Nursing Home
Cheyenne County Village Inc
820 S Denison Street, St Francis, KS 67756
2
2
CMS Overall Rating — Below average
Informational only. This information comes from CMS Care Compare data and may be out of date or contain errors. It is not a substitute for visiting the nursing home. Always confirm details directly with the provider and with Medicare.gov Care Compare before making a decision.
CMS five-star sub-ratings
Health inspection
2
Staffing
4
Quality measures
2
Long-stay QM
2
The overall rating starts from the health-inspection rating and is adjusted by staffing and quality-measure performance. How this works.
Facility details
- Type
- Nursing Home
- Ownership
- Non-profit
- Certified beds
- 30
- Phone
- (785) 332-2531
- CMS Certification Number
- 175347
- Address
- 820 S Denison Street, St Francis, KS 67756
Staffing
- Total nurse staffing (hrs/resident/day)
- 4.11 hrs
- RN staffing (hrs/resident/day)
- 0.71 hrs
- Total nursing staff turnover
- 40.7 %
Inspection
- Total weighted health survey score
- 95.75
Other measures
- Average residents per day
- 25.3
Inspection history
31citations on record
2serious (scope/severity G+)
2from complaints
April 3, 2024most recent survey
Recent citations
| Date | Tag | Issue | Severity |
|---|---|---|---|
| Apr 2024 | 0686 | Quality of Life and Care Deficiencies complaint | |
| Apr 2024 | 0697 | Quality of Life and Care Deficiencies complaint | |
| Sep 2023 | 0812 | Nutrition and Dietary Deficiencies | |
| Sep 2023 | 0851 | Administration Deficiencies | |
| Sep 2023 | 0868 | Administration Deficiencies | |
| Sep 2023 | 0550 | Resident Rights Deficiencies | |
| Sep 2023 | 0656 | Resident Assessment and Care Planning Deficiencies | |
| Sep 2023 | 0658 | Resident Assessment and Care Planning Deficiencies | |
| Sep 2023 | 0690 | Quality of Life and Care Deficiencies | |
| Sep 2023 | 0726 | Nursing and Physician Services Deficiencies | |
| Sep 2023 | 0880 | Infection Control Deficiencies | |
| Oct 2022 | 0881 | Infection Control Deficiencies | |
| Oct 2022 | 0580 | Resident Rights Deficiencies | |
| Oct 2022 | 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | |
| Oct 2022 | 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies |
Scope/severity runs A (least) to L (most serious); G and above indicate actual harm or immediate jeopardy. Source: CMS health inspection surveys.
Penalties & enforcement
1fines
$13,287total fines
0payment denials
1total penalties
Penalty history
| Date | Type | Amount / length |
|---|---|---|
| Apr 2024 | Fine | $13,287 |
Federal penalties recorded by CMS. Source: CMS Provider Data Catalog.
Ownership
| Owner | Type | Role | Stake |
|---|---|---|---|
| Cheyenne County Village Inc | Organization | 5% Or Greater Direct Ownership Interest | 100% |
| Klepper, Rod | Individual | Direct Ownership Interest | — |
| Carmichael, Sherry | Individual | Corporate Director | — |
| Houtman, Sara | Individual | Corporate Director | — |
| Keller, Thomas | Individual | Corporate Director | — |
| Schultz, Eddy | Individual | Corporate Director | — |
| Klepper, Rod | Individual | Corporate Officer | — |
| Lohr, Brooke | Individual | Corporate Officer | — |
| Cheyenne County Village Inc | Organization | Operational/Managerial Control | — |
| Grace Team LLC | Organization | Operational/Managerial Control | — |
| Gt Services LLC | Organization | Operational/Managerial Control | — |
| Grace, Ryan | Individual | Operational/Managerial Control | — |
Owners, managing employees and organizations on file with CMS. Ownership can affect accountability and care patterns. Source: CMS Ownership data.
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