Based on medical record review, facility incident review, and staff interview, the facility failed to ensure that services provided met professional standards for 2 of 4 sampled residents (#1, #7) reviewed for quality of care. This failure resulted in actual harm to resident #1 and #7. The findings were: 1. Review of the admission MDS assessment dated [DATE] showed resident #1 had a BIMS score of 15 out of 15, which indicated the resident was cognitively intact, and had diagnoses which included cancer, diabetes mellitus, hypertension, and arthritis. Review of the facility incident report dated 9/23/25 showed the resident had been found on the floor following a fall in his/her room and had been assisted to a wheelchair by staff. The resident complained of nausea and numbness to the arms. …
F658 citations in Wyoming
Professional standards of care · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F658 less often than its own record predicts
0.94 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wyoming in 2025, this is the portion that was F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F658 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 record review, resident representative and staff interview and policy and procedure review, the facility failed to meet professional standards of quality for 1 of 3 sample residents (#1) reviewed for diagnostic service orders. The findings were: 1. Review of the re-entry MDS assessment dated [DATE] showed resident #1 had severely impaired cognitive skills, did not ambulate, and required substantial/maximal assistance for transfers. Resident #1 had diagnoses which included presence of left artificial hip joint, difficulty in walking, and neurocognitive disorder with Lewy bodies. The following concerns were identified: a. …
The short window
Recent years
| Year | Share of Wyoming citations | vs expected |
|---|---|---|
| 2024 | 1.33% | 0.81× |
| 2025 | 1.68% | 0.94× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
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