Federal inspection record · CMS data as of October 1, 2026
Crook County Medical Services District Long Term C
713 Oak St, Sundance, WY · (307) 283-3501
- Certified beds
- 32
- Residents per day
- 29
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 31, 1986
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Wyoming.
-
Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Wyoming homes
Crook County Medical Services District Long Term C carries 36 inspection points. That is fewer than 60% of Wyoming's 35 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Wyoming: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–31 pts
- 3★ 31–71 pts
- 2★ 71–106 pts
- 1★ over 106 pts
Bars show every rated home in Wyoming by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
25 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Everything else, by area of care
Nursing and Physician Services4F
- F
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.
- B
Post nurse staffing information every day.
- F
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.
- C
Post nurse staffing information every day.
Quality of Life and Care3E
- D
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
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control3E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Administration3F
- F
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- F
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- C
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Resident Assessment and Care Planning3D
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
Resident Rights3D
- D
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
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
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.
Nutrition and Dietary1F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Pharmacy Service1D
- D
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.
Inspection history
2025-08-14
3 health deficiencies · 11 fire-safety deficiencies
Top issue: Infection Control (1 deficiency)
2024-05-09
7 health deficiencies · 2 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2023-02-16
15 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 48 min of nursing staff time a day, 1 h of it from a registered nurse.
This home
4 h 48 min
Wyoming average
3 h 59 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 75% of nursing staff and 56% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$8,981 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-09-05 | Fine | $8,981 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.3 pts worse | 1.6 | 1.3 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts better | 1.7 | 2.2 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts worse | 91.0% | 94.0% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine0.9 pts better | 96.8% | 95.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.3 pts worse | 6.3% | 5.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms3.1 pts better | 3.8% | 6.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight7.9 pts worse | 13.5% | 5.6% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.6 pts better | 8.7% | 15.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2 pts better | 19.4% | 21.4% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened0.3 pts worse | 14.7% | 14.4% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased0.4 pts better | 16.8% | 17.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.8 pts better | 0.6% | 1.4% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.2 pts worse | 7.2% | 3.0% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence8.4 pts worse | 29.8% | 21.4% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts worse | 8.2% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.1 pts better | 93.5% | 77.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.6 pts better | 0.0% | 1.6% | 1.5% |
·
Who owns and runs it
17 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Coleman, Sharon | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Coleman, Sharon | Adp Of The SNF · Individual | 0% | 1 facilities |
| Edwards, Donna | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Edwards, Donna | Adp Of The SNF · Individual | 0% | 1 facilities |
| Fowler, William | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Fowler, William | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hartl, Cody | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hartl, Cody | Adp Of The SNF · Individual | 0% | 1 facilities |
| Hibbard, Robert | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Hibbard, Robert | Adp Of The SNF · Individual | 0% | 1 facilities |
| Larsen, James | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Larsen, James | Adp Of The SNF · Individual | 0% | 1 facilities |
| Lyons, Micki | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Lyons, Micki | Adp Of The SNF · Individual | 0% | 1 facilities |
| Neiman, Sandra | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Neiman, Sandra | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sanderson-Zaato, Julie | Operational/Managerial Control · Individual | 0% | 1 facilities |
·
Fire safety
17 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness4F
- F
Establish roles under a Waiver declared by secretary.
- F
Provide emergency officials' contact information.
- F
Establish staff and initial training requirements.
- F
Implement emergency and standby power systems.
Smoke4E
- E
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
Miscellaneous4F
- E
Have restrictions on the use of flammable curtains.
- E
Meet Health Care Facilities Code mechanical requirements.
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems2E
- E
Have generator or other power source capable of supplying service within 10 seconds.
- D
Have proper medical gas storage and administration areas.
Egress2D
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Construction1D
- D
Meet other general requirements.
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Other homes nearby
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Spearfish Canyon Healthcare
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★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 40 min
- Fines
- $9,718
-
Rolling Hills Healthcare
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★★★★★- Worst citation, 3 yrs
- L
- Nursing / resident / day
- 3 h 2 min
- Fines
- $122,608
-
Weston County Health Services
Newcastle, WY · Abuse icon
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 9 min
- Fines
- $0