Cheyenne Medical Lodge

Inspection findings

1. Jun 16, 2026 Health · 9 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jul 16, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Jul 16, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jul 16, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jul 16, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jul 16, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jul 16, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Jul 16, 2026 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 16, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jul 9, 2026 · CMS fire safety

2. Feb 18, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Mar 10, 2026 · CMS health inspection

3. May 6, 2025 Health · 9 findings
   • Not serious Scope/severity D Complaint

     F0557 Resident Rights Deficiencies

     Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 6, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected May 20, 2025 · CMS fire safety

4. Mar 28, 2024 Health · 6 findings
   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Apr 16, 2024 · CMS health inspection

   • Not serious Scope/severity D

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Apr 8, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Apr 8, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Apr 8, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Apr 8, 2024 · CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Apr 8, 2024 · CMS fire safety

5. Jan 3, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Feb 2, 2024 · CMS health inspection

6. Oct 12, 2023 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0585 Resident Rights Deficiencies

     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.

     Corrected Oct 13, 2023 · CMS health inspection

Owners and managers (as published by CMS)

• BOATLER, KEITH — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• BOATLER, KEITH — adp of the snf, NOT APPLICABLE, since 09/01/2023
• CAMPBELL, JOHN — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• CAMPBELL, KENNETH — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• ELMAHI, MUTAZ — adp of the snf, NOT APPLICABLE, since 09/01/2023
• LEWIS, SHANE — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• MEEKINS, GREG — corporate director, NOT APPLICABLE, since 09/01/2023
• MILLER, DAVID — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• MILLER, DON — 5% or greater mortgage interest, NOT APPLICABLE, since 09/01/2023
• MILLER, JOHN — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• MILLER, RICHARD — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• DAVID W MILLER GS TRUST — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• DWM 5X5 TRUST — adp of the snf, NOT APPLICABLE, since 09/01/2023
• DWM 5X5 TRUST — 5% or greater mortgage interest, NOT APPLICABLE, since 09/01/2023
• FAIRBROOK PARTNERS, LP — adp of the snf, NOT APPLICABLE, since 09/01/2023
• FAIRBROOK PARTNERS, LP — 5% or greater mortgage interest, NOT APPLICABLE, since 09/01/2023
• FOURSQUARE TEXAS 16 LLC — adp of the snf, NOT APPLICABLE, since 04/21/2025
• FOURSQUARE TEXAS 16 LLC — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• JEC GS TRUST — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• JEM 5X5 TRUST — 5% or greater mortgage interest, NOT APPLICABLE, since 09/01/2023
• JEM 5X5 TRUST — adp of the snf, NOT APPLICABLE, since 09/01/2023
• JOHN E MILLER GS TRUST — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• KINGSBURY CAPITAL LLC SERIES F — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• KJC GS TRUST — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• LION PLAZA LP — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• MNH-INV SERIES LLC SERIES D — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• MONTAGUE NH, LP — adp of the snf, NOT APPLICABLE, since 09/01/2023
• MONTAGUE NH, LP — 5% or greater mortgage interest, NOT APPLICABLE, since 09/01/2023
• NOCONA HOSPITAL DISTRICT — 5% or greater mortgage interest, NOT APPLICABLE, since 09/01/2023
• RICHARD M MILLER GS TRUST — operational/managerial control, NOT APPLICABLE, since 09/01/2023
• RMM 5X5 TRUST — adp of the snf, NOT APPLICABLE, since 09/01/2023
• RMM 5X5 TRUST — 5% or greater mortgage interest, NOT APPLICABLE, since 09/01/2023
• ROCKETT, LP — adp of the snf, NOT APPLICABLE, since 09/01/2023
• ROCKETT, LP — 5% or greater mortgage interest, NOT APPLICABLE, since 09/01/2023
• SDL GS 5X5 TRUST — 5% or greater mortgage interest, NOT APPLICABLE, since 09/01/2023
• SDL GS 5X5 TRUST — adp of the snf, NOT APPLICABLE, since 09/01/2023
• SV NH REALTY LTD — adp of the snf, NOT APPLICABLE, since 09/01/2023
• SV NH REALTY LTD — 5% or greater mortgage interest, NOT APPLICABLE, since 09/01/2023