Green House Living for Sheridan

2311 Shirley Cove · Sheridan, WY · 82801 · 3076720600

48 certified beds For profit - Corporation

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $55,029 in fines in the last 24 months.
  • 4 citations involved actual harm to residents.
  • Staffing hours comfortably above national benchmarks.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

Special Focus Facility candidate

CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

2 actual-harm citations in the most recent cycle

Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.

$55,029 in federal fines in the last 24 months

2 fines — CMS fines are reserved for verified, serious non-compliance.

71% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 37
Serious harm & abuse 20% 76
Staffing 20% 88
Federal penalties 15% 5
Trend 10% 66
Context 5% 35

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day5.633.48 min · 4.1 strong
RN hours / resident-day2.170.55–0.75
Weekend hours / resident-day5.16≈ weekday level
Nursing turnover / year71%median 45%
Fines (3-yr window)3 · $61,929

Inspection citations (35 in the current record)

  • Potential for harm · D February 3, 2026 · found via complaint

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Corrected March 20, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E February 3, 2026 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected March 20, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D February 3, 2026 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 20, 2026 · Resident Assessment and Care Planning

  • Actual harm · G November 19, 2025 · found via complaint

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

    Past Non-Compliance · Quality of Life and Care

  • Actual harm · G March 13, 2025

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

    Corrected April 18, 2025 · Quality of Life and Care

  • Potential for harm · E March 13, 2025

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

    Corrected April 18, 2025 · Resident Rights

  • Potential for harm · D March 13, 2025

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

    Corrected May 16, 2025 · Quality of Life and Care

  • Potential for harm · D March 13, 2025

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

    Corrected April 18, 2025 · Pharmacy Service

  • Potential for harm · D March 13, 2025

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

    Corrected April 18, 2025 · Nutrition and Dietary

  • Potential for harm · E March 13, 2025 · found via complaint

    Provide activities to meet all resident's needs.

    Corrected April 18, 2025 · Quality of Life and Care

  • Potential for harm · E March 13, 2025 · found via complaint

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

    Corrected May 22, 2025 · Nursing and Physician Services

  • Potential for harm · F March 13, 2025 · found via complaint

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

    Corrected May 16, 2025 · Infection Control

  • Potential for harm · E March 13, 2025 · found via complaint

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

    Corrected May 22, 2025 · Infection Control

  • Potential for harm · F March 13, 2025 · found via complaint

    Implement a program that monitors antibiotic use.

    Corrected May 22, 2025 · Infection Control

  • No harm found · C March 13, 2025 · found via complaint

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

    Corrected April 16, 2025 · Nursing and Physician Services

  • Potential for harm · E April 4, 2024 · found via complaint

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

    Corrected May 19, 2024 · Environmental

  • Potential for harm · D March 20, 2024 · found via complaint

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

    Corrected May 4, 2024 · Quality of Life and Care

  • Potential for harm · F March 20, 2024 · found via complaint

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

    Corrected May 4, 2024 · Nursing and Physician Services

  • Potential for harm · F March 20, 2024 · found via complaint

    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 July 1, 2024 · Administration

  • No harm found · B March 20, 2024 · found via complaint

    Post nurse staffing information every day.

    Corrected May 4, 2024 · Nursing and Physician Services

  • Actual harm · G February 1, 2024 · found via complaint

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

    Corrected January 5, 2024 · Resident Assessment and Care Planning

  • Actual harm · G February 1, 2024 · found via complaint

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

    Corrected January 5, 2024 · Quality of Life and Care

  • Potential for harm · F February 1, 2024

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

    Corrected February 23, 2024 · Resident Rights

  • Potential for harm · F February 1, 2024

    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 February 23, 2024 · Nursing and Physician Services

  • Potential for harm · E February 1, 2024

    Provide and implement an infection prevention and control program.

    Corrected February 23, 2024 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
November 19, 2025Fine$14,773
March 13, 2025Fine$40,256
March 13, 2025Payment Denial29 days
February 1, 2024Fine$6,900
February 1, 2024Payment Denial61 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 535054 · certified since August 20, 2012. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.