Sheridan, WY

Green House Living for Sheridan

1-star overall rating with 1-star inspections with Special Focus status with $103,408 in total fines with 12 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle

2311 Shirley Cove, Sheridan, WY

(307) 672-0600

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2012-08-20

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.00

Registered nurse staffing

LPN hours / resident day

0.00

Licensed practical nurse staffing

Aide hours / resident day

0.00

Nurse aide staffing

Total nurse hours

0.00

All reported nurse hours

Licensed hours

0.00

RN + LPN hours

Weekend hours

0.00

Weekend nurse staffing

Weekend RN hours

0.00

Weekend registered nurse coverage

Physical therapist

0.00

Reported PT staffing

Adjusted RN hours

0.00

CMS adjusted RN staffing hours

Adjusted total hours

0.00

CMS adjusted total nurse staffing hours

Case-mix index

0.00

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

Annual nurse turnover

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 3 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator Not Available · Adjusted rate Not Available · No data were submitted for this measure.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays Not Available · Observed rate Not Available · Lower 95% interval Not Available · No data were submitted for this measure.
Staff COVID-19 vaccination coverage	Not Available	8.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	1.3 0.2 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 0.7 · Expected 1.3 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	4.4	2.2 2.2 pts worse	1.8 2.6 pts worse	Long Stay · 20240701-20250630 · Adjusted 4.4 · Observed 3.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	84.9%	94.3% 9.4 pts worse	93.4% 8.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 88.0% · Q2 87.0% · Q3 88.9% · Q4 77.4% · 4Q avg 84.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	92.0%	94.3% 2.3 pts worse	95.5% 3.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 92.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.8%	4.8% 2 pts better	3.3% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 0.0% · Q3 3.7% · Q4 3.2% · 4Q avg 2.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	6.4% 6.4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	28.7%	6.5% 22.2 pts worse	5.4% 23.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.8% · Q2 17.4% · Q3 44.4% · Q4 29.6% · 4Q avg 28.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	14.3%	16.1% 1.8 pts better	19.6% 5.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.7% · Q2 13.0% · Q3 11.1% · Q4 16.1% · 4Q avg 14.3%
Percentage of long-stay residents who received an antipsychotic medication	42.9%	24.1% 18.8 pts worse	16.7% 26.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 56.5% · Q2 47.6% · Q3 41.7% · Q4 26.1% · 4Q avg 42.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	12.3%	18.5% 6.2 pts better	16.3% 4 pts better	Long Stay · 2024Q4-2025Q3 · Q4 7.9% · 4Q avg 12.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	25.6%	18.7% 6.9 pts worse	14.9% 10.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 18.2% · Q2 31.8% · Q3 26.1% · Q4 26.1% · 4Q avg 25.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.2%	1.9% 0.7 pts better	1.0% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	3.0% 3 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	50.6%	23.6% 27 pts worse	19.8% 30.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 68.0% · Q2 58.3% · Q3 45.9% · Q4 33.1% · 4Q avg 50.6%
Percentage of long-stay residents with pressure ulcers	6.7%	5.0% 1.7 pts worse	5.1% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.7% · Q3 5.0% · Q4 15.6% · 4Q avg 6.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	33.3%	75.7% 42.4 pts worse	81.7% 48.4 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 33.3%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-13 · Fire 2025-03-13

12 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (2 deficiencies)

Cycle 2 Health 2024-02-01 · Fire 2024-02-01

11 health deficiencies

Top issue: Nursing and Physician Services (3 deficiencies)

8 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (4 deficiencies)

Cycle 3 Health 2022-11-17 · Fire 2022-11-17

12 health deficiencies

Top issue: Resident Rights (5 deficiencies)

8 fire-safety deficiencies

Top issue: Emergency Preparedness (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-13

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

E24 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for volunteers.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-03-13

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-04-18

F · Potential for more than minimal harm 2024-02-01

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-02-22

F · Potential for more than minimal harm 2024-02-01

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-04-12

F · Potential for more than minimal harm 2024-02-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-04-17

F · Potential for more than minimal harm 2024-02-01

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2024-04-30

F · Potential for more than minimal harm 2024-02-01

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-02-22

F · Potential for more than minimal harm 2024-02-01

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-04-26

E · Potential for more than minimal harm 2024-02-01

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-02-22

E · Potential for more than minimal harm 2024-02-01

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2024-02-22

F · Potential for more than minimal harm 2022-11-17

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2022-12-09

F · Potential for more than minimal harm 2022-11-17

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2022-12-06

F · Potential for more than minimal harm 2022-11-17

E9 · Emergency Preparedness Deficiencies

Fire Safety

Include a process for Emergency Preparedness collaboration.

Corrected 2022-12-09

F · Potential for more than minimal harm 2022-11-17

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-12-10

F · Potential for more than minimal harm 2022-11-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-12-05

F · Potential for more than minimal harm 2022-11-17

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-12-09

F · Potential for more than minimal harm 2022-11-17

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-12-05

F · Potential for more than minimal harm 2022-11-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-12-06

Inspection history

Recent health citations

G · Actual harm 2025-11-19

F689 · Quality of Life and Care Deficiencies

Health

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

Not marked corrected

G · Actual harm 2025-03-13

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2025-04-18

F · Potential for more than minimal harm 2025-03-13

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2025-05-22

F · Potential for more than minimal harm 2025-03-13

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2025-05-16

E · Potential for more than minimal harm 2025-03-13

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-03-13

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-04-18

E · Potential for more than minimal harm 2025-03-13

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2025-05-22

E · Potential for more than minimal harm 2025-03-13

F883 · Infection Control Deficiencies

Health

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

Corrected 2025-05-22

D · Potential for more than minimal harm 2025-03-13

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2025-05-16

D · Potential for more than minimal harm 2025-03-13

F757 · Pharmacy Service Deficiencies

Health

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-03-13

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-04-18

C · Minimal harm 2025-03-13

F729 · Nursing and Physician Services Deficiencies

Health

Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.

Corrected 2025-04-16

E · Potential for more than minimal harm 2024-04-04

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2024-05-19

F · Potential for more than minimal harm 2024-03-20

F725 · Nursing and Physician Services Deficiencies

Health

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

Corrected 2024-05-04

F · Potential for more than minimal harm 2024-03-20

F837 · Administration Deficiencies

Health

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Corrected 2024-07-01

D · Potential for more than minimal harm 2024-03-20

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-05-04

B · Minimal harm 2024-03-20

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-05-04

G · Actual harm 2024-02-01

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-01-05

G · Actual harm 2024-02-01

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-05

F · Potential for more than minimal harm 2024-02-01

F576 · Resident Rights Deficiencies

Health

Ensure residents have reasonable access to and privacy in their use of communication methods.

Corrected 2024-02-23

F · Potential for more than minimal harm 2024-02-01

F727 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2024-02-23

E · Potential for more than minimal harm 2024-02-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-23

D · Potential for more than minimal harm 2024-02-01

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-02-23

G · Actual harm 2023-03-31

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-03-31

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2023-05-15

D · Potential for more than minimal harm 2023-03-31

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-05-15

F · Potential for more than minimal harm 2022-11-17

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-12-09

E · Potential for more than minimal harm 2022-11-17

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2022-12-10

D · Potential for more than minimal harm 2022-11-17

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2022-12-09

D · Potential for more than minimal harm 2022-11-17

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2022-12-11

D · Potential for more than minimal harm 2022-11-17

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2022-12-08

D · Potential for more than minimal harm 2022-11-17

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-19

D · Potential for more than minimal harm 2022-11-17

F758 · Pharmacy Service Deficiencies

Health

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 limited.

Corrected 2022-12-10

D · Potential for more than minimal harm 2022-11-17

F865 · Administration Deficiencies

Health

Have a plan that describes the process for conducting QAPI and QAA activities.

Corrected 2022-12-09

C · Minimal harm 2022-11-17

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2022-12-10

Penalties and ownership

What sits behind the stars

$22,315 2025-11-19

Fine

Fine · fine $22,315

Fine

$62,205 2025-03-13

Fine

Fine · fine $62,205

Fine

$0 2025-03-13

Payment Denial

Payment Denial · denial start 2025-05-08 · 29 days

29 day denial

$6,900 2024-02-01

Fine

Fine · fine $6,900

Fine

$0 2024-02-01

Payment Denial

Payment Denial · denial start 2024-05-01 · 61 days

61 day denial

$7,443 2023-03-31

Fine

Fine · fine $7,443

Fine

$4,545 2023-03-20

Fine

Fine · fine $4,545

Fine

Ownership

Alternative Elder Living Inc

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2007-05-01

Alsup, Tobie