On January 23, 2017, the NRC issued a Notice of Violation to Wyoming Medical Center for a Severity Level III violation for the failure to implement 10 CFR 35.40(b)(6). Specifically, 10 CFR 35.40(b)(6) requires, in part, that a licensee prepare written directives after implantation but before completion of the procedure for brachytheraphy, including use of low, medium, and pulsed dose rate remote afterloaders, where the written directive contains the radionuclide, treatment site, number of sources, and total source strength and exposure time (or total dose). On 15 occasions, between January 15 and December 22, 2015, the licensee completed written directives after implantation that did not include the number of sources and the total source strength as required, and some of these directives did not specify the radionuclide and total dose.