Based on medical record review, staff interview, Centers for Disease Control and Prevention (CDC) recommendation review, and policy and procedure review, the facility failed to offer and/or provide COVID-19 vaccination 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 the last COVID vaccine dose was administered on 3/31/24. Further review showed no evidence the resident was offered or received the 2025-2026 COVID vaccine. 2. Review of the medical record for resident #29 showed the resident admitted to the facility on [DATE], refused the COVID vaccine, and did not indicate a date when the vaccine was offered and declined. …
F887 citations in Wyoming
COVID-19 vaccination · Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Wyoming cites F887 more often than its own record predicts
1.54 times the share F887 takes of citations nationally.
Of every deficiency written in Wyoming in 2025, this is the portion that was F887.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F887 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 | 0.67% | 2.57× |
| 2025 | 0.56% | 1.54× |
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