Based on observation, medical record review, and staff and resident interview, the facility failed to ensure resident diet orders were followed for 1 of 3 sample residents (#50) reviewed for food and nutrition. The findings were: 1. Review of the quarterly MDS assessment dated [DATE] showed resident #50 had a brief interview for mental status score of 15 out of 15, which indicated the resident was cognitively intact, and diagnoses which included diabetes mellitus. Further review showed the resident was coded for a therapeutic diet. Review of the resident's physician orders showed the resident was to receive a controlled carbohydrate diet, had fingerstick blood sugar checks before meals and as needed, and received insulin per a sliding scale based on fingerstick blood sugar levels. …
F803 citations in Wyoming
Menus · Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F803 less often than its own record predicts
0.90 times the national share — cited less often here than elsewhere.
Of every deficiency written in Wyoming in 2025, this is the portion that was F803.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F803 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% | 1.79× |
| 2024 | 0.89% | 1.23× |
| 2025 | 0.56% | 0.90× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
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