ROOM & RECOURSE

Wyoming

Grounds stated in the sources
Not stated in the sources reviewed. Wyoming's two rules for nursing care facilities — Chapter 11, Program Administration of Nursing Care Facilities (effective 07/01/2020), and Chapter 19, Licensure of Nursing Care Facilities — and the Health Facilities Act, W.S. 35-2-901 through 35-2-914, enumerate no permissible bases for a facility-initiated transfer or discharge and state no notice period or resident appeal for one. Chapter 11 uses discharge only for discharge planning and the release of drugs, and transfer for hospital transfer agreements. The enumerated federal grounds for Medicare/Medicaid-certified facilities are assembled on the federal page, not here.
Notice stated in the sources
Not stated in the sources reviewed, for a facility-initiated transfer or discharge. What Wyoming publishes is a notice on the department's side: under Medicaid Chapter 22, when the department's nursing facility level of care determination goes against a resident, the department "shall provide notice of adverse action and the right to request an administrative hearing to any individual whose Medicaid service coverage or eligibility is denied, reduced, terminated, or suspended as a result of its reconsideration determination." (Section 6(e)). Chapter 11 requires each facility to keep posted, for residents, "telephone numbers and addresses of" "the Long-Term Care Ombudsman, Protection and Advocacy, the local Department of Family Services Adult Protection office, the Medicaid Fraud Control Unit, the Wyoming State Survey Agency, and the facility’s grievance/complaint representative." (Section 19(a)(iii)).
Hearing office in these sources
No office hears a resident's appeal of a facility's own transfer or discharge decision in the sources reviewed; Chapter 11's hearing section is for facilities — "Any Nursing Care Facility aggrieved by a decision of the Program Division may request a hearing by submitting a written request to the Program Division within ten (10) days of the date of the adverse action at 6101 Yellowstone Road, North Building, Room 259B, Cheyenne, WY 82002." (Section 22(b)). The resident-side route Wyoming publishes runs through Medicaid: a level-of-care determination may be contested under Chapter 22, Section 6, and heard under Medicaid Chapter 4, where "A client’s request for a hearing shall be submitted electronically via email to the" "Department, made verbally to the Department, mailed to the Department via certified mail, return receipt requested, or personally delivered to the Department within twenty (20) business days after the mailing of the notice of adverse action." (Section 7(a)). Chapter 4 names no email address, street address or form for that request. Wyoming Medicaid's Institutional Provider Manual states, of a resident review that finds a resident inappropriate for nursing facility placement, that "Adverse determinations carry the right of appeal for the resident."
Ombudsman in these sources
The program's own page: "State Long-Term Care Ombudsman" "2300 Capitol Avenue" "Hathaway Building 4th Floor" "Cheyenne, WY 82002" "Phone 307-287-7757". The page states that "The Wyoming Department of Health employs a state long-term care ombudsman and contracts with a private, nonprofit organization to employ three regional long-term care ombudsman representatives." and names two regional ombudsmen with their numbers: "Phone 307-856-6880 or toll free 1-800-856-4398" (Riverton) and "Phone: 307-235-5959 or toll free 1-877-634-1006" (Casper). Chapter 11, Section 21(a): "Residents’ unresolved grievances and/or complaints shall be referred to the Long-Term Care Ombudsman."
Sources last checked
Sep 4, 2026

Reproduced from the agencies' own pages and documents quoted below — potentially relevant official sources, not a determination that any notice, ground, or deadline applies to any situation.

LedeWhat this page holds

Lede

This page assembles what Wyoming's own publishers state about involuntary transfer and discharge from a nursing care facility. It is a baseline page: the docket rows and the source map are built; the grounds section and the published-process section are not yet written, as the change log records. The fullest single source is Chapter 11, Program Administration of Nursing Care Facilities, the Department of Health's rule effective 07/01/2020, and what it states is mostly what it does not: it enumerates no grounds, sets no notice period and gives no resident an appeal of a facility's decision to move them. Wyoming's own vocabulary, where it speaks at all, is discharge and transfer in the ordinary clinical sense, and adverse action for the Medicaid determinations a resident can contest.

Two publishers hold what there is. The Department of Health publishes the licensing rules, the Medicaid level-of-care and hearing rules, and the ombudsman program's page; the Legislature publishes the Health Facilities Act. The only resident-side hearing in the sources is the Medicaid one, reached when the department itself decides a resident no longer meets nursing facility level of care. The federal floor for Medicare/Medicaid-certified facilities is assembled separately on the federal page; nothing here fills a gap from federal law or another state. Confirm applicability with the agencies named in the sources: whether any provision applies to a particular facility, resident, or notice is for the hearing office to determine. Deadlines and periods on this page are quoted from the sources, not calculated for any case.

03Source map

Source map

DocumentPublisher and locationSource's own dateRetrieved
Chapter 11, Program Administration of Nursing Care Facilities (PDF)Wyoming Department of Health, Aging DivisionEffective Date: 07/01/2020 to Current2026-09-04
Chapter 19, Licensure of Nursing Care Facilities (PDF)Wyoming Department of Health, Healthcare Licensing and Surveysnone stated in the document; listed by the department as effective 06-26-20002026-09-04
W.S. 35-2-901 through 35-2-914, Health Facilities Act (title 35 PDF, article 9 extracted)Wyoming Legislature, Wyoming Statutesnone stated in the extracted article2026-09-04
Medicaid Chapter 22, Determination of Nursing Facility Level of Care (PDF)Wyoming Department of Health, MedicaidEffective Date: 10/05/2021 to Current2026-09-04
Medicaid Chapter 4, Medicaid Administrative Hearings (PDF)Wyoming Department of Health, MedicaidEffective Date: 03/24/2020 to Current2026-09-04
Institutional Provider Manual, chapter 18, sections 18.4.4–18.5.1 (PDF)Wyoming Medicaid, Division of Healthcare Financingversion 19.0, 2026.07.012026-09-04
Wyoming Long-Term Care Ombudsman ProgramWyoming Department of Healthnone stated on page2026-09-04

Captured: all seven, in tools/packets/wyoming-packet.txt. Pending: any Wyoming Medicaid rule chapter on nursing facility services or reimbursement beyond Chapter 22 (the Secretary of State's rules portal, rules.wyo.gov, serves its search only through a scripted form and the department's own rules page lists no such chapter — see finding 4); the Office of Administrative Hearings' own page; Wyoming Senior Citizens, Inc.'s own ombudsman page, which the department's page names as the contractor's site.

04Change log

Change log

2026-09-04 — Baseline page built from the first Wyoming packet: docket, lede, source map, change log. Not yet captured or written: section 01 (the grounds, as Wyoming describes them, which on these sources would record the absence stated in the docket) and section 02 (the published process, including bed-hold and return, where the Institutional Provider Manual's section 18.5.1 is captured and states that "Reserve bed days during a resident's temporary absence are not covered unless the resident is absent from the facility for less than 24 hours."). Transports: every source was fetched by curl with a browser user-agent through the capture recipe (tools/recipes/wyoming.json); the six PDFs were read with pdftotext in layout mode, two of them sliced on body headings anchored with their first words (the Health Facilities Act out of the Legislature's 2.9 MB title 35 file; sections 18.4.4 to 18.6 out of the 373-page provider manual), and the ombudsman page by tag-stripping the body. No browser or session-fetch transport was needed. Findings: (1) Neither of Wyoming's nursing care facility rules, Chapter 11 or Chapter 19, nor the Health Facilities Act, W.S. 35-2-901 through 35-2-914, states a ground, a notice period or a resident appeal for a facility-initiated transfer or discharge; the words appear in those documents only for discharge planning, medication release, hospital transfer agreements and license transfer. That is recorded as an absence in the grounds and notice rows. It is a finding about what Wyoming publishes, not about a transport: every document was captured whole or as a complete article. (2) The only hearing in Chapter 11 belongs to the facility (Section 22(b)); the resident-side hearing the state publishes is the Medicaid administrative hearing of Chapter 4, reached from a level-of-care determination under Chapter 22, Section 6, and Chapter 4 names the Department as the recipient of a client's request without a street address, email address or form. (3) Chapter 4, Section 7(a) lists email, a verbal request, certified mail and personal delivery as the ways a client may request a hearing; Section 7(b) gives providers only certified mail and personal delivery. Quoted as published. (4) The department's Medicaid rules page lists chapters 3, 4, 16, 18, 22, 34, 44, 45 and 46 and no chapter on nursing facility services or reimbursement; a search-engine index attributes a "Reimbursement of Swing-Bed Services" chapter with a reserve-bed section to the Wyoming Medicaid rules, but the Secretary of State's portal (rules.wyo.gov) serves its rule search only through a scripted form, and no first-party address for that chapter was found. Capture-pending, and recorded as a transport result rather than an absence. (5) The Institutional Provider Manual carries its version in its filename; a new version will be a new address, and the review pass should look for the current file on the Provider Manuals page rather than treat the manual as withdrawn. Capture pending: per the source map. Internet Archive: not yet submitted. Reviewer: Carrie Schluter, reviewed 2026-09-04. Corrections: hello@fieldassembly.net.