Based on observation, QAPI minutes review, job posting review, and staff interview, the facility failed to ensure the QAPI committee included a qualified administrator who attended meetings. The census was 38. The findings were: 1. Observation on 7/10/24 at 9:45 AM of the current open positions showed the nursing home administrator position was included. Further, observations throughout the survey showed no administrator was in the facility. 2. Review of the 5/9/24 and 6/13/24 QA committee attendance sign in sheet showed the administrator was not present. 3. Interview with the CEO on 7/8/24 at 1:20 PM revealed the administrator was put on leave. …
F868 citations in Wyoming
Quality assurance committee · Administration Deficiencies
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Wyoming cites F868 more often than its own record predicts
1.82 times the share F868 takes of citations nationally.
Of every deficiency written in Wyoming in 2024, this is the portion that was F868.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F868 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.
What else Wyoming surveyors cite →
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