Cheyenne County Village Inc
820 S Denison Street · St Francis, KS · 67756 · 7853322531
30 certified beds Non profit - Corporation Chain: Grace Team Services Part of a CCRC
- Inspection results have improved across recent cycles.
The composite number cleared 70 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 4.11 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.71 | 0.55–0.75 |
| Weekend hours / resident-day | 3.53 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | 1 · $13,287 |
Inspection citations (31 in the current record)
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Immediate jeopardy · J April 3, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 18, 2024 · Quality of Life and Care
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Actual harm · G April 3, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected April 18, 2024 · Quality of Life and Care
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Potential for harm · D September 28, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 25, 2023 · Resident Rights
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Potential for harm · D September 28, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 25, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 28, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 25, 2023 · Resident Assessment and Care Planning
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Potential for harm · D September 28, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 25, 2023 · Quality of Life and Care
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Potential for harm · D September 28, 2023
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.
Corrected October 25, 2023 · Nursing and Physician Services
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Potential for harm · F September 28, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 25, 2023 · Nutrition and Dietary
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Potential for harm · F September 28, 2023
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected October 25, 2023 · Administration
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Potential for harm · F September 28, 2023
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected October 25, 2023 · Administration
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Potential for harm · D September 28, 2023
Provide and implement an infection prevention and control program.
Corrected October 25, 2023 · Infection Control
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Potential for harm · D October 13, 2022
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 25, 2022 · Resident Rights
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Potential for harm · D October 13, 2022
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 25, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 13, 2022
Respond appropriately to all alleged violations.
Corrected November 25, 2022 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 13, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected November 25, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 13, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 25, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 13, 2022
Plan the resident's discharge to meet the resident's goals and needs.
Corrected November 25, 2022 · Resident Assessment and Care Planning
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Potential for harm · D October 13, 2022
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected November 25, 2022 · Quality of Life and Care
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Potential for harm · D October 13, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 25, 2022 · Quality of Life and Care
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Potential for harm · D October 13, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 25, 2022 · Quality of Life and Care
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Potential for harm · D October 13, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 25, 2022 · Quality of Life and Care
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Potential for harm · D October 13, 2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 25, 2022 · Quality of Life and Care
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Potential for harm · D October 13, 2022
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.
Corrected November 25, 2022 · Nursing and Physician Services
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Potential for harm · D October 13, 2022
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected November 25, 2022 · Quality of Life and Care
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Potential for harm · D October 13, 2022
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.
Corrected November 25, 2022 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 3, 2024 | Fine | $13,287 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175347 · certified since June 1, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.