Crook County Medical Services District Long Term C
713 Oak St · Sundance, WY · 82729 · 3072833501
32 certified beds Non profit - Corporation Hospital-based
- Inspection results have improved across recent cycles.
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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
81% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.10 | 0.55–0.75 |
| Weekend hours / resident-day | 4.00 | ≈ weekday level |
| Nursing turnover / year | 81% | median 45% |
| Fines (3-yr window) | 1 · $8,981 |
Inspection citations (25 in the current record)
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Potential for harm · D August 14, 2025
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.
Corrected September 17, 2025 · Quality of Life and Care
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Potential for harm · F August 14, 2025
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.
Corrected September 3, 2025 · Nursing and Physician Services
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Potential for harm · D August 14, 2025
Provide and implement an infection prevention and control program.
Corrected September 3, 2025 · Infection Control
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Potential for harm · D November 5, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G September 5, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 31, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 5, 2024 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected October 31, 2024 · Quality of Life and Care
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Potential for harm · D May 9, 2024
Ensure each resident receives an accurate assessment.
Corrected July 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 9, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected July 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · F May 9, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 3, 2024 · Nutrition and Dietary
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Potential for harm · F May 9, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected July 3, 2024 · Administration
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Potential for harm · D May 9, 2024
Provide and implement an infection prevention and control program.
Corrected July 3, 2024 · Infection Control
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No harm found · B May 9, 2024
Post nurse staffing information every day.
Corrected July 3, 2024 · Nursing and Physician Services
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Potential for harm · D February 16, 2023
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.
Corrected April 15, 2023 · Resident Rights
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Potential for harm · D February 16, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 16, 2023
Respond appropriately to all alleged violations.
Corrected April 15, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 16, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected April 15, 2023 · Resident Rights
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Potential for harm · D February 16, 2023
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.
Corrected April 15, 2023 · Resident Rights
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Potential for harm · D February 16, 2023
Ensure each resident receives an accurate assessment.
Corrected April 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · E February 16, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 15, 2023 · Quality of Life and Care
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Potential for harm · F February 16, 2023
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.
Corrected April 15, 2023 · Nursing and Physician Services
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Potential for harm · D February 16, 2023
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.
Corrected April 15, 2023 · Pharmacy Service
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Potential for harm · F February 16, 2023
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected April 15, 2023 · Administration
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Potential for harm · E February 16, 2023
Provide and implement an infection prevention and control program.
Corrected April 15, 2023 · Infection Control
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No harm found · C February 16, 2023
Post nurse staffing information every day.
Corrected April 15, 2023 · Nursing and Physician Services
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No harm found · C February 16, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected April 15, 2023 · Administration
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 5, 2024 | Fine | $8,981 |
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 535029 · certified since December 31, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.