Based on medical record review, staff interview, review of the facility incident tracking log, and review of facility policies, the facility failed to ensure care plans were updated for 1 of 3 sample residents (#1) reviewed for care planning. The findings were:1. Review of the quarterly MDS dated [DATE] showed the resident had severely impaired cognitive skills and diagnoses which included, non-Alzheimer's dementia and depression. Further review showed the resident was incontinent, non-ambulatory, and dependent upon staff for ADL cares. Review of the facility incident tracking log showed there had been an alleged incident of neglect with the resident on 12/27/25. The following concerns were identified:2. …
F657 citations in Wyoming
Care plan timing and revision · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F657 less often than its own record predicts
0.30 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wyoming in 2025, this is the portion that was F657.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F657 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 |
|---|---|---|
| 2023 | 0.67% | 0.31× |
| 2024 | 1.78% | 0.93× |
| 2025 | 0.56% | 0.30× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
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