Green House Living for SheridanCMS ratings, inspections and fines
- Address
- 2311 Shirley Cove, Sheridan, WY 82801
- CCN
- 535054
- Ownership type
- For-profit, corporation
- Certified beds
- 48
- Chain
- None in the CMS record
- Residents per day
- 36
- CMS flags
- Special Focus Facility candidate
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Green House Living for Sheridan an overall rating of 1 of 5 stars. The last standard survey was on 13 Mar 2025. The latest survey cycle has 14 health citations. The median for nursing homes in Wyoming is 6. CMS lists 3 fines with a total of $61,929 for this home in its penalties file. CMS also lists 2 payment denials.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Sheridan County median | Wyoming median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 1.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 1.0 | 3.0 | 2.8 |
| Staffing rating | 4 | 3.0 | 4.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 3 homes in the county, 36 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Wyoming median |
|---|---|---|---|
| Cycle 1 (latest) | 13 Mar 2025 | 14 | 6 |
| Cycle 2 | 1 Feb 2024 | 7 | 5 |
| Cycle 3 | No date | 14 | 6 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 |
Survey cycle 1 (latest): 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 3 Feb 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 20 Mar 2026 |
| 3 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 20 Mar 2026 |
| 3 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 20 Mar 2026 |
| 19 Nov 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | Past Non-Compliance |
| 13 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 18 Apr 2025 |
| 13 Mar 2025 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 18 Apr 2025 |
| 13 Mar 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | G | Standard survey | 18 Apr 2025 |
| 13 Mar 2025 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 22 May 2025 |
| 13 Mar 2025 | F0729 | Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | C | Complaint investigation | 16 Apr 2025 |
| 13 Mar 2025 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 16 May 2025 |
| 13 Mar 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 18 Apr 2025 |
| 13 Mar 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard survey | 18 Apr 2025 |
| 13 Mar 2025 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Complaint investigation | 16 May 2025 |
| 13 Mar 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Complaint investigation | 22 May 2025 |
Survey cycle 2: 7 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Mar 2025 | F0881 | Implement a program that monitors antibiotic use. | F | Complaint investigation | 22 May 2025 |
| 1 Feb 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | F | Standard survey | 23 Feb 2024 |
| 1 Feb 2024 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 23 Feb 2024 |
| 1 Feb 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G | Complaint investigation | 5 Jan 2024 |
| 1 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint investigation | 5 Jan 2024 |
| 1 Feb 2024 | F0727 | 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. | F | Standard survey | 23 Feb 2024 |
| 1 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 23 Feb 2024 |
Survey cycle 3: 14 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Apr 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 19 May 2024 |
| 20 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 4 May 2024 |
| 20 Mar 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint investigation | 4 May 2024 |
| 20 Mar 2024 | F0732 | Post nurse staffing information every day. | B | Complaint investigation | 4 May 2024 |
| 20 Mar 2024 | F0837 | 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. | F | Complaint investigation | 1 Jul 2024 |
| 17 Nov 2022 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 9 Dec 2022 |
| 17 Nov 2022 | F0625 | 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. | D | Standard survey | 11 Dec 2022 |
| 17 Nov 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 8 Dec 2022 |
| 17 Nov 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 19 Jan 2023 |
| 17 Nov 2022 | F0758 | 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. | D | Standard survey | 10 Dec 2022 |
| 17 Nov 2022 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | D | Standard survey | 9 Dec 2022 |
| 17 Nov 2022 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 9 Dec 2022 |
| 17 Nov 2022 | F0881 | Implement a program that monitors antibiotic use. | E | Standard survey | 10 Dec 2022 |
| 17 Nov 2022 | F0888 | Ensure staff are vaccinated for COVID-19 | C | Standard survey | 10 Dec 2022 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 19 Nov 2025 | Fine | $14,773 | |
| 13 Mar 2025 | Fine | $40,256 | |
| 13 Mar 2025 | Payment denial | 29 | |
| 1 Feb 2024 | Fine | $6,900 | |
| 1 Feb 2024 | Payment denial | 61 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Wyoming median | Wyoming average (CMS) |
|---|---|---|---|
| All nurse staff | 4.53 | 3.60 | 3.87 |
| Registered nurses (RN) | 1.69 | 0.80 | 0.94 |
| Licensed practical nurses (LPN) | 0.25 | 0.50 | |
| Nurse aides | 2.59 | 2.43 | |
| All nurse staff, weekends | 4.21 | 3.20 | 3.37 |
- Nurse staff turnover in a year
- 73.5%
- Nurse staff turnover, Wyoming median
- 48.3%
- RN turnover in a year
- 73.9%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Wyoming median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.8% | 17.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.2% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.6% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 8.3% | 3.9% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.6% | 15.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.8% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 29.6% | 19.2% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Alternative Elder Living Inc
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Alternative Elder Living Inc | 5% or greater direct ownership interest | 100% | 1 May 2007 |
| Alternative Elder Living Inc | Operational/managerial control | 1 May 2007 | |
| Memorial Hospital of Sheridan County | Operational/managerial control | 6 May 2024 | |
| Memorial Hospital of Sheridan County | Adp of the snf | 20 May 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Sheridan County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Westview Health Care Center | Sheridan | 5 of 5 | 1 | $0 | 14 Feb 2025 | |
| Big Horn Rehabilitation and Care CenterSpecial Focus candidate | Sheridan | 1 of 5 | 30 | $7,163 | 7 May 2026 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Wyoming Department of Health: complaintsThe complaint page of the State Survey Agency for Wyoming, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Green House Living for Sheridan (CCN 535054). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/green-house-living-for-sheridan-sheridan-wy-535054/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Green House Living for Sheridan last inspected?
- The latest inspection with a citation in the CMS record was on 3 Feb 2026. It was a complaint investigation. It gave 3 citations. The standard survey before the last one was on 1 Feb 2024.
- Who operates Green House Living for Sheridan?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists no chain for the home. The CMS ownership file names Alternative Elder Living Inc and Memorial Hospital of Sheridan County for operational or managerial control. This site does not show the names of persons.
- What does the Special Focus status mean for Green House Living for Sheridan?
- CMS lists the home as a Special Focus Facility candidate. The state selects its next Special Focus Facility from the candidates. CMS lists 1 home in Wyoming as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.