CMS data shows Cheyenne County Village Inc earning a D grade with a score of 45/100, placing it below most facilities in Kansas. Prospective residents and families should carefully review the specific areas of concern detailed below.
Cheyenne County Village Inc provides above-average staffing with 4.23 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.
Recent CMS inspections identified 31 deficiencies at Cheyenne County Village Inc, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide appropriate pressure ulcer care and prevent new ulcers from developing..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.23 | 3.8 | Above Average |
| Registered Nurses (RN) | 0.61 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.55 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 3.07 | 2.4 | Above Average |
| Weekend Total Nursing | 3.71 | 3.8 | Average |
| Weekend RN Hours | 0.56 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0686 Severity JProvide appropriate pressure ulcer care and prevent new ulcers from developing.Apr 2, 2024 · Quality of Life and Care Deficiencies
- Tag 0697 Severity GProvide safe, appropriate pain management for a resident who requires such services.Apr 2, 2024 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Sep 27, 2023 · Nutrition and Dietary Deficiencies
- Tag 0851 Severity FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Sep 27, 2023 · Administration Deficiencies
- Tag 0868 Severity FHave the Quality Assessment and Assurance group have the required members and meet at least quarterlySep 27, 2023 · Administration Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 9.3% | 4.5% | Worse |
| Falls with major injury | 10.3% | 3.0% | Worse |
| On antipsychotic medication | 1.4% | 14.5% | Better |
| Urinary tract infections | 2.4% | 2.5% | Average |
| ADL decline (daily activities) | 28.8% | 14.0% | Worse |
| Excessive weight loss | 2.5% | 7.5% | Better |
| New/worsened incontinence | 19.2% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $13,287
How This Grade Was Calculated
This facility's grade of D is based on a score of 45 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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