Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Life Care Center Of Cheyenne during CMS and state inspections, most recent first.
A resident with mild cognitive impairment, dementia, and depression developed UTI symptoms and was started on Keflex after a positive urine culture, with multiple notes documenting the infection and antibiotic treatment. The resident later told their representative they were taking medication for an infection, leading the representative to contact the facility for information. Facility records showed the representative was only notified days later when a follow-up urine sample was collected to confirm clearance of the infection, with no documentation of notification at the onset of the UTI or initiation of treatment. The DON confirmed the absence of documentation, despite a facility policy requiring immediate notification of the resident, physician, and resident representative when a new treatment is started.
A resident with significant medical needs was left shivering and uncomfortable during a dressing change after a shower. Despite the resident expressing that they were cold and a CNA offering to increase the heat, the RN declined the request, prioritizing their own comfort while wearing PPE. The resident later confirmed they would have preferred the heat be turned up during the procedure.
A resident with diagnoses of bipolar disorder, anxiety disorder, and a history of stroke was admitted without a required PASRR Level II evaluation, despite the Level I screening indicating the need for further assessment. Medical record review and staff interview confirmed the evaluation was not completed prior to admission.
A resident with a history of cancer, frequent pain, and recent surgeries was not effectively managed for pain during a dressing change. Despite having orders for pain medication and an established acceptable pain level, the RN did not assess or address the resident's pain before or during the procedure, only providing pain relief after the resident reported severe discomfort. Staff interviews indicated inconsistent premedication practices, and the resident confirmed experiencing pain and a preference for premedication prior to such procedures.
A staff member was observed carrying unbagged soiled towels in ungloved hands through the rehabilitation hall to the soiled linen room, contrary to facility policy and CDC standards requiring soiled linen to be bagged before transport.
The facility failed to ensure safe medication storage when an RN left a medication cup with unlabeled capsules unattended on a medication cart. Another RN confirmed that medications should not be left unattended and removed them. The first RN was unaware of the policy requiring medications to be locked or stored in a locked room and properly labeled.
A facility failed to update a resident's care plan to include goals and interventions for depression, despite the resident being prescribed Zoloft. The resident had severe cognitive impairment and multiple diagnoses, including Alzheimer's and anxiety disorder. This oversight was confirmed by the DON.
The facility failed to identify and monitor medication-specific target symptoms for two residents prescribed psychoactive medications. One resident with moderate cognitive impairment and multiple diagnoses, including Parkinson's disease and dementia, was prescribed Seroquel, Zoloft, and Nuplazid without specific target symptoms identified. Another resident, severely cognitively impaired with traumatic brain dysfunction and Alzheimer's, was prescribed Seroquel and Zoloft, also lacking identified target symptoms. The DON confirmed this deficiency, which contradicted the facility's policy on unnecessary medication.
Failure to Notify Resident Representative of UTI and New Antibiotic Treatment
Penalty
Summary
The deficiency involves the facility’s failure to notify a resident’s representative of a change in condition when the resident developed a urinary tract infection (UTI) and was started on antibiotic therapy. The resident had a diagnosis of non-Alzheimer’s dementia and depression, with an annual MDS showing a BIMS score of 11/15 (mild cognitive impairment), no delirium, behaviors, or hallucinations, and independence with personal, oral, and toileting hygiene, and continence of bowel and bladder. On 2/2/26 at 8:02 AM, a health status note documented the resident’s complaints of dysuria, urinary urgency, and frequency, and that a urinalysis was collected. Later that day at 10:38 PM, another health status note documented that the resident was being monitored on Keflex (cephalexin) day 1 of 7 for a UTI with no adverse reaction. On 2/3/26 at 11:45 AM, a health status note documented the resident was on Keflex day 2 of 7 for a UTI, was up out of bed, alert to staff, and had no complaints of nausea, vomiting, diarrhea, skin reactions, or discomfort. An infection note on 2/3/26 at 1:30 PM documented a confirmed UTI diagnosis based on dysuria, increased urgency/frequency, and a positive urine culture, with a 7-day course of cephalexin ordered and instructions for good hygiene and fluids. The resident’s representative reported in a telephone interview that she learned of the infection only after the resident told her they were taking medication for an infection, prompting her to contact the facility for information. Review of communication notes showed the representative was notified on 2/12/26 that a urine sample was being collected to ensure the infection had cleared, but there was no documentation that the representative had been notified at the onset of the UTI or when treatment was initiated. The DON confirmed there was no documentation of notification, despite the facility’s policy requiring immediate notification of the resident, physician, and resident representative when there is a need to commence a new form of treatment.
Resident Choice Not Honored During Dressing Change
Penalty
Summary
A cognitively intact resident with a history of cancer, malnutrition, frequent pain, rheumatoid arthritis, muscle weakness, and recent major surgeries involving nephrostomy tubes and a colostomy, was observed during a dressing change following a shower. The resident was lying in bed with their upper body exposed and was visibly shivering. When the resident verbalized feeling cold, a CNA offered to increase the room temperature, but the RN performing the dressing change declined, stating not to adjust the heat at that time. The RN was wearing PPE and commented on feeling hot and needing a shower after the procedure. The resident later confirmed in an interview that they were cold during the dressing change and would have preferred the heat be increased.
Failure to Complete Required PASRR Level II Evaluation Prior to Admission
Penalty
Summary
A deficiency was identified when a resident was admitted to the facility without completion of a required Level II PASRR (Preadmission Screening and Resident Review) evaluation. The resident, who was cognitively intact with a BIMS score of 13 out of 15, had documented diagnoses including bipolar disorder, anxiety disorder, and a history of cerebrovascular accident, transient ischemic attack, or stroke. Review of the resident's PASRR Level I screening indicated the presence of a mental illness that necessitated a Level II PASRR evaluation prior to admission. However, medical record review and staff interview confirmed that this evaluation was not completed before the resident's admission.
Failure to Provide Effective Pain Management During Dressing Change
Penalty
Summary
A resident with a history of cancer, frequent pain, rheumatoid arthritis, muscle weakness, and recent major surgeries involving nephrostomy tubes and a colostomy was not provided with effective pain management during a dressing change. The resident, who was cognitively intact, had physician orders for acetaminophen and oxycodone for pain, with an acceptable pain level set at 5 out of 10. During an observed dressing change, the resident verbalized significant pain and discomfort, but the RN did not assess or acknowledge the pain prior to or during the procedure. Pain was only assessed after the dressing change, at which point the resident rated the pain as 8 to 9 out of 10 and was then administered acetaminophen per request. Interviews with staff revealed that premedication for pain prior to dressing changes was only done occasionally, and the RN admitted to sometimes proceeding with procedures despite the resident's pain and anxiety. The DON confirmed that premedication was provided only if it was within the physician's ordering timeframe. The resident later confirmed experiencing pain during the dressing change and expressed a preference for premedication prior to such procedures. Facility policy required that residents receive care in accordance with professional standards and their choices related to pain management, including assessment of both verbal and non-verbal indicators of pain.
Failure to Bag Soiled Linen During Transport
Penalty
Summary
During a random observation, an unidentified staff member was seen transporting unbagged soiled towels in her ungloved hands down the rehabilitation hall to the soiled linen room. According to an interview with the infection prevention coordinator, facility protocol requires that soiled linen be bagged before removal from residents' rooms and remain bagged during transport to the laundry room. Review of both the Centers for Disease Control and Prevention standards and the facility's own Infection Prevention and Control Program policy confirmed that soiled laundry should be bagged prior to transport to prevent the spread of infection. The observed staff action did not comply with these established procedures.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure the safe storage of medications during an observation of medication administration. During the observation, an RN removed a medication cup containing four unlabeled capsules and placed it on top of the medication cart in a plastic basket on an ice pack. The RN then walked away, leaving the medication unattended. Another RN later confirmed that medications should not be left unattended on the cart and removed the medications. The first RN explained that the medications were probiotics that needed to be kept cool and was unaware that they could not be left unattended. A review of the facility's medication storage policy indicated that medications requiring refrigeration must be locked or stored in a locked room, and medication carts should be locked when unattended. Additionally, the policy stated that no pre-set or pre-prepared medications are permitted unless allowed by state regulation, and medications must be properly labeled with the patient's name, lot number, and expiration date.
Care Plan Revision Deficiency
Penalty
Summary
The facility failed to ensure the comprehensive care plan was revised to reflect the current needs of a resident. The resident, who was admitted on 5/1/24, was assessed to have severe cognitive impairment and had diagnoses including traumatic brain dysfunction, Alzheimer's disease, dementia, and anxiety disorder. Physician orders indicated the resident was prescribed Seroquel for agitation and Zoloft for depression. However, the care plan, last revised on 5/30/24, did not include goals and interventions related to the diagnosis of depression. This deficiency was confirmed during an interview with the Director of Nursing on 6/6/24.
Failure to Identify and Monitor Medication-Specific Target Symptoms
Penalty
Summary
The facility failed to ensure medication-specific target symptoms were identified and monitored for two residents reviewed for unnecessary medication use. Resident #29, with moderate cognitive impairment and diagnoses including Parkinson's disease, dementia, anxiety, and depression, was prescribed Seroquel, Zoloft, and Nuplazid. The June 2024 Behavior Monitoring & Interventions task indicated various behaviors such as verbal and physical aggression, inappropriate sexual behavior, restlessness, anxiety, tearfulness, and paranoid or delusional thoughts. However, there was no evidence that medication-specific target symptoms were identified for each psychoactive medication prescribed. Similarly, resident #5, who was severely cognitively impaired with diagnoses of traumatic brain dysfunction, Alzheimer's disease, dementia, and anxiety disorder, was prescribed Seroquel and Zoloft. The June 2024 Behavior Monitoring & Interventions task identified behaviors like agitation, verbal and physical aggression, and resistance to care, but again, there was no evidence of medication-specific target symptoms being identified. The Director of Nursing confirmed the lack of medication-specific target symptoms on the behavior monitoring and intervention task for the psychoactive medications prescribed. The facility's policy on unnecessary medication, last reviewed in August 2023, emphasized the need for proper monitoring and accurate documentation to evaluate the ongoing benefits and risks of medications.
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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.
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Nursing homes near Cheyenne
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Granite Rehabilitation And Wellness | 2.3 mi | — | 14 | 0 |
| Polaris Rehabilitation And Care Center | 2.5 mi | — | 28 | 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 August 2026) and official state health department websites.