Wyoming Retirement Center

In the surveyor’s words

From the most serious findings on record at Wyoming Retirement Center, in the surveyor’s own words.

• Actual harm, isolatedF600Oct 24, 2025

  Based on medical record review, staff interview, facility incident review, and policy review, the facility failed to protect the residents' right to be free from physical abuse by another resident for 1 of 12 sample residents (#1) reviewed for allegations of abuse. This failure resulted in actual physical harm to resident #1. The findings were: 1. Review of the quarterly MDS assessment dated [DATE] showed resident #1 had a brief interview for mental status score of 7 out 15, which indicated severe cognitive impairment, and diagnoses which included non-Alzheimer's dementia, osteoporosis, and restlessness and agitation. […]

• Actual harm, isolatedF600Dec 12, 2024

  Based on medical record review, incident review, staff interview, and policy and procedure review, the facility failed to protect the residents' right to be free from physical abuse by a resident for 3 of 12 sample residents (#29, #71, #73) and verbal abuse by a staff member for 1 of 12 sample residents (#72). This failure resulted in actual physical harm to resident #71 and mental harm, based on a reasonable person, to resident #72. The findings were: 1. Review of an incident report dated 10/25/24 showed the administrator and nurse manager were notified at approximately 9:15 AM of a verbal incident involving CNA #1 and resident #72. The incident report showed resident #72 was upset and began to follow CNA #1 while being verbally aggressive. […]

• Actual harm, isolatedF689Dec 12, 2024

  Based on incident review, medical record review, staff interview, and policy review, the facility failed to ensure residents were free of accidents for 2 of 9 sample residents (#48, #78) reviewed for accident hazards. This failure resulted in actual harm to residents #48 and #78. The findings were: 1. Review of the significant change MDS assessment dated [DATE] showed resident #48 had short-term and long-term memory problems and diagnoses which included fracture of the right femur, atrial fibrillation, and dementia. The resident had a BIMS score of 3 out of 15, which indicated severe cognitive impairment. Review of the care plan last revised on 9/12/24 showed resident #48 is dependent on staff for all transfers, using a gait belt. The following concerns were identified: a. […]

• Actual harm, isolatedF600Jul 3, 2024

  Based on review of incident reports and facility documentation, staff and resident interviews, medical record review, and review of facility policies, the facility failed to ensure the resident was free from verbal abuse by another resident for 2 of 4 allegations reviewed (residents #5 and #7), which resulted in psychosocial harm to resident to resident #5. The findings were: The facility had implemented corrective action prior to the survey and was determined to be in substantial compliance as of 6/20/24. 1. Review of the 3/30/24 quarterly Minimum Data Set (MDS) assessment showed resident #6 (perpetrator) had a Brief Interview for Mental Status (BIMS) score of 15 out of 15, indicating no cognitive impairment and had a diagnosis of Schizophrenia. […]

• Actual harm, isolatedF600May 23, 2024

  Based on medical record review, staff and resident interviews, and review of incident documentation, the facility failed to ensure residents were free from abuse by other residents for 1 of 3 allegations of abuse reviewed (#1). Resident #1 experienced physical and psychosocial harm as a result of an interaction with another resident. The findings were: 1. Review of the 4/6/24 admission Minimum Date Set (MDS) assessment showed resident #1 (victim) had a Brief Interview for Mental Status (BIMS) score of 13, indicating intact cognition, and had the ability to understand others and makes self understood. 2. Review of the 3/30/24 admission MDS assessment showed resident #2 (perpetrator) had a BIMS score of 1, indicating severe cognitive impairment, and a diagnosis of dementia. 3. […]