All citations for Big Horn Rehabilitation and Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Big Horn Rehabilitation and Care Center

Last standard health inspection on record

May 7, 2026

Showing 1 to 25 of 46 citations

  1. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of October 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 21, 2025).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of October 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 21, 2025).

  3. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of December 21, 2023. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (November 30, 2023).

  4. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Widespread (many residents). CMS level F.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of May 7, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  5. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of February 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 10, 2026).

  6. No harm, with potential for more than minimal harm

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0561, Resident Rights Deficiencies. Inspection of May 7, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  7. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of May 7, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  8. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  9. No harm, with potential for more than minimal harm

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0849, Administration Deficiencies. Inspection of May 7, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  10. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  11. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0883, Infection Control Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  12. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 10, 2026).

  13. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of October 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 21, 2025).

  14. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of October 23, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 21, 2025).

  15. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 30, 2025).

  16. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 30, 2025).

  17. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of November 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 2, 2024).

  18. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 7, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 6, 2024).

  19. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0576, Resident Rights Deficiencies. Inspection of September 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2024).

  20. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of September 13, 2024. Found during a standard inspection.

    The home has a plan to correct it (October 7, 2024).

  21. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of September 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 2, 2024).

  22. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 13, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 7, 2024).

  23. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 10, 2024).

  24. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

  25. No harm, with potential for more than minimal harm

    Respond appropriately to all alleged violations.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0610, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 7, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 11, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.