Nursing home
Crook County Medical Services District Long Term Care
713 Oak St, Sundance, WY 82729 · Map
Non profit - Corporation · 32 certified beds
Crook County Medical Services District Long Term Care is a Medicare-certified nursing home in Sundance, Wyoming. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 4.77 hours per resident per day, above the Wyoming average of 3.84. Its most recent inspection on Aug 14, 2025 cited 3 deficiencies.
- 1 fine totaling $8,824In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Crook County Medical Services District Long Term Care compares
This facility vs. the Wyoming and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Wyoming avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.77 | 3.84 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.01 | 0.90 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.21 | 2.46 | 2.34 | above avg |
| Nursing staff turnover | 83.7% | 52.8% | 46.4% | above avg |
| Deficiencies cited, last inspection | 3.0 | 6.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the August 14, 2025 inspection was corrected by September 17, 2025
Penalties in CMS records: 1 fine totaling $8,824, 1 total penalty.
What inspectors found at Crook County Medical Services District Long Term Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
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.
Nursing and Physician Services Deficiencies · Aug 14, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 14, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Aug 14, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 5, 2024 · Full report (PDF) - Actual harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 5, 2024 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · Sep 5, 2024 · Full report (PDF) - Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · May 9, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 9, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 9, 2024 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · May 9, 2024 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · May 9, 2024 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · May 9, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 713 Oak St
Sundance, WY 82729 - CMS certification #
- 535029
- Ownership
- Non profit - Corporation
- Certified beds
- 32
- Avg residents/day
- 27.7
- Provider type
- Medicare and Medicaid
- First certified
- 1986-12-31
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Crook County Medical Services District Long Term Care using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Crook County Hospital, Sundance. 0.1 miles away, straight line.
- Nearest Medicare nursing home
- Spearfish Canyon Healthcare, Spearfish. 26.8 miles away, straight line.
- Nearest home health agency office
- Monument Health Home Plus Home Health, Spearfish. 26.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 26.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 82729 as rural (rural area).
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 82729.
- Nearest geriatric medicine practice
- Monument Health Rapid City Hospital Inc, Rapid City. 62.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective February 2, 2007), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Sundance, WY, risk to homes is greater than 49% of communities in Wyoming and 80% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively moderate, wildfire relatively high, tornado relatively moderate, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
Looking for assisted living or memory care instead?
Frequently asked questions
Is Crook County Medical Services District Long Term Care a good nursing home?
CMS gives Crook County Medical Services District Long Term Care an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Crook County Medical Services District Long Term Care staffed?
Crook County Medical Services District Long Term Care reports 4.77 total nurse hours per resident per day, compared with the Wyoming average of 3.84.
Has Crook County Medical Services District Long Term Care had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Crook County Medical Services District Long Term Care have?
Crook County Medical Services District Long Term Care is certified for 32 beds.