Deficiency Records for Cheyenne County Village Inc
Updated as of December 01, 2018
This is not the most recent data for Cheyenne County Village Inc. For the most recent information, click here.
A list of the most recent deficiencies for Cheyenne County Village Inc. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Develop a communication plan. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Establish methods for sharing information. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-06-05 | 2018-07-05 | N |
| Provide housekeeping and maintenance services. | Health | 2017-05-22 | 2017-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-22 | 2017-06-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-22 | 2017-06-15 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-11-23 | 2016-12-15 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-23 | 2016-12-15 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-11-23 | 2016-12-15 | Y |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compe | Health | 2016-11-23 | 2016-12-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-12-14 | 2016-01-05 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2015-12-14 | 2016-01-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-14 | 2016-01-05 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-12-14 | 2016-01-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-12-14 | 2016-01-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-14 | 2016-01-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-05 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-05 | Not Fixed | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-11-05 | Not Fixed | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-11-05 | Not Fixed | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-05 | Not Fixed | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-05 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-05 | Not Fixed | N |
