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B
Good

Big Horn Rehabilitation and Care Center

1851 Big Horn Ave · Sheridan, WY 82801

3076744416 · For profit - Corporation

128 beds78.8 residents116 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Big Horn Rehabilitation and Care Center receives an overall staffing grade of B (Good). With 3.6449 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.559 HPRD, below the recommended 0.75. It is 0.25 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.66% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (1)

⚠️RN staffing (0.559 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.6449hrs/resident/day▼ 0.25
CMS benchmark: 3.48
RN HPRD
0.559hrs/resident/day▼ 0.12
Recommended: 0.75
Weekend Drop-off
20.66%
3.871 weekday → 3.0711 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.9018hrs/resident/day
Direct care aides
LPN HPRD
0.5548hrs/resident/day
Licensed practical nurses
Consistency
0.5423std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Sheridan County Average-0.49 HPRD
4.14
03.64 HPRD
vs. Wyoming State Average-0.23 HPRD
3.87
03.64 HPRD
vs. National Average-0.25 HPRD
3.90
03.64 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Big Horn Rehabilitation and Care Center ★
Sheridan · This facility
—
B
3.64490.559★☆☆☆☆
Green House Living for Sheridan
Sheridan
0.8 mi
A+
5.47851.8876★☆☆☆☆
Westview Health Care Center
Sheridan
1.4 mi
C
3.28380.7058★★★★★
Amie Holt Care Center
Buffalo
32 mi
A
5.13380.889★★★★★
Wyoming Veterans' Skilled Nursing Facility
Buffalo
32.4 mi
—
00☆☆☆☆☆
Wyoming Retirement Center
Basin
60.2 mi
B
4.02350.5728★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

9
Inspections
30
Total Deficiencies
$10,585
Fines Assessed
Oct 23, 2025Health
6 deficiencies cited· Includes actual harm
▼
Oct 8, 2025Health
5 deficiencies cited
▼
Jan 15, 2025Health
1 deficiency cited
▼
Nov 7, 2024Health
3 deficiencies cited
▼
Sep 13, 2024Health
6 deficiencies cited
▼
Apr 4, 2024Health
3 deficiencies cited
▼
Dec 21, 2023Health
1 deficiency cited· Includes actual harm
▼
Oct 5, 2023Health
4 deficiencies cited
▼
May 12, 2023Health
1 deficiency cited· Includes actual harm
▼

Penalty History

Dec 21, 2023Fine
$7,163
May 12, 2023Fine
$3,422
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.