Based on resident and staff interview, medical record review, and facility incident report review, the facility failed to ensure a safe functional environment in 3 of 4 cottages ([NAME], [NAME], Founders). The findings were: 1. Review of a facility incident report dated 3/29/24 and timed 7:30 AM showed staff entered the room of resident #1 to assist him/her out of bed. At that time, the room was extremely hot with a thermostat reading of 97 degrees Fahrenheit, despite being set to 71 degrees Fahrenheit. In addition, the resident was lethargic and flushed with red skin. Further review showed the resident had a temperature of 100.4 degrees Fahrenheit and was transferred to the hospital for intravenous rehydration and further evaluation. …
F921 citations in Wyoming
Safe, clean, comfortable environment · Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2024
Wyoming cites F921 more often than its own record predicts
1.12 times the share F921 takes of citations nationally.
Of every deficiency written in Wyoming in 2024, this is the portion that was F921.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Wyoming surveyors wrote
F921 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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