Based on staff interview, medical record review, incident report review, and facility investigation review, the facility failed to ensure resident's were free from significant medication errors for 1 of 7 sampled residents (#1) reviewed. This failure resulted in harm to resident #1 who was hospitalized following an insulin overdose. The findings were: 1. Review of the admission Minimum Data Set assessment dated [DATE] showed resident #1 had a brief interview for mental status score of 3 out of 15, which indicated severe cognitive impairment, and had diagnoses which include heart failure, atrial fibrillation, renal insufficiency and diabetes mellitus. Further review showed the resident was insulin dependent for diabetes mellitus. The following concerns were identified: a. …
F760 citations in Wyoming
Significant medication errors · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F760 more often than its own record predicts
1.29 times the share F760 takes of citations nationally.
Of every deficiency written in Wyoming in 2025, this is the portion that was F760.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F760 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 resident representative and staff interview, medical record review, and manufacturer's recommendation review, the facility failed to ensure residents were free from significant medication error for 1 of 4 (#1) residents reviewed for medication administration. The findings were:1. Review of a discharge MDS assessment dated [DATE] showed resident #1 had a BIMS score of 13 out of 15, which indicated the resident was cognitively intact, and had diagnoses which included acute on chronic respiratory failure with hypercapnia and hypoxia, congestive heart failure, pneumonia, pulmonary hypertension, pleural effusion, urine retention, and obstructive sleep apnea. …
What else Wyoming surveyors cite →
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