• 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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure services provided by the nursing facility meet professional standards of quality.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Provide and implement an infection prevention and control program.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide safe, appropriate pain management for a resident who requires such services.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Plan the resident's discharge to meet the resident's goals and needs.
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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.
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
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.
Implement a program that monitors antibiotic use.
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
+ 1 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CHEYENNE COUNTY VILLAGE INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Nov 1, 2018 |
| CHEYENNE COUNTY VILLAGE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Nov 1, 2018 |
| GRACE TEAM LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Nov 1, 2018 |
| GT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Nov 1, 2019 |
| GRACE, RYAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 1, 2018 |
| HUEBERT, ERIC | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 18, 2018 |
| LICKE, HEATHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 1, 2018 |
| MCTAGUE, DAPHNE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Feb 1, 2021 |
| CARMICHAEL, SHERRY | CORPORATE DIRECTOR | Individual | N/A | Nov 1, 2018 |
| HOUTMAN, SARA | CORPORATE DIRECTOR | Individual | N/A | Nov 1, 2018 |
| KELLER, THOMAS | CORPORATE DIRECTOR | Individual | N/A | Nov 1, 2018 |
| SCHULTZ, EDDY | CORPORATE DIRECTOR | Individual | N/A | Nov 1, 2018 |
| KLEPPER, ROD | CORPORATE OFFICER | Individual | N/A | Nov 1, 2018 |
| LOHR, BROOKE | CORPORATE OFFICER | Individual | N/A | Jan 1, 2021 |