F656 in Wyoming. Pick another state for the same tag.
Against expectation — 2025
Wyoming cites F656 less often than its own record predicts
Versus expected share0.16×
0.16 times the national share — cited less often here than elsewhere.
Share of Wyoming citations0.56%
Of every deficiency written in Wyoming in 2025, this is the portion that was F656.
Wyoming0.56%
National3.45%
Share of all citations that were F656.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F656 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.
G · Actual harm, isolatedSeptember 2, 2022
Based on observation, resident, staff, and resident representative interview, medical record review, and policy and procedure review, the facility failed to develop and implement a comprehensive person-centered care plan for 3 of 3 sample residents (#1, #2, #3) involved in resident-to-resident altercations. This failure resulted in harm to resident #1, who was not protected from another resident whose actions a reasonable person would find demeaning and humiliating. The findings were:
1. …
D · No harm, potential for more than minimal, isolatedJuly 30, 2026
Based on observation, medical record review, resident and staff interview, and policy review the facility failed to ensure they had developed and implemented a comprehensive person-centered care plan for for 1 of 31 sample residents (#7). The findings were: 1. Review of the 5/19/25 significant change MDS assessment showed resident #7 had a BIMS score of 14 out of 15, which indicated intact cognition, and diagnoses which included hemiplegia, stroke, history of venous thrombosis and embolism. The resident received medications which included the anticoagulant apixaban. …
B · No harm, potential for minimal, patternJanuary 26, 2023
Based on observation, medical record review, and staff interview, the facility failed to develop and implement a comprehensive person-centered care plan for 2 of 10 sample residents (#8, #14) reviewed for care plans. The findings were:
1. Observation on 1/24/23 at 11:23 AM showed resident #8 was in his/her room. There was a sign located above his/her bed reminding the resident to wear oxygen. Review of physician orders dated October 2019 showed oxygen was ordered for 2 liters of flow at night. Review of the quarterly MDS assessment dated [DATE] showed the resident used oxygen. Review of the resident's care plan provided by the quality assurance manager on 1/25/23 showed a care plan for oxygen use was not developed.
2. …
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