All states › Wyoming › Sundance › Crook County Medical Services District Long Term Care
713 Oak St Sundance, WY 82729 · Crook County
CMS certification number 535029 · See this home on Medicare Care Compare
Is Crook County Medical Services District Long Term Care a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Crook County Medical Services District Long Term Care as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Wyoming average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.80 hours per resident per day at Crook County Medical Services District Long Term Care, above the Wyoming median of 3.57 (US median: 3.72). About 1.00 of those hours are from registered nurses. On weekends it falls to 4.02 hours, 16% below its all-week average. Ask how weekends are staffed. 75% of nursing staff left within a year (Wyoming median 52.6%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Crook County Medical Services District Long Term Care: Medicare and Medicaid
Crook County Medical Services District Long Term Care is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Wyoming's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on August 14, 2025 and found 3 deficiencies. In total, inspectors issued 25 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 25 citations at Crook County Medical Services District Long Term Care across 5 inspection dates, 3 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on September 5, 2024. The most common areas cited were freedom from abuse, neglect, and exploitation (4) and nursing and physician services (4). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, September 5, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
August 14, 2025 · 3 citations
FHave 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.
DTry 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.
DProvide and implement an infection prevention and control program.
November 5, 2024 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
September 5, 2024 · 2 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
May 9, 2024 · 6 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide and implement an infection prevention and control program.
BPost nurse staffing information every day.
February 16, 2023 · 13 citations
FHave 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.
FSet up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide and implement an infection prevention and control program.
DHonor 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.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DRespond appropriately to all alleged violations.
DProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
DNotify 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.
DEnsure each resident receives an accurate assessment.
DImplement 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.
CPost nurse staffing information every day.
CElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Questions to ask on a tour of Crook County Medical Services District Long Term Care
- Inspectors cited the home at the actual-harm level on September 5, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on November 5, 2024. How are staff trained, and how are concerns reported?
- Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
- Nursing staff turnover was 75% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,981 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 5, 2024 | Fine | $8,981 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 4/5 | 2/5 |
| August 2026 | 2/5 | 3/5 | 4/5 | 1/5 |
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Location
Hospitals near Crook County Medical Services District Long Term Care
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.3 mi
Crook County Medical Services Distrct SundanceEmergency roomMedian ER visit 2h 10m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Crook County Medical Services District Long Term Care › All nursing homes in Sundance ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.