CHEYENNE COUNTY VILLAGE INC

πŸ“ 820 S DENISON STREET, st-francis, KS 67756 πŸ“ž 7853322531 πŸ›οΈ 30 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐
1/5

Inspection History Overview

61
Total Violations
7 years of data
$1,625
Total Fines
2 penalties
4
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 2 violations

Tag 0686 J Apr 3, 2024

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Apr 18, 2024
Tag 0697 G Apr 3, 2024

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: Apr 18, 2024

2023 9 violations

Tag 0550 D Sep 28, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Oct 25, 2023
Tag 0656 D Sep 28, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Oct 25, 2023
Tag 0658 D Sep 28, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Oct 25, 2023
Tag 0690 D Sep 28, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Oct 25, 2023
Tag 0726 D Sep 28, 2023

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Oct 25, 2023
Tag 0812 F Sep 28, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Oct 25, 2023
Tag 0851 F Sep 28, 2023

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

βœ“ Corrected: Oct 25, 2023
Tag 0868 F Sep 28, 2023

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

βœ“ Corrected: Oct 25, 2023
Tag 0880 D Sep 28, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 25, 2023

2022 15 violations

Tag 0580 D Oct 13, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Nov 25, 2022
Tag 0609 D Oct 13, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Nov 25, 2022
Tag 0610 D Oct 13, 2022

Respond appropriately to all alleged violations.

βœ“ Corrected: Nov 25, 2022
Tag 0656 D Oct 13, 2022

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Nov 25, 2022
Tag 0657 D Oct 13, 2022

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Nov 25, 2022
Tag 0660 D Oct 13, 2022

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Nov 25, 2022
Tag 0676 D Oct 13, 2022

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

βœ“ Corrected: Nov 25, 2022
Tag 0677 D Oct 13, 2022

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Nov 25, 2022
Tag 0684 D Oct 13, 2022

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Nov 25, 2022
Tag 0689 D Oct 13, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 25, 2022
Tag 0690 D Oct 13, 2022

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Nov 25, 2022
Tag 0726 D Oct 13, 2022

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Nov 25, 2022
Tag 0744 D Oct 13, 2022

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Nov 25, 2022
Tag 0758 D Oct 13, 2022

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Nov 25, 2022
Tag 0881 F Oct 13, 2022

Implement a program that monitors antibiotic use.

βœ“ Corrected: Nov 25, 2022

2021 5 violations

Tag 0577 C Jul 28, 2021

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

βœ“ Corrected: Aug 3, 2021
Tag 0657 D Jul 28, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Tag 0689 D Jul 28, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0758 D Jul 28, 2021

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Aug 13, 2021
Tag 0812 E Jul 28, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Aug 3, 2021

2019 21 violations

Tag 0582 E Aug 15, 2019

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

βœ“ Corrected: Sep 19, 2019
Tag 0604 D Aug 15, 2019

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Sep 19, 2019
Tag 0637 D Aug 15, 2019

Assess the resident when there is a significant change in condition

βœ“ Corrected: Sep 19, 2019
Tag 0655 D Aug 15, 2019

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Sep 19, 2019
Tag 0656 D Aug 15, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Sep 19, 2019
Tag 0657 D Aug 15, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Sep 19, 2019
Tag 0688 D Aug 15, 2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Sep 19, 2019
Tag 0689 D Aug 15, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Sep 19, 2019
Tag 0692 D Aug 15, 2019

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Sep 19, 2019
Tag 0730 F Aug 15, 2019

Observe each nurse aide's job performance and give regular training.

βœ“ Corrected: Sep 19, 2019
Tag 0741 E Aug 15, 2019

Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.

βœ“ Corrected: Sep 19, 2019
Tag 0805 E Aug 15, 2019

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

βœ“ Corrected: Sep 19, 2019
Tag 0812 F Aug 15, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Sep 19, 2019
Tag 0825 D Aug 15, 2019

Provide or get specialized rehabilitative services as required for a resident.

βœ“ Corrected: Sep 19, 2019
Tag 0865 F Aug 15, 2019

Have a plan that describes the process for conducting QAPI and QAA activities.

βœ“ Corrected: Sep 19, 2019
Tag 0867 F Aug 15, 2019

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Sep 19, 2019
Tag 0868 F Aug 15, 2019

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

βœ“ Corrected: Sep 19, 2019
Tag 0880 F Aug 15, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Sep 19, 2019
Tag 0881 F Aug 15, 2019

Implement a program that monitors antibiotic use.

βœ“ Corrected: Sep 19, 2019
Tag 0609 D Mar 7, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Apr 2, 2019

2018 6 violations

Tag 0550 E Nov 5, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Dec 5, 2018
Tag 0689 D Nov 5, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Dec 5, 2018
Tag 0726 F Nov 5, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Dec 5, 2018
Tag 0756 D Nov 5, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Dec 5, 2018
Tag 0804 D Nov 5, 2018

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

βœ“ Corrected: Dec 5, 2018
Tag 0880 F Nov 5, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Dec 5, 2018

2017 3 violations

Tag 0253 E May 22, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: Jun 15, 2017
Tag 0323 D May 22, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Jun 15, 2017
Tag 0431 E May 22, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Jun 15, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 2 penalties totaling $1,625

$975
Fine
January 11, 2021
$650
Fine
January 4, 2021
Average: $813 | Range: $650 - $975

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

April 3, 2024
0.00

Health

September 28, 2023
0.00

Health

October 13, 2022
0.00

Health

July 28, 2021
0.00

Quality Measures

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Short Stay

Quality Measure

Long Stay

Quality Measure

Long Stay

Quality Measure

Short Stay

Ownership Information

Government - City/county
Independent (Not part of a chain)
175347
175347
7853322531
Cheyenne

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Organization