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Skilled nursing facility · CMS certified · CCN 535029

Crook County Medical Services District Long Term C

713 Oak St, Sundance, WY 82729 · Crook County · one of 36 skilled nursing facilities in Wyoming
32
certified beds
3 / 5
overall CMS rating
Nonprofit
ownership type
93.1%
occupancy, Oct 2026: 30 residents a day · Wyoming 70.7%
1.25
case mix, 0.89x the national average
4.77
nurse hours per resident day · Wyoming 3.87
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There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Crook County Medical Services District Long Term C compares

Crook County has 0 other certified buildings, too few to compare, so this is against Wyoming. 36 buildings.

Better than most of Wyoming on 5 of 8 lines.

Occupancy, Oct 202693.1%Better than mostHigher than 34 of the 35 other buildings in Wyoming

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 72.3%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.77Better than mostHigher than 28 of the 34 other buildings in Wyoming

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.54. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating3 / 5Mid-packHigher than 16 of the 34 other buildings in Wyoming, level with 8

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating3 / 5Better than mostHigher than 18 of the 34 other buildings in Wyoming, level with 5

CMS's star rating for the building's recent health inspections. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating4 / 5Mid-packHigher than 16 of the 33 other buildings in Wyoming, level with 12

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating2 / 5Behind mostHigher than 3 of the 34 other buildings in Wyoming, level with 4

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.00Better than mostHigher than 26 of the 34 other buildings in Wyoming

Registered nurse hours for each resident, each day. The middle of the set: 0.83. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited10Better than mostFewer than 18 of the 35 other buildings in Wyoming, the same as 5

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 11. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against Wyoming
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Crook County Medical Services District Long Term C
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Street View
713 Oak St, Sundance, WY
Map around Crook County Medical Services District Long Term C
Map · Crook County
Crook County, Wyoming
1 skilled nursing facility; average overall rating 3.0, Wyoming 2.8.
See how Crook County compares ›
Cost report, against Wyoming
Each line is what this building filed with Medicare for its latest full year, beside the middle building in Wyoming. The rank counts from the top: 1st is the highest figure among Wyoming's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2025. What the buildings in Wyoming that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
69.2%
22
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
12.0%
22
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
60.6%
22
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$377
22
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$398
22
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
−$0
22
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
0.1%
22
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating3 / 5 · state 2.8
Health inspection3 / 5 · state 2.7
Staffing4 / 5 · state 3.4
RN hours per resident per day1 · state 0.96
Overall rating, last 8 quarters
053Q3’242Q4’242Q1’251Q2’252Q3’253Q4’253Q1’263Q2’26latest
back to 3 / 5 over the 8 quarters shown, having been as low as 1 / 5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingWyomingnationrecent quarters
Needed more help with daily activities16.8%better than state17.2%13.5%2025Q2: 33.3%2025Q3: 27.3%2025Q4: 13.0%2026Q1: 19.2%2026Q2: 8.3%
33.3% → 8.3%
Q2’25 to Q2’26
Catheter inserted and left in0.6%better than state1.4%0.7%2025Q2: 3.3%2025Q3: 2.7%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 0.0%
3.3% → 0.0%
Q2’25 to Q2’26
Urinary tract infection7.2%worse than state3.0%1.5%2025Q2: 0.0%2025Q3: 7.7%2025Q4: 7.4%2026Q1: 3.2%2026Q2: 11.1%
0.0% → 11.1%
Q2’25 to Q2’26
Fall with major injury6.3%worse than state5.0%3.2%2025Q2: 0.0%2025Q3: 3.8%2025Q4: 3.7%2026Q1: 9.7%2026Q2: 7.4%
0.0% → 7.4%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)0.0%better than state1.6%1.5%too few quarters to chart
Ability to walk independently worsened14.7%worse than state14.4%12.7%too few quarters to chart
Pressure ulcers8.2%worse than state4.5%4.5%2025Q2: 20.0%2025Q3: 8.5%2025Q4: 7.5%2026Q1: 15.7%2026Q2: 0.0%
20.0% → 0.0%
Q2’25 to Q2’26
Given an antipsychotic19.4%better than state21.4%15.4%2025Q3: 15.0%2025Q4: 13.6%2026Q1: 23.1%2026Q2: 24.0%
15.0% → 24.0%
Q3’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Aug 2025
last standard survey
10
deficiencies cited · Wyoming avg 11.7
$8,981
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in Wyoming
state rate files
$240
median daily rate across the Wyoming buildings in our rate book, Oct 2026 file
Wyoming rates and what changed ›
Crook County
buildingbedsoverallCrook County Medical Services District Long Term C323 / 5
All Wyoming buildings in Crook County ›
Wyoming at a glance
36
buildings
2,938
licensed beds
68%
occupancy
47%
for-profit
Wyoming market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancySpearfish Canyon HealthcareSpearfish · 26.8 mi1052 / 570-85%Rolling Hills HealthcareBelle Fourche · 31.5 mi831 / 570-85%Weston County Health ServicesNewcastle · 39.7 mi582 / 570-85%Monument Health Sturgis Care CenterSturgis · 42.9 mi403 / 5over 85%The Legacy Living and Rehabilitation CenterGillette · 55.5 mi160under 70%Good Samaritan Society - St Martin VillageRapid City · 57.4 mi603 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Crook County Medical Services District Long Term C?
Crook County Medical Services District Long Term C in Sundance, WY carries an overall CMS rating of 3 out of 5 stars in the Oct 2026 CMS file.
How many beds does Crook County Medical Services District Long Term C have?
Crook County Medical Services District Long Term C is certified for 32 beds in the Oct 2026 CMS file.
How full is Crook County Medical Services District Long Term C?
CMS's reported average residents put Crook County Medical Services District Long Term C's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.