Based on medical record review, staff interview, facility policy review, and review of the CMS Resident Assessment Instrument (RAI) manual version 3.0, the facility failed to ensure comprehensive assessments were completed within 14 days after admission for 2 of 2 sample residents (#19, #28) reviewed for timely comprehensive MDS completion. The findings were: 1. Review of the medical record for resident #19 showed the resident was admitted to the facility on [DATE]. Review of the admission MDS assessment showed an ARD of 2/23/23 and section Z0500 showed the RN assessment coordinator had signed the assessment as completed on 3/1/23 (5 days late). 2. Review of the medical record for resident #28 showed the resident was admitted to the facility on [DATE]. …
F636 citations in Wyoming
Comprehensive assessments · Resident Assessment and Care Planning Deficiencies
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2023
Wyoming cites F636 more often than its own record predicts
1.69 times the share F636 takes of citations nationally.
Of every deficiency written in Wyoming in 2023, this is the portion that was F636.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F636 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.
What else Wyoming surveyors cite →
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