Elder Care Record

Colorado › Cheyenne County › Cheyenne Wells

Cheyenne Manor

561 W 1st St N, Cheyenne Wells, CO 80810

CCN 06A192 · Government, hospital district · 39 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Certified for 39 beds, Cheyenne Manor serves Cheyenne Wells in Cheyenne County, Colorado and has taken Medicare and Medicaid residents since 1999.

CMS gives it 5 of 5 stars overall, above the Colorado median of 3; the health inspection rating is 5, staffing 3 and quality measures 4.

Inspectors recorded 3 health deficiencies across the three most recent survey cycles (3, 0, 0 by cycle, most recent first), none at the actual-harm level. That is 7.7 per 100 beds, fewer than the state median of 25.0.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 3.9 hours per resident per day (0.7 RN), close to the Colorado median of 3.5.

3health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
3.9nurse hours per resident per daystate median 3.5
53%occupancy (residents ÷ beds)21 residents a day

Compared with county, state and nation

MeasureThis facilityCheyenne Co. medianColorado medianUS average
Overall star rating5533.0
Health citations, 3 cycles332228.7
Citations per 100 beds7.77.725.026.8
Total nurse hours per resident day3.93.93.53.9
RN hours per resident day0.70.70.70.7
Nursing staff turnover——46.7%45.8%
Fines listed$0$0$10,033—

County and state figures are medians across facilities (1 in the county, 210 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)3
Cycle 20
Cycle 30

Dark bar: this facility. Grey bar: Colorado average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Oct 2025, 25 Apr 2024.

Severity mix: D ×2 F ×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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
29 Oct 2025F0730Observe each nurse aide's job performance and give regular training.FStandard survey10 Nov 2025
29 Oct 2025F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard survey10 Nov 2025
29 Oct 2025F0610Respond appropriately to all alleged violations.DStandard survey10 Nov 2025

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing3.94 h
Nurse aides2.62 h
LPN0.67 h
RN0.66 h
Weekend total3.74 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Colorado average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityColorado medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.1%11.1%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay1.3%0.9%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay7.9%3.0%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay10.7%11.9%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.4%3.0%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay17.9%18.8%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: government, hospital district. Legal business name: Legal Business Name Not Available.

No organisations are listed in the CMS ownership record for this facility.

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 Manor been cited for?

3 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Colorado median is 22 per facility.

Has Cheyenne Manor been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Cheyenne Manor compare?

Reported total nurse staffing is 3.9 hours per resident per day against a Colorado median of 3.5 and a national average of 3.9.

Who operates Cheyenne Manor?

Ownership type is government, hospital district. Individual owners and managers are not listed on this site.

When was Cheyenne Manor last inspected?

The most recent survey or investigation in the CMS record is dated 29 Oct 2025; the most recent standard health survey was 29 Oct 2025.

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.