Based on observation, medical record review, staff interview, and CMS RAI manual review, the facility failed to complete a significant change MDS assessment for 1 of 5 sample residents (#123) reviewed for a significant change. The findings were:1. Review of the admission MDS assessment dated [DATE] showed resident #123 had a BIMS score of 8 out of 15, which indicated moderate cognitive impairment, and diagnoses which included progressive neurological conditions, non-Alzheimer's dementia, and seizure disorder or epilepsy. Further review showed the resident had no upper or lower range of motion impairment, did not use mobility devices, and was independent or set-up/clean up help only for all activities of daily living (ADL). The following concerns were identified:a. …
F637 citations in Wyoming
Assessment after a significant change · Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F637 more often than its own record predicts
2.33 times the share F637 takes of citations nationally.
Of every deficiency written in Wyoming in 2025, this is the portion that was F637.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F637 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.
The short window
Recent years
| Year | Share of Wyoming citations | vs expected |
|---|---|---|
| 2023 | 0.67% | 2.17× |
| 2024 | 0.44% | 1.98× |
| 2025 | 0.56% | 2.33× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
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