Life Care Center Of Cheyenne - Cheyenne Nursing Home
General Information
UPDATEFederal Provider Number
535032
Provider Name
LIFE CARE CENTER OF CHEYENNE
Provider Address
1330 PRAIRIE AVENUE
CHEYENNE, WY 82009
CHEYENNE, WY 82009
Provider Phone Number
(307) 778-8997
Provider SSA County
100
Provider County Name
Laramie
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
160
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHEYENNE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1988-12-20
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91626
Reported LPN Staffing Hours per Resident per Day
0.55285
Reported RN Staffing Hours per Resident per Day
1.41667
Reported Licensed Staffing Hours per Resident per Day
1.96951
Reported Total Nurse Staffing Hours per Resident per Day
3.88578
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21992
Expected CNA Staffing Hours per Resident per Day
2.54731
Expected LPN Staffing Hours per Resident per Day
0.70960
Expected RN Staffing Hours per Resident per Day
1.21003
Expected Total Nurse Staffing Hours per Resident per Day
4.46694
Adjusted CNA Staffing Hours per Resident per Day
1.84584
Adjusted LPN Staffing Hours per Resident per Day
0.64666
Adjusted RN Staffing Hours per Resident per Day
0.87480
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50647
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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