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CMS CCN 535026 · For profit - Limited Liability company

Big Horn Rehabilitation and Care Center

1851 Big Horn Ave, Sheridan, WY 82801

Overall CMS Rating

1/5

Staffing Rating

2/5
View on Medicare.gov

Below-average staffing — research carefully

3.28 total HPRD vs. 3.89 national avg · 0.52 RN HPRD vs. 0.69 national avg

Staffing Hours Per Resident Per Day

3.28

Total HPRD

Nat avg 3.89

0.52

RN HPRD

Nat avg 0.69

N/A

LPN HPRD

Nat avg 0.94

2.33

CNA HPRD

Nat avg 2.27

Staffing Comparison

Bar = this facility. Markers = state avg (blue) and national avg (purple).

RN Hours/Day0.52 hr/day
State 0.82National 0.69
LPN Hours/DayN/A
State 0.75National 0.94
CNA Hours/Day2.33 hr/day
State 2.48National 2.27
Total Nursing Hours/Day3.28 hr/day
State 4.05National 3.89

Weekend Staffing

Weekend RN hours often drop 10–20% — a key quality indicator.

Weekend RN HPRD

N/A

National avg 0.48

Weekend Drop vs. Weekday

N/A

Staff Turnover

Annual staff turnover — below 30% is excellent; above 70% indicates instability.

Total Nursing Turnover

57%

National avg 52%

RN Turnover

65%

Total Turnover57%

Purple marker = national average (52%). Lower is better.

CMS Star Ratings

Overall Rating

Much below average

1/5

Health Inspection

Much below average

1/5

Staffing

Below average

2/5

Quality Measures

Average

3/5

Facility Information

Ownership
For profit - Limited Liability company
Certified Beds
128
State
Wyoming
ZIP
82801
Last Inspection
CMS CCN
535026

Penalty & Inspection History

1 CMS fine totaling $7,163

Review full inspection reports on Medicare.gov Care Compare.

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Frequently Asked Questions

What are the staffing levels at Big Horn Rehabilitation and Care Center?
Big Horn Rehabilitation and Care Center reports 3.28 total nursing hours per resident per day (HPRD), including 0.52 RN hours, N/A LPN hours, and 2.33 CNA hours. The U.S. national average is 3.89 total HPRD (0.69 RN, 0.94 LPN, 2.27 CNA).
What is the CMS rating for Big Horn Rehabilitation and Care Center?
Big Horn Rehabilitation and Care Center holds a CMS overall rating of 1 out of 5 stars. The staffing-specific rating is 2 stars, health inspection rating is 1 stars, and quality measure rating is 3 stars. CMS ratings are updated quarterly.
How does Big Horn Rehabilitation and Care Center compare to other Wyoming nursing homes?
The Wyoming average is 4.05 total HPRD and 0.82 RN HPRD. Big Horn Rehabilitation and Care Center's total HPRD of 3.28 is below the state average.
What is the staff turnover rate at Big Horn Rehabilitation and Care Center?
Big Horn Rehabilitation and Care Center reports 57% total nursing staff turnover annually (65% RN turnover). The national average is approximately 52%. This is near the national average.

Data: CMS Payroll-Based Journal (PBJ) via CMS Care Compare. Revalidated every 24 h. Not a substitute for professional medical advice.

Big Horn Rehabilitation and Care Center Staffing Ratios — Sheridan, Wyoming Nursing Home (2026) | AllyKin