Cheyenne County Village INC
Nursing Home · ST Francis, KS
CMS certification number175347
Contact & location
820 S Denison StreetST Francis, KS 67756
Cheyenne County
- Phone
- (785) 332-2531
- ZIP code
- 67756 – all care providers
Facility details
- Certified beds
- 30
- Residents per day
- 27.9 (93% occupied)
- Ownership
- Non profit - Corporation
- Chain
- Grace Team Services (9 facilities, avg 2.6★)
- Medicare certified since
- June 1, 1995
- Participates in
- Medicare and Medicaid
- Continuing care
- Part of a continuing care retirement community
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.91 (state 4.07 · U.S. 3.86)
- Registered nurses (RN)
- 0.68 (state 0.71 · U.S. 0.69)
- Licensed practical nurses
- 0.41 (state 0.65 · U.S. 0.86)
- Nurse aides
- 2.81 (state 2.70 · U.S. 2.32)
- Weekend total
- 3.55 (state 3.60 · U.S. 3.42)
- Nursing staff turnover
- 39.3 (state 48.1 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- September 28, 2023
- Health deficiencies (last cycle)
- 9.0 (state 9.5 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 31 health · 37 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2024-04-03 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-04-18 |
| 2024-04-03 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2024-04-18 |
| 2023-09-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-25 |
| 2023-09-28 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-25 |
| 2023-09-28 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-10-25 |
| 2023-09-28 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-25 |
| 2023-09-28 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-25 |
| 2023-09-28 | Ensure services provided by the nursing facility meet professional standards of quality. F0658 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-25 |
| 2023-09-28 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-25 |
| 2023-09-28 | 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. F0726 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-25 |
| 2023-09-28 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-25 |
| 2022-10-13 | Implement a program that monitors antibiotic use. F0881 · Infection Control Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Plan the resident's discharge to meet the resident's goals and needs. F0660 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. F0676 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | 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. F0726 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. F0744 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2022-10-13 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2022-11-25 |
| 2021-07-28 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2021-08-03 |
| 2021-07-28 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-08-25 |
| 2021-07-28 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-08-25 |
| 2021-07-28 | 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. F0758 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2021-08-13 |
| 2021-07-28 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. F0577 · Resident Rights Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2021-08-03 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $13,287 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-04-03 | Fine | $13,287 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Cheyenne County Village INC (organization) | 5%+ Direct Ownership Interest · 100% | |
| County of Cheyenne (organization) | Administrator · NOT APPLICABLE | |
| Grace Team LLC (organization) | Administrator · NOT APPLICABLE | |
| Grace, Ryan (individual) | Administrator · NOT APPLICABLE | |
| GT Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Huebert, Eric (individual) | Administrator · NOT APPLICABLE | |
| Licke, Heather (individual) | Administrator · NOT APPLICABLE | |
| McTague, Daphne (individual) | Administrator · NOT APPLICABLE | |
| Carmichael, Sherry (individual) | Corporate Director · NOT APPLICABLE | |
| Houtman, Sara (individual) | Corporate Director · NOT APPLICABLE | |
| Keller, Thomas (individual) | Corporate Director · NOT APPLICABLE | |
| Schultz, Eddy (individual) | Corporate Director · NOT APPLICABLE | |
| Klepper, Rod (individual) | Corporate Officer · NOT APPLICABLE | |
| Lohr, Brooke (individual) | Corporate Officer · NOT APPLICABLE | |
| Klepper, Rod (individual) | Direct Ownership Interest · NOT APPLICABLE | |
| Cheyenne County Village INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Grace Team LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Grace, Ryan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| GT Services LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Huebert, Eric (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Licke, Heather (individual) | Operational/managerial Control · NOT APPLICABLE | |
| McTague, Daphne (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Cheyenne County Village INC?
Cheyenne County Village INC has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Kansas.
How many beds does Cheyenne County Village INC have?
It has 30 certified beds and cares for about 28 residents per day.
Has Cheyenne County Village INC been fined?
Yes. CMS lists 1 penalty totaling $13,287 in the last three years.
Who owns Cheyenne County Village INC?
It is part of Grace Team Services and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Cheyenne County Village INC?
(785) 332-2531. The facility is located at 820 S Denison Street, ST Francis, KS 67756.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.