Big Horn Rehabilitation And Care Center
Cost data not yet available
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Nursing Homes · Medicare certified
2311 Shirley Cove · Sheridan, WY 82801 · 48 certified beds
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CMS Care Compare · Updated Jul 2026
CMS designation
Special Focus Facility candidate (CMS)
CMS lists this nursing home on the monthly Special Focus Facility candidate list. Candidate status means the facility qualifies for possible selection into the Special Focus Facility program based on CMS criteria. It is a public CMS designation, not an ElderCareCosts rating. CMS Special Focus Facility program.
Source: CMS Provider Information.GOVStaffing rating
4.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
26
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
February 1, 2024 · G
Citation F0658Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0658 (CMS scope/severity G: isolated, actual harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 1, 2024 · D
Citation F0610Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0610 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 1, 2024 · F
Citation F0727Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0727 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. The deficiency was recorded as corrected on 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 1, 2024 · G
Citation F0684Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0684 (CMS scope/severity G: isolated, actual harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2024-01-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 1, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
February 1, 2024 · F
Citation F0576Federal surveyors cited this nursing home on 2024-02-01 under CMS tag F0576 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Ensure residents have reasonable access to and privacy in their use of communication methods. The deficiency was recorded as corrected on 2024-02-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 17, 2022 · D
Citation F0625Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0625 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. The deficiency was recorded as corrected on 2022-12-11. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 17, 2022 · D
Citation F0689Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-01-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 17, 2022 · D
Citation F0623Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2022-12-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 17, 2022 · D
Citation F0656Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2022-12-08. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 17, 2022 · E
Citation F0881Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0881 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement a program that monitors antibiotic use. The deficiency was recorded as corrected on 2022-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 17, 2022 · F
Citation F0880Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2022-12-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 17, 2022 · D
Citation F0758Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0758 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2022-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 17, 2022 · D
Citation F0865Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0865 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Have a plan that describes the process for conducting QAPI and QAA activities. The deficiency was recorded as corrected on 2022-12-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 17, 2022 · C
Citation F0888Federal surveyors cited this nursing home on 2022-11-17 under CMS tag F0888 (CMS scope/severity C: widespread, no actual harm, potential for minimal harm) for Ensure staff are vaccinated for COVID-19. The deficiency was recorded as corrected on 2022-12-10. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $61,929
Latest: 5.63 nurse staffing hours per resident per day (2026-06-01)
Staffing trend (2 periods)
Most recent period is about the same as 2025Q4. Figures are CMS-reported nurse staffing hours, not our estimate.
For profit - Corporation
Parent organization: Alternative Elder Living INC
parent · PAC 0244418945
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth Cost of Care Survey · 2024
This provider doesn't publish a specific price to us. Below is the typical WY range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · WY$9,877/moNursing Homes
Median · WY$9,916/moOther licensed providers in Sheridan, with their own public records.
Cost data not yet available
Your number goes only to facilities you choose. No call blitz. Ever.
Cost data not yet available
Your number goes only to facilities you choose. No call blitz. Ever.
Cost data not yet available
Your number goes only to facilities you choose. No call blitz. Ever.
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