Based on medical record review, staff interview, and review of the CMS RAI manual review, the facility failed to ensure MDS assessments were transmitted within 7 days of completion for 1 of 15 sample residents (#3) reviewed. The findings were: 1. Review of a progress note for resident #3 dated [DATE] and timed 10:03 AM showed the resident expired at the facility. Review of the MDS data for the resident showed the discharge assessment had been completed; however, it had not been submitted. 2. Interview with the MDS coordinator on [DATE] at 3:36 PM confirmed the resident was discharged from the facility in February 2025, the assessment had been completed, and the assessment had not been transmitted. Further interview revealed she transmitted the assessment at that time. …
F640 citations in Wyoming
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F640 more often than its own record predicts
1.92 times the share F640 takes of citations nationally.
Of every deficiency written in Wyoming in 2025, this is the portion that was F640.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F640 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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