The nursing home failed to protect residents from abuse and neglect by others. Cited September 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
Crook County Medical Services District Long-Term Care
Registered name: Crook County Medical Services District Long Term C
Sundance, WY · Medicare-certified · 32 beds
Needs attention
Non-profit
Data as of July 1, 2026
2 of 5 overall
Crook County Medical Services District Long-Term Care has an overall rating of 2 out of 5 stars. Its staffing rating is 4 stars and reported nurse staffing is above the federal benchmark (4.77 vs. 4.1 hours per resident per day), but its quality measures are 1 star, it has had $8,981 in fines in the last 24 months, and it has a recent federal penalty.
Facility ratings
Health inspections
Staffing
4.7733 hrs/resident/day
Quality measures
Last inspection: August 14, 2025Penalties, last 24 months: $8,981recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.7733.
Staffing detail
- Registered nurses
- 0.93
- Licensed practical nurses
- 0.53
- Nurse aides
- 3.31
- Weekend nursing
- 4.05
Hours per resident per day.
Total staff turnover: 78%
Registered nurse turnover: 50%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
15%25.9%Worsening
Residents with a fall causing major injury
0%9.7%Worsening
Residents with pressure ulcers (bedsores)
20%15.7%Improving
Residents with a urinary tract infection
0%3.2%Worsening
Residents who lost too much weight
20.7%14.3%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
33.3%19.2%Improving
Residents whose ability to walk got worse
—17.6%—
Long-stay residents on antianxiety or sleep medication
13.8%7.1%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
3.3%0%Improving
Residents with new or worsening incontinence
34.8%40.8%Worsening
Residents with depressive symptoms
4%3.4%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—78.6%—
Long-stay residents given the pneumonia vaccine
82.8%93.5%Improving
Short-stay residents given the pneumonia vaccine
—86.7%—
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited May 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited February 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: F
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,981 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $8,981 in total fines.
- $8,981
Federal fine
Sep 5, 2024
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 29.8 residents on an average day (93% of 32 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 39 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.