Based on medical record review, staff interview, and review of medication interactions, the facility failed to ensure residents did not receive unnecessary medications for 1 of 8 (#1) sample residents reviewed. This failure caused harm to resident #8 whose functional capacity declined from independent to dependent. The findings were: 1. Review of the 2/7/25 admission MDS assessment for resident #1 showed the resident was coded as being severely cognitively impaired with inattention and disorganized thinking continuously present; wandered 4 to 6 days of the look-back period; was coded as requiring supervision or setup assistance for all self-care areas and was independent with mobility. The resident was not coded as receiving an anticonvulsant medication. …
F757 citations in Wyoming
Unnecessary drugs · Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F757 more often than its own record predicts
2.10 times the share F757 takes of citations nationally.
Of every deficiency written in Wyoming in 2025, this is the portion that was F757.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F757 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 policy and procedure review, the facility failed to ensure residents' drug regimen was free of unnecessary drugs for 1 of 6 sample residents (#26) reviewed for unnecessary medications. The findings were: 1. Review of the physician orders for resident #26 showed the resident had an order for Cephalexin 250 milligrams (mg) 1 tablet by mouth one time a day for infection management which was ordered on 9/27/24 and didn't have a stop date. Review of a hospital discharge note-physician 9/26/24 showed the discharge plan indicated the resident had recurrent infection with no current symptoms and Cephalexin 250 mg was ordered daily for prophylaxis. …
The short window
Recent years
| Year | Share of Wyoming citations | vs expected |
|---|---|---|
| 2023 | 0.67% | 0.83× |
| 2025 | 1.68% | 2.10× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
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