Home›Wyoming›Crook County›Crook County Medical Services District Long Term C
A
Very Good

Crook County Medical Services District Long Term C

713 Oak St · Sundance, WY 82729

3072833501 · Non profit - Corporation

32 beds27.7 residents49 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Crook County Medical Services District Long Term C receives an overall staffing grade of A (Very Good). With 4.7795 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.88 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 23.03% compared to weekdays. The facility relies heavily on temporary agency staff (49.11% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️49.11% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.
📊Staffing levels are highly variable day to day (consistency score: 0.8281). This means the care experience can be very different depending on the day.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.7795hrs/resident/day▲ 0.88
CMS benchmark: 3.48
RN HPRD
0.9985hrs/resident/day▲ 0.32
Recommended: 0.75
Weekend Drop-off
23.03%
5.1123 weekday → 3.9347 weekend
⚠ Significant weekend reduction
Agency Staff
49.11%
21.09% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.9799hrs/resident/day
Direct care aides
LPN HPRD
0.5545hrs/resident/day
Licensed practical nurses
Consistency
0.8281std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Crook County Average+0.00 HPRD
4.78
04.78 HPRD
vs. Wyoming State Average+0.91 HPRD
3.87
04.78 HPRD
vs. National Average+0.88 HPRD
3.90
04.78 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Crook County Medical Services District Long Term C ★
Sundance · This facility
—
A
4.77950.9985★★★☆☆
Weston County Health Services
Newcastle
39.7 mi
B
3.52520.5521★★☆☆☆
The Legacy Living and Rehabilitation Center
Gillette
55.4 mi
A
4.14950.9689☆☆☆☆☆
Amie Holt Care Center
Buffalo
114.9 mi
A
5.13380.889★★★★★
Wyoming Veterans' Skilled Nursing Facility
Buffalo
116.4 mi
—
00☆☆☆☆☆
Summit Ridge Skilled Nursing & Rehabilitation
Douglas
124.2 mi
D
2.52290.7422★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
25
Total Deficiencies
$13,575
Fines Assessed
Aug 14, 2025Health
3 deficiencies cited
▼
Nov 5, 2024Health
1 deficiency cited
▼
Sep 5, 2024Health
2 deficiencies cited· Includes actual harm
▼
May 9, 2024Health
6 deficiencies cited
▼
Feb 16, 2023Health
13 deficiencies cited
▼

Penalty History

Sep 5, 2024Fine
$13,575
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.