Crook County Medical Services District Long Term C: Staffing, Turnover, and Inspection Record
Crook County Medical Services District Long Term C is a 32-bed nonprofit nursing home in Sundance, Wyoming. In the CMS August 2026 release it reported 3.31 nurse aide hours per resident per day, 36% above the Wyoming average of 2.43, and 78.2% nursing staff turnover (Wyoming average 51.8%).
Crook County Medical Services District Long Term C
713 Oak StSundance, WY 82729
Crook County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Crook County Medical Services District Long Term C, nurse aides logged 3.31 hours per resident per day, 36% above the Wyoming average. With about 30 residents a day, that works out to roughly 99 aide hours a day, or about 12 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Wyoming avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.31 | 2.43 | 2.32 |
| Licensed practical nurses | 0.53 | 0.50 | 0.86 |
| Registered nurses | 0.93 | 0.94 | 0.69 |
| All nursing staff | 4.77 | 3.87 | 3.86 |
| All nursing staff, weekends | 4.05 | 3.37 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
78.2% of nursing staff at Crook County Medical Services District Long Term C left over the year CMS measured, against a Wyoming average of 51.8% and a US average of 45.8%. Registered nurse turnover was 50.0%.
Inspections and penalties
State inspectors last completed a standard health inspection on Aug 14, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (Wyoming average 7.6). CMS lists 1 fine totaling $8,981 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 5, 2024 | Fine | $8,981 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Crook County Medical Services District Long Term C holds 2 of 5 overall; the Wyoming average is 2.9.
About Crook County Medical Services District Long Term C
- Ownership: Non profit - Corporation
- Legal name: Crook County Medical Services District
- Medicare and Medicaid certified since: Dec 31, 1986
- Located inside a hospital
- Councils: resident and family councils
- Area: rural
Nursing homes near Crook County Medical Services District Long Term C
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Spearfish Canyon Healthcare Spearfish · abuse citation | 26.8 | 105 | 2.38 | 3.37 | 58.8% | 2 | $9,718 |
| Rolling Hills Healthcare Belle Fourche | 31.5 | 83 | 2.47 | 3.62 | 65.1% | 1 | $80,634 |
| Weston County Health Services Newcastle · abuse citation | 39.7 | 58 | 2.59 | 3.81 | 58.9% | 2 | None |
| Monument Health Sturgis Care Center Sturgis | 42.9 | 40 | 3.67 | 5.09 | 54.7% | 3 | $26,272 |
| The Legacy Living and Rehabilitation Center Gillette · Special Focus Facility | 55.5 | 160 | 2.76 | 4.59 | 70.5% | — | $115,597 |
| Good Samaritan Society - St Martin Village Rapid City | 57.4 | 60 | 2.04 | 3.73 | 60.0% | 2 | None |
| Custer Care and Rehab Center Custer | 58.9 | 43 | — | — | — | — | None |
| Clarkson Health Care Rapid City | 59.4 | 49 | 2.40 | 4.20 | 34.0% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.