LIFE BYVardellNursing Home
Report

TheVardellReport

Green House Living for Sheridan

Skilled nursing facility and nursing facility

2311 Shirley Cove
Sheridan, WY 82801

Report Date
Nov 1, 2026
Data Through
Oct 1, 2026
Report ID
VR-WY-535054-2611
← Green House Living for Sheridan, free profile

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The Vardell Report.Green House Living for Sheridan

The deeper story, beautifully organized. Available records, historical context, and questions worth asking.

Provider Category
Nursing home
Location
Sheridan, WY
Record Period
2022–2026
Source Documents
9
Read the report

This report is free. Vardell does not certify, grade or endorse; it shows what the record documents.

01

The Essentials

Summary

Across 7 inspections from November 2022 to February 2026, state surveyors documented 35 findings at Green House Living for Sheridan; 34 have a recorded correction and 1 awaits one; CMS lists 5 enforcement actions in the window.

Inspections
7
2022–2026, complaint and standard
Findings
35
Deficiencies cited by state inspectors
Corrected
34
Of 35 findings, with a recorded correction date
Penalties
5
3 fines; payment not published, 2 closed

Findings by Year

  • Findings
  • Of which, actual harm (level G or above)
2022: 9 findings across 1 inspection920221 inspection2023: 0 findings across 0 inspections020230 inspections2024: 11 findings across 3 inspections; of which, actual harm (level G or above): 21120243 inspections2025: 12 findings across 2 inspections; of which, actual harm (level G or above): 21220252 inspections2026: 3 findings across 1 inspection32026*1 inspection2022: 9 findings across 1 inspection920221 insp.2023: 0 findings across 0 inspections020230 insp.2024: 11 findings across 3 inspections; of which, actual harm (level G or above): 21120243 insp.2025: 12 findings across 2 inspections; of which, actual harm (level G or above): 21220252 insp.2026: 3 findings across 1 inspection32026*1 insp.

* Partial year, through October 1, 2026.

Findings by year
YearInspectionsFindingsOf which, actual harm (level G or above)
2022190
2023000
20243112
20252122
2026130

What the Record Shows

  • 34 of 35 findings have a recorded correction date.
  • CMS lists 5 enforcement actions in the window: 3 fines totaling $62,210, their payment not published; denial of payment imposed March 13, 2025, ended June 6, 2025; denial of payment imposed February 1, 2024, ended July 1, 2024.
  • 6 visits in this window included a complaint investigation. CMS publishes what a complaint investigation cited, not what the complaint alleged.
  • The latest standard inspection, March 13, 2025, recorded 11 findings (most serious: Level G).
02

Chronology

Inspection History

Every inspection in the record window, newest first. A finding is a deficiency an inspector cited. CMS publishes what a complaint investigation cited, not what the complaint alleged.

  1. 2026

    Complaint investigation

    3 findings

    • F641Ensure each resident receives an accurate assessment.Level ENo actual harm, potential for moreCorrected Mar 20, 2026
    • F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Level DNo actual harm, potential for moreCorrected Mar 20, 2026
    • F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Level DNo actual harm, potential for moreCorrected Mar 20, 2026

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  2. 2025

    Complaint investigation

    1 finding

    • F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level GActual harmPast Non-Compliance

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  3. 2025

    Standard health inspection

    11 findings

    The same visit included a complaint investigation.

    • F692Provide enough food/fluids to maintain a resident's health.Level GActual harmCorrected Apr 18, 2025
    • F882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.Level FNo actual harm, potential for moreCorrected May 16, 2025
    • F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Level ENo actual harm, potential for moreCorrected Apr 18, 2025
    • F679Provide activities to meet all resident's needs.Level ENo actual harm, potential for moreCorrected Apr 18, 2025
    • F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Level ENo actual harm, potential for moreCorrected May 22, 2025
    • F883Develop and implement policies and procedures for flu and pneumonia vaccinations.Level ENo actual harm, potential for moreCorrected May 22, 2025
    • F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Level DNo actual harm, potential for moreCorrected May 16, 2025
    • F757Ensure each resident’s drug regimen must be free from unnecessary drugs.Level DNo actual harm, potential for moreCorrected Apr 18, 2025
    • F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Level DNo actual harm, potential for moreCorrected Apr 18, 2025
    • F729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.Level CPotential for minimal harmCorrected Apr 16, 2025
    • F881Implement a program that monitors antibiotic use.Level FNo actual harm, potential for moreCorrected May 22, 2025

    Enforcement Action

    Civil money penalty, $40,256 imposed March 13, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of March 13, 2025, the nearest before the penalty date.

    Enforcement Action

    Denial of payment imposed March 13, 2025. Status: Closed, June 6, 2025. CMS does not tie a penalty to a survey; listed with the standard health inspection of March 13, 2025, the nearest before the penalty date.

    Enforcement Action

    Civil money penalty, $15,054 imposed November 19, 2025. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of March 13, 2025, the nearest before the penalty date.

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  4. 2024

    Complaint investigation

    1 finding

    • F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Level ENo actual harm, potential for moreCorrected May 19, 2024

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  5. 2024

    Complaint investigation

    4 findings

    • F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Level FNo actual harm, potential for moreCorrected May 4, 2024
    • 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.Level FNo actual harm, potential for moreCorrected Jul 1, 2024
    • F695Provide safe and appropriate respiratory care for a resident when needed.Level DNo actual harm, potential for moreCorrected May 4, 2024
    • F732Post nurse staffing information every day.Level BPotential for minimal harmCorrected May 4, 2024

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  6. 2024

    Standard health inspection

    6 findings

    The same visit included a complaint investigation.

    • F658Ensure services provided by the nursing facility meet professional standards of quality.Level GActual harmCorrected Jan 5, 2024
    • F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Level GActual harmCorrected Jan 5, 2024
    • F576Ensure residents have reasonable access to and privacy in their use of communication methods.Level FNo actual harm, potential for moreCorrected Feb 23, 2024
    • 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.Level FNo actual harm, potential for moreCorrected Feb 23, 2024
    • F880Provide and implement an infection prevention and control program.Level ENo actual harm, potential for moreCorrected Feb 23, 2024
    • F610Respond appropriately to all alleged violations.Level DNo actual harm, potential for moreCorrected Feb 23, 2024

    Enforcement Action

    Civil money penalty, $6,900 imposed February 1, 2024. CMS publishes the fine, not whether it has been paid. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 1, 2024, the nearest before the penalty date.

    Enforcement Action

    Denial of payment imposed February 1, 2024. Status: Closed, July 1, 2024. CMS does not tie a penalty to a survey; listed with the standard health inspection of February 1, 2024, the nearest before the penalty date.

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

  7. 2022

    Standard health inspection

    9 findings

    • F880Provide and implement an infection prevention and control program.Level FNo actual harm, potential for moreCorrected Dec 9, 2022
    • F881Implement a program that monitors antibiotic use.Level ENo actual harm, potential for moreCorrected Dec 10, 2022
    • F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Level DNo actual harm, potential for moreCorrected Dec 9, 2022
    • 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.Level DNo actual harm, potential for moreCorrected Dec 11, 2022
    • F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Level DNo actual harm, potential for moreCorrected Dec 8, 2022
    • F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Level DNo actual harm, potential for moreCorrected Jan 19, 2023
    • 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.Level DNo actual harm, potential for moreCorrected Dec 10, 2022
    • F865Have a plan that describes the process for conducting QAPI and QAA activities.Level DNo actual harm, potential for moreCorrected Dec 9, 2022
    • F888Ensure staff are vaccinated for COVID-19Level CPotential for minimal harmCorrected Dec 10, 2022

    Source: Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

Severity levels follow the CMS scope and severity grid. A–C: potential for minimal harm. D–F: no actual harm, potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy.

03

Context

Patterns Worth Examining

A repeated citation can merit attention, but context and corrective action must be reviewed before drawing a conclusion.

  1. 1

    Nursing Staff Levels, Cited in Two Inspections

    Inspectors cited F725 in March 2024 and March 2025. This citation covers whether there are enough nurses and aides to meet residents’ needs, with a licensed nurse in charge on each shift. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    22242424252526F725 across all 7 inspections, oldest to newest
  2. 2

    Infection Control, Cited in Two Inspections

    Inspectors cited F880 in November 2022 and February 2024. This citation covers hand hygiene, isolation practice and the home’s infection-prevention program. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    22242424252526F880 across all 7 inspections, oldest to newest
  3. 3

    Antibiotic Use, Cited in Two Inspections

    Inspectors cited F881 in November 2022 and March 2025. This citation covers the home’s program for monitoring antibiotic use. None rose above level F (no actual harm, potential for more). Each citation has a recorded correction, and a repeat after correction is worth a direct question.

    22242424252526F881 across all 7 inspections, oldest to newest
  4. 4

    Accident Hazards and Supervision, No Recorded Correction

    F689 was cited in November 2022 and November 2025. This citation covers whether residents are protected from accident hazards and supervised closely enough to prevent accidents, including falls. The most serious was level G (actual harm). The November 2025 citation has no recorded correction date; its status reads “Past Non-Compliance.” The record does not show whether the problem was fixed.

    22242424252526F689 across all 7 inspections, oldest to newest
04

For Your Next Visit

Questions to Ask on Your Visit

Bring these to the tour. Each one comes from something in the record; the reason is under the question.

  1. 01

    How many nurses and aides are on each shift, including nights and weekends, for the unit we are considering?

    Nursing Staff Levels: cited in two inspections, most seriously at level F.

  2. 02

    Who leads infection control here, and how often are hand-hygiene and isolation practices audited?

    Infection Control: cited in two inspections, most seriously at level F.

  3. 03

    How do you track antibiotic use and decide when one is needed?

    Antibiotic Use: cited in two inspections, most seriously at level F.

  4. 04

    What changed in fall prevention and supervision after the last citation, and how do you check that it is still working?

    Accident Hazards and Supervision: cited in two inspections, most seriously at level G. The November 19, 2025 citation has no recorded correction date.

  5. 05

    What led to the 2025 fine, and has it been paid?

    A $15,054 civil money penalty was imposed November 19, 2025. CMS publishes the fine, not whether it has been paid. The record holds five enforcement actions in the window.

05

The Evidence

Sources and Coverage

Inspection results and penalties are published by the Centers for Medicare & Medicaid Services from surveys conducted by the Wyoming state survey agency.

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Wyoming state survey agency

    Inspection Nov 17, 2022 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Wyoming state survey agency

    Inspection Feb 1, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Wyoming state survey agency

    Inspection Mar 20, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Wyoming state survey agency

    Inspection Apr 4, 2024 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Wyoming state survey agency

    Inspection Mar 13, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Wyoming state survey agency

    Inspection Nov 19, 2025 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Health inspection results, as published by CMS (Health Deficiencies and Inspection Dates, Provider Data Catalog)

    Wyoming state survey agency

    Inspection Feb 3, 2026 · Published Oct 1, 2026 · Retrieved Nov 1, 2026

  • Penalties, Provider Data Catalog

    Centers for Medicare & Medicaid Services

    Published Oct 1, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗
  • Provider Information, Provider Data Catalog

    Centers for Medicare & Medicaid Services · 535054

    Published Oct 1, 2026 · Retrieved Nov 1, 2026

    View Dataset ↗

Coverage

Record windowNovember 17, 2022 – October 1, 2026

  • CMS publishes about three inspection cycles; inspections before November 2022 are not in this release.
  • CMS refreshes these files monthly, after statements of deficiencies are processed, so an inspection from the last two months may not appear yet.

What This Report Cannot Tell You

Complaints not investigated onsite
Allegations screened out by the state before an onsite visit are not published.
Complaint allegations
CMS publishes the deficiencies a complaint survey cited, not the allegation itself.
Facility-reported incidents
Self-reported incidents appear only if they led to an inspection.
Follow-up visits
CMS's files list standard, complaint and infection control surveys, not revisits; a correction date is the one CMS records.
Fire safety inspections
Published by CMS separately and not included in this record yet.
Staffing levels and ownership history
Published by CMS separately and not included in this record.
Whether fines were paid
CMS publishes the fines imposed, not whether or when they were paid.

Historical coverage varies by agency and location. Missing records do not mean that no complaint or violation occurred.

Data architecture: Cierto supplies the source-backed machine-readable bundle. Life by Vardell independently creates the narrative, design, and consumer report.