Nursing HomeInspections

Crook County Medical Services District Long Term C

Nursing home in Sundance, WY

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
713 Oak St, Sundance, WY 82729
Phone
(307) 283-3501
Listed under
Nonprofit
Medicare CCN
535029
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
4 of 5
Quality measures rating
1 of 5
Certified beds
32
Average residents per day
30
Ownership
Nonprofit, corporation
Legal business name
Crook County Medical Services District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 31, 1986
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 535029. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Aug 14, 2025. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 16, 2023 to Aug 14, 2025): 3 from complaint inspections, 1 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 14, 2025Try 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…
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Aug 14, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Aug 14, 2025Have 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		F
Potential for more than minimal harm, widespread
Nov 5, 2024Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 5, 2024Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 5, 2024Protect 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 · complaint inspection		G
Actual harm, isolated
May 9, 2024Post nurse staffing information every day.
Nursing and Physician Services		B
Potential for minimal harm, pattern
May 9, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 9, 2024Develop 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		D
Potential for more than minimal harm, isolated
May 9, 2024Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
May 9, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
May 9, 2024Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration		F
Potential for more than minimal harm, widespread

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,981 in the last three years.

Sep 5, 2024Fine: $8,981

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.77 hours
Registered nurse (RN) time per resident per day
0.93 hours
Nurse aide time per resident per day
3.31 hours
Total nurse staffing on weekends
4.05 hours
Nursing staff turnover (yearly)
78%
RN turnover (yearly)
50%

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.