Sheridan County, Wyoming · Nursing home
Green House Living for Sheridan
1 of 5 overall from CMS
2311 Shirley Cove, Sheridan, WY 82801
At a glance
- Overall rating 1 of 5 Below the state average of 2.9
- Nurse time per resident, per day 4.53 hours Above the state average of 3.87
- Nursing staff who left in a year 73.5% Above the state average of 51.8%
- Health citations, last 3 inspection cycles 35 4 at the harm level or above
- Fines in 3 years $61,929 3 fines
- Certified beds in use 74.0% of 48 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Green House Living for Sheridan is a 48-bed nursing home in Sheridan, Wyoming (Sheridan County). CMS rates it 1 of 5 stars overall as of Sep 2026. It reports 4.53 nurse staffing hours per resident per day, above the Wyoming average of 3.87. CMS lists 3 fines totaling $61,929 in the past three years.
- Certified beds
- 48
- Residents per day (average)
- 35.5
- Certified since
- 2012 (14 yrs)
For profit - Corporation Participates in Medicare and Medicaid
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Green House Living for Sheridan
Chosen from this home's public data.
- CMS lists 3 fines totaling $61,929 in the past three years. What changed after the most recent one?Penalties in CMS data
- CMS counts 14 health deficiencies in the latest inspection cycle (the standard inspection on Mar 13, 2025 plus complaint and infection-control inspections); the Wyoming average is 7.8. Which have been corrected?Inspection results in CMS data
- Nursing staff turnover is 73.5%, above the Wyoming average of 51.8%. How often would the same aides care for my relative?Turnover in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 1 of 5 Wyoming average 2.9
- Health inspections 1 of 5 Wyoming average 2.7
- Staffing 4 of 5 Wyoming average 3.6
- Quality measures 2 of 5 Wyoming average 3.3
The vertical line marks the Wyoming average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 4.53 h Wyoming average 3.87
- Nurse aides 2.59 h Wyoming average 2.43
- Licensed practical nurses 0.25 h Wyoming average 0.50
- Registered nurses 1.69 h Wyoming average 0.94
- All staff, weekends 4.21 h Wyoming average 3.37
How much nurse staffing is enough? All bars share one scale, 0 to 8 hours. The vertical line marks the Wyoming average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover73.5%
- Wyoming average51.8%
- Registered nurse turnover73.9%
- Wyoming average44.1%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Wyoming and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | Wyoming | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 22.8% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 26.9% | 5.9% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% | 1.5% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 2.6% | 3.1% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.3% | 6.5% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.1% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 8.3% | 4.7% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 66.7% | 94.3% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 11.6% | 15.3% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 13.2% | 15.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.0% | 94.3% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 7.8% | 4.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.7% | 22.7% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 29.6% | 21.8% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.99 | 1.29 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 3.34 | 2.27 | 1.78 |
Short-stay residents
| Measure | This home | Wyoming | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 46.8% | 77.0% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 1.2% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 77.0% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 18.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 16.7% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 35 health deficiencies in the three most recent inspection cycles. Of these, 4 involved actual harm; the rest were graded as no actual harm. 18 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on Nov 19, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Mar 13, 2025 | 14 | 8 |
| Feb 1, 2024 | 7 | 8 |
| Nov 17, 2022 | 14 | 8 |
Wyoming homes averaged 7.8 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (35)
-
EPotential for more than minimal harm, pattern
Ensure each resident receives an accurate assessment.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 20, 2026)
-
DPotential for more than minimal harm, isolated
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Mar 20, 2026)
-
DPotential for more than minimal harm, isolated
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Complaint investigation · Resident Assessment and Care Planning · Deficient, Provider has date of correction (Mar 20, 2026)
-
GActual harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Complaint investigation · Quality of Life and Care · Past Non-Compliance
-
GActual harm, isolated
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · Deficient, Provider has date of correction (Apr 18, 2025)
Show 25 more
-
FPotential for more than minimal harm, widespread
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 16, 2025)
-
FPotential for more than minimal harm, widespread
Implement a program that monitors antibiotic use.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 22, 2025)
-
EPotential for more than minimal harm, pattern
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · Deficient, Provider has date of correction (Apr 18, 2025)
-
EPotential for more than minimal harm, pattern
Provide activities to meet all resident's needs.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (Apr 18, 2025)
-
EPotential for more than minimal harm, pattern
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 22, 2025)
-
EPotential for more than minimal harm, pattern
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Complaint investigation · Infection Control · Deficient, Provider has date of correction (May 22, 2025)
-
DPotential for more than minimal harm, isolated
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · Deficient, Provider has date of correction (May 16, 2025)
-
DPotential for more than minimal harm, isolated
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service · Deficient, Provider has date of correction (Apr 18, 2025)
-
DPotential for more than minimal harm, isolated
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary · Deficient, Provider has date of correction (Apr 18, 2025)
-
CPotential for minimal harm, widespread
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (Apr 16, 2025)
-
EPotential for more than minimal harm, pattern
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Complaint investigation · Environmental · Deficient, Provider has date of correction (May 19, 2024)
-
FPotential for more than minimal harm, widespread
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 4, 2024)
-
FPotential for more than minimal harm, widespread
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.
Complaint investigation · Administration · Deficient, Provider has date of correction (Jul 1, 2024)
-
DPotential for more than minimal harm, isolated
Provide safe and appropriate respiratory care for a resident when needed.
Complaint investigation · Quality of Life and Care · Deficient, Provider has date of correction (May 4, 2024)
-
BPotential for minimal harm, pattern
Post nurse staffing information every day.
Complaint investigation · Nursing and Physician Services · Deficient, Provider has date of correction (May 4, 2024)
-
GActual harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Complaint investigation · Resident Assessment and Care Planning · Past Non-Compliance (Jan 5, 2024)
-
GActual harm, isolated
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Complaint investigation · Quality of Life and Care · Past Non-Compliance (Jan 5, 2024)
-
FPotential for more than minimal harm, widespread
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights · Deficient, Provider has date of correction (Feb 23, 2024)
-
FPotential for more than minimal harm, widespread
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.
Nursing and Physician Services · Deficient, Provider has date of correction (Feb 23, 2024)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Feb 23, 2024)
-
DPotential for more than minimal harm, isolated
Respond appropriately to all alleged violations.
Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Feb 23, 2024)
-
FPotential for more than minimal harm, widespread
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (Dec 9, 2022)
-
EPotential for more than minimal harm, pattern
Implement a program that monitors antibiotic use.
Infection Control · Deficient, Provider has date of correction (Dec 10, 2022)
-
DPotential for more than minimal harm, isolated
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights · Deficient, Provider has date of correction (Dec 9, 2022)
-
DPotential for more than minimal harm, isolated
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.
Resident Rights · Deficient, Provider has date of correction (Dec 11, 2022)
Showing the 30 most recent of 35.
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
| Date | Type | Amount |
|---|---|---|
| Nov 19, 2025 | Fine | $14,773 |
| Mar 13, 2025 | Fine | $40,256 |
| Mar 13, 2025 | Payment Denial | 29 days |
| Feb 1, 2024 | Fine | $6,900 |
| Feb 1, 2024 | Payment Denial | 61 days |
Wyoming homes averaged 1.2 fines and $28,128 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within Wyoming
Common questions
What is the CMS star rating for Green House Living for Sheridan?
Green House Living for Sheridan has an overall rating of 1 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 1, staffing is 4 and quality measures is 2.
How many beds does Green House Living for Sheridan have?
Green House Living for Sheridan has 48 certified beds. It averages 35.5 residents per day, about 74.0% of its certified beds.
How much nursing care do residents get at Green House Living for Sheridan?
The home reports 4.53 hours of nurse staffing per resident per day, including 1.69 hours from registered nurses. The Wyoming average is 3.87 hours and 0.94 hours from registered nurses.
Has Green House Living for Sheridan been fined?
Yes. CMS lists 3 fines totaling $61,929 in the past three years. It also lists 2 payment denials.
Does Green House Living for Sheridan accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 5 of 5 Westview Health Care Center 102beds 63.8%in use 3.50nurse hours a day
- 1 of 5 Big Horn Rehabilitation and Care Center 128beds 53.2%in use 3.28nurse hours a day
- 5 of 5 Amie Holt Care Center 50beds 78.0%in use 4.97nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Sheridan County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 535054. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.