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Complaint Investigation

Platte County Legacy Home

February 20, 2026 · Wheatland, WY · 100 19th St
Citations 5
CMS Rating 3/5
Beds 50
Provider ID 535053
Healthcare Facility
Platte County Legacy Home
Wheatland, WY  ·  View full profile →
Inspection Summary

Platte County Legacy Home in Wheatland, WY — inspection on February 20, 2026.

Found 5 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.

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Inspection Findings

FF0605
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited Platte County Legacy Home in Wheatland, WY for a deficiency under regulatory tag F-F0605 during a standard health inspection conducted on 2026-02-20.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of Platte County Legacy Home.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-04-01.

Federal health inspectors cited Platte County Legacy Home in Wheatland, WY for a deficiency under regulatory tag F-F0628 during a standard health inspection conducted on 2026-02-20.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of Platte County Legacy Home.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-04-01.

Federal health inspectors cited Platte County Legacy Home in Wheatland, WY for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2026-02-20.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of Platte County Legacy Home.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-04-01.

Review of the quarterly MDS assessment dated [DATE] showed resident #10 had short-term and long-term memory impairment and diagnoses which included non-Alzheimer's dementia.

The MDS assessment showed the resident had physical and verbal behaviors directed towards others, other behavioral symptoms not directed towards others, and wandering on 1 to 3 days during the look-back period.

The following concerns were identified:a.

Interview with the resident's representative on 2/18/26 at 10:55 AM revealed the resident had an accident recently where s/he fell down and hit his/her head on a planter.

The representative revealed the incident was being looked into and he felt the facility could have used some cameras in the area where the resident fell because there were 2 other residents in the room who had Alzheimer's dementia and it was unclear how the fall occurred. b.

Review of a facility incident report dated 2/11/26 and timed 6:08 PM showed staff had completed shift briefing when the nurse heard a crashing sound and rushed to the family room where she observed resident #10 lying on the floor near a plant.

Further review of the incident report showed LPN #1 and CNA #1 were assigned to the unit and responded to the incident.c.

Review of a progress note dated 2/18/26 and timed 5:54 PM showed Resident arrived at the facility approximately 1300 [1 PM] with [his/her] son [name] and two EMT's.

Resident is DNR [do not resuscitate], bed-bound, and under comfort care.

Resident has HTN [hypertension], memory loss, osteoporosis.

Resident was re-admitted from the hospital in Colorado due to a fall that occurred last week on 02/11/2026 1830 [6:30 PM].

Resident developed a facial fracture (left eye) and had some bruising on [his/her] left hip.

Resident is able to move all [his/her] extremities and can turn [him/herself] back and forth.

Resident had fentanyl 12 mcg [microgram] patch on [his/her] left neck/ear placed at 0800 [8 AM] from the hospital and needed to be replace every 3 days (72 hours). A foley catheter was present when [s/he] arrived at the facility.

Resident will be on thickened liquids (nectar thick).

Resident's medication can be crushed or diluted . d.

Interview with CNA #1 on 2/20/26 at 8:49 AM revealed she did not see resident #10 fall as staff were assisting resident's out of the dining room.

The CNA revealed she had answered a call light and when she returned, she heard resident #10 yelling oh god, oh god.

The CNA revealed prior to the incident resident #10 was walking around. e.

Interview with LPN #1 on 2/20/26 at 8:53 AM revealed on the day of the incident, residents had just finished dinner and the CNAs were assisting residents out of dining room.

The LPN revealed she heard a loud noise and ran to the family room, where resident #10 was found on the floor.

She revealed resident #10 could not say what happened and later indicated the injuries occurred during a motor vehicle accident. f.

Interview with the social services director on 2/20/26 at 9:27 AM confirmed there were no staff present who observed the incident and revealed there was no actual witnesses to the incident other than the residents, who had cognitive impairment.

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

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Federal health inspectors cited Platte County Legacy Home in Wheatland, WY for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2026-02-20.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 5 deficiencies cited during this inspection of Platte County Legacy Home.

Correction Status: Deficient, Provider has plan of correction.

The facility reported correction as of 2026-04-01.

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 Wheatland, 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 Platte County Legacy Home or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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