Big Horn Rehabilitation and Care Center
1851 Big Horn Ave, Sheridan, WY 82801
Sheridan, Wyoming · CMS verdict
Big Horn Rehabilitation and Care Center holds a 1 of 5 CMS overall star rating - below the Wyoming state average of 3.0, reflecting below-average quality on the federal five-star scale.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Big Horn Rehabilitation and Care Center in Sheridan, Wyoming holds a CMS overall rating of 1 of 5 stars and a PlainElderCare Quality & Compliance Index of 26 of 100 (grade F). The 128-bed facility operates where a semi-private nursing-home room in Wyoming runs a median of $9,916 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 1 of 5 stars. How this is calculated.
How the 26 is built
Each segment is a dimension's weighted points toward the score, summing to 26.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
CMS's most recent Care Compare release (data as of April 2026) puts Big Horn Rehabilitation and Care Center's overall quality rating at 1 out of 5 stars, a composite of three sub-ratings: health inspection (1/5), staffing (2/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Sheridan, Wyoming, this facility operates 128 certified beds with an average daily census of roughly 79 residents - an occupancy rate of about 62%. The facility is classified under for profit - corporation ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 62% occupancy, this facility has meaningful open capacity relative to its certified bed count.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (30 total). CMS has levied 2 enforcement penalties - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Big Horn Rehabilitation and Care Center compares to Wyoming
CMS five-star sub-ratings (0–5) for this facility against the Wyoming facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Wyoming state average. Higher is better on all four CMS measures.
Facility details
| Attribute | Value |
|---|---|
| Beds | 128 |
| Residents | 79 |
| Ownership | For profit - Corporation |
| County | Sheridan |
| Penalties | 2 |
| Deficiencies | 30 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Big Horn Rehabilitation and Care Center? ▾
Big Horn Rehabilitation and Care Center has an overall CMS quality rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 2/5, and quality measures rating of 3/5.
How much does a nursing home cost per month in Wyoming? ▾
The median cost for a semi-private nursing home room in Wyoming is $9,916 per month ($118,990 annually). A private room averages $10,923 per month. Costs are from the CareScout 2025 survey.
What services does Big Horn Rehabilitation and Care Center offer? ▾
Big Horn Rehabilitation and Care Center is a skilled nursing facility with 128 beds with approximately 79 current residents. It operates under for profit - corporation ownership. The facility has recorded 30 deficiencies and 2 penalties in CMS inspections.
Does Big Horn Rehabilitation and Care Center have any deficiencies or penalties? ▾
Big Horn Rehabilitation and Care Center has multiple deficiencies (30 total) and 2 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Wyoming? ▾
In Wyoming, alternatives include assisted living ($5,325/mo), home health aides ($8,771/mo), and adult day care ($3,286/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the Wyoming elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 535026.
Read our methodology - how this data is sourced, computed, and verified.