Latest reports, citations, and penalties from CMS data
That is what a federal inspection completed October 23, 2025 found at Big Horn Rehabilitation and Care Center on Big Horn Avenue in Sheridan, Wyoming....
Inspectors documented the resident in the TV area at 10:56 a.m....
Federal regulations establish minimum room sizes in skilled nursing facilities for important health and safety reasons....
Resident #12 was standing close to Resident #51, making noises, while Resident #51 ran their hands all over Resident #12....
The violation was classified at **Scope/Severity Level E**, indicating a pattern of deficiency rather than an isolated incident....
The resident was receiving Cubicin, an antibiotic delivered intravenously every 48 hours to treat osteomyelitis, a serious infection of the bone....
The resident discovered the theft on February 8, 2025, when she found an unusual black card on her bedside table....
The residents affected were described as vulnerable....
The facility has not submitted a plan of correction for the cited violations....
Inspectors determined that the facility's infection control measures did not meet federal standards under this requirement....
The resident, identified in inspection records as R3, was described by staff as interviewable....
Federal inspectors found the facility violated rules designed to prevent unnecessary psychotropic medications during an August complaint investigation....
Resident #1 was admitted to the facility following vascular surgery, with diagnoses including post-surgical recovery, arthritis, and hypertension....
She confirmed she provided no wound care on that wound until September 11....
Federal inspectors flagged the incident during a complaint inspection at Carlyle Senior Care of Aiken in September 2025....
That finding sat at the center of a federal complaint inspection completed September 4, 2025, at the Harrison County nursing home....
Nobody had completed the assessment that would determine whether the facility was actually equipped to care for them....
The citation, classified as carrying minimal harm or potential for actual harm, affected a small number of residents....
The discovery occurred at 11:07 p.m....
On September 17 at 8:12 a.m., inspectors observed nurse #10 remove a Norvasc container from the medication cart for Resident #22....