Green House Living for Sheridan
2311 Shirley Cove, Sheridan, WY 82801307672060048 certified beds · 36 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
7
since 2022
Deficiencies
35
● 3● 28● 4
Penalties · 3 yrs
$61,929
3 fines · 2 actions
Last survey
2026-02-03
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Wyoming Healthcare Licensing and Surveys · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-02-03 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-11-19 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-03-13 | Standard | 191 | CMS-2567 (Care Compare) | — |
| 2024-04-04 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2024-03-20 | Complaint | 130 | CMS-2567 (Care Compare) | — |
| 2024-02-01 | Standard | 042 | CMS-2567 (Care Compare) | — |
| 2022-11-17 | Standard | 180 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Wyoming Healthcare Licensing and Surveys publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 535054-20260203-F600
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 535054-20260203-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-20Record 535054-20260203-F657
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Correction not yet recordedRecord 535054-20251119-F689
F692Provide enough food/fluids to maintain a resident's health.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-04-18Record 535054-20250313-F692
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-18Record 535054-20250313-F550
F679Provide activities to meet all resident's needs.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-04-18Record 535054-20250313-F679
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 535054-20250313-F725
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 535054-20250313-F744
F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-18Record 535054-20250313-F757
F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-18Record 535054-20250313-F804
F881Implement a program that monitors antibiotic use.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 535054-20250313-F881
F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-05-16Record 535054-20250313-F882
F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-22Record 535054-20250313-F883
F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2025-04-16Record 535054-20250313-F729
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-05-19Record 535054-20240404-F921
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 535054-20240320-F695
F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-05-04Record 535054-20240320-F725
F837Establish 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.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-01Record 535054-20240320-F837
F732Post nurse staffing information every day.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2024-05-04Record 535054-20240320-F732
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity GHarm
Care planningRecords
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-05Record 535054-20240201-F658
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-01-05Record 535054-20240201-F684
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity FStandard
Dignity & rights
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 535054-20240201-F576
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 535054-20240201-F610
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 535054-20240201-F727
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-23Record 535054-20240201-F880
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-09Record 535054-20221117-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-11Record 535054-20221117-F625
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-08Record 535054-20221117-F656
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-01-19Record 535054-20221117-F689
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-10Record 535054-20221117-F758
F865Have a plan that describes the process for conducting QAPI and QAA activities.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2022-12-09Record 535054-20221117-F865
F880Provide and implement an infection prevention and control program.Scope/severity FStandard
Infection control
Widespread; no actual harm, potential for more than minimal harm.Corrected 2022-12-09Record 535054-20221117-F880
F881Implement a program that monitors antibiotic use.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2022-12-10Record 535054-20221117-F881
F888Ensure staff are vaccinated for COVID-19Scope/severity CPaperwork
Infection control
Widespread; potential for minimal harm.Corrected 2022-12-10Record 535054-20221117-F888
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-11-19 | Civil money penalty | $14,773 | CMS · Penalties |
| 2025-03-13 | Civil money penalty | $40,256 | CMS · Penalties |
| 2025-03-13 | Denial of payment for new admissions Payment denial for 29 days, from 2025-05-08 | — | CMS · Penalties |
| 2024-02-01 | Civil money penalty | $6,900 | CMS · Penalties |
| 2024-02-01 | Denial of payment for new admissions Payment denial for 61 days, from 2024-05-01 | — | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.69
Facility
Wyoming
National
Wyoming 0.94 · National 0.69
Total nurse hours per resident day4.53
Facility
Wyoming
National
Wyoming 3.87 · National 3.86
Weekend total nurse hours4.21
Facility
Wyoming
National
Wyoming 3.37 · National 3.42
Total nursing staff turnover74%
Facility
Wyoming
National
Wyoming 52% · National 46%
Registered nurse turnover74%
Facility
Wyoming
National
Wyoming 44% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Wyoming | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 7.8% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 8.3% | 4.7% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 29.6% | 21.8% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 2.6% | 3.1% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 22.8% | 16.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 26.9% | 5.9% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 13.2% | 15.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Alternative Elder Living Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Alsup, Tobie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Alternative Elder Living Inc Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bealer, Cathy Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Boedecker, Brock Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Carlson, Tonya Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Coulter, Shirley Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Davis, Jerry Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Dawson, Allison Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Garber, Richard Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Gross, Sierra Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Kessner, Kevin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Maguire, Elizabeth Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mccafferty, Michael Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Memorial Hospital Of Sheridan County Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Mischke, Ron Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Morgan, Dawn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Oetken, Erin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rieder, Rosemary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Shassetz, Jennifer Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sinclair, Cody Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Straley, Tenille Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stutte, Nathan Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Wallick, Catherine Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Williams, Kimberlee Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Alsup, Tobie Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bealer, Cathy Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boedecker, Brock Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Boedecker, Brock Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Boedecker, Brock Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Carlson, Tonya Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Carlson, Tonya Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Coulter, Shirley Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Davis, Jerry Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dawson, Allison Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Dawson, Allison Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Garber, Richard Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gross, Sierra Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Kessner, Kevin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Maguire, Elizabeth Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Maguire, Elizabeth Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Maguire, Elizabeth Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Mccafferty, Michael Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Mccafferty, Michael Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Memorial Hospital Of Sheridan County Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Mischke, Ron Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Morgan, Dawn Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Morgan, Dawn Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Oetken, Erin Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Oetken, Erin Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Oetken, Erin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rieder, Rosemary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rieder, Rosemary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rieder, Rosemary Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Shassetz, Jennifer Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sinclair, Cody Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Straley, Tenille Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stutte, Nathan Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stutte, Nathan Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wallick, Catherine Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Wallick, Catherine Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Wallick, Catherine Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Williams, Kimberlee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Williams, Kimberlee Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Williams, Kimberlee Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wyoming.
No county cost figures on file for Sheridan.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Westview Health Care Center Sheridan | 0.6 mi | 2026-04-02 | 011 |
| Big Horn Rehabilitation and Care Center Sheridan | 0.8 mi | 2026-05-07 | 1423 |
| Wyoming Veterans' Skilled Nursing Facility Buffalo | 33.2 mi | 2026-01-23 | 1141 |
| Amie Holt Care Center Buffalo | 32.8 mi | 2025-04-24 | 160 |
| Awe Kualawaache Care Center Crow Agency | 60.2 mi | 2026-06-04 | 1170 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |