Cody Regional Health Long Term Care Center
Cody Regional Health Long Term Care Center in Cody, WY — inspection on April 9, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of a progress notes for resident #31 dated 1/23/26 and timed 2:28 PM showed Per CNA resident refused [his/her] bath and stated I will not take a bath until my purple magnetic jacket is found.
Staff has been looking for jacket and laundry has been notified.3.
Interview with the SSD on 4/9/26 at 10:38 AM revealed she was not aware of a fuchsia jacket that was missing from resident #31.
She stated when clothing went missing the process was to notify laundry.4.
Review of the grievance log for the past year revealed no grievances about clothing.5.
Interview with the administrator on 4/9/26 at 11:25 AM revealed the facility will be completing a log process for missing clothing, and have that in the care plan meetings.
She revealed most clothing items were found quickly and she confirmed there was not a process for identifying missing clothing items.6.
Interview with the DON and LPN #1 on 4/9/26 at 11:53 AM revealed they recalled from the last care plan, the jacket in question was obtained by resident #31 from a volunteer, s/he wore it once, and then requested it to be donated.
The were unsure what had happened with the jacket after that.
Review of the medical record showed there were no medication specific target symptoms identified
Review of the MDS assessment dated [DATE] showed resident #5 had short-term and long-term memory impairment and had diagnoses which included non-Alzheimer's dementia, depression, and bipolar disorder.
Further review showed the resident received antipsychotic and antidepressant medications.
Review of the physician orders showed the resident received bupropion (antidepressant) 150 mg by mouth daily for major depressive disorder, fluoxetine (antidepressant) 20 mg daily by mouth for bipolar disorder, and olanzapine (antipsychotic) 5 mg daily at bedtime for bipolar disorder.
Review of the antidepressant medication care plan, last revised 5/2/25 showed interventions which included Monitor/document for side effects and effectiveness.
Review of the antipsychotic medication care plan, last revised 5/2/25, showed interventions which included monitor for side effects and effectiveness.
The following concern was identified: a.
Review of the medical record showed there were no resident specific or medication specific target symptoms identified for the Bupropion, fluoxetine, or olanzapine.
- Interview with the DON, SSD, SDC, LPN #1, and the pharmacist on 4/9/26 at 9:01 AM confirmed the
facility did not identify or monitor resident or medication specific target symptoms for psychotropic medications.
Review of the policy titled Psychotropic Medications provided by the facility on 4/9/26 showed An unnecessary drug is any drug when used . (3) Without adequate monitoring .
535027 04/09/2026
Cody Regional Health Long Term Care Center 707 Sheridan Ave Cody, WY 82414
Observation of meal service in the main dining room on 4/7/26 at 12:05 PM showed dietary staff member #2 asked staff member #1 what she should prepare for resident #43.
Staff member #1 stated I would make a sandwich for [him/her].
Without providing resident #43 a choice in his/her meal, the dietary staff member made a turkey sandwich with provolone cheese and chips, and gave it to the other staff member to deliver.
Continued observation showed an unidentified CNA told dietary staff member an unidentified resident wanted a ground beef sandwich.
The dietary staff member indicated she did not have ground beef, but the had chicken salad instead.
The CNA stated Yeah, give [him/her] chicken salad.
That should be fine.
The dietary staff member made the sandwich and gave it to the CNA to deliver without offering an alternative or an option that was available. 6.
Observation of meal service in the main dining room on 4/7/26 at 12:21 PM showed a staff member was going around to each table and telling the residents what the meal was.
The staff member would then ask if the meal sounded good or if the resident would like a sandwich. No additional meal alternatives were offered. 7.
Review of the facility menu showed there was one meal option posted daily; however, review of the alternative menu showed additional items were available for residents to request at all meals.
The alternative menu included entrees and sides for breakfast alternatives and salads, soups, deli items, entrees, accompaniments, from the grill, and desserts for lunch and dinner alternatives. 8.
Interview with the dietitian on 4/7/26 at 4:46 PM revealed residents should be offered alternative items if they do not like or want the meal that was being served.
She revealed alternative items available at all times included sandwiches, pizza, burgers, and anything else available from the grill.
She revealed staff should not make decisions for residents without offering alternative items.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
535027 04/09/2026
Cody Regional Health Long Term Care Center 707 Sheridan Ave Cody, WY 82414
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Cody, WY, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Cody Regional Health Long Term Care Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.