With a score of 19/100, Big Horn Rehabilitation And Care Center ranks in the bottom tier of Wyoming nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing at Big Horn Rehabilitation And Care Center is near the national average, with 3.65 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 30 deficiencies at Big Horn Rehabilitation And Care Center. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.65 | 3.8 | Average |
| Registered Nurses (RN) | 0.56 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.55 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.53 | 2.4 | Average |
| Weekend Total Nursing | 3.07 | 3.8 | Below Average |
| Weekend RN Hours | 0.52 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0658 Severity GEnsure services provided by the nursing facility meet professional standards of quality.Oct 22, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0684 Severity GProvide appropriate treatment and care according to orders, resident’s preferences and goals.Oct 22, 2025 · Quality of Life and Care Deficiencies
- Tag 0677 Severity EProvide care and assistance to perform activities of daily living for any resident who is unable.Oct 22, 2025 · Quality of Life and Care Deficiencies
- Tag 0725 Severity EProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Oct 22, 2025 · Nursing and Physician Services Deficiencies
- Tag 0689 Severity DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Oct 22, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 5.7% | 4.5% | Worse |
| Falls with major injury | 4.0% | 3.0% | Worse |
| On antipsychotic medication | 27.0% | 14.5% | Worse |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 11.6% | 14.0% | Better |
| Excessive weight loss | 10.5% | 7.5% | Worse |
| New/worsened incontinence | 25.0% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $10,585
How This Grade Was Calculated
This facility's grade of F is based on a score of 19 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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