quality score of 60.0/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Sheridan, visit: https://nursinghomesnearme.org/wyoming/sheridan/

Contact and Location

ADR
Address

1851 Big Horn Ave, Sheridan, WY 82801
Get directions on Google Maps

TEL
LLC
Legal Name

NORTH BIG HORN HOSPITAL DISTRICT

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ZIP 82801

Facility Details

Number of Certified Beds 128
Average Residents / Day 78 (62% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Sheridan County, WY
City Sheridan, WY
ZIP Code 82801
Approved Since June 1, 1978
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 535026
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org