Based on observation, staff interview, medical record review, and professional standard review, the facility failed to ensure necessary services were provided timely for 1 of 4 sample residents (#57) reviewed for activities of daily living. The findings were: 1. Review of the significant change MDS assessment dated [DATE] showed resident #57 had a BIMS score of 5 out of 15, which indicated severe cognitive impairment, and had diagnoses which included cerebrovascular accident, depression, and benign prostatic hyperplasia. The MDS review showed the resident had bilateral impairment of the upper and lower extremities, required total assistance for toileting, upper and lower body dress, putting on footwear, and substantial/maximal assistance for personal hygiene. …
F677 citations in Wyoming
ADL care for dependent residents · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F677 more often than its own record predicts
1.23 times the share F677 takes of citations nationally.
Of every deficiency written in Wyoming in 2025, this is the portion that was F677.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F677 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 | 1.33% | 0.48× |
| 2024 | 3.11% | 1.28× |
| 2025 | 2.79% | 1.23× |
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