CHEYENNE HEALTH CARE CENTER

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General
City	CHEYENNE	vs	0% Nursing Homes USA have CHEYENNE
State attribute explanation	WY	vs	0.3% Nursing Homes USA have WY	compare WY Nursing Homes USA
Street	2700 E 12TH STREET
Zip Code	82001
Phone	3076347986
Overall Star Rating	2 (1.11 lower than average)	vs	3.11	Compare similar Overall Star Rating (2)
Health Inspections Star Rating	2 (0.83 lower than average)	vs	2.83	Compare similar Health Inspections Star Rating (2)
Nurse Staffing Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar Nurse Staffing Star Rating (3)
Quality Measures Star Rating	3 (0.31 lower than average)	vs	3.31	Compare similar Quality Measures Star Rating (3)
RN Only Star Rating	3 (0.17 lower than average)	vs	3.17	Compare similar RN Only Star Rating (3)
Number of Certified Beds	105 (3.94 lower than average)	vs	108.94	Compare similar Number of Certified Beds (105)
Total Number of Residents	91 (0.25 lower than average)	vs	91.25	Compare similar Total Number of Residents (91)
Percent of Occupied Beds	87 % (3.35 % higher than average)	vs	83.65 %	Compare similar Percent of Occupied Beds (87) %
Health Survey Date	1/20/2012
Fire Survey Date	1/19/2012
Sprinkler Status	Fully Sprinklered	vs	90.2% Nursing Homes USA have Fully Sprinklered
Program Participation	Medicare And Medicaid	vs	91.5% Nursing Homes USA have Medicare and Medicaid	compare Medicare and Medicaid Nursing Homes USA
Type of Ownership	For Profit - Corporation	vs	56.7% Nursing Homes USA have For profit - Corporation	compare For profit - Corporation Nursing Homes USA
Located Within a Hospital?	No	vs	93.6% Nursing Homes USA don't have Located Within a Hospital?	Compare similar don't have Located Within a Hospital?
Multi Nursing Home Ownership?	Yes	vs	54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils	RESIDENT	vs	66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community?	No	vs	90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey?	No	vs	68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility?	No	vs	99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count	75.2 (17.04 higher than average)	vs	58.16
Total Enforcement Actions Count	75.2 (18.89 higher than average)	vs	56.31
# of deficiencies	24 (16.52 higher than average)	vs	7.48

Staff Information
Number of Residents	91 (0.38 lower than average)	vs	91.38
Number of RN Hours Per Resident Per Day	0.68 (0.09 lower than average)	vs	0.77
Number of LPN/LVN Hours Per Resident Per Day	0.55 (0.29 lower than average)	vs	0.84
Total Number of Licensed Staff Hours Per Resident Per Day	1.23 (0.36 lower than average)	vs	1.59
Number of CNA Hours Per Resident Per Day	0.1 (5.39 lower than average)	vs	5.49
Number Therapy Hours Per Resident Per Day	0.1 (equals average)	vs	0.10

Environmental Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents. survey Date: 07/20/2010 date Of Correction: 08/18/2010

Resident Rights Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality. survey Date: 01/06/2012 date Of Correction: 02/28/2012

Quality Care Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Provide Routine And 24-hour Emergency Dental Care For Each Resident. survey Date: 03/14/2012 date Of Correction: 05/21/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves. survey Date: 03/14/2012 date Of Correction: 05/21/2012
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 03/14/2012 date Of Correction: 05/21/2012
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 01/06/2012 date Of Correction: 02/28/2012
Deficiency #5		Scope: Few level Of Harm: 3 deficiency: Give Each Resident Enough Fluids To Keep Them Healthy And Prevent Dehydration. survey Date: 07/20/2010 date Of Correction: 08/18/2010
Deficiency #6		Scope: Few level Of Harm: 2 deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion. survey Date: 07/08/2010 date Of Correction: 08/18/2010
Deficiency #7		Scope: Few level Of Harm: 2 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 07/08/2010 date Of Correction: 08/18/2010
Deficiency #8		Scope: Few level Of Harm: 2 deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality. survey Date: 07/08/2010 date Of Correction: 08/18/2010
Deficiency #9		Scope: Few level Of Harm: 2 deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life. survey Date: 07/08/2010 date Of Correction: 08/18/2010
Deficiency #10		Scope: Few level Of Harm: 2 deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function. survey Date: 01/28/2010 date Of Correction: 03/02/2010
Deficiency #11		Scope: Few level Of Harm: 2 deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores. survey Date: 01/28/2010 date Of Correction: 03/02/2010
Deficiency #12		Scope: Few level Of Harm: 2 deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene. survey Date: 01/28/2010 date Of Correction: 03/02/2010
Deficiency #13		Scope: Few level Of Harm: 3 deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident . survey Date: 11/06/2009 date Of Correction: 12/11/2009

Resident Assessment Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured. survey Date: 01/06/2012 date Of Correction: 02/28/2012
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Review Or Revise The Resident's Care Plan After Any Major Change In A Resident's Physical Or Mental Health. survey Date: 10/28/2010 date Of Correction: 12/12/2010
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity. survey Date: 10/28/2010 date Of Correction: 12/12/2010
Deficiency #4		Scope: Few level Of Harm: 2 deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home. survey Date: 08/26/2009 date Of Correction: 09/30/2009

Administration Deficiencies
Deficiency #1		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 07/08/2010 date Of Correction: 08/18/2010
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Keep Complete, Dated Lab Records In The Resident's File. survey Date: 07/08/2010 date Of Correction: 08/18/2010
Deficiency #3		Scope: Few level Of Harm: 2 deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards. survey Date: 11/06/2009 date Of Correction: 12/11/2009

Pharmacy Service Deficiencies
Deficiency #1		Scope: Some level Of Harm: 2 deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist. survey Date: 01/28/2010 date Of Correction: 03/02/2010
Deficiency #2		Scope: Few level Of Harm: 2 deficiency: Keep The Rate Of Medication Errors (wrong Drug, Wrong Dose, Wrong Time) To Less Than 5%. survey Date: 11/06/2009 date Of Correction: 12/11/2009

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication	17.3:1 %
Percent of long-stay residents whose need for help with daily activities has increased	75.2 % (42.25 % higher than average)	vs	32.95 %
Percent of long-stay residents who self-report moderate to severe pain	9.1 % (7.56 % lower than average)	vs	16.66 %
Percent of long-stay high-risk residents with pressure ulcers	1.9 % (10.68 % lower than average)	vs	12.58 %
Percent of long-stay residents who lose too much weight	7.4 % (4.43 % lower than average)	vs	11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	49.2 % (4.66 % higher than average)	vs	44.54 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.6 % (11.03 % lower than average)	vs	15.63 %
Percent of long-stay residents with a urinary tract infection	6.2 % (7.26 % lower than average)	vs	13.46 %
Percent of long-stay residents who have depressive symptoms	1.2 % (27.18 % lower than average)	vs	28.38 %
Percent of long-stay residents who were physically restrained	75.2 % (31.52 % higher than average)	vs	43.68 %
Percent of short-stay residents who self-report moderate to severe pain	32.7 (90.9) % (7.68 % higher than average)	vs	25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	67.2 % (17.44 % lower than average)	vs	84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	65.6 % (18.34 % lower than average)	vs	83.94 %
Percent of short-stay residents who newly received an antipsychotic medication	75.2 % (29.3 % higher than average)	vs	45.90 %
Percent of long-stay residents experiencing one or more falls with major injury	4.8 % (10.72 % lower than average)	vs	15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication	17.9 (64.2) % (7.49 % lower than average)	vs	25.39 %
Percent of long-stay residents whose need for help with daily activities has increased	1.1 % (22.6 % lower than average)	vs	23.70 %
Percent of long-stay residents who self-report moderate to severe pain	9.9:1 %
Percent of long-stay high-risk residents with pressure ulcers	3.4 % (5.82 % lower than average)	vs	9.22 %
Percent of long-stay residents who lose too much weight	5.3 % (3.2 % lower than average)	vs	8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder	49.7 % (6.32 % higher than average)	vs	43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder	4.6 % (6.05 % lower than average)	vs	10.65 %
Percent of long-stay residents with a urinary tract infection	7.8 % (1.78 % lower than average)	vs	9.58 %
Percent of long-stay residents who have depressive symptoms	3.2 % (16.66 % lower than average)	vs	19.86 %
Percent of long-stay residents who were physically restrained	75.2 % (36.67 % higher than average)	vs	38.53 %
Percent of long-stay residents experiencing one or more falls with major injury	4 % (6.73 % lower than average)	vs	10.73 %
Percent of short-stay residents who self-report moderate to severe pain	40.9 % (16.14 % higher than average)	vs	24.76 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine	59.3 % (22.14 % lower than average)	vs	81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened	63.2 % (11.55 % lower than average)	vs	74.75 %
Percent of short-stay residents who newly received an antipsychotic medication	16.9-24 % (0.44 % lower than average)	vs	17.34 %