F604 in Wyoming. Pick another state for the same tag.
Against expectation — 2023
Wyoming cites F604 more often than its own record predicts
Versus expected share5.22×
5.22 times the share F604 takes of citations nationally.
Share of Wyoming citations2.00%
Of every deficiency written in Wyoming in 2023, this is the portion that was F604.
Wyoming2.00%
National0.38%
Share of all citations that were F604.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F604 findings written in Wyoming, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
G · Actual harm, isolatedMarch 31, 2023
Based on medical record review, staff and resident interviews, and policy and facility documentation review, the facility failed to ensure a restraint was the least restrictive alternative and used for the least amount of time for 1 of 1 sample residents (#1) with restraints, which resulted in psychosocial harm. The findings were:
1. Review of the 3/13/23 quarterly minimum data set (MDS) assessment showed resident #1 had diagnoses including traumatic brain injury, seizure disorder, and psychotic disorder, and scored a 15 out of 15 on the brief interview for mental status (BIMS) indicating intact cognition. The assessment showed the resident did not use restraints. …
D · No harm, potential for more than minimal, isolatedSeptember 20, 2023
Based on observation, medical record review, staff interview, and policy review, the facility failed to ensure residents were free from physical restraints used for staff convenience or not required to treat a medical condition for 1 of 2 sample residents (#1) reviewed for physical restraint use. The findings were:
1. Review of the 7/11/23 quarterly MDS assessment showed resident #1 had diagnoses which included Alzheimer's disease and seizure disorder, had severe cognitive impairment, and used a walker and wheelchair for mobility. Observation on 9/18/23 at 2:50 PM showed CNA #1 assisted resident #1 to the restroom, helped the resident sit in a geri chair, and applied the lap tray. …
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