Based on medical record review, staff interview, and policy and procedure review, the facility failed to offer and/or provide influenza and pneumococcal vaccinations to 5 of 5 sample residents (#9, #12, #29, #36, #56) reviewed for immunization status. The findings were:1. Review of the medical record for resident #12 showed the resident admitted to the facility on [DATE] and was marked not eligible for the influenza vaccination, with no date indicated. Further review showed no evidence the resident was offered or received an annual influenza vaccination. 2. …
F883 citations in Wyoming
Flu and pneumonia vaccines · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F883 more often than its own record predicts
3.52 times the share F883 takes of citations nationally.
Of every deficiency written in Wyoming in 2025, this is the portion that was F883.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F883 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% | 1.51× |
| 2024 | 2.67% | 3.52× |
| 2025 | 2.23% | 3.52× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Wyoming surveyors cite →
Deficiency Index is independent and is not affiliated with, endorsed by, or approved by CMS, Medicare, or any government agency. About this data · Report a correction