Based on observation, medical record review, and staff and resident interview, the facility failed to ensure the MDS assessment was accurate in reflecting the resident's status for 1 of 22 sample residents (#10). The findings were:1. Review of the 5/4/26 quarterly MDS assessment showed resident #10 had a BIMS score of 14 out of 15 (cognitively intact), an indwelling catheter and an ostomy. 2. Observation on 5/31/26 at 3:39 PM showed resident #10 sitting in the resident's room a urinary foley catheter tubing and catheter collection bag was noted. Interview with the resident at that time revealed the staff took care of the catheter and collection bag. S/he revealed s/he only had the urinary catheter. 3. …
F641 citations in Wyoming
Accuracy of assessments · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F641 less often than its own record predicts
0.61 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wyoming in 2025, this is the portion that was F641.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F641 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, staff interview, and review of the Resident Assessment Instrument (RAI) manual, the facility failed to ensure the MDS assessment was an accurate reflection of resident status for 1 of 13 sample residents (#5) reviewed. The findings were: 1. Review of the 12/31/19 quarterly MDS assessment showed resident #5 received an anticoagulation medication every day of the 7-day look-back period. The following concerns were identified: a. Review of the most current physician orders [REDACTED]. Further review showed the resident was not prescribed an anticoagulant. b. Interview with the MDS coordinator on 1/14/20 at 2 PM confirmed the resident's medications did not include an anticoagulant. …
The short window
Recent years
| Year | Share of Wyoming citations | vs expected |
|---|---|---|
| 2023 | 1.33% | 0.78× |
| 2024 | 1.78% | 1.05× |
| 2025 | 1.12% | 0.61× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
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