All citations for Cheyenne County Village Inc

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Cheyenne County Village Inc

Last standard health inspection on record

September 28, 2023

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 25 of 68 citations

Immediate jeopardy to resident health or safety
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Isolated (one or a few residents). CMS level J.
Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of April 3, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 18, 2024).
Harm to a resident
Provide safe, appropriate pain management for a resident who requires such services.
Isolated (one or a few residents). CMS level G.
Health citation F-0697, Quality of Life and Care Deficiencies. Inspection of April 3, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (April 18, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 25, 2023).
No harm, with potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Widespread (many residents). CMS level F.
Health citation F-0851, Administration Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 25, 2023).
No harm, with potential for more than minimal harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Widespread (many residents). CMS level F.
Health citation F-0868, Administration Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (October 25, 2023).
No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Widespread (many residents). CMS level F.
Fire safety citation K-0293, Egress Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Widespread (many residents). CMS level F.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Widespread (many residents). CMS level F.
Fire safety citation K-0926, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 18, 2023).
No harm, with potential for more than minimal harm
Implement a program that monitors antibiotic use.
Widespread (many residents). CMS level F.
Health citation F-0881, Infection Control Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (November 25, 2022).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2022).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2022).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2022).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2022).
No harm, with potential for more than minimal harm
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel.
Widespread (many residents). CMS level F.
Fire safety citation K-0901, Electrical Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2022).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 13, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (December 19, 2022).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.