Kindred Transitional Care And Rehabilitation-cheye - Cheyenne Nursing Home
General Information
UPDATEFederal Provider Number
535013
Provider Name
KINDRED TRANSITIONAL CARE AND REHABILITATION-CHEYE
Provider Address
3128 BOXELDER DRIVE
CHEYENNE, WY 82001
CHEYENNE, WY 82001
Provider Phone Number
(307) 634-7901
Provider SSA County
100
Provider County Name
Laramie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
146
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KINDRED NURSING CENTERS WEST LLC
Date First Approved to Provide Medicare and Medicaid services
1973-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.50636
Reported LPN Staffing Hours per Resident per Day
0.68136
Reported RN Staffing Hours per Resident per Day
0.68682
Reported Licensed Staffing Hours per Resident per Day
1.36818
Reported Total Nurse Staffing Hours per Resident per Day
3.87454
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04818
Expected CNA Staffing Hours per Resident per Day
2.30003
Expected LPN Staffing Hours per Resident per Day
0.64980
Expected RN Staffing Hours per Resident per Day
0.94625
Expected Total Nurse Staffing Hours per Resident per Day
3.89607
Adjusted CNA Staffing Hours per Resident per Day
2.67382
Adjusted LPN Staffing Hours per Resident per Day
0.87032
Adjusted RN Staffing Hours per Resident per Day
0.54234
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00862
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
27
Cycle 1 Number of Complaint Health Deficiencies
17
Cycle 1 Health Deficiency Score
243
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
122
Cycle 1 Total Health Score
365
Cycle 2 Total Number of Health Deficiencies
25
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
249
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
249
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
276.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
25
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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