ElderGrade
C

65.5/100

Average

Crook County Medical Services District Long Term C

713 Oak St, Sundance, WY 82729

CMS 2/5 stars (307) 283-3501
Certified beds
32
Occupancy
93%
Ownership
Non-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $8,981 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 78%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

26/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years

Staffing

27.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 5.68 total nurse hours per resident per day (national median 3.77)
  • 0.93 RN hours per resident per day
  • Weekend staffing drops 15% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 78% of nursing staff left in the last year

Resident outcomes

2/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 1 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $8,981 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 4.77 hrs
National average 3.86 hrs Better than average
Registered nurse (RN) hours 0.93 hrs
National average 0.69 hrs Better than average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 4.05 hrs
National average 3.42 hrs Better than average

The shift most families visit, and the one thinned first.

Nursing staff turnover 78.20%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 25 citations

Last standard health inspection: August 14, 2025 (1 year ago).

F Aug 14, 2025 F0727

Nursing and Physician Services Deficiencies

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.

No actual harm, potential for more than minimal harm

D Aug 14, 2025 F0700

Quality of Life and Care Deficiencies

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) Cor...

No actual harm, potential for more than minimal harm

D Aug 14, 2025 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Nov 5, 2024 F0609 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

G Sep 5, 2024 F0600 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Actual harm to a resident

D Sep 5, 2024 F0744 From a complaint

Quality of Life and Care Deficiencies

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

No actual harm, potential for more than minimal harm

F May 9, 2024 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

F May 9, 2024 F0851

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

No actual harm, potential for more than minimal harm

Who owns this home

Full record
Owner Type Role Since
COLEMAN, SHARON Individual OPERATIONAL/MANAGERIAL CONTROL
EDWARDS, DONNA Individual OPERATIONAL/MANAGERIAL CONTROL
FOWLER, WILLIAM Individual OPERATIONAL/MANAGERIAL CONTROL
HARTL, CODY Individual OPERATIONAL/MANAGERIAL CONTROL
HIBBARD, ROBERT Individual OPERATIONAL/MANAGERIAL CONTROL
LARSEN, JAMES Individual OPERATIONAL/MANAGERIAL CONTROL
LYONS, MICKI Individual OPERATIONAL/MANAGERIAL CONTROL
NEIMAN, SANDRA Individual OPERATIONAL/MANAGERIAL CONTROL
SANDERSON-ZAATO, JULIE Individual OPERATIONAL/MANAGERIAL CONTROL
COLEMAN, SHARON Individual ADP OF THE SNF
EDWARDS, DONNA Individual ADP OF THE SNF
FOWLER, WILLIAM Individual ADP OF THE SNF

What families say

Write a review

No family reviews yet for Crook County Medical Services District Long Term C. If you or a relative have experience of this home, other families would find it useful.

Be the first to review

Every review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.

Common questions about Crook County Medical Services District Long Term C

What is the ElderGrade for Crook County Medical Services District Long Term C? +

Crook County Medical Services District Long Term C holds an ElderGrade of C (65.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Crook County Medical Services District Long Term C? +

Residents receive an average of 4.77 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Crook County Medical Services District Long Term C been cited for harming residents? +

Yes. 1 of the 25 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Crook County Medical Services District Long Term C accept Medicaid? +

Yes, Crook County Medical Services District Long Term C is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.