Spearfish · 26.8 mi
Spearfish Canyon Healthcare
2 of 5 · Medicare
View facility →Crook County Medical Services District Long Term C
Inside a hospital. This nursing unit is part of a hospital. Units like this often care for that hospital’s patients for a short stay after an admission, and may have their own admission rules. Ask before you plan around it.
⌖ Sundance, WY · Crook County · Medicare data as of September 2026
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Medicare overall rating 2 of 5 stars
Certified beds32
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Crook County Medical Services District Long Term C
Crook County Medical Services District Long Term C is a 32-bed nonprofit nursing home in Sundance, WY. Medicare rates it 2 out of 5 stars overall (below average); the average in Wyoming is 2.9.
- Inspections: 3 problems at its last full inspection (Aug 2025), fewer than the Wyoming average of 7.8. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 4 hr 46 min a day with each resident, more than the Wyoming average of 3 hr 52 min. About 78% of nursing staff left in the past year.
- Fines: $8,981 in federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameCrook County Medical Services District Long Term C
LocationCrook County, Wyoming
Phone(307) 283-3501
Address713 Oak St, Sundance, WY 82729 · Crook County
Medicare provider number535029
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceDecember 31, 1986 (39 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since Aug 2025No citations for actual harm or immediate jeopardy since Aug 2025.Strength
- Health citations at last inspection3 (Aug 2025)Wyoming average: 7.8.Strength
- Nurse staffing per resident4 hr 46 min a dayWyoming average: 3 hr 52 minStrength
About average
- Registered nurse time per resident56 min a dayWyoming average: 56 minAbout average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Fines and penalties1 fine totaling $8,981Federal penalties from the last three years, most recently in Sep 2024 (about 2 years ago). The national average is $30,972 per home.Worth asking about
- Nursing staff turnover78% a yearWyoming average: 52%Worse than state average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Wyoming average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Newly given antipsychotic drugs0.0%State average: 1.2%Better than average
Physical therapist time: about 0 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is less than the state average of 2 minutes. It is not one person’s therapy schedule; if rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury4.4%State average: 4.7%About average
- Pressure sores (bedsores)13.2%State average: 4.6%Worse than average
- Given antipsychotic drugs19.2%State average: 21.8%About average
- Hospital stays per 1,000 resident days1.6State average: 1.3Worse than average
Source: Medicare (CMS) quality measures, compared with the Wyoming average. Lower is better for every rate shown.
What a stay may cost
- Short-term rehab with Medicare: after a qualifying hospital stay, Medicare pays in full for days 1–20. From day 21 to day 100 you pay $217 a day (2026), unless other coverage pays it. Medicare stops after day 100. Estimate a rehab stay →
- Paying privately: ask the home for its daily rate and what it includes. As a guide, Wyoming’s Medicaid program uses about $10,114 a month as the average cost of nursing home care (January 2026); see the state’s figure.
- Medicaid: this home is certified for Medicaid, which pays for most long-term care once savings run low. Ask whether a Medicaid bed is available. Medicaid rules in Wyoming →
Medicare amounts from Medicare.gov. Prices vary with room type and care needs, so always confirm with the home.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 5 stars in January 2019. It has ranged from 1 to 5 stars and changed 17 times.
Overall rating2★
Health inspections3★
Staffing4★
Quality of care1★
Nurse hours per resident per day4.8
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 5 | 4 | 5 | 5 | 4.6 |
| Jan 2020 | 5 | 4 | 5 | 3 | 4.3 |
| Jan 2021 | 4 | 4 | 4 | 2 | 5.0 |
| Jan 2022 | 1 | 1 | 1 | 4 | 0.8 |
| Jan 2023 | 2 | 1 | 1 | 5 | – |
| Jan 2024 | 2 | 1 | 5 | 4 | 5.7 |
| Feb 2025 | 2 | 2 | 4 | 4 | 4.6 |
| Feb 2026 | 3 | 3 | 3 | 2 | 4.8 |
| Sep 2026 | 2 | 3 | 4 | 1 | 4.8 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.