Cheyenne Medical Lodge

In the surveyor’s words

From the most serious findings on record at Cheyenne Medical Lodge, in the surveyor’s own words.

• Immediate jeopardy, isolatedF550Nov 9, 2022

  Based on observations, interviews and record reviews, the facility failed to treat each resident with a dignified existence, self-determination, and communication with and access to persons and services inside and outside the facility for one of ten residents (Resident #1) for resident rights. The facility staff failed to send Resident #1 to the hospital or emergency room when Resident #1 had requested at 8:47 AM, 8:49 AM and 8:59 AM on [DATE]. After one hour, Resident #1 was found unresponsive and coded at the facility on [DATE]. This failure resulted in an Immediate Jeopardy (IJ) was identified on [DATE]. […]

• Immediate jeopardy, isolatedF684Nov 9, 2022

  Based on observations, interviews and record reviews, the facility failed to ensure residents received treatment and care in accordance with professional standards of practice for one of ten residents (Resident #1) reviewed for quality of care. The facility staff failed to send Resident #1 to the hospital or emergency room when Resident #1 had requested at 8:47 AM, 8:49 AM and 8:59 AM on [DATE]. After one hour, Resident #1 was found unresponsive and coded at the facility on [DATE]. This failure resulted in an Immediate Jeopardy (IJ) was identified on [DATE]. […]

• No harm, potential for more than minimal, patternF583Jun 16, 2026

  Based on observations, interviews, and record review, the facility failed to ensure the resident's right to personal privacy during medical treatment and personal care and confidentiality of personal and medical records for seven of twenty residents (Residents #14, #36, #51, #101, #102, #126, and #150) reviewed for privacy and confidentiality. 1.The facility failed to ensure CNA F closed the door and pulled the privacy curtain while doing Resident #126's incontinent care on [DATE]. 2.The facility failed to ensure LVN C secured Residents #14, #36, #51, #101, #102, and #150's medical information before leaving his cart on [DATE]. […]

• No harm, potential for more than minimal, patternF761Jun 16, 2026

  Based on observation, interview, and record review the facility failed to, in accordance with State and Federal laws, store all drugs and biologicals in locked compartments under proper temperature controls, and permitted only authorized personnel to have access to the keys for four of eighteen residents (Residents #14, #23, #95, and #131) reviewed for medication storage. 1.The facility failed to ensure that Resident #14's zinc oxide was not on top of the resident's side table on 06/14/2026. 2.The facility failed to ensure that Resident #23's zinc oxide was not on top of the resident's side table on 06/14/2026. 3.The facility failed to ensure that Resident #131's zinc oxide was not on top of the resident's side table on 06/14/2026. […]

• No harm, potential for more than minimal, patternF880Jun 16, 2026

  Based observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for three of eighteen residents (Resident #44, #126, and #137) reviewed for infection control. 1.The facility failed to ensure CNA F performed hand hygiene, changed her gloves, and wore a gown during Resident #126's incontinent care on 06/14/2026. 2.The facility failed to ensure CNA F and CNA G wore gowns when Resident #126, who was on enhanced barrier precautions due to pressure ulcer, was repositioned on 06/14/2026. […]