Based on medical record review, staff interview, and policy and procedure review, the facility failed to ensure a Preadmission Screening and Resident Review (PASRR) level I or PASRR Level II was completed for 3 of 3 sample residents (#4, #12, #23) reviewed for pre-admission screening. The findings were: 1. Review of the quarterly MDS assessment dated [DATE] showed resident #12 had a BIMS score of 12 out of 15, which indicated moderate cognitive impairment, and had diagnoses which included depression and schizophrenia. The following concerns were identified:a. Review of the medical record showed no evidence a PASRR had been completed prior to or following the resident's admission in July 2025. b. …
F645 citations in Wyoming
PASARR screening · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F645 less often than its own record predicts
0.92 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wyoming in 2025, this is the portion that was F645.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F645 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 |
|---|---|---|
| 2024 | 1.33% | 2.09× |
| 2025 | 0.56% | 0.92× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction