CHEYENNE COUNTY VILLAGE INC
820 S DENISON STREET, ST FRANCIS, KS 67756 · CCN 175347
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 30
- Avg residents/day
- 23.5
- Phone
- 7853322531
Inspection history vs Kansas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Kansas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2023-09-28 | 9 | 10.1 | 9.5 | -1.1 better |
| 2 | 2022-10-13 | 17 | 9.9 | 9.8 | +7.1 worse |
| 3 | 2021-07-28 | 5 | 7.2 | 9.3 | -2.2 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 1 |
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Administration | 2 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.23 | 41.4% |
| RN staffing (reported) | 0.61 | — |
| Total nurse staffing (adjusted) | 4.96 | — |
Fines & penalties
- Total fines
- $13,287
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (31)1 immediate jeopardy1 actual harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-03 · Health · corrected 2024-04-18
Immediate jeopardy
- GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-03 · Health · corrected 2024-04-18
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-28 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-28 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2023-09-28 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-28 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2023-09-28 · Health · corrected 2023-10-25
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-09-28 · Health · corrected 2023-10-25
Potential for more than minimal harm
- FF0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.2023-09-28 · Health · corrected 2023-10-25
Potential for more than minimal harm
- FF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2023-09-28 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-09-28 · Health · corrected 2023-10-25
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0660Plan the resident's discharge to meet the resident's goals and needs.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- DF0758Implement 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.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- FF0881Implement a program that monitors antibiotic use.2022-10-13 · Health · corrected 2022-11-25
Potential for more than minimal harm
- CF0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.2021-07-28 · Health · corrected 2021-08-03
Potential for minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-07-28 · Health · corrected 2021-08-25
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-07-28 · Health · corrected 2021-08-25
Potential for more than minimal harm
- DF0758Implement 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.2021-07-28 · Health · corrected 2021-08-13
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-07-28 · Health · corrected 2021-08-03
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CHEYENNE COUNTY VILLAGE INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-11-01 |
| CHEYENNE COUNTY VILLAGE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-01 |
| GRACE TEAM LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-01 |
| GT SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-11-01 |
| GRACE, RYAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-01 |
| HUEBERT, ERIC | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-10-18 |
| LICKE, HEATHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2018-11-01 |
| MCTAGUE, DAPHNE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-02-01 |
| CARMICHAEL, SHERRY | Individual | CORPORATE DIRECTOR | — | 2018-11-01 |
| HOUTMAN, SARA | Individual | CORPORATE DIRECTOR | — | 2018-11-01 |
| KELLER, THOMAS | Individual | CORPORATE DIRECTOR | — | 2018-11-01 |
| SCHULTZ, EDDY | Individual | CORPORATE DIRECTOR | — | 2018-11-01 |
| KLEPPER, ROD | Individual | CORPORATE OFFICER | — | 2018-11-01 |
| LOHR, BROOKE | Individual | CORPORATE OFFICER | — | 2021-01-01 |
Other facilities in ST FRANCIS
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.