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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 Beds139
Average Number of Residents67.5
CCRC Facility? No
Medicare Rating No Rating

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

Prodvider Business NameFOURSQUARE TEXAS 16 LLC
Ownership TypeFor profit - Corporation
Date First Approved2019-08-28

Reported Nurse Aide Staffing Hours per Resident per Day2.30876
Reported LPN Staffing Hours per Resident per Day1.29011
Reported RN Staffing - Hours per Resident per Day0.38121
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 Day0.08365
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.39974
Case-Mix LPN Staffing - Hours per Resident per Day0.88771
Case-Mix RN Staffing - Hours per Resident per Day0.49533
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.78278

Rating cycle 1 Standard Survey Health Date2019-08-28
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 Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

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