CCN 06A192
Cheyenne Manor
561 W 1ST ST N, Cheyenne Wells, CO 80810 · Cheyenne County
- Ownership
- Government - Hospital district
- Certified beds
- 39
- Residents per day
- 20.7
- Health citations
- 3
- Penalties
- 0
- Fines
- 0 · $0
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.62
- 2.21
- 2.32
- LPN/LVN
- 0.67
- 0.68
- 0.86
- Registered nurse
- 0.66
- 0.82
- 0.69
- Total nurse staff
- 3.94
- 3.72
- 3.86
- Weekend total
- 3.74
- 3.29
- 3.42
- Weekend RN
- 0.48
- 0.60
- 0.48
Adjusted total nurse hours: 4.74. Adjusted RN hours: 0.79. Case-mix total: 3.19. Case-mix index: 1.166.
Total nursing staff turnover: —. RN turnover: —. Administrators who left: —. This facility did not submit staffing data, or submitted staffing data that CMS considers invalid for calculating turnover. CMS assigns the minimum points for this measure when calculating the staffing score and rating.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 0 fines totaling $0, and 0 payment denials.
The Penalties file has no individual penalty rows for this CCN.
Cycle 1 standard survey: October 29, 2025. Health deficiencies counted in cycle 1: 3. Cycle 1 total health score: 24.
Cycle 2 standard survey: April 25, 2024. Cycle 2/3 health deficiencies: 0. Total weighted health survey score: 18.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 3 citations for this home, including 0 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
October 29, 2025
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F730 | Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Standard survey · Cycle 1 | F: widespread, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · November 10, 2025 |
| F585 | Honor 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. Resident Rights Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · November 10, 2025 |
| F610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · November 10, 2025 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections