Kansas › Cheyenne County › St Francis
Cheyenne County Village Inc
820 S Denison Street, St Francis, KS 67756
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Cheyenne County Village Inc is a Non-profit, corporation nursing home in St Francis, Kansas, certified for 30 beds and caring for about 28 residents a day.
CMS gives it 2 of 5 stars overall, below the Kansas median of 3; the health inspection rating is 2, staffing 3 and quality measures 3.
Inspectors recorded 31 health deficiencies across the three most recent survey cycles (9, 15, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 103.3 per 100 beds, more than the state median of 44.4.
CMS lists 1 penalty in the period covered: fines totalling $13K.
Reported nurse staffing is 3.9 hours per resident per day (0.7 RN), close to the Kansas median of 3.9; nursing staff turnover is 39.3%.
CMS flags that the facility has not had a standard health inspection in more than two years.
Compared with county, state and nation
| Measure | This facility | Cheyenne Co. median | Kansas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 31 | 31 | 24 | 28.7 |
| Citations per 100 beds | 103.3 | 103.3 | 44.4 | 26.8 |
| Total nurse hours per resident day | 3.9 | 3.9 | 3.9 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.6 | 0.7 |
| Nursing staff turnover | 39.3% | 39.3% | 47.4% | 45.8% |
| Fines listed | $13,287 | $13,287 | $7,960 | — |
County and state figures are medians across facilities (1 in the county, 296 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Sep 2023, 13 Oct 2022.
Severity mix: J ×1 G ×1 D ×23 E ×1 F ×4 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 3 Apr 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 18 Apr 2024 |
| 3 Apr 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | Complaint investigation | 18 Apr 2024 |
| 28 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 25 Oct 2023 |
| 28 Sep 2023 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 25 Oct 2023 |
| 28 Sep 2023 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard survey | 25 Oct 2023 |
| 28 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 25 Oct 2023 |
| 28 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Oct 2023 |
| 28 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 25 Oct 2023 |
| 28 Sep 2023 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 25 Oct 2023 |
| 28 Sep 2023 | F0726 | 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. | D | Standard survey | 25 Oct 2023 |
| 28 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 25 Oct 2023 |
| 13 Oct 2022 | F0881 | Implement a program that monitors antibiotic use. | F | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0660 | Plan the resident's discharge to meet the resident's goals and needs. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0726 | 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. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Standard survey | 25 Nov 2022 |
| 13 Oct 2022 | F0758 | 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. | D | Standard survey | 25 Nov 2022 |
| 28 Jul 2021 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Aug 2021 |
| 28 Jul 2021 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 25 Aug 2021 |
| 28 Jul 2021 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 25 Aug 2021 |
| 28 Jul 2021 | F0758 | 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. | D | Standard survey | 13 Aug 2021 |
| 28 Jul 2021 | F0577 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | C | Standard survey | 3 Aug 2021 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 3 Apr 2024 | Fine | $13,287 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 39.3%, RNs —; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Kansas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 34.1% | 17.3% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.8% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.8% | 2.0% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 11.4% | 3.7% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.3% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.6% | 15.5% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.7% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.2% | 15.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Chain: Grace Team Services (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cheyenne County Village Inc | 5% or greater direct ownership interest | 100% | 11/01/2018 |
| Cheyenne County Village Inc | Operational/managerial control | NOT APPLICABLE | 11/01/2018 |
| Grace Team LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2018 |
| Gt Services LLC | Operational/managerial control | NOT APPLICABLE | 11/01/2019 |
| County of Cheyenne | Adp of the snf | NOT APPLICABLE | 10/22/2018 |
| Grace Team LLC | Adp of the snf | NOT APPLICABLE | 06/10/2025 |
| Gt Services LLC | Adp of the snf | NOT APPLICABLE | 08/06/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Cheyenne County Village Inc been cited for?
31 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.
Has Cheyenne County Village Inc been fined?
Yes. CMS lists fines totalling $13K in the period covered.
How does staffing at Cheyenne County Village Inc compare?
Reported total nurse staffing is 3.9 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.
Who operates Cheyenne County Village Inc?
It is part of the Grace Team Services chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Cheyenne County Village Inc, Cheyenne County Village Inc and Grace Team LLC. Individual owners and managers are not listed on this site.
When was Cheyenne County Village Inc last inspected?
The most recent survey or investigation in the CMS record is dated 3 Apr 2024; the most recent standard health survey was 28 Sep 2023.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.