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Cheyenne Manor


Cheyenne Manor Information

     
Facility Name Cheyenne Manor
Location 561 W 1st St N, Cheyenne Wells, CO 80810
County (SSA Code) Cheyenne (80)
Phone Number 719-767-5602
Certification(s)Medicaid
Number of Beds38
Average Number of Residents22.8
CCRC Facility? No
Medicare Overall Rating
Survey Rating
Quality Rating
Long Stay Quality Rating
Staff Quality Rating
Registered Nurse Quality Rating

Abuse Flag No
Sprinklers InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameLegal Business Name Not Available
Ownership TypeGovernment - County
Date First Approved1999-12-10

Reported Nurse Aide Staffing Hours per Resident per Day2.62446
Reported LPN Staffing Hours per Resident per Day0.46109
Reported RN Staffing - Hours per Resident per Day0.76855
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)1.22965
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.85411
Case-Mix Nurse Aide Staffing - Hours per Resident per Day1.83671
Case-Mix LPN Staffing - Hours per Resident per Day0.62537
Case-Mix RN Staffing - Hours per Resident per Day0.26032
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)2.7224
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)4.51352

Total Weighted Health Survey Score for three cycles0.667
Rating cycle 1 Standard Survey Health Date2020-01-30
Date of Rating cycle 2 Standard Health Survey Date2019-01-10
Date of Rating cycle 3 Standard Health Survey Date2017-10-05
Rating cycle 3 - Health Deficiency Score4
Rating cycle 3 - Total Health Inspection Score4

Number of Facility-Reported Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28