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Cheyenne Manor

561 W 1st St. N, Cheyenne Wells, CO 80810 · Cheyenne County · (719) 767-5602

39 certified beds, about 21 residents a day · Government - Hospital district · Medicaid since 1999

Certified for Medicaid
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 06A192 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on October 29, 2025, inspectors cited 3 health deficiencies (the Colorado average is 8.7, the national average 9.2).

None of its 3 health citations since January 2020 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.94 hours per resident per day, against 3.72 across Colorado and 3.86 nationally. Registered nurses accounted for 0.66 of those hours.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 3 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
2D
0E
1F
Potential for minimal harm
0A
0B
0C
October 29, 2025Standard inspection · 3 citations
  1. F
    Observe each nurse aide's job performance and give regular training.
    F730 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) November 10, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to complete a performance review of every nurse aide at least once every 12 months and provide regular in-service education based on the outcome of these reviews for five of five certified nurse aides (CNA). Specifically, the facility failed to complete annual performance reviews for CNA #1, CNA #3, CNA #4, CNA #5 and CNA #6 in order to determine potential training needs.
  2. D
    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.
    F585 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to maintain a system of documenting grievances and demonstrating prompt action for one (#17) of four residents reviewed for grievances out of 17 sample residents. Specifically, the facility failed to effectively address, resolve and demonstrate the facility's response to individual grievances for Resident #17.
  3. D
    Respond appropriately to all alleged violations.
    F610 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 10, 2025
    Inspectors wroteBased on record review and interviews, the facility failed to ensure one (#12) of three residents reviewed for abuse out of 17 sample residents were free from abuse. Specifically, the facility failed to protect Resident #12 from caregiver neglect when a staff member refused to provide the resident care.
April 25, 2024Standard inspection · 0 citations
January 30, 2020Standard inspection · 0 citations

Fire safety inspections

12 fire safety citations on file: 9 on October 29, 2025, 3 on January 30, 2020.

Every fire safety citation12 citations
  1. F
    Have properly located and lighted "Exit" signs.
    K 293 · October 29, 2025 · Corrected (the home has a date of correction)
  2. F
    Follow proper procedures when the fire alarm was out of service for more than 4 hours.
    K 346 · October 29, 2025 · Corrected (the home has a date of correction)
  3. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · October 29, 2025 · Corrected (the home has a date of correction)
  4. F
    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
    K 354 · October 29, 2025 · Corrected (the home has a date of correction)
  5. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · October 29, 2025 · Corrected (the home has a date of correction)
  6. F
    Have an externally vented heating system.
    K 522 · October 29, 2025 · Corrected (the home has a date of correction)
  7. F
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · October 29, 2025 · Corrected (the home has a date of correction)
  8. F
    Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
    K 914 · October 29, 2025 · Corrected (the home has a date of correction)
  9. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · October 29, 2025 · Corrected (the home has a date of correction)
  10. D
    Install emergency lighting that can last at least 1 1/2 hours.
    K 291 · January 30, 2020 · Corrected (the home has a date of correction)
  11. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 30, 2020 · Corrected (the home has a date of correction)
  12. D
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 30, 2020 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeColoradoUnited States
All nursing staff (RN, LPN and aides)3.943.723.86
Registered nurses0.660.820.69
All nursing staff on weekends3.743.293.42
Nurse aides2.62
Licensed practical nurses0.67
Nursing staff turnover (share who left in a year)not reported47.1%45.8%
Registered nurse turnovernot reported44.6%42.9%
Administrators who leftnot reported

CMS expects 3.19 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.02 on weekdays and 3.74 on weekends, 7% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.66 in April to June 2025 to 3.94 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.940.664.023.74 16.6%0 of 9021
Oct to Dec 20250.090.000.060.14 100.0%92 of 9220
Jul to Sep 20254.680.964.794.38 30.8%4 of 9218
Apr to Jun 20254.660.964.804.32 26.5%5 of 9119
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Colorado, Jan to Mar 20263.590.763.753.185.9%0.2% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Colorado

JobMedianMiddle halfEmployed
Colorado, all employers
CNAs (nursing assistants)$22.78$21.42 to $24.0022,240
LPNs and LVNs$35.52$29.76 to $38.374,920
Registered nurses$48.20$40.67 to $52.3754,490
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeColoradoUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
15.113.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.60.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.31.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
7.93.43.2
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
10.713.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
3.43.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.920.015.4

Owners and operators

Legal business name: Legal Business Name Not Available.

NameRoleTypeShareSince
Ownership data not available

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on October 29, 2025: "Observe each nurse aide's job performance and give regular training."
  2. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 1 problem in this area, most recently on October 29, 2025: "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."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on October 29, 2025: "Respond appropriately to all alleged violations."

Colorado contacts for a concern about a nursing home

These are the official offices in Colorado. NursingHomeClear cannot take or act on complaints.

Common questions

What is Cheyenne Manor's Medicare star rating?
CMS rates Cheyenne Manor 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Cheyenne Manor get at its last inspection?
3 health deficiencies at the standard inspection on October 29, 2025. The Colorado average is 8.7.
Has Cheyenne Manor been fined?
CMS lists no fines in the last three years.
Does Cheyenne Manor accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Cheyenne Manor?
CMS lists 1 owner or manager. Legal business name: Legal Business Name Not Available.

Sources

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