Federal inspection record · CMS data as of October 1, 2026
Green House Living for Sheridan
2311 Shirley Cove, Sheridan, WY · (307) 672-0600
- Certified beds
- 48
- Residents per day
- 37
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 20, 2012
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wyoming.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change (already 1)
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wyoming homes
Green House Living for Sheridan carries 123 inspection points. That is fewer than 14% of Wyoming's 35 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wyoming: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–31 pts
- 3★ 31–71 pts
- 2★ 71–106 pts
- 1★ over 106 pts
Bars show every rated home in Wyoming by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
35 health citations on record since 2022. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide enough food/fluids to maintain a resident's health.
-
G
Ensure services provided by the nursing facility meet professional standards of quality.
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Infection Control7F
- F
Implement a program that monitors antibiotic use.
- F
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- E
Implement a program that monitors antibiotic use.
- C
Ensure staff are vaccinated for COVID-19
Nursing and Physician Services5F
- E
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- C
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- B
Post nurse staffing information every day.
- F
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.
Resident Rights4F
- E
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- F
Ensure residents have reasonable access to and privacy in their use of communication methods.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Quality of Life and Care4E
- E
Provide activities to meet all resident's needs.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning3E
- E
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Respond appropriately to all alleged violations.
Pharmacy Service2D
- D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D
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.
Administration2F
- F
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.
- D
Have a plan that describes the process for conducting QAPI and QAA activities.
Nutrition and Dietary1D
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-03-13
14 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2024-02-01
7 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
2022-11-17
14 health deficiencies · 8 fire-safety deficiencies
Top issue: Infection Control (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 51 min of nursing staff time a day, 2 h 8 min of it from a registered nurse.
This home
5 h 51 min
Wyoming average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 74% of nursing staff and 64% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$62,210 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-19 | Fine | $15,054 |
| 2025-03-13 | Fine | $40,256 |
| 2025-03-13 | Payment Denial · 29 day denial | $0 |
| 2024-02-01 | Fine | $6,900 |
| 2024-02-01 | Payment Denial · 61 day denial | $0 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 1.2 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.3 pts better | 1.9 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine39.3 pts worse | 54.7% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9.8 pts worse | 86.1% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury4.4 pts worse | 9.4% | 5.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.7 pts better | 1.2% | 6.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight14.2 pts worse | 19.8% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts better | 13.9% | 15.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication3.9 pts worse | 25.3% | 21.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.7 pts better | 13.7% | 14.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased12.9 pts worse | 30.1% | 17.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 1.5% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection3.5 pts worse | 6.5% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.7 pts worse | 23.1% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers5.2 pts worse | 9.7% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine26.7 pts worse | 50.7% | 77.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
·
Who owns and runs it
65 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Alternative Elder Living Inc | 5% Or Greater Direct Ownership Interest · Organization | 100% | 1 facilities |
| Alsup, Tobie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Alsup, Tobie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Alternative Elder Living Inc | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Bealer, Cathy | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Bealer, Cathy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Boedecker, Brock | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Boedecker, Brock | Corporate Director · Individual | 0% | 1 facilities |
| Boedecker, Brock | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Boedecker, Brock | Adp Of The SNF · Individual | 0% | 1 facilities |
| Carlson, Tonya | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Carlson, Tonya | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Carlson, Tonya | Adp Of The SNF · Individual | 0% | 1 facilities |
| Coulter, Shirley | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Coulter, Shirley | Adp Of The SNF · Individual | 0% | 1 facilities |
| Davis, Jerry | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Davis, Jerry | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dawson, Allison | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Dawson, Allison | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Dawson, Allison | Adp Of The SNF · Individual | 0% | 1 facilities |
| Garber, Richard | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Garber, Richard | Adp Of The SNF · Individual | 0% | 1 facilities |
| Gross, Sierra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Gross, Sierra | Adp Of The SNF · Individual | 0% | 1 facilities |
| Kessner, Kevin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kessner, Kevin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Maguire, Elizabeth | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Maguire, Elizabeth | Corporate Director · Individual | 0% | 1 facilities |
| Maguire, Elizabeth | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Maguire, Elizabeth | Adp Of The SNF · Individual | 0% | 1 facilities |
| Mccafferty, Michael | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Mccafferty, Michael | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mccafferty, Michael | Adp Of The SNF · Individual | 0% | 1 facilities |
| Memorial Hospital Of Sheridan County | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Memorial Hospital Of Sheridan County | Adp Of The SNF · Organization | 0% | 1 facilities |
| Mischke, Ron | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Mischke, Ron | Adp Of The SNF · Individual | 0% | 1 facilities |
| Morgan, Dawn | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Morgan, Dawn | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Morgan, Dawn | Adp Of The SNF · Individual | 0% | 1 facilities |
| Oetken, Erin | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Oetken, Erin | Corporate Director · Individual | 0% | 1 facilities |
| Oetken, Erin | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Oetken, Erin | Adp Of The SNF · Individual | 0% | 1 facilities |
| Rieder, Rosemary | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Rieder, Rosemary | Corporate Director · Individual | 0% | 1 facilities |
| Rieder, Rosemary | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Rieder, Rosemary | Adp Of The SNF · Individual | 0% | 1 facilities |
| Shassetz, Jennifer | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Shassetz, Jennifer | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sinclair, Cody | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Sinclair, Cody | Adp Of The SNF · Individual | 0% | 1 facilities |
| Straley, Tenille | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Straley, Tenille | Adp Of The SNF · Individual | 0% | 1 facilities |
| Stutte, Nathan | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Stutte, Nathan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stutte, Nathan | Adp Of The SNF · Individual | 0% | 1 facilities |
| Wallick, Catherine | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Wallick, Catherine | Corporate Director · Individual | 0% | 1 facilities |
| Wallick, Catherine | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Wallick, Catherine | Adp Of The SNF · Individual | 0% | 1 facilities |
| Williams, Kimberlee | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Williams, Kimberlee | Corporate Director · Individual | 0% | 1 facilities |
| Williams, Kimberlee | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Williams, Kimberlee | Adp Of The SNF · Individual | 0% | 1 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems7F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
- F
Have generator or other power source capable of supplying service within 10 seconds.
Emergency Preparedness6F
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures for volunteers.
- F
Conduct testing and exercise requirements.
- F
Conduct testing and exercise requirements.
- F
Implement emergency and standby power systems.
- F
Include a process for Emergency Preparedness collaboration.
Smoke6F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
Miscellaneous3F
- F
Have simulated fire drills held at unexpected times.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Egress1F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services1F
- F
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
·
Other homes nearby
-
Westview Health Care Center
Sheridan, WY · Life Care Centers Of America
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 54 min
- Fines
- $13,870
-
Big Horn Rehabilitation and Care Center
Sheridan, WY · Special Focus
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 33 min
- Fines
- $7,163
-
Amie Holt Care Center
Buffalo, WY
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 19 min
- Fines
- $0