Based on observation, medical record review, staff and resident representative interview, the facility failed to ensure an assessment was performed for 7 of 9 sample residents (#1,#3, #4, #5, #6, #7, #8) reviewed for change of condition. This failure resulted in actual harm to residents #4 and #8 who experienced a delay in treatment. The findings were:1. Review of the quarterly MDS assessment dated [DATE] showed resident #4 had a BIMS score of 15 out of 15, which indicated the resident was cognitively intact, and had diagnoses which included stroke, anemia, hypertension, renal disease, hemiplegia, and seizure disorder. The following concerns were identified:a. Review of a nursing progress note dated 4/30/26 and timed 5:22 PM showed Resident complained of nausea. …
F684 citations in Wyoming
Quality of care · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F684 less often than its own record predicts
0.91 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wyoming in 2025, this is the portion that was F684.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F684 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 medical record review, staff interview, and standard of practice review, the facility failed to ensure residents received treatment and care in accordance with professional standards for 1 of 4 sample residents (#1) reviewed for a change of condition. This failure resulted in actual harm to resident #1.The findings were:1. Review of the quarterly MDS dated [DATE] showed resident #1 had a mental status that was not assessed, and diagnoses which included ulcerative colitis, renal insufficiency, and anemia. The following concerns were identified: a. Review of a progress note dated 6/29/26 and timed 7:18 PM showed Resident noted with coffee ground emesis and began reporting tightness in [his/her] chest. Lungs clear to auscultation. Heart rate and rhythm irregular. …
The short window
Recent years
| Year | Share of Wyoming citations | vs expected |
|---|---|---|
| 2023 | 2.67% | 0.74× |
| 2024 | 3.11% | 0.78× |
| 2025 | 3.91% | 0.91× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
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