Cheyenne County Village Inc
Cheyenne County Village Inc Information
| Facility Name | Cheyenne County Village Inc |
| Location | 820 S Denison Street, St Francis, KS 67756 |
| County (SSA Code) | Cheyenne (110) |
| Phone Number | 785-332-2531 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 30 |
| Average Number of Residents | 27.8 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | CHEYENNE COUNTY VILLAGE INC |
| Ownership Type | Government - City/county |
| Date First Approved | 1995-06-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.59856 |
| Reported LPN Staffing Hours per Resident per Day | 0.40742 |
| Reported RN Staffing - Hours per Resident per Day | 0.92646 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.33388 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.93244 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02315 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.90202 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.64238 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.299 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.84341 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.53053 |
| Total Weighted Health Survey Score for three cycles | 112 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-15 |
| Rating cycle 1 - Health Deficiency Score | 19 |
| Rating cycle 1 - Total Health Inspection Score | 68 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-11-05 |
| Rating cycle 2 - Health Deficiency Score | 68 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-22 |
| Rating cycle 3 - Health Deficiency Score | 20 |
| Rating cycle 3 - Total Health Inspection Score | 20 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |