Crook County Medical Services District Long Term C – Nursing Home, Sundance, Wyoming
Medicare and Medicaid
CMS quality ratings
Overall
Health inspection
Quality of care
Staffing
RN staffing
Not rated2 substantiated complaints
Last cited survey: 14 August 2025 · 75 health and 51 fire safety citations on file
Source: CMS Care Compare nursing home data. Ratings are updated when CMS publishes new inspection results.
Main info
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Location
713 Oak St
Sundance, WY 82729
Phone: (307) 283-3501
Compare to WY average
See how this facility compares to the WY state average among rated nursing homes (38 homes). Peer best shows the highest rating among similar homes in the same city.
| Metric | This facility | WY average | Peer best (city) |
|---|---|---|---|
| Overall CMS stars | 3 | 2.97 | 5 |
| Health inspection | 3 | 2.82 | 4 |
| Staffing | 4 | 3.47 | 5 |
| Quality measures | 2 | 3.34 | 5 |
| Certified beds | 32 | 75.9 | — |
| Citations on file (health + fire) | 126 | ~8.1 health* | — |
- Amie Holt Care Center — 5★ overall
- BONNIE BLUEJACKET MEMORIAL NURSING HOME — 1★ overall
- Big Horn Rehabilitation and Care Center — 1★ overall
- Casper Mountain Rehabilitation and Care Center — 1★ overall
- Cody Regional Health Long Term Care Center — 4★ overall
* State deficiency average uses CMS rating-cycle health deficiency counts.
Owners information
| Name | Role Description | Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| EDWARDS, DONNA MARLENE | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 11/25/2024 |
| EDWARDS, DONNA MARLENE | ADP OF THE SNF | Individual | - | 11/25/2024 |
| LYONS, MICKI D | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 04/01/2020 |
| LYONS, MICKI D | ADP OF THE SNF | Individual | - | 05/01/2020 |
| NEIMAN, SANDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 11/25/2024 |
| NEIMAN, SANDRA | ADP OF THE SNF | Individual | - | 11/25/2024 |
| FOWLER, WILLIAM BRENT | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 11/25/2024 |
| FOWLER, WILLIAM BRENT | ADP OF THE SNF | Individual | - | 11/25/2024 |
| HARTL, CODY | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 01/01/2025 |
| HARTL, CODY | ADP OF THE SNF | Individual | - | 01/01/2025 |
| SANDERSON-ZAATO, JULIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 09/01/2022 |
| HIBBARD, ROBERT N | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 11/25/2024 |
| HIBBARD, ROBERT N | ADP OF THE SNF | Individual | - | 11/25/2024 |
| LARSEN, JAMES C | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 11/01/2024 |
| LARSEN, JAMES C | ADP OF THE SNF | Individual | - | 11/25/2024 |
| COLEMAN, SHARON | OPERATIONAL/MANAGERIAL CONTROL | Individual | - | 11/25/2024 |
| COLEMAN, SHARON | ADP OF THE SNF | Individual | - | 11/25/2024 |
Inspections & deficiencies
CMS inspection citations for this nursing home. Filter by type or recency, and use severity chips to spot higher-risk findings.
126 citations on file · Latest survey: 14 August 2025 · 75 health · 51 fire safety
Health deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-08-14 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-08-14 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-08-14 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2025-08-14 | F727 | F — Minimal harm, widespread | Health | 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. |
| 2025-08-14 | F727 | F — Minimal harm, widespread | Health | 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. |
| 2025-08-14 | F727 | F — Minimal harm, widespread | Health | 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. |
| 2025-08-14 | F700 | D — Minimal harm, isolated | Health | 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. |
| 2025-08-14 | F700 | D — Minimal harm, isolated | Health | 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. |
| 2025-08-14 | F700 | D — Minimal harm, isolated | Health | 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. |
| 2024-11-05 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2024-11-05 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2024-11-05 | F609 | D — Minimal harm, isolated | Health | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2024-09-05 | F744 | D — Minimal harm, isolated | Health | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| 2024-09-05 | F744 | D — Minimal harm, isolated | Health | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| 2024-09-05 | F744 | D — Minimal harm, isolated | Health | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. |
| 2024-09-05 | F600 | G — Actual harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2024-09-05 | F600 | G — Actual harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2024-09-05 | F600 | G — Actual harm, isolated | Health | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| 2024-05-09 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
| 2024-05-09 | F880 | D — Minimal harm, isolated | Health | Provide and implement an infection prevention and control program. |
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Fire safety deficiencies
| Date | Tag | Severity | Type | Description |
|---|---|---|---|---|
| 2025-08-14 | K100 | D — Minimal harm, isolated | Fire Safety | Meet other general requirements. |
| 2025-08-14 | E31 | F — Minimal harm, widespread | Fire Safety | Provide emergency officials' contact information. |
| 2025-08-14 | E37 | F — Minimal harm, widespread | Fire Safety | Establish staff and initial training requirements. |
| 2025-08-14 | E41 | F — Minimal harm, widespread | Fire Safety | Implement emergency and standby power systems. |
| 2025-08-14 | K100 | D — Minimal harm, isolated | Fire Safety | Meet other general requirements. |
| 2025-08-14 | K222 | D — Minimal harm, isolated | Fire Safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2025-08-14 | K223 | D — Minimal harm, isolated | Fire Safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2025-08-14 | K324 | D — Minimal harm, isolated | Fire Safety | Provide properly protected cooking facilities. |
| 2025-08-14 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-08-14 | K751 | E — Minimal harm, pattern | Fire Safety | Have restrictions on the use of flammable curtains. |
| 2025-08-14 | K918 | E — Minimal harm, pattern | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-08-14 | K100 | D — Minimal harm, isolated | Fire Safety | Meet other general requirements. |
| 2025-08-14 | K222 | D — Minimal harm, isolated | Fire Safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. |
| 2025-08-14 | K223 | D — Minimal harm, isolated | Fire Safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. |
| 2025-08-14 | K324 | D — Minimal harm, isolated | Fire Safety | Provide properly protected cooking facilities. |
| 2025-08-14 | K353 | E — Minimal harm, pattern | Fire Safety | Inspect, test, and maintain automatic sprinkler systems. |
| 2025-08-14 | K751 | E — Minimal harm, pattern | Fire Safety | Have restrictions on the use of flammable curtains. |
| 2025-08-14 | K918 | E — Minimal harm, pattern | Fire Safety | Have generator or other power source capable of supplying service within 10 seconds. |
| 2025-08-14 | E26 | F — Minimal harm, widespread | Fire Safety | Establish roles under a Waiver declared by secretary. |
| 2025-08-14 | E31 | F — Minimal harm, widespread | Fire Safety | Provide emergency officials' contact information. |
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Additional information
Full CMS quality rating tables
Quality Ratings
| Name | Value |
|---|---|
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| Quality of Resident Care Rating | 2 |
| Quality of Resident Care Rating (Long Stay) | 3 |
| Quality of Resident Care Rating (Short Stay) (Footnote) | 2 |
| Staffing Rating | 4 |
| RN Staffing Rating (Footnote) | 12 |
| Reported CNA Staffing Hours per Resident per Day | 2.86889 |
| Reported LPN Staffing Hours per Resident per Day | 0.4076 |
| Reported RN Staffing Hours per Resident per Day | 1.09715 |
| Reported Licensed Staffing Hours per Resident per Day | 1.50474 |
| Reported Total Nurse Staffing Hours per Resident per Day | 4.66226 |
| Casemix CNA Staffing Hours per Resident per Day | 1.93983 |
| Casemix LPN Staffing Hours per Resident per Day | 0.61846 |
| Casemix RN Staffing Hours per Resident per Day | 0.26368 |
| Casemix Total Nurse Staffing Hours per Resident per Day | 2.82197 |
| Adjusted CNA Staffing Hours per Resident per Day | 3.05316 |
| Adjusted LPN Staffing Hours per Resident per Day | 0.46431 |
| Adjusted RN Staffing Hours per Resident per Day | 1.2498 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 5.31094 |
Health Inspection and Deficiency Ratings
| Name | Value |
|---|---|
Date of Standard Health Survey (Cycle 1) | 2019-05-09 |
Date of Standard Health Survey (Cycle 2) | 2018-03-16 |
Total Number of Health Deficiencies (Cycle 1) | 7 |
Number of Standard Health Deficiencies (Cycle 1) | 7 |
Number of Complaint Health Deficiencies (Cycle 1) | 1 |
Health Deficiency Score (Cycle 1) | 32 |
Number of Health Revisits (Cycle 1) | 1 |
Health Revisit Score (Cycle 1) | 0 |
Total Health Score (Cycle 1) | 32 |
Total Number of Health Deficiencies (Cycle 2) | 7 |
Number of Standard Health Deficiencies (Cycle 2) | 7 |
Number of Complaint Health Deficiencies (Cycle 2) | 1 |
Health Deficiency Score (Cycle 2) | 44 |
Number of Health Revisits (Cycle 2) | 1 |
Total Health Score (Cycle 2) | 44 |
Date of Standard Health Survey (Cycle 3) | 2017-02-24 |
Total Number of Health Deficiencies (Cycle 3) | 5 |
Number of Standard Health Deficiencies (Cycle 3) | 5 |
Number of Health Revisits (Cycle 3) | 1 |
Health Deficiency Score (Cycle 3) | 28 |
Total Health Score (Cycle 3) | 28 |
Total Weighted Health Survey Score | 36 |
Complaints, Fines, and Penalties
| Name | Value |
|---|---|
Number of Facility Reported Incidents | 3 |
Number of Substantiated Complaints | 2 |
Number of Fines | 1 |
Total Amount of Fines in Dollars | 8981 |
Total Number of Penalties | 1 |
Cited for Abuse | |
Most Recent Health Inspection More Than 2 Years Ago | |
Provider Changed Ownership in Last 12 Months | |
With a Resident and Family Council | Both |
Automatic Sprinkler Systems in All Required Areas | Yes |
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