CROOK COUNTY MEDICAL SERVICE DISTRICT LONG TERM CARE
The information listed below provides an in-depth look into the type and quality of care offered at Crook County Medical Service District Long Term Care. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.
Address
CROOK COUNTY MEDICAL SERVICE DISTRICT LONG TERM CARE
713 OAK STREET
SUNDANCE, WY 82729
(307) 283-2725
713 OAK STREET
SUNDANCE, WY 82729
(307) 283-2725
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
100%Number of Residents and Certified Beds
- Residents: 32
- Certified Beds: 32
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Government - Hospital District
- Offers Both Resident and Family Counseling Services
- Located Inside of a Hospital Facility
- This Facility is Not Part of a Chain or Franchise
Rating Details For Crook County Medical Service District Long Term Care
Nursing Staff - 
The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.
| Nursing Hours Per Resident Per Day | Reported | Expected |
| Registered Nurse (RN) Hours | 50 Minutes | 50 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 15 Minutes | 37 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 41 Minutes | 2 Hours and 21 Minutes |
| Total Licensed Nurse Hours | 2 Hours and 5 Minutes | 1 Hour and 26 Minutes |
| Total Nurse Hours | 4 Hours and 46 Minutes | 3 Hours and 47 Minutes |
Quality of Care - 
Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Wyoming are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Wyoming Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 94% |
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 89% |
Long-Term Stay Deficiencies
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 50% | 43% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 21% | 11% |
| Percent of Long-Stay Residents Who Were Physically Restrained | 8% | 3% |
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 3% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | - | 8% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 23% | 15% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 17% | 18% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 18% | 5% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 5% | 2% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 20% | 9% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 9% | 7% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 12% | 9% |
Health Inspection Details -
All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 07/01/2010.
Degree of Harm
- Potential for Minimal Harm
- Minimal Harm or Potential for Harm
- Resident Harmed
- Immediate Jeopardy to Resident Health
Residents Affected
- Isolated
- Some Residents
- Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Administration
Post Nurse Staffing Information.
|  |  |
Set Up or Keep a Group of People to Review and Ensure Quality.
| | |
Get Proof That a Nurse Aide Has the Training and Skills That the State Requires.
| |  |
Give or Get Lab Tests by a Certified Laboratory.
|  |  |
Set Up or Keep a Group of People to Review and Ensure Quality.
| | |
Environmental
Provide Needed Housekeeping and Maintenance.
| | |
Provide Clean Bed and Bath Linens That Are in Good Condition.
| | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Have a Program to Keep Infection from Spreading.
| | |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Have a Program to Keep Infection from Spreading.
| | |
Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
| | |
Pharmacy Service
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
| | |
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
| | |
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
| | |
Properly Mark Drugs and Other Similar Products.
| | |
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
| | |
Properly Mark Drugs and Other Similar Products.
| | |
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
| | |
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
| | |
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
| | |
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
| | |
Properly Mark Drugs and Other Similar Products.
| | |
Quality Care
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
| | |
Provide Social Services for Related Medical Problems to Help Each Resident Achieve the Highest Possible Quality of Life.
| | |
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
| | |
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
| | |
Give Professional Services That Meet a Professional Standard of Quality.
| | |
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
|  | |
Give or Get Special Rehabilitation if in the Patient's Plan of Care.
| | |
Resident Assessment
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| | |
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| | |
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
| | |
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| | |
Resident Rights
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home.
| | |
Keep Each Resident's Personal and Medical Records Private and Confidential.
| | |
Send and Promptly Deliver Unopened Mail to Residents.
| | |
Let Residents Give Themselves Their Drugs if They Are Able.
| | |
Enforcement
Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.
| Action Taken | Date | Amount |
| Denial of Payment for New Admission (DPNA) | 07/01/2010 | - |
Deficiencies from Complaints and Incidents
The table below lists incident reports by the nursing staff or administration for Crook County Medical Service District Long Term Care, as well as complaints by residents or their family in the previous three years.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Formal Complaints | Degree of Harm | Residents Affected |
Administration
Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
| | |
Environmental
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
| | |
Have a Program to Keep Infection from Spreading.
| | |
Provide Needed Housekeeping and Maintenance.
| | |
Mistreatment
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
| | |
Quality Care
Give Professional Services That Follow Each Resident's Written Care Plan.
| | |
Resident Assessment
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
| | |
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
| | |
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
| | |
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
| | |
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
| | |
Resident Rights
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
| | |
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
| | |
Fire Safety
Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Crook County Medical Service District Long Term Care had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 06/29/2010.
Degree of Harm
- - Potential for Minimal Harm
- - Minimal Harm or Potential for Harm
- - Resident Harmed
- - Immediate Jeopardy to Resident Health
Residents Affected
- - Isolated
- - Some Residents
- - Many Residents
| Deficiencies Found By Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| | |
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| | |
Portable Fire Extinguishers.
| | |
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
| | |
Portable Fire Extinguishers.
| | |
Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
| | |
Building Service Equipment
Properly Protected Cooking Facilities.
| | |
Properly Protected Cooking Facilities.
| | |
Corridor Walls and Doors
Corridor and Hallway Doors That Block Smoke.
| | |
Electrical
Properly Installed Electrical Wiring and Equipment.
| | |
Properly Installed Electrical Wiring and Equipment.
| | |
Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
| | |
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
| | |
Fire Alarm Systems
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
| | |
A Fire Alarm System That Can Be Heard Throughout the Facility.
| | |
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
| | |
Illumination and Emergency Power
Properly Located and Lighted "Exit" Signs.
| | |
Medical Gases and Anesthetizing Areas
No-Smoking Signs Where Oxygen is Used.
| | |
Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
| | |
Smoke Compartmentation and Control
Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
| | |
Source: Medicare Nursing Home Compare; Office of Health Quality of Wyoming - Retrieved 2011
