Cheyenne Health Care Center - Cheyenne Nursing Home
General Information
UPDATEFederal Provider Number
535025
Provider Name
CHEYENNE HEALTH CARE CENTER
Provider Address
2700 E 12TH STREET
CHEYENNE, WY 82001
CHEYENNE, WY 82001
Provider Phone Number
(307) 634-7986
Provider SSA County
100
Provider County Name
Laramie
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
105
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC CHEYENNE OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1984-10-16
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.87604
Reported LPN Staffing Hours per Resident per Day
0.43229
Reported RN Staffing Hours per Resident per Day
0.86458
Reported Licensed Staffing Hours per Resident per Day
1.29688
Reported Total Nurse Staffing Hours per Resident per Day
3.17291
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11979
Expected CNA Staffing Hours per Resident per Day
2.42566
Expected LPN Staffing Hours per Resident per Day
0.65893
Expected RN Staffing Hours per Resident per Day
1.06185
Expected Total Nurse Staffing Hours per Resident per Day
4.14644
Adjusted CNA Staffing Hours per Resident per Day
1.89772
Adjusted LPN Staffing Hours per Resident per Day
0.54452
Adjusted RN Staffing Hours per Resident per Day
0.60838
Adjusted Total Nurse Staffing Hours per Resident per Day
3.08449
Cycle 1 Total Number of Health Deficiencies
25
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-01-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
111.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
27
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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