Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cheney Golden Age Home during CMS and state inspections, most recent first.
The facility did not conduct annual performance reviews for five CNAs employed for over a year. A review of employment records showed the absence of required evaluations, confirmed by Administrative Staff A. The facility also lacked a policy for completing these evaluations, which are essential for maintaining care quality.
The facility failed to submit accurate staffing data through the PBJ system, showing a lack of 24-hour licensed nursing coverage on several dates, despite having adequate coverage. Issues with payroll contractor accuracy and staff clocking procedures contributed to the deficiency.
The facility failed to maintain a sanitary environment, as respiratory equipment for several residents was not stored properly, and staff did not consistently use PPE for a resident requiring enhanced barrier precautions. Oxygen cannulas and CPAP equipment were found without sanitary storage, and mechanical lifts were not sanitized between uses. The facility lacked specific policies addressing these infection control issues.
A facility failed to maintain the dignity of three residents during care procedures. A resident with a PEG tube had her privacy breached when medication was administered with her breast exposed and the door open. Another resident was transported with her buttocks exposed, contrary to policy. Additionally, staff failed to communicate with a resident during a transfer, leading to agitation. These incidents highlight a failure to adhere to the facility's dignity policy.
The facility failed to provide written notification to residents or their representatives for hospital transfers, as required by regulations. A review of EHRs for three residents showed a lack of documentation for written notices during transfers. Interviews with staff revealed that verbal consent for bed holds was obtained, but no written notices were issued, and there was no policy in place for discharge notifications.
The facility failed to update care plans for two residents, leading to uncommunicated care needs. One resident's care plan lacked interventions for proper CPAP storage, while another resident's fall was not documented or addressed in the care plan. This resulted in potential risks to the residents' well-being.
A facility failed to identify, investigate, and document a fall involving a resident with multiple health conditions, including hemiplegia and obesity. The resident required substantial assistance for transfers, yet an incident where staff assisted her to the floor was not recorded as a fall, nor were fall prevention interventions implemented. This oversight led to a missed opportunity to address the resident's fall risk, resulting in a non-displaced distal tibia fracture.
Failure to Conduct Annual Performance Reviews for CNAs
Penalty
Summary
The facility failed to conduct annual performance reviews for five Certified Nurse Aides (CNAs) who have been employed for over a year. This deficiency was identified during a review of employment records, which revealed that the facility did not complete the required annual performance evaluations for these direct care staff members. The CNAs involved were hired on various dates, with some having been employed since as early as 2004. Administrative Staff A confirmed the absence of recent performance evaluations and acknowledged that all staff should receive an annual review. Additionally, the facility did not provide a policy addressing the completion of these evaluations, which are crucial for ensuring the quality of care provided to all residents.
Inaccurate PBJ Staffing Data Submission
Penalty
Summary
The facility failed to electronically submit complete and accurate staffing information to the Federal regulatory agency through the Payroll-Based Journal (PBJ) system. Specifically, the facility did not accurately report hourly staffing data for all nursing personnel for several dates in the third quarter of the fiscal year 2024. The PBJ Staffing Data Report indicated a lack of 24-hour licensed nursing coverage on specific dates, although a review of the nursing schedule and payroll data sheets showed that the facility had adequate coverage. Administrative Staff A reported that the payroll and scheduling data reflected 24-hour nursing coverage, and explained that nursing staff were instructed not to clock out for lunch if they remained in the building. Additionally, there were issues with the payroll contractor accurately accounting for time when agency staff covered shifts. Administrative Nurse B provided documentation supporting the claim of adequate 24-hour nursing coverage for the dates in question. Despite this, the facility's failure to submit accurate staffing information through the PBJ system constituted a deficiency.
Infection Control Deficiencies in Respiratory Equipment and PPE Use
Penalty
Summary
The facility failed to maintain a sanitary environment to prevent the spread of infectious organisms, as evidenced by improper storage of respiratory equipment and inadequate use of personal protective equipment (PPE). For Resident 26, the oxygen nasal cannula and tubing were not stored in a sanitary manner when not in use, as they were found lying on the floor and on top of the oxygen concentrator without a storage bag. Staff members, including a Certified Nurse Aide and a Licensed Nurse, acknowledged the lack of proper storage and the absence of a policy addressing this issue. Resident 11's CPAP equipment was also not stored in a sanitary manner, as it was found on the bedside cabinet without a cover or bag. Interviews with staff revealed a lack of clarity regarding the responsibility for ensuring the equipment was stored properly. Administrative Nurse B confirmed the infection control concern and attempted to rectify the situation by placing the CPAP mask in a sanitary bag, but the facility lacked a specific infection control policy for respiratory equipment. Additionally, the facility did not ensure appropriate use of PPE for Resident 2, who required enhanced barrier precautions due to an indwelling urinary catheter. Observations showed that staff did not consistently use the required PPE, and mechanical lifts were not sanitized between uses in different residents' rooms. The facility did not provide a policy to address enhanced barrier precautions, leading to potential cross-contamination and infection risks.
Failure to Maintain Resident Dignity During Care Procedures
Penalty
Summary
The facility failed to protect the privacy and dignity of three residents during care procedures. Resident 35, who had a PEG tube and was dependent on staff for all care, experienced a breach of privacy when medication was administered with her left breast exposed and the door to her room open. This incident was confirmed by both the administrative nurse and the resident, who expressed discomfort with the situation. The facility's policy on dignity emphasizes maintaining residents' privacy during care, which was not adhered to in this case. Resident 2, who had intact cognition but required extensive assistance for all activities of daily living, was transported from the shower room to her bedroom with her buttocks exposed. This was against the facility's policy, which requires residents to be dressed in the shower room before being moved through the hall. Interviews with staff confirmed that the expected procedure was not followed, leading to a failure in maintaining the resident's dignity. Resident 31, who was dependent on staff for all care and unable to complete a mental status assessment, was transferred using a mechanical lift without staff explaining the procedure or identifying themselves. This lack of communication led to the resident becoming agitated and yelling out during the transfer. The facility's policy requires staff to communicate with residents during care, even if the resident cannot effectively communicate back, which was not observed in this instance.
Failure to Provide Written Notification for Hospital Transfers
Penalty
Summary
The facility failed to provide timely written notification to residents or their representatives regarding facility-initiated transfers to the hospital. This deficiency was identified through a review of the Electronic Health Records (EHR) for three residents who were transferred to the hospital. The records for these residents lacked documentation of written notification of the transfer or discharge to the hospital, which is a regulatory requirement. Specifically, the EHR for one resident showed discharges to the hospital on two separate occasions, while another resident's record showed a discharge and readmission, all without documented written notification. Interviews with facility staff revealed a lack of awareness and adherence to the requirement for written notification. The charge nurse on duty was responsible for handling the paperwork and obtaining verbal consent for bed holds, but there was no process in place to ensure written notices were provided. Administrative staff confirmed that written notifications were not issued, and there was no policy available related to discharge notifications. This oversight led to the failure in providing necessary written communication to residents or their representatives during hospital transfers.
Failure to Revise Care Plans for CPAP Storage and Fall Prevention
Penalty
Summary
The facility failed to review and revise care plans for two residents, leading to uncommunicated care needs. For Resident 11, who had obstructive sleep apnea and used a CPAP machine, the care plan did not include interventions for the proper storage of the CPAP equipment when not in use. Observations revealed that the CPAP equipment was left on the bedside cabinet without a sanitary cover or bag, contrary to the facility's policy. Interviews with staff confirmed that CPAP equipment should be stored in sanitary bags, but this was not communicated in the care plan, placing the resident at risk. Resident 6, who had multiple diagnoses including hemiplegia and cerebrovascular disease, experienced a fall that was not documented or addressed in the care plan. The resident required substantial assistance for transfers and was dependent on staff for care. Despite a fall occurring during a transfer in the shower room, which resulted in a non-displaced distal tibia fracture, the facility did not document the incident as a fall or revise the care plan to include fall prevention interventions. Staff interviews revealed a lack of awareness of any changes to the care plan following the incident. The facility's failure to update and revise the care plans for these residents resulted in a lack of appropriate interventions to address their specific needs. The care plans did not reflect the necessary actions to prevent further falls for Resident 6 or ensure the sanitary storage of CPAP equipment for Resident 11, leading to potential risks for the residents' well-being.
Failure to Document and Address Fall Risk for Resident
Penalty
Summary
The facility failed to identify, investigate, and document a fall incident involving Resident 6, who had a history of conditions such as lack of coordination, morbid obesity, hemiplegia, hemiparesis, cerebrovascular disease, hypertension, and lymphedema. Despite the resident's need for substantial assistance with transfers, the facility did not document a fall that occurred on 06/25/24 when the resident attempted to sit without a wheelchair positioned behind her, resulting in staff assisting her to the floor. This incident was not recorded as a fall, and the facility did not initiate their fall policy or investigate the causal factors. The resident's care plan lacked interventions for the fall, and subsequent documentation did not reflect any changes to address the fall risk. Observations and interviews with staff revealed inconsistencies in the understanding and application of the facility's fall definition and protocol. The facility's Fall Follow-Up Protocol required any assisted fall to be recorded, but this was not adhered to in the case of Resident 6, who later complained of right foot pain and was found to have a non-displaced distal tibia fracture. The failure to document and address the fall risk had the potential to negatively affect the resident's physical well-being.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 146 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Cheney
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Medicalodges Goddard | 11 mi | ★★★★★ | 17 | 0 |
| Prairie Sunset Home Inc | 16.3 mi | ★★★★★ | 0 | 0 |
| Family Health & Rehabilitation Center | 17.6 mi | ★★★★★ | 7 | 0 |
| Clearwater Nursing & Rehabilitation Center | 17.7 mi | ★★★★★ | 23 | 2 |
| Rolling Hills Health And Rehab | 18.1 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.