Big Horn Rehabilitation and Care Center
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 23 Google reviews
Watch Big Horn Rehabilitation and Care Center
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (17 vs median 5.0)
- High staff turnover (65%)
- High RN turnover (67%)
Bottom 25% in WY · Below recommended RN staffing · $10,585 in fines · Special Focus Facility (CMS)
What this means for your family
The facility has shown a positive trend in staff engagement and family communication over the last few years, making it a strong candidate for rehabilitation. However, because recent reports still mention cleanliness and staff professionalism issues, we strongly recommend visiting during off-peak hours to observe the environment firsthand.
Google Reviews
Google Reviews
23 reviews analyzed“Big Horn Rehabilitation and Care Center receives polarized feedback, with recent reviews highlighting a warm, caring staff and effective physical therapy, while older and some critical reviews point to facility maintenance issues and inconsistent rehabilitation intensity. Families should be aware that while many report a compassionate environment, there are specific concerns regarding facility cleanliness and professional conduct during off-hours.”
Quality Themes
Tap a score for detailsStrengths
- Warm, compassionate nursing staff
- Effective physical therapy team
- Strong sense of community and family atmosphere
- Improved communication and resident engagement
Concerns
- Facility cleanliness and odors (mentioned by 2 reviewers)
- Inconsistent rehabilitation therapy frequency (mentioned by 2 reviewers)
- Unprofessional staff behavior (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1Given the recent focus on improving resident engagement, what specific daily activities or social programs are currently most popular among residents?
- 2I noticed some feedback regarding facility maintenance; what is your current protocol for ensuring consistent cleanliness and odor control throughout the building?
- 3With the rehabilitation team being a highlight for many, how do you manage scheduling to ensure therapy sessions remain consistent and on track for each resident?
- 4I see that you actively engage with families online; how do you utilize that same transparent communication style when addressing concerns or updates regarding a resident's daily care?
- 5Considering the recent staffing ratings, what steps are you taking to ensure that all team members maintain the high level of professionalism and compassion that many families have praised?
- 6In the event of a medical emergency, what is the specific protocol for notifying family members and coordinating with local hospitals to ensure continuity of care?
Personalized based on this facility's data
Key Review Excerpts
“The staff is all incredibly kind and caring. The physical therapists have been wonderful. They are encouraging and patient and my mom has made great improvements under their care.”
“Although it is an “older” building, please don’t let that sway your decision as they are currently remodeling. The most important thing is, the care and the customer service is exceptional.”
“My aunt came for therapy, a few months ago and was very reluctant to go. Now, she and my family couldn’t be happier. The staff is very caring, kind and respectful.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
7
measures
3
measures
Residents vaccinated for the flu
Residents needing more daily help over time
Residents on antipsychotic medication
Residents who lost too much weight
Residents with depression symptoms
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has significant concerns with 19 complaint-triggered deficiencies showing families have repeatedly filed reports about serious issues. Problems persist across multiple areas including protection from abuse and neglect, nursing staffing adequacy, and daily care assistance. Recent complaints in 2025 indicate ongoing issues with abuse protection and staff reporting that haven't been fully resolved despite corrections.
Feb 5, 2026Complaint5
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Oct 23, 2025Complaint6
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Oct 8, 2025Complaint5
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Jan 15, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nov 7, 2024Complaint3
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Sep 13, 2024Routine9
Gas, Vacuum, and Electrical Systems Deficiencies
Meet requirements for the installation and maintenance of electrical systems.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Pharmacy Service Deficiencies
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Construct fire resistant interior walls.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Federal Penalties
Payment Denial
Oct 8, 2025
8-day denial
Fine
Dec 21, 2023
$7,163
Ownership & Operations
Who Operates This Facility
Big Horn Rehabilitation and Care Center
for profit
Ownership & Management
Owners
North Big Horn Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
23 reviews from families & visitors
Official Website
Visit bighornhc.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
Safer Alternatives Nearby
Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.