Based on observation, staff interview, and review of staffing schedules, review of the facility grievance log, and review of policy and procedure, the facility failed to respond to an allegation of abuse and protect the resident's right to be free from verbal abuse by a staff member for 1 of 1 sample resident (#1) reviewed. This failure resulted in a delay in an investigation which left the residents unprotected, and a determination of immediate jeopardy. The census was 28. The findings were: 1. Review of a grievance form, provided by staff #1 and written by CNA #1, showed I witnessed [CNA #2] tell [the resident] [s/he] smelled wrong and [s/he] needed to come with him. [The resident] told him [his/her] pants were dry and was refusing. …
F610 citations in Wyoming
Investigating alleged violations · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F610 more often than its own record predicts
1.11 times the share F610 takes of citations nationally.
Of every deficiency written in Wyoming in 2025, this is the portion that was F610.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F610 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.
Based on resident interview, staff interview, and review of investigation documentation, the facility failed to ensure a thorough investigation of an allegation of physical abuse for 1 of 5 sample residents (#47). The findings were: 1. Review of the facility's investigation documentation showed an allegation of physical abuse involving residents #47 and #30 was reported on 5/14/26. The facility did investigate and placed a 1:1 on the perpetrator right away. The perpetrator room was changed to a different hall. The facility did interview others, and staff. The facility did do abuse education with staff. However, the facility failed to assess the victim right away and waited 2 days later to assess for injuries. 2. …
The short window
Recent years
| Year | Share of Wyoming citations | vs expected |
|---|---|---|
| 2023 | 2.67% | 2.08× |
| 2024 | 1.78% | 1.24× |
| 2025 | 1.68% | 1.11× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
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