Starfile

Starfile / Kansas

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.

CycleInspection dateThis facilityKansas avgNational avgvs state
12023-09-28910.19.5-1.1 better
22022-10-13179.99.8+7.1 worse
32021-07-2857.29.3-2.2 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Quality of life and care1
Resident assessment and care planning2
Nursing and physician services1
Resident rights1
Nutrition and dietary1
Administration2
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)4.2341.4%
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

  1. JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2024-04-03 · Health · corrected 2024-04-18

    Immediate jeopardy

  2. GF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-03 · Health · corrected 2024-04-18

    Actual harm

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. DF0880Provide and implement an infection prevention and control program.2023-09-28 · Health · corrected 2023-10-25

    Potential for more than minimal harm

  12. 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

  13. 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

  14. DF0610Respond appropriately to all alleged violations.2022-10-13 · Health · corrected 2022-11-25

    Potential for more than minimal harm

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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

  24. 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

  25. 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

  26. FF0881Implement a program that monitors antibiotic use.2022-10-13 · Health · corrected 2022-11-25

    Potential for more than minimal harm

  27. 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

  28. 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

  29. 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

  30. 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

  31. 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

OwnerTypeRolePercentSince
CHEYENNE COUNTY VILLAGE INCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2018-11-01
CHEYENNE COUNTY VILLAGE INCOrganizationOPERATIONAL/MANAGERIAL CONTROL2018-11-01
GRACE TEAM LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2018-11-01
GT SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-11-01
GRACE, RYANIndividualOPERATIONAL/MANAGERIAL CONTROL2018-11-01
HUEBERT, ERICIndividualOPERATIONAL/MANAGERIAL CONTROL2018-10-18
LICKE, HEATHERIndividualOPERATIONAL/MANAGERIAL CONTROL2018-11-01
MCTAGUE, DAPHNEIndividualOPERATIONAL/MANAGERIAL CONTROL2021-02-01
CARMICHAEL, SHERRYIndividualCORPORATE DIRECTOR2018-11-01
HOUTMAN, SARAIndividualCORPORATE DIRECTOR2018-11-01
KELLER, THOMASIndividualCORPORATE DIRECTOR2018-11-01
SCHULTZ, EDDYIndividualCORPORATE DIRECTOR2018-11-01
KLEPPER, RODIndividualCORPORATE OFFICER2018-11-01
LOHR, BROOKEIndividualCORPORATE OFFICER2021-01-01

Other facilities in ST FRANCIS

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.