Cheyenne Medical Lodge
Cheyenne Medical Lodge Information
| Facility Name | Cheyenne Medical Lodge |
| Location | 750 Highway 352, Mesquite, TX 75149 |
| County (SSA Code) | Dallas (390) |
| Phone Number | 972-788-8900 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 139 |
| Average Number of Residents | 67.5 |
| CCRC Facility? | No |
| Medicare Rating | No Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | FOURSQUARE TEXAS 16 LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 2019-08-28 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.30876 |
| Reported LPN Staffing Hours per Resident per Day | 1.29011 |
| Reported RN Staffing - Hours per Resident per Day | 0.38121 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.67132 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.98009 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.08365 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.39974 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.88771 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.49533 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.78278 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-28 |
| Rating cycle 1 - Health Deficiency Score | . |
| Rating cycle 1 - Total Health Inspection Score | . |
| Rating cycle 2 - Health Deficiency Score | . |
| Rating cycle 3 - Health Deficiency Score | . |
| Rating cycle 3 - Total Health Inspection Score | . |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |