Based on payroll based journal staffing report review, and staff interview, the facility failed to ensure mandatory submission of staffing data. The census was 24. The findings were:1. Review of the fiscal year 2025 quarter 2 (January 1-March 31) payroll based journal staffing report showed the facility triggered for the metric Failed to Submit Data for the Quarter.2. Review of the fiscal year 2025 quarter 3 (April 1-June 30) payroll based journal staffing report showed the facility triggered for the metric Failed to Submit Data for the Quarter.3. Review of the fiscal year 2025 quarter 4 (July 1-September 30) payroll based journal staffing report showed the facility triggered for the metric Failed to Submit Data for the Quarter.4. …
F851 citations in Wyoming
Staffing data submission · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F851 more often than its own record predicts
2.58 times the share F851 takes of citations nationally.
Of every deficiency written in Wyoming in 2025, this is the portion that was F851.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F851 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 payroll-based journal (PBJ) staffing data report review, facility time clock records review, staff interview, and policy and procedure review, the facility failed to submit to CMS complete and accurate direct staffing information for 28 days out of a 10-month period (March 1, 2024 through December 31, 2024). The findings were: 1. Review of PBJ staffing data report for quarter 4 of fiscal year 2024 and quarter 1 of fiscal year 2025 showed the facility failed to ensure eight consecutive RN hours for 10 days, 8/18, 8/25, 9/1, 9/25, 9/28, 9/29, 10/5, 10/12, 10/20 and 10/26. …
The short window
Recent years
| Year | Share of Wyoming citations | vs expected |
|---|---|---|
| 2023 | 0.67% | 2.90× |
| 2024 | 1.33% | 4.56× |
| 2025 | 0.56% | 2.58× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
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