What is Crook County Medical Services District Long Term C's Medicare star rating?

CMS rates Crook County Medical Services District Long Term C 2 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).

Does Crook County Medical Services District Long Term C accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Crook County Medical Services District Long Term C?

CMS lists 17 owners and managers. Legal business name: CROOK COUNTY MEDICAL SERVICES DISTRICT.

Crook County Medical Services District Long Term C

The record in brief

At its most recent standard inspection, on August 14, 2025, inspectors cited 3 health deficiencies (the Wyoming average is 7.8, the national average 9.2).

Of 25 health citations since February 2023, 1 was rated as actual harm or immediate jeopardy to residents.

CMS lists 1 fine totaling $8,981 in the last three years; the largest was $8,981, and the latest is dated September 5, 2024.

Nurses and nurse aides worked 4.77 hours per resident per day, against 3.87 across Wyoming and 3.86 nationally. Registered nurses accounted for 0.93 of those hours.

78.2% of nursing staff left within the year CMS measured (Wyoming average 51.8%).

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

1302/23

605/24

209/24

111/24

308/25

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 25 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

14D

Potential for minimal harm

August 14, 2025Standard inspection · 3 citations

F

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.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 3, 2025

Inspectors wroteBased on staff schedule review, payroll based journal (PBJ) review, and staff interview, the facility failed to ensure an RN was on duty for 8 consecutive hours per day, 7 days per week during 1 of 4 quarters reviewed (1st quarter of fiscal year 2025). The census was 27.
D

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.

F700 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 17, 2025

Inspectors wroteBased on observation, resident and staff interview, medical record review, and policy and procedure review, the facility failed to ensure a safety assessment, including entrapment risk, of bedrails was completed for 1 of 5 sample residents (#21).
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 3, 2025

Inspectors wroteBased on observations, staff interview, policy and procedure review, the facility failed to ensure infection prevention was maintained in 1 of 2 dining observations and 1 of 4 residents (#22) with urinary catheter observations.

November 5, 2024Complaint inspection · 1 citation

D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2024

Inspectors wroteBased on staff interview and state agency incident database review, the facility failed to ensure investigations for abuse allegations were reported within 5 working days for 1 of 1 sample residents (#3).

September 5, 2024Complaint inspection · 2 citations

G

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2024

Inspectors wroteBased on medical record review, resident representative and staff interview, and policy and procedure review, the facility failed to protect the resident's right to be free from physical abuse by a resident for 1 of 2 sample residents (#1 and #2) reviewed for allegations of abuse.
D

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

F744 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 31, 2024

Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to develop and implement interventions to address the residents' dementia care needs for 1 of 2 sample residents (#2) reviewed for dementia treatment and services.

May 9, 2024Standard inspection · 6 citations

F

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 3, 2024

Inspectors wroteBased on observation, staff interview, review of the dishwasher and refrigerator/freezer temperature log sheets, manufacturer's instructions, and the 2022 FDA Food Code, the facility failed to ensure a sanitary environment in 1 of 1 kitchen. The census was 20.
F

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

F851 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) July 3, 2024

Inspectors wroteBased on Payroll Base Journal (PBJ) review and staff interview, the facility failed to ensure direct care staffing information was submitted on schedule specified by CMS for 2 of 4 quarterly periods (1st quarter, 10/2023-12/2023, 3rd quarter, 4/2023-6/2023).
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 3, 2024

Inspectors wroteBased on staff interview, medical record review, and review of the Resident Assessment Instrument (RAI) manual, the facility failed to ensure MDS assessment information was an accurate reflection of resident status for 1 of 12 sample residents (#8) reviewed.
D

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 3, 2024

Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure the comprehensive care plan was revised as needed to reflect the resident's current needs for 2 of 12 sample residents (#8, #9).
D

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) July 3, 2024

Inspectors wroteBased on observation, staff interview, and professional standards review, the facility failed to ensure infection prevention techniques were followed during 1 of 1 wound care observation(#8).
B

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, pattern · Corrected (the home has a date of correction) July 3, 2024

Inspectors wroteBased on daily staff posting review and staff interview, the facility failed to ensure the data requirements were included on the the daily staff postings.

February 16, 2023Standard inspection · 13 citations

F

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.

F727 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on staff schedule review, payroll based journal report review, and staff interview, the facility failed to ensure the services of an RN were utilized for 8 consecutive hours per day, 7 days per week for 5 of 5 months (Oct. 2022, Nov. 2022, Dec. 2022, Jan. 2023, Feb. 2023) reviewed. The facility census was 23.
F

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

F867 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on staff interview, and review of compliance history information, the facility failed to develop and implement policies and procedures for how it will develop, monitor and evaluate performance indicators to prevent repeat deficiencies from previous surveys. The census was 23.
E

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on observation, medical record review, staff interview, and review of policy and procedures, the facility failed to ensure assistive devices were functioning appropriately for 4 of 4 sample residents (#7, #15, #16, #17) reviewed for elopement.
E

Provide and implement an infection prevention and control program.

F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on observation, staff interview, and review of Centers for Disease Control (CDC) guidelines the facility failed to ensure infection control techniques were implemented to prevent spread of COVID-19 during 7 random observations. The census was 23.
D

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

F578 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure residents or their representatives received written information about their right to formulate an advanced directive for 1 of 17 sample residents (#16).
D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on medical record review, staff interview, review of the HLS incident database, and policy and procedure review, the facility failed to ensure allegations of abuse were reported for 1 of 4 sample residents (#5) reviewed for abuse.
D

Respond appropriately to all alleged violations.

F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on medical record review, staff interview, and policy and procedure review, the facility failed to ensure allegations of abuse were investigated for 1 of 4 sample residents (#5) reviewed for abuse.
D

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure residents or residents' representatives received a written notice of transfer or discharge for 1 of 2 sample residents (#4) reviewed for hospitalization.
D

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

F625 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on medical record review and staff interview the facility failed to ensure residents or residents' representatives received a written notice of bed-hold for 1 of 2 sample residents (#4) reviewed for hospitalization.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on observation, medical record review, staff interview, and review of the MDS RAI 3.0 manual, the facility failed to ensure MDS assessments were accurately coded for 1 of 17 sample residents (#3).
D

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on staff interview, medical record review, and policy and procedure review, the facility failed to ensure as needed (PRN) orders for anti-psychotic medications were limited to 14 days for 2 of 6 sample residents (#7, #22) and failed to ensure appropriate behavior monitoring and non-pharmacological interventions were in place for 2 of 6 sample residents (#7, #22) reviewed for unnecessary medications.
C

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on observation, review of staff posting, and staff interview the facility failed to ensure the required daily staff posting was available in 1 of 1 skilled area. The census was 23.
C

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

F851 · Administration · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) April 15, 2023

Inspectors wroteBased on payroll based journal data review and staff interview, the facility failed to ensure payroll based journal (PBJ) data was submitted quarterly for 2 of 4 quarters (3rd quarter 2022, 4th quarter 2022) reviewed. The census was 23.

Fire safety inspections

17 fire safety citations on file: 11 on August 14, 2025, 2 on May 9, 2024, 4 on February 16, 2023.

Every fire safety citation17 citations

F
Establish roles under a Waiver declared by secretary.

E 26 · August 14, 2025 · Corrected (the home has a date of correction)
F
Provide emergency officials' contact information.

E 31 · August 14, 2025 · Corrected (the home has a date of correction)
F
Establish staff and initial training requirements.

E 37 · August 14, 2025 · Corrected (the home has a date of correction)
F
Implement emergency and standby power systems.

E 41 · August 14, 2025 · Corrected (the home has a date of correction)
E
Inspect, test, and maintain automatic sprinkler systems.

K 353 · August 14, 2025 · Corrected (the home has a date of correction)
E
Have restrictions on the use of flammable curtains.

K 751 · August 14, 2025 · Corrected (the home has a date of correction)
E
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · August 14, 2025 · Corrected (the home has a date of correction)
D
Meet other general requirements.

K 100 · August 14, 2025 · Corrected (the home has a date of correction)
D
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.

K 222 · August 14, 2025 · Corrected (the home has a date of correction)
D
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

K 223 · August 14, 2025 · Corrected (the home has a date of correction)
D
Provide properly protected cooking facilities.

K 324 · August 14, 2025 · Corrected (the home has a date of correction)
E
Meet Health Care Facilities Code mechanical requirements.

K 900 · May 9, 2024 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · May 9, 2024 · Corrected (the home has a date of correction)
F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.

K 761 · February 16, 2023 · Corrected (the home has a date of correction)
E
Have restrictions on the use of portable space heaters.

K 781 · February 16, 2023 · Corrected (the home has a date of correction)
D
Have approved installation, maintenance and testing program for fire alarm systems.

K 345 · February 16, 2023 · Corrected (the home has a date of correction)
D
Have proper medical gas storage and administration areas.

K 923 · February 16, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

Date	Penalty	Amount or length
September 5, 2024	Fine	$8,981

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Wyoming	United States
All nursing staff (RN, LPN and aides)	4.77	3.87	3.86
Registered nurses	0.93	0.94	0.69
All nursing staff on weekends	4.05	3.37	3.42
Nurse aides	3.31
Licensed practical nurses	0.53
Nursing staff turnover (share who left in a year)	78.2%	51.8%	45.8%
Registered nurse turnover	50.0%	44.1%	42.9%
Administrators who left	not reported

CMS expects 3.22 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.07 on weekdays and 4.05 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 51.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.46 in April to June 2025 to 4.77 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	4.77	0.93	5.07	4.05	51.6%	0 of 90	30
Oct to Dec 2025	4.66	1.10	4.92	4.00	52.0%	0 of 92	30
Jul to Sep 2025	4.77	1.01	5.10	3.92	49.1%	0 of 92	28
Apr to Jun 2025	4.46	0.95	4.83	3.54	47.3%	0 of 91	29
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Wyoming, Jan to Mar 2026	3.61	0.86	3.80	3.15	7.5%	0.1% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Wyoming	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	23.2	16.8	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	1.5	1.5	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	4.4	3.0	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	4.4	4.7	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	17.6	15.3	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	13.2	4.6	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	19.2	21.8	15.4
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.6	1.3	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	2.4	2.3	1.8

Owners and operators

Legal business name: CROOK COUNTY MEDICAL SERVICES DISTRICT.

Name	Role	Type	Since
Coleman, Sharon	Operational/managerial control	Individual	11/25/2024
Edwards, Donna	Operational/managerial control	Individual	11/25/2024
Fowler, William	Operational/managerial control	Individual	11/25/2024
Hartl, Cody	Operational/managerial control	Individual	01/01/2025
Hibbard, Robert	Operational/managerial control	Individual	11/25/2024
Larsen, James	Operational/managerial control	Individual	11/01/2024
Lyons, Micki	Operational/managerial control	Individual	04/01/2020
Neiman, Sandra	Operational/managerial control	Individual	11/25/2024
Sanderson-Zaato, Julie	Operational/managerial control	Individual	09/01/2022
Coleman, Sharon	Adp of the SNF	Individual	11/25/2024
Edwards, Donna	Adp of the SNF	Individual	11/25/2024
Fowler, William	Adp of the SNF	Individual	11/25/2024
Hartl, Cody	Adp of the SNF	Individual	01/01/2025
Hibbard, Robert	Adp of the SNF	Individual	11/25/2024
Larsen, James	Adp of the SNF	Individual	11/25/2024
Lyons, Micki	Adp of the SNF	Individual	05/01/2020
Neiman, Sandra	Adp of the SNF	Individual	11/25/2024

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How many nurses and aides work each shift, nights and weekends included?Inspectors cited 4 problems in this area, most recently on August 14, 2025: "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."
How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 4 problems in this area, most recently on November 5, 2024: "Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities."
How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 3 problems in this area, most recently on August 14, 2025: "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."
What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 3 problems in this area, most recently on August 14, 2025: "Provide and implement an infection prevention and control program."

Wyoming contacts for a concern about a nursing home

These are the official offices in Wyoming. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Wyoming Department of Health, Healthcare Licensing and Surveys, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Wyoming Long-Term Care Ombudsman Program, 307-287-7757. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Wyoming HLS Newest Facility Inspection Reports, where Wyoming publishes its own records on licensed homes.

Common questions

What is Crook County Medical Services District Long Term C's Medicare star rating?: CMS rates Crook County Medical Services District Long Term C 2 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Crook County Medical Services District Long Term C get at its last inspection?: 3 health deficiencies at the standard inspection on August 14, 2025. The Wyoming average is 7.8.
Has Crook County Medical Services District Long Term C been fined?: Yes. CMS lists 1 fine totaling $8,981 in the last three years.
Does Crook County Medical Services District Long Term C accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Crook County Medical Services District Long Term C?: CMS lists 17 owners and managers. Legal business name: CROOK COUNTY MEDICAL SERVICES DISTRICT.

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.