Based on review of medical records, and staff and elder representative interview, the facility failed to demonstrate the need for an elder to be discharged due to a facility inability to meet their needs for 1 of 6 (#6) elders reviewed for transfer or discharge. This failure resulted in harm to elder #6, who was discharged from the hospital to a different nursing home and was unable to return to his/her home at the facility as desired; events a reasonable person would find distressing. The findings were: Review of the 10/28/22 admission minimum data set assessment showed elder #6 was admitted to the facility on [DATE]. Review of a progress note dated 10/20/22 and timed 9:38 AM showed the elder had a BIMS score of 8 of 15, indicating moderate cognitive impairment. …
F622 citations in Wyoming
Transfer and discharge · Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Wyoming cites F622 more often than its own record predicts
1.39 times the share F622 takes of citations nationally.
Of every deficiency written in Wyoming in 2024, this is the portion that was F622.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F622 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 medical record review, and resident representative and staff interview, the facility failed to ensure resident's transferred to the hospital were allowed to return to the the facility for 1 of 3 sample residents (#1) reviewed for hospital transfers. The findings were: 1. Review of a discharge MDS assessment dated [DATE] showed resident #1 admitted to the facility on [DATE] and had a planned short-term general hospital discharge return not anticipated on 9/21/24. The following concerns were identified: a. Review of a progress note dated 9/21/24 and timed 11:55 AM showed Resident sent to ER due to being violent towards staff and other residents. …
What else Wyoming surveyors cite →
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