Nursing HomeInspections

Cheyenne County Village INC

Nursing home in St Francis, KS

Medicare & Medicaid certified2★ overall (CMS)

Call (785) 332-2531Send a messageMap ↗

Public-record details

Address
820 S Denison Street, St Francis, KS 67756
Phone
(785) 332-2531
Listed under
Nonprofit, Part of a retirement community
Medicare CCN
175347
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
3 of 5
Quality measures rating
3 of 5
Certified beds
30
Average residents per day
28
Ownership
Nonprofit, corporation
Chain
Grace Team Services (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 1, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
Yes
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 175347. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 28, 2023. CMS lists 31 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 28, 2021 to Apr 3, 2024): 2 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 3, 2024Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care · complaint inspection		G
Actual harm, isolated
Apr 3, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Sep 28, 2023Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Sep 28, 2023Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 28, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 28, 2023Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Sep 28, 2023Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services		D
Potential for more than minimal harm, isolated
Sep 28, 2023Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Sep 28, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Sep 28, 2023Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration		F
Potential for more than minimal harm, widespread
Sep 28, 2023Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration		F
Potential for more than minimal harm, widespread
Oct 13, 2022Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 31. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $13,287 in the last three years.

Apr 3, 2024Fine: $13,287

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.91 hours
Registered nurse (RN) time per resident per day
0.68 hours
Nurse aide time per resident per day
2.81 hours
Total nurse staffing on weekends
3.55 hours
Nursing staff turnover (yearly)
39%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.