Based on medical record review and staff interview, the facility failed to develop a baseline care plan which addressed the immediate needs of the residents for 1 of 5 (#117) newly admitted residents reviewed. The findings were: 1. Review of the medical record for resident #117 showed the resident was admitted from the hospital on 6/6/24 and had diagnoses which included hypertensive chronic kidney disease with stage 5 chronic kidney disease and dependence on renal dialysis. Review of the resident's 6/7/24 baseline care plan showed the focus area of dialysis was left blank. 2. Interview on 6/26/24 at 10:40 AM with the DON confirmed the resident's baseline care plan was incomplete.
F655 citations in Wyoming
Baseline care plan · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Wyoming cites F655 less often than its own record predicts
0.65 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wyoming in 2024, this is the portion that was F655.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F655 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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