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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeKansasCheyenne County Village INC

Cheyenne County Village INC

820 S Denison Street, St Francis, KS 677567853322531
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
4/5
Quality
3/5
Beds
30
certified
Last health inspection was more than 2 years ago.
1 fine(s) totaling $13,287

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 30 certified beds with an average of 23.5 residents per day (78% occupancy)

• Last health inspection found 9 deficiencies (inspected Sep 28, 2023)

• Has been fined a total of $13,287 across 1 fine(s)

• Total nursing staff: 4.23 hours per resident per day

• Staff turnover rate: 41.4%

Cheyenne County Village INC is a 2-star Medicare and Medicaid certified nursing home in St Francis, Kansas with 30 certified beds. It has been operating since 1995. The facility scored below average compared to Kansas facilities.

Beds
30
Avg Residents/Day
23.5
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jun 1, 1995
Sprinklers
Yes
Council
Resident
County
Cheyenne
Last Inspection
Sep 28, 2023
Deficiencies (Cycle 1)
9
Weighted Score
95.8
Infection Citations
0

Deficiency Citations (31)

F0550Potential for Harm

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

Survey: Sep 28, 2023Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Sep 28, 2023Corrected: NoCycle: 1
F0658Potential for Harm

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

Survey: Sep 28, 2023Corrected: NoCycle: 1
F0690Potential for Harm

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

Survey: Sep 28, 2023Corrected: NoCycle: 1
F0726Potential for Harm

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.

Survey: Sep 28, 2023Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Sep 28, 2023Corrected: NoCycle: 1
F0851Potential for Harm

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

Survey: Sep 28, 2023Corrected: NoCycle: 1
F0868Potential for Harm

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

Survey: Sep 28, 2023Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 28, 2023Corrected: NoCycle: 1
F0686Immediate Jeopardy

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

Survey: Apr 3, 2024Corrected: NoCycle: 2
F0697Actual Harm

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

Survey: Apr 3, 2024Corrected: NoCycle: 2
F0580Potential for Harm

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

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0609Potential for Harm

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

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0656Potential for Harm

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

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0657Potential for Harm

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

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0660Potential for Harm

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

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0676Potential for Harm

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

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0677Potential for Harm

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

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0684Potential for Harm

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

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0690Potential for Harm

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

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0744Potential for Harm

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

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0881Potential for Harm

Implement a program that monitors antibiotic use.

Survey: Oct 13, 2022Corrected: NoCycle: 2
F0577Minimal Harm

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

Survey: Jul 28, 2021Corrected: NoCycle: 3
F0657Potential for Harm

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

Survey: Jul 28, 2021Corrected: NoCycle: 3
F0689Potential for Harm

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

Survey: Jul 28, 2021Corrected: NoCycle: 3
F0758Potential for Harm

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.

Survey: Jul 28, 2021Corrected: NoCycle: 3

+ 1 more deficiencies

Total Fines
$13,287
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineApr 3, 2024
$13,287

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide3.07 hrs
National avg: 2.35 hrs
LPN0.55 hrs
National avg: 0.86 hrs
RN0.61 hrs
National avg: 0.68 hrs
Total Nursing4.23 hrs
National avg: 3.89 hrs
Weekend Total3.71 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
41.4%
RN Turnover
0.0%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (14)

NameRoleTypeOwnership %Since
CHEYENNE COUNTY VILLAGE INC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Nov 1, 2018
CHEYENNE COUNTY VILLAGE INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 1, 2018
GRACE TEAM LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 1, 2018
GT SERVICES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ANov 1, 2019
GRACE, RYANOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 1, 2018
HUEBERT, ERICOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 18, 2018
LICKE, HEATHEROPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 1, 2018
MCTAGUE, DAPHNEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 1, 2021
CARMICHAEL, SHERRYCORPORATE DIRECTORIndividualN/ANov 1, 2018
HOUTMAN, SARACORPORATE DIRECTORIndividualN/ANov 1, 2018
KELLER, THOMASCORPORATE DIRECTORIndividualN/ANov 1, 2018
SCHULTZ, EDDYCORPORATE DIRECTORIndividualN/ANov 1, 2018
KLEPPER, RODCORPORATE OFFICERIndividualN/ANov 1, 2018
LOHR, BROOKECORPORATE OFFICERIndividualN/AJan 1, 2021

Frequently Asked Questions

What is the CMS rating for Cheyenne County Village INC?▾
Cheyenne County Village INC has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 4/5, and quality measures rating of 3/5. This facility is rated below average.
Has Cheyenne County Village INC had any health inspection violations?▾
Cheyenne County Village INC had 9 deficiency citations in its most recent health inspection (Sep 28, 2023). The facility has been fined a total of $13,287 across 1 fine(s).
What are the staffing levels at Cheyenne County Village INC?▾
Cheyenne County Village INC provides 4.23 total nursing staff hours per resident per day, including 0.61 RN hours, 0.55 LPN hours, and 3.07 nurse aide hours. The total staff turnover rate is 41.4%.
How many beds does Cheyenne County Village INC have?▾
Cheyenne County Village INC has 30 certified beds with an average of 23.5 residents per day, resulting in approximately 78% occupancy. The facility is Non profit - Corporation owned.