Green House Living For Sheridan
Sheridan, Sheridan County, Wyoming · CCN 535054 · For-profit (Corporation) · not part of a chain
CMS rates Green House Living For Sheridan 1 of 5 overall as of August 2026. 48 certified beds, 36 residents a day on average. 35 citations on record from the current inspection cycles, 4 involving actual harm; 3 fines totalling $61,929 and 2 payment denials.
On record
- Special Focus Facility candidate. On CMS’s list of facilities that qualify for the program but are not yet in it.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / — of 5 |
Staffing
| Total nurse staffing | 4.53098 hours per resident per day |
|---|---|
| Registered nurses | 1.6919 hours per resident per day |
| Weekend total | 4.21138 hours per resident per day |
| Nursing staff turnover | 73.5% (registered nurses 73.9%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-02-03 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-03-20 |
| 2026-02-03 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-20 |
| 2026-02-03 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-03-20 |
| 2025-11-19 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance |
| 2025-03-13 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-04-18 |
| 2025-03-13 complaint survey |
Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-05-22 |
| 2025-03-13 complaint survey |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · tag F0882 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-05-16 |
| 2025-03-13 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · tag F0550 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-18 |
| 2025-03-13 complaint survey |
Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-04-18 |
| 2025-03-13 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-22 |
| 2025-03-13 complaint survey |
Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · tag F0883 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-05-22 |
| 2025-03-13 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Quality of Life and Care Deficiencies · tag F0744 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-05-16 |
| 2025-03-13 | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-18 |
| 2025-03-13 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-04-18 |
| 2025-03-13 complaint survey |
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Nursing and Physician Services Deficiencies · tag F0729 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2025-04-16 |
| 2024-04-04 complaint survey |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-19 |
| 2024-03-20 complaint survey |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-05-04 |
| 2024-03-20 complaint survey |
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. Administration Deficiencies · tag F0837 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-07-01 |
| 2024-03-20 complaint survey |
Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-04 |
| 2024-03-20 complaint survey |
Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2024-05-04 |
| 2024-02-01 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2024-01-05 |
| 2024-02-01 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
G Actual harm that is not immediate jeopardy; isolated | Past Non-Compliance 2024-01-05 |
| 2024-02-01 | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · tag F0576 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-02-23 |
| 2024-02-01 | 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. Nursing and Physician Services Deficiencies · tag F0727 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-02-23 |
| 2024-02-01 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-23 |
| 2024-02-01 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-02-23 |
| 2022-11-17 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2022-12-09 |
| 2022-11-17 | Implement a program that monitors antibiotic use. Infection Control Deficiencies · tag F0881 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2022-12-10 |
| 2022-11-17 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · tag F0623 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-09 |
| 2022-11-17 | Notify 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. Resident Rights Deficiencies · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-11 |
| 2022-11-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-08 |
| 2022-11-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-01-19 |
| 2022-11-17 | Implement 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. Pharmacy Service Deficiencies · tag F0758 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-10 |
| 2022-11-17 | Have a plan that describes the process for conducting QAPI and QAA activities. Administration Deficiencies · tag F0865 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2022-12-09 |
| 2022-11-17 | Ensure staff are vaccinated for COVID-19 Infection Control Deficiencies · tag F0888 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2022-12-10 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-11-19 | Fine | $14,773 |
| 2025-03-13 | Payment denial for 29 days from 2025-05-08 | — |
| 2025-03-13 | Fine | $40,256 |
| 2024-02-01 | Payment denial for 61 days from 2024-05-01 | — |
| 2024-02-01 | Fine | $6,900 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Alternative Elder Living Inc. Organization | 5% or greater direct ownership interest | 100% | 2007-05-01 |
| Memorial Hospital Of Sheridan County Organization | adp of the snf | — | 2025-05-20 |
| Alternative Elder Living Inc. Organization | operational/managerial control | — | 2007-05-01 |
| Memorial Hospital Of Sheridan County Organization | operational/managerial control | — | 2024-05-06 |
| Alsup, Tobie Individual | adp of the snf | — | 2024-05-06 |
| Bealer, Cathy Individual | adp of the snf | — | 2024-05-06 |
| Boedecker, Brock Individual | adp of the snf | — | 2024-01-01 |
| Carlson, Tonya Individual | adp of the snf | — | 2024-05-06 |
| Coulter, Shirley Individual | adp of the snf | — | 2024-05-06 |
| Davis, Jerry Individual | adp of the snf | — | 2024-05-06 |
| Dawson, Allison Individual | adp of the snf | — | 2024-05-06 |
| Garber, Richard Individual | adp of the snf | — | 2024-05-06 |
| Gross, Sierra Individual | adp of the snf | — | 2024-05-06 |
| Kessner, Kevin Individual | adp of the snf | — | 2024-05-06 |
| Maguire, Elizabeth Individual | adp of the snf | — | 2022-01-01 |
| Mccafferty, Michael Individual | adp of the snf | — | 2024-05-06 |
| Mischke, Ron Individual | adp of the snf | — | 2024-05-06 |
| Morgan, Dawn Individual | adp of the snf | — | 2024-05-06 |
| Oetken, Erin Individual | adp of the snf | — | 2024-01-01 |
| Rieder, Rosemary Individual | adp of the snf | — | 2021-01-01 |
| Shassetz, Jennifer Individual | adp of the snf | — | 2024-05-06 |
| Sinclair, Cody Individual | adp of the snf | — | 2024-05-06 |
| Straley, Tenille Individual | adp of the snf | — | 2024-05-06 |
| Stutte, Nathan Individual | adp of the snf | — | 2024-05-06 |
| Wallick, Catherine Individual | adp of the snf | — | 2013-01-01 |
| Williams, Kimberlee Individual | adp of the snf | — | 2023-01-01 |
| Boedecker, Brock Individual | corporate director | — | 2024-01-01 |
| Maguire, Elizabeth Individual | corporate director | — | 2022-01-01 |
| Oetken, Erin Individual | corporate director | — | 2024-01-01 |
| Rieder, Rosemary Individual | corporate director | — | 2021-01-01 |
| Wallick, Catherine Individual | corporate director | — | 2013-01-01 |
| Williams, Kimberlee Individual | corporate director | — | 2023-01-01 |
| Boedecker, Brock Individual | managing control - governing body | — | 2024-01-01 |
| Carlson, Tonya Individual | managing control - governing body | — | 2024-05-06 |
| Dawson, Allison Individual | managing control - governing body | — | 2024-05-06 |
| Maguire, Elizabeth Individual | managing control - governing body | — | 2022-01-01 |
| Mccafferty, Michael Individual | managing control - governing body | — | 2024-05-06 |
| Morgan, Dawn Individual | managing control - governing body | — | 2024-05-06 |
| Oetken, Erin Individual | managing control - governing body | — | 2024-01-01 |
| Rieder, Rosemary Individual | managing control - governing body | — | 2021-01-01 |
| Stutte, Nathan Individual | managing control - governing body | — | 2024-05-06 |
| Wallick, Catherine Individual | managing control - governing body | — | 2013-01-01 |
| Williams, Kimberlee Individual | managing control - governing body | — | 2023-01-01 |
| Alsup, Tobie Individual | operational/managerial control | — | 2024-05-06 |
| Bealer, Cathy Individual | operational/managerial control | — | 2024-04-05 |
| Boedecker, Brock Individual | operational/managerial control | — | 2024-01-01 |
| Carlson, Tonya Individual | operational/managerial control | — | 2024-05-06 |
| Coulter, Shirley Individual | operational/managerial control | — | 2024-05-06 |
| Davis, Jerry Individual | operational/managerial control | — | 2024-05-06 |
| Dawson, Allison Individual | operational/managerial control | — | 2024-05-06 |
| Garber, Richard Individual | operational/managerial control | — | 2024-05-06 |
| Gross, Sierra Individual | operational/managerial control | — | 2024-05-06 |
| Kessner, Kevin Individual | operational/managerial control | — | 2024-05-06 |
| Maguire, Elizabeth Individual | operational/managerial control | — | 2022-01-01 |
| Mccafferty, Michael Individual | operational/managerial control | — | 2024-05-06 |
| Mischke, Ron Individual | operational/managerial control | — | 2024-05-06 |
| Morgan, Dawn Individual | operational/managerial control | — | 2024-05-06 |
| Oetken, Erin Individual | operational/managerial control | — | 2024-01-01 |
| Rieder, Rosemary Individual | operational/managerial control | — | 2021-01-01 |
| Shassetz, Jennifer Individual | operational/managerial control | — | 2024-05-06 |
| Sinclair, Cody Individual | operational/managerial control | — | 2024-05-06 |
| Straley, Tenille Individual | operational/managerial control | — | 2024-05-06 |
| Stutte, Nathan Individual | operational/managerial control | — | 2024-05-06 |
| Wallick, Catherine Individual | operational/managerial control | — | 2013-01-01 |
| Williams, Kimberlee Individual | operational/managerial control | — | 2023-01-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Green House Living For Sheridan.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Sheridan County.