0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Sheridan, WY
5-star overall rating with 5-star inspections
1990 West Loucks St, Sheridan, WY
(307) 672-9789
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
102
Certified beds
Average residents
64
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Life Care Centers Of America
Operator or chain grouping
Approved since
1989-10-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
194 facilities
Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.71
Registered nurse staffing · state 0.90 · national 0.68
LPN hours / resident day
0.34
Licensed practical nurse staffing · state 0.48 · national 0.87
Aide hours / resident day
2.23
Nurse aide staffing · state 2.46 · national 2.35
Total nurse hours
3.28
All reported nurse hours · state 3.84 · national 3.89
Licensed hours
1.05
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.01
Weekend nurse staffing · state 3.30 · national 3.43
Weekend RN hours
0.49
Weekend registered nurse coverage · state 0.62 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.77
CMS adjusted RN staffing hours
Adjusted total hours
3.59
CMS adjusted total nurse staffing hours
Case-mix index
1.25
Higher values indicate more complex resident acuity
RN turnover
46%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 53% · national 46%
SNF VBP
Program rank
2,148
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
51.45
Composite VBP score used to determine payment impact.
Payment multiplier
1.0058
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
7.86
Baseline 17.66% · Performance 17.79% · Measure score 7.86 · Achievement 7.86 · Improvement 0
Healthcare-associated infections
7
Baseline 5.79% · Performance 5.74% · Measure score 7 · Achievement 7 · Improvement 0.10
Total nurse turnover
5.15
Baseline 43.75% · Performance 42.62% · Measure score 5.15 · Achievement 5.15 · Improvement 0.10
Adjusted total nurse staffing
0.57
Baseline 3.40 hours · Performance 3.24 hours · Measure score 0.57 · Achievement 0.57 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.34% |
10.72%
2.4 pts better
|
No Different than the National Rate · Eligible stays 120 · Observed rate 3.33% · Lower 95% interval 5.45% |
| Discharge to community | 55.63% |
50.57%
5.1 pts better
|
No Different than the National Rate · Eligible stays 109 · Observed rate 51.38% · Lower 95% interval 48.11% |
| Medicare spending per beneficiary | 0.84 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 96.67% |
95.27%
1.4 pts better
|
Numerator 58 · Denominator 60 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 60 |
| Discharge self-care score | 73.81% |
53.69%
20.1 pts better
|
Numerator 31 · Denominator 42 |
| Discharge mobility score | 71.43% |
50.94%
20.5 pts better
|
Numerator 30 · Denominator 42 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 60 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.74% |
7.12%
1.4 pts better
|
No Different than the National Rate · Eligible stays 66 · Observed rate 1.52% · Lower 95% interval 2.99% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 109 |
| Staff flu vaccination coverage | 78.76% |
42%
36.8 pts better
|
Numerator 89 · Denominator 113 |
| Discharge function score | 85.71% |
56.45%
29.3 pts better
|
Numerator 36 · Denominator 42 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 21 · Denominator 21 |
| Resident COVID-19 vaccinations up to date | 13.89% |
25.2%
11.3 pts worse
|
Numerator 5 · Denominator 36 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
1.3
0.7 pts worse
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 1.7 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.4 |
2.2
0.2 pts worse
|
1.8
0.6 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.4 · Observed 2.2 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 86.0% |
94.3%
8.3 pts worse
|
93.4%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 76.2% · Q2 83.1% · Q3 91.2% · Q4 94.6% · 4Q avg 86.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.3%
5.7 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.1% |
4.8%
2.7 pts better
|
3.3%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 1.7% · Q3 1.8% · Q4 3.6% · 4Q avg 2.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 5.0% |
6.4%
1.4 pts better
|
11.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 3.4% · Q3 5.8% · Q4 1.9% · 4Q avg 5.0% |
| Percentage of long-stay residents who lose too much weight | 8.6% |
6.5%
2.1 pts worse
|
5.4%
3.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.5% · Q2 5.4% · Q3 13.0% · Q4 12.7% · 4Q avg 8.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.4% |
16.1%
3.3 pts worse
|
19.6%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.7% · Q2 20.7% · Q3 20.0% · Q4 12.7% · 4Q avg 19.4% |
| Percentage of long-stay residents who received an antipsychotic medication | 22.8% |
24.1%
1.3 pts better
|
16.7%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 26.0% · Q3 20.0% · Q4 18.2% · 4Q avg 22.8% · 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 | 7.3% |
18.5%
11.2 pts better
|
16.3%
9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.4% · Q3 6.3% · Q4 13.1% · 4Q avg 7.3% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 15.7% |
18.7%
3 pts better
|
14.9%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 18.2% · Q3 18.5% · Q4 5.7% · 4Q avg 15.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.6% |
1.9%
0.3 pts better
|
1.0%
0.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 0.0% · Q3 2.1% · Q4 0.0% · 4Q avg 1.6% · 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 | 29.8% |
23.6%
6.2 pts worse
|
19.8%
10 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 31.3% · Q2 25.7% · Q3 34.3% · Q4 27.8% · 4Q avg 29.8% |
| Percentage of long-stay residents with pressure ulcers | 6.6% |
5.0%
1.6 pts worse
|
5.1%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 8.9% · Q2 6.6% · Q3 5.5% · Q4 5.2% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.4% |
75.7%
5.7 pts better
|
81.7%
0.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 79.5% · Q2 82.4% · Q3 75.6% · Q4 87.2% · 4Q avg 81.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.2% |
13.7%
2.5 pts better
|
12.0%
0.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.2% · Observed 10.8% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.0% |
1.6%
0.4 pts worse
|
1.6%
0.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.0% · Q3 3.6% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 74.3% |
77.0%
2.7 pts worse
|
79.7%
5.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 74.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 12.1% |
20.8%
8.7 pts better
|
23.9%
11.8 pts better
|
Short Stay · 20240701-20250630 · Adjusted 12.1% · Observed 12.3% · Expected 24.2% · Used in QM five-star |
Survey summary
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Top issue: Nutrition and Dietary (1 deficiency)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Rights (3 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-13
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-12-13
Fire Safety
Implement emergency and standby power systems.
Corrected 2022-10-14
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-10-14
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-10-14
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-13
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-08-21
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-08-21
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-11-11
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 2022-11-11
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-11-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-11-11
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2022-11-11
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-12
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Nearby options
Sheridan, WY
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
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1-star overall rating with 1-star inspections with Special Focus status with $10,585 in total fines with 17 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
Buffalo, WY
5-star overall rating with 4-star inspections with 2 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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