Big Horn Rehabilitation and Care Center

Certification

Medicare-certified.

Ratings

Inspection history (46)

Records from October 2023 to May 2026.

• May 7, 2026

  Tag F0849

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0627

  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

  Severity D: isolated, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0628

  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D: isolated, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0761

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0684

  Provide appropriate treatment and care according to orders, resident’s preferences and goals.

  Severity E: pattern, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0610

  Respond appropriately to all alleged violations.

  Severity D: isolated, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0699

  Provide care or services that was trauma informed and/or culturally competent.

  Severity D: isolated, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity E: pattern, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0609

  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

  Severity D: isolated, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0561

  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

  Severity E: pattern, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0679

  Provide activities to meet all resident's needs.

  Severity D: isolated, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0583

  Keep residents' personal and medical records private and confidential.

  Severity F: widespread, no actual harm, potential for more than minimal harm.

• May 7, 2026

  Tag F0680

  Ensure the activities program is directed by a qualified professional.

  Severity C: widespread, no actual harm, potential for minimal harm.

• May 7, 2026

  Tag F0883

  Develop and implement policies and procedures for flu and pneumonia vaccinations.

  Severity E: pattern, no actual harm, potential for more than minimal harm.

• February 5, 2026

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 10, 2026.

• February 5, 2026

  Tag F0850

  Hire a qualified full-time social worker in a facility with more than 120 beds.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 10, 2026.

• February 5, 2026

  Tag F0584

  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.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 10, 2026.

• February 5, 2026

  Tag F0565

  Honor the resident's right to organize and participate in resident/family groups in the facility.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 19, 2025.

• February 5, 2026

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 10, 2026.

• October 23, 2025

  Tag F0725

  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 21, 2025.

Penalties (2)

Total fines: $7,163

• October 8, 2025 · Payment Denial

  CMS recorded a Medicare/Medicaid payment denial for new admissions starting November 13, 2025, lasting 8 days (triggered by inspection on October 8, 2025).

• December 21, 2023 · Fine

  CMS recorded a civil money penalty of $7,163 against this nursing home on December 21, 2023.

Staffing

3.54 nurse hours per resident per day in Q2 2026, up from 3.30 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

• Parent company: Sheridan Opco LLC