Based on medical record review, and resident representative and staff interview, the facility failed to provide services to prevent a decrease in mobility for 1 of 3 sample residents (#1) with limited mobility. The findings were: 1. Review of the quarterly MDS assessment dated [DATE] showed resident #1 had a BIMS score of 15 out of 15 which indicated intact cognition, and diagnoses which included coronary artery disease (CAD), heart failure, hypertension, and acute systolic (congestive) heart failure. Further review showed the resident had a colostomy, a need for assistance with personal care, and the ability to walk 150 feet independently. Review of the medical record showed the resident was discharged to the hospital on 9/25/25. The following concerns were identified:a. …
F688 citations in Wyoming
Mobility and range of motion · Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F688 less often than its own record predicts
0.70 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wyoming in 2025, this is the portion that was F688.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F688 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 | 2.00% | 2.17× |
| 2024 | 0.89% | 1.00× |
| 2025 | 0.56% | 0.70× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
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