Nursing homeActive

Crook County Medical Services District Long Term C

713 Oak St, Sundance, WY 82729307283350132 certified beds · 30 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
25
3211
Penalties · 3 yrs
$8,981
1 fine
Last survey
2025-08-14
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 4
Quality 1
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Wyoming Healthcare Licensing and Surveys · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2025-08-14Standard030CMS-2567 (Care Compare)
2024-11-05Complaint010CMS-2567 (Care Compare)
2024-09-05Complaint011CMS-2567 (Care Compare)
2024-05-09Standard150CMS-2567 (Care Compare)
2023-02-16Standard2110CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Wyoming Healthcare Licensing and Surveys publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2025-08-14Standard survey · 3 deficienciesOfficial report
F700Try 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.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-17Record 535029-20250814-F700
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 535029-20250814-F727
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-09-03Record 535029-20250814-F880
2024-11-05Complaint survey · 1 deficiencyOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-31Record 535029-20241105-F609
2024-09-05Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-10-31Record 535029-20240905-F600
F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-10-31Record 535029-20240905-F744
2024-05-09Standard survey · 6 deficienciesOfficial report
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 535029-20240509-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 535029-20240509-F657
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 535029-20240509-F812
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 535029-20240509-F851
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-03Record 535029-20240509-F880
F732Post nurse staffing information every day.Scope/severity BPaperwork
Staffing
Pattern; potential for minimal harm.Corrected 2024-07-03Record 535029-20240509-F732
2023-02-16Standard survey · 13 deficienciesOfficial report
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 535029-20230216-F578
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 535029-20230216-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 535029-20230216-F610
F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 535029-20230216-F623
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 535029-20230216-F625
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 535029-20230216-F641
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 535029-20230216-F689
F727Have 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.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 535029-20230216-F727
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 535029-20230216-F758
F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.Scope/severity FStandard
Records
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 535029-20230216-F867
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-04-15Record 535029-20230216-F880
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2023-04-15Record 535029-20230216-F732
F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Scope/severity CPaperwork
Records
Widespread; potential for minimal harm.Corrected 2023-04-15Record 535029-20230216-F851

Penalties & enforcement

DateActionAmountSource
2024-09-05Civil money penalty$8,981CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.93
Facility
Wyoming
National
Wyoming 0.94 · National 0.69
Total nurse hours per resident day4.77
Facility
Wyoming
National
Wyoming 3.87 · National 3.86
Weekend total nurse hours4.05
Facility
Wyoming
National
Wyoming 3.37 · National 3.42
Total nursing staff turnover78%
Facility
Wyoming
National
Wyoming 52% · National 46%
Registered nurse turnover50%
Facility
Wyoming
National
Wyoming 44% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityWyomingNational
Percentage of long-stay residents with pressure ulcers
lower is better
13.2%4.6%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
4.4%4.7%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
19.2%21.8%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
4.4%3.1%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
23.2%16.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
14.7%5.9%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
10.1%15.4%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Coleman, Sharon
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Edwards, Donna
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Fowler, William
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hartl, Cody
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Hibbard, Robert
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Larsen, James
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Lyons, Micki
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Neiman, Sandra
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Sanderson-Zaato, Julie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Coleman, Sharon
Individual
ADP OF THE SNFNOT APPLICABLE
Edwards, Donna
Individual
ADP OF THE SNFNOT APPLICABLE
Fowler, William
Individual
ADP OF THE SNFNOT APPLICABLE
Hartl, Cody
Individual
ADP OF THE SNFNOT APPLICABLE
Hibbard, Robert
Individual
ADP OF THE SNFNOT APPLICABLE
Larsen, James
Individual
ADP OF THE SNFNOT APPLICABLE
Lyons, Micki
Individual
ADP OF THE SNFNOT APPLICABLE
Neiman, Sandra
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Wyoming.

No county cost figures on file for Crook.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Spearfish Canyon Healthcare
Spearfish
26.8 mi2026-04-200161
Weston County Health Services
Newcastle
39.7 mi2026-03-31061
Rolling Hills Healthcare
Belle Fourche
31.5 mi2026-02-120295
Monument Health Sturgis Care Center
Sturgis
42.9 mi2026-03-190142
Custer Care And Rehab Center
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Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01