Wyoming › Crook County › Sundance
Crook County Medical Services District Long Term C
713 Oak St, Sundance, WY 82729
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 32 beds, Crook County Medical Services District Long Term C serves Sundance in Crook County, Wyoming and has taken Medicare and Medicaid residents since 1986.
CMS gives it 2 of 5 stars overall, below the Wyoming median of 3; the health inspection rating is 3, staffing 4 and quality measures 1.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (3, 9, 13 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 78.1 per 100 beds, more than the state median of 22.6.
CMS lists 1 penalty in the period covered: fines totalling $9K.
Reported nurse staffing is 4.8 hours per resident per day (0.9 RN), above the Wyoming median of 3.6; nursing staff turnover is 78.2%.
Compared with county, state and nation
| Measure | This facility | Crook Co. median | Wyoming median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 25 | 16 | 28.7 |
| Citations per 100 beds | 78.1 | 78.1 | 22.6 | 26.8 |
| Total nurse hours per resident day | 4.8 | 4.8 | 3.6 | 3.9 |
| RN hours per resident day | 0.9 | 0.9 | 0.8 | 0.7 |
| Nursing staff turnover | 78.2% | 78.2% | 48.3% | 45.8% |
| Fines listed | $8,981 | $8,981 | $9,718 | — |
County and state figures are medians across facilities (1 in the county, 36 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wyoming average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Aug 2025, 9 May 2024.
Severity mix: G ×1 D ×14 E ×2 F ×5 B ×1 C ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 Aug 2025 | F0727 | 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. | F | Standard survey | 3 Sep 2025 |
| 14 Aug 2025 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Standard survey | 17 Sep 2025 |
| 14 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 Sep 2025 |
| 5 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 31 Dec 2024 |
| 5 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 31 Oct 2024 |
| 5 Sep 2024 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint investigation | 31 Oct 2024 |
| 9 May 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 3 Jul 2024 |
| 9 May 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 3 Jul 2024 |
| 9 May 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Jul 2024 |
| 9 May 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 3 Jul 2024 |
| 9 May 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 3 Jul 2024 |
| 9 May 2024 | F0732 | Post nurse staffing information every day. | B | Standard survey | 3 Jul 2024 |
| 16 Feb 2023 | F0727 | 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. | F | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0625 | 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. | D | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0758 | 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. | D | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0732 | Post nurse staffing information every day. | C | Standard survey | 15 Apr 2023 |
| 16 Feb 2023 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | C | Standard survey | 15 Apr 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Sep 2024 | Fine | $8,981 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wyoming average. Turnover: nursing staff 78.2%, RNs 50.0%; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wyoming median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.2% | 17.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.5% | 0.9% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.4% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 3.9% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.4% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.6% | 15.3% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 13.2% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.2% | 19.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Crook County Medical Services District.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Crook County Medical Services District Long Term C been cited for?
25 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wyoming median is 16 per facility.
Has Crook County Medical Services District Long Term C been fined?
Yes. CMS lists fines totalling $9K in the period covered.
How does staffing at Crook County Medical Services District Long Term C compare?
Reported total nurse staffing is 4.8 hours per resident per day against a Wyoming median of 3.6 and a national average of 3.9.
Who operates Crook County Medical Services District Long Term C?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Crook County Medical Services District Long Term C last inspected?
The most recent survey or investigation in the CMS record is dated 14 Aug 2025; the most recent standard health survey was 14 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.