CHEYENNE MANOR
NPI 1871705756
Nursing Facility/Intermediate Care Facility in Cheyenne Wells, CO

Q: What is Cheyenne County Hospital District III's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: What quality rating does Cheyenne County Hospital District III have?

CMS rates Cheyenne Manor 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since May 04, 2007CLIA 06D0721948 · Waiver

5/5

Overall Rating

561 W 1ST N, CHEYENNE WELLS, CO 80810(719) 767-5602(719) 767-5999 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Cheyenne Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHEYENNE MANOR (NPI 1871705756) is a healthcare organization registered as a nursing facility/intermediate care facility in Cheyenne Wells, Colorado and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sherry Bowen, Administrator, as its authorized official.

NPPES Registry Identity

NPI1871705756

Entity TypeOrganization

Primary Taxonomy313M00000X

Legal Business NameCHEYENNE COUNTY HOSPITAL DISTRICT III

Location Address561 W 1ST NCheyenne Wells, CO 80810

Mailing AddressPo Box 938Cheyenne Wells, CO 80810 · (719) 767-5602 · Fax (719) 767-5999

Phone(719) 767-5602

Fax(719) 767-5999

Organization SubpartNo

Authorized OfficialSherry BowenAdministrator · (719) 767-5602

Enumeration DateMay 4, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1871705756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

561 W 1ST N, Cheyenne Wells, CO 80810

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Other Names 1

Doing Business AsCheyenne Manor

Other Identifiers 1

Medicaid05654520CO

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D0721948

Cheyenne Manor · Cheyenne Wells, CO

Active · expires Aug 31, 2026

CLIA Number06D0721948

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorTara Gaynor

Laboratory Phone(719) 767-5602

Laboratory LocationCheyenne Manor561 West 1st North, Cheyenne Wells, CO 80810

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Cheyenne Manor (CMS certification number 06A192), from CMS Care Compare.

Cheyenne Manor

Nursing home · Cheyenne Wells, CO

5/5 CMS Overall Rating

OwnershipGovernment - Hospital district

CMS Certification Number06A192

Certified Beds39 beds21 residents per day on average

Medicare & Medicaid Participant SinceDecember 10, 1999

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

5/5

Long-Stay Quality

Quality of care delivered to long-term residents.

5/5

Staffing

Based on nursing staff hours relative to resident needs.

4/5

Weighted Health Inspection Score

Lower scores are better; the score summarizes deficiencies found on recent inspections.

10.67

Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing

nurse aide 2.98 · LPN 0.24 · RN 1.28

4.5 hrs per resident per day

Weekend Nurse Staffing

4.07 hrs per resident per day

Physical Therapist Staffing

0 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

95.5%

Registered Nurse Turnover

100%

Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents

Substantiated Complaints

Fines

1 totaling $15,590.25

Medicare Payment Denials

Total Penalties

Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cheyenne County Hospital District III's NPI number?

The NPI number for Cheyenne County Hospital District III is 1871705756. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Cheyenne Manor.

Where is Cheyenne County Hospital District III located?

Cheyenne County Hospital District III is located at 561 W 1st N, Cheyenne Wells, CO 80810. The listed phone number is (719) 767-5602.

What is Cheyenne County Hospital District III's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Cheyenne County Hospital District III hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0721948) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Cheyenne County Hospital District III a Medicare-certified nursing home?

Yes. Cheyenne Manor is a Medicare-certified nursing home with 39 certified beds.

What quality rating does Cheyenne County Hospital District III have?

CMS rates Cheyenne Manor 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Cheyenne County Hospital District III was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.