Hearth Record

Green House Living for Sheridan

A nursing home in Sheridan, Wyoming 82801

2311 Shirley Cove, Sheridan, Wyoming 82801. (307) 672-0600.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 26 citations in 6 months of the last 36. Last cited Feb 2026. Most serious: actual harm (G). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

14 health citations at the latest inspection cycle

The Wyoming average is 7.9.

Last standard inspection Mar 13, 2025.

Most serious in three years: actual harm (G), at a complaint inspection on Nov 19, 2025

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

26 citations in 6 months of the last 36. Last cited Feb 2026. Most serious: actual harm (G). The last 3 years, to Nov 5, 2026.

26 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 26 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 18 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Feb 3, 2026: complaint inspection3 citations

  • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Rule F0600. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 20, 2026.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 20, 2026.

  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Rule F0657. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Mar 20, 2026.

Nov 19, 2025: complaint inspection1 citation

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. G: actual harm. From a complaint.

Mar 13, 2025: standard inspection5 citations

  • Provide enough food/fluids to maintain a resident’s health.

    Rule F0692. G: actual harm. Correction date, as CMS recorded it: Apr 18, 2025.

  • Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Rule F0550. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2025.

  • Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Rule F0744. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: May 16, 2025.

  • Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Rule F0757. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2025.

  • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Rule F0804. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Apr 18, 2025.

Mar 13, 2025: standard and complaint inspection5 citations

  • Provide activities to meet all resident’s needs.

    Rule F0679. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 18, 2025.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 22, 2025.

  • Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Rule F0882. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 16, 2025.

  • Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Rule F0883. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 22, 2025.

  • Verify that a nurse aide has been trained; and if they haven’t worked as a nurse aide for 2 years, receive retraining.

    Rule F0729. C: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 16, 2025.

Mar 13, 2025: complaint inspection1 citation

  • Implement a program that monitors antibiotic use.

    Rule F0881. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 22, 2025.

Apr 4, 2024: complaint inspection1 citation

  • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Rule F0921. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 19, 2024.

Mar 20, 2024: complaint inspection4 citations

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 4, 2024.

  • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Rule F0725. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: May 4, 2024.

  • 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.

    Rule F0837. F: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 1, 2024.

  • Post nurse staffing information every day.

    Rule F0732. B: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: May 4, 2024.

Feb 1, 2024: standard inspection3 citations

  • Ensure residents have reasonable access to and privacy in their use of communication methods.

    Rule F0576. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

  • 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.

    Rule F0727. F: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Feb 23, 2024.

Feb 1, 2024: standard and complaint inspection3 citations

  • Ensure services provided by the nursing facility meet professional standards of quality.

    Rule F0658. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jan 5, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. G: actual harm. From a complaint. Correction date, as CMS recorded it: Jan 5, 2024.

  • Respond appropriately to all alleged violations.

    Rule F0610. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 23, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Aug 20, 2012.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as for profit, corporation.
  • 48 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 3 fines in the last three years, $62,210 in all.
  • 2 Medicare payment denials in the last three years.
  • 18 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Nov 19, 2025Fine$15,054
Mar 13, 2025Medicare payment denialNot given
Mar 13, 2025Fine$40,256
Feb 1, 2024Medicare payment denialNot given
Feb 1, 2024Fine$6,900

Who does the caring?

5.85 nurse hours per resident per day

The Wyoming average is 3.98.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeWyoming average
Nurse hours per resident per day5.853.98
Of which registered nurses2.140.96
At weekends5.013.38
Nursing staff turnover74%52.1%
Registered nurse turnover63.6%44.8%
Administrators who left1Not given

Who owns it?

  • Alternative Elder Living Inc. owns 100% directly since May 1, 2007.
  • Alternative Elder Living Inc. and Memorial Hospital of Sheridan County run it.
  • 61 owners or officers are people: Kevin Kessner (runs it (operational or managerial control)); Kevin Kessner (additional disclosable party (controls, leases property to, or provides services to the home)); Cody Sinclair (runs it (operational or managerial control)); Cody Sinclair (additional disclosable party (controls, leases property to, or provides services to the home)); Jerry Davis (runs it (operational or managerial control)); Jerry Davis (additional disclosable party (controls, leases property to, or provides services to the home)); Kimberlee D Williams (corporate director, 0%); Kimberlee D Williams (runs it (operational or managerial control)); Kimberlee D Williams (on the governing body (managing control)); Kimberlee D Williams (additional disclosable party (controls, leases property to, or provides services to the home)); Sierra Dawn Gross (runs it (operational or managerial control)); Sierra Dawn Gross (additional disclosable party (controls, leases property to, or provides services to the home)); Erin Oetken (corporate director); Erin Oetken (runs it (operational or managerial control)); Erin Oetken (on the governing body (managing control)); Erin Oetken (additional disclosable party (controls, leases property to, or provides services to the home)); Richard Garber (runs it (operational or managerial control)); Richard Garber (additional disclosable party (controls, leases property to, or provides services to the home)); Brock Boedecker (corporate director); Brock Boedecker (runs it (operational or managerial control)); Brock Boedecker (on the governing body (managing control)); Brock Boedecker (additional disclosable party (controls, leases property to, or provides services to the home)); Cathy Bealer (runs it (operational or managerial control)); Cathy Bealer (additional disclosable party (controls, leases property to, or provides services to the home)); Catherine Wallick (corporate director, 0%); Catherine Wallick (runs it (operational or managerial control)); Catherine Wallick (on the governing body (managing control)); Catherine Wallick (additional disclosable party (controls, leases property to, or provides services to the home)); Dawn Morgan (runs it (operational or managerial control)); Dawn Morgan (on the governing body (managing control)); Dawn Morgan (additional disclosable party (controls, leases property to, or provides services to the home)); Michael Mccafferty (runs it (operational or managerial control)); Michael Mccafferty (on the governing body (managing control)); Michael Mccafferty (additional disclosable party (controls, leases property to, or provides services to the home)); Shirley Coulter (runs it (operational or managerial control)); Shirley Coulter (additional disclosable party (controls, leases property to, or provides services to the home)); Tobie Alsup (runs it (operational or managerial control)); Tobie Alsup (additional disclosable party (controls, leases property to, or provides services to the home)); Nathan Stutte (runs it (operational or managerial control)); Nathan Stutte (on the governing body (managing control)); Nathan Stutte (additional disclosable party (controls, leases property to, or provides services to the home)); Rosemary Rieder (corporate director); Rosemary Rieder (runs it (operational or managerial control)); Rosemary Rieder (on the governing body (managing control)); Rosemary Rieder (additional disclosable party (controls, leases property to, or provides services to the home)); Allison Dawson (runs it (operational or managerial control)); Allison Dawson (on the governing body (managing control)); Allison Dawson (additional disclosable party (controls, leases property to, or provides services to the home)); Jennifer Shassetz (runs it (operational or managerial control)); Jennifer Shassetz (additional disclosable party (controls, leases property to, or provides services to the home)); Tonya Carlson (runs it (operational or managerial control)); Tonya Carlson (on the governing body (managing control)); Tonya Carlson (additional disclosable party (controls, leases property to, or provides services to the home)); Tenille Straley (runs it (operational or managerial control)); Tenille Straley (additional disclosable party (controls, leases property to, or provides services to the home)); Elizabeth Maguire (corporate director, 0%); Elizabeth Maguire (runs it (operational or managerial control)); Elizabeth Maguire (on the governing body (managing control)); Elizabeth Maguire (additional disclosable party (controls, leases property to, or provides services to the home)); Ron Mischke (runs it (operational or managerial control)); Ron Mischke (additional disclosable party (controls, leases property to, or provides services to the home)).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Alternative Elder Living Inc.Owns 5% or more directly100%May 1, 2007
Alternative Elder Living Inc.Runs it (operational or managerial control)May 1, 2007
Memorial Hospital of Sheridan CountyRuns it (operational or managerial control)May 6, 2024
Memorial Hospital of Sheridan CountyAdditional disclosable party (controls, leases property to, or provides services to the home)May 20, 2025

How do residents fare?

  • CMS rates its quality measures 1 of 5 (Wyoming average 3.3).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating1 of 5
Health inspections1 of 5
Staffing4 of 5
Quality measures1 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 88.6 miles, this one had the 3rd most health citations at the latest inspection cycle (14; the middle value was 5.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Green House Living for Sheridan This nursing home14
Westview Health Care Center0.61
Big Horn Rehabilitation and Care Center0.830
Amie Holt Care Center32.82
Wyoming Veterans’ Skilled Nursing Facility33.29
Awe Kualawaache Care Center60.25
Wyoming Retirement Center60.35
New Horizons Care Center69.76
Worland Health and Rehabilitation71.816
The Legacy Living and Rehabilitation Center80.86
Powell Valley Care Center88.32
Powder River Manor88.64

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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