PlainNursing
CMS Nursing Home Compare · August 2026

Cheyenne County Village INC

820 S Denison Street, St Francis, KS 67756

Cheyenne County Village INC, a 30-bed non profit - corporation nursing facility in St Francis, KS, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #213 of 294 rated homes in KS on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 7853322531

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2 / 5
Below average · CMS overall · nat'l 3.0
#213 of 294
In-state rank among rated KS homes
3.91
About average · nurse hrs/day · nat'l 3.86
31
Inspection findings · 2 serious

The verdict

Cheyenne County Village INC, a 30-bed non profit - corporation nursing facility in St Francis, KS, holds a 2-star CMS overall rating - below the 3.0-star national average, ranking #213 of 294 rated homes in KS on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.

2 / 5
CMS overall · national 3.0
#213 of 294
In-state rank among rated KS homes
3.91
Nurse hrs/resident-day · national 3.86
31
Inspection findings · 2 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 296 KS nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

2/5

Staffing

3/5

Quality Measures

3/5

Long-Stay Quality

1/5

Facility Information

Provider Number
175347
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
30
Residents
28
In Hospital
No
County
Cheyenne
Last Inspection
Sep 28, 2023

Staffing Data

How the 3.91 total nursing hours per resident-day are staffed:

RN Hours
0.68 (nat'l avg: 0.69)
LPN Hours
0.41
CNA Hours
2.81
Total Nursing Hours
3.91 (nat'l avg: 3.86)
PT Hours
0.05
Nursing Turnover
39.3%

What the CMS Record Reveals About Cheyenne County Village INC

According to CMS Nursing Home Compare, Cheyenne County Village INC ranks #213 of 294 rated nursing homes in KS on overall stars (tie-broken by health+staffing+quality, then fewer fines). Cheyenne County Village INC operates 30 certified beds in St Francis, KS with approximately 28 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars (health inspection 2★ · staffing 3★ · quality 3★).

The inspection file contains 31 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $13K against this provider. Reported nurse staffing runs 3.91 total hours per resident day (national average 3.86); RN hours specifically are 0.68 per resident day.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Cheyenne County Village INC falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 39.3% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (31 most recent)

G - Isolated - Actual harm Apr 3, 2024 Tag: 0697

Provide safe, appropriate pain management for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 18, 2024

J - Isolated - Jeopardy Apr 3, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 18, 2024

D - Isolated - Minimal harm Sep 28, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 25, 2023

D - Isolated - Minimal harm Sep 28, 2023 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 25, 2023

D - Isolated - Minimal harm Sep 28, 2023 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 25, 2023

D - Isolated - Minimal harm Sep 28, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 25, 2023

D - Isolated - Minimal harm Sep 28, 2023 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 25, 2023

D - Isolated - Minimal harm Sep 28, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 25, 2023

F - Widespread - Minimal harm Sep 28, 2023 Tag: 0868

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Category: Administration Deficiencies

Corrected: Oct 25, 2023

F - Widespread - Minimal harm Sep 28, 2023 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Oct 25, 2023

F - Widespread - Minimal harm Sep 28, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 25, 2023

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0744

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0726

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.

Category: Nursing and Physician Services Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0676

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0660

Plan the resident's discharge to meet the resident's goals and needs.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0610

Respond appropriately to all alleged violations.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 25, 2022

D - Isolated - Minimal harm Oct 13, 2022 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Nov 25, 2022

F - Widespread - Minimal harm Oct 13, 2022 Tag: 0881

Implement a program that monitors antibiotic use.

Category: Infection Control Deficiencies

Corrected: Nov 25, 2022

C - Widespread - No harm Jul 28, 2021 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Aug 3, 2021

D - Isolated - Minimal harm Jul 28, 2021 Tag: 0758

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.

Category: Pharmacy Service Deficiencies

Corrected: Aug 13, 2021

D - Isolated - Minimal harm Jul 28, 2021 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Aug 25, 2021

D - Isolated - Minimal harm Jul 28, 2021 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 25, 2021

E - Pattern - Minimal harm Jul 28, 2021 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 3, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 34.1% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 4.8% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 11.4% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 19.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.7% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 6.2% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 4.3% Yes
Percentage of long-stay residents who lose too much weight Long Stay 4.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 81.8% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 15.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 92.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 18.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 26.7% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 1 penalties totaling $13K

Date Type Amount
Apr 3, 2024 Fine $13K

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Cheyenne County Village INC, both outside KS so the neighborhoods are not the same-state geography list below.

What the CMS records show for Cheyenne County Village INC

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The KS registry aggregates state averages and the highest-rated homes in this cohort. View KS registry
  • Peer homes near 30 beds show how CMS stars vary at a similar scale in KS. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Cheyenne County Village INC?
Cheyenne County Village INC has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (3★), and quality measures (3★).
Where does Cheyenne County Village INC rank among nursing homes in KS?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Cheyenne County Village INC ranks 213th among 294 rated nursing homes in KS (#213 of 294). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Cheyenne County Village INC?
Cheyenne County Village INC reports 3.91 total nursing hours per resident day (national average: 3.86). RN hours are 0.68 per resident day (national average: 0.69). Nursing staff turnover is 39.3%.
How many beds does Cheyenne County Village INC have?
Cheyenne County Village INC has 30 certified beds with approximately 28 residents. The facility is located at 820 S Denison Street, St Francis, KS 67756.
Does Cheyenne County Village INC have any deficiencies on record?
Yes, Cheyenne County Village INC has 31 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Cheyenne County Village INC received any fines or penalties?
Yes, Cheyenne County Village INC has received 1 penalties totaling $13K.
Who owns Cheyenne County Village INC?
Cheyenne County Village INC is classified as "Non profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Cheyenne County Village INC last inspected?
The most recent health inspection for Cheyenne County Village INC was on Sep 28, 2023. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Cheyenne County Village INC?
Cheyenne County Village INC is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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