Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

CHENEY GOLDEN AGE HOME

CHENEY, KS · 40 certified beds · Last Life Safety survey November 18, 2024

CMS Certification Number 175399 · first certified December 1996

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

25
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
6
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within KS

25 citations — more than 41% of the 296 certified nursing homes in KS. Compared within KS rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 7 citations; the earlier surveys in the window averaged 9. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Past the typical window (July 2026 to September 2026). Most KS facilities have been surveyed by October 2026. This facility’s last Life Safety survey was November 2024. Facilities in KS are typically surveyed 20–22 months after the last one (median 21), measured over 298 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 25 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in KS, and nationally. Surveyors differ markedly between states, so the KS figure is the meaningful one.

This facility25KS median27National median11
Citations on file over three years, compared
MeasureCitations
This facility25
Median facility in KS27
Median facility nationally11

Survey history

Citations at each Life Safety survey
122021-0862023-0272024-11
Citations at each Life Safety survey
Survey dateCitations
August 2, 202112
February 2, 20236
November 18, 20247

Most-cited tags

Most-cited tags at this facility
K-09183K-03632K-01612K-03212K-09202K-07122K-09231K-03741
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.32024-11-18
K-0363Install corridor and hallway doors that block smoke.22024-11-18
K-0161Use approved construction type or materials.22023-02-02
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.22024-11-18
K-0920Ensure proper usage of power strips and extension cords.22023-02-02
K-0712Have simulated fire drills held at unexpected times.22023-02-02
K-0923Have proper medical gas storage and administration areas.12021-08-02
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12021-08-02

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 7
  • Miscellaneous Deficiencies 3
  • Construction Deficiencies 2
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies7
Miscellaneous Deficiencies3
Construction Deficiencies2
Services Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 18, 2024 — 7 citations

Citations issued on November 18, 2024
TagWhat the surveyor checksStatus
K-0293Have properly located and lighted "Exit" signs.Deficient, Provider has date of correction (December 30, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (December 18, 2024)
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (December 30, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 18, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (December 18, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 18, 2024)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (December 18, 2024)

February 2, 2023 — 6 citations

Citations issued on February 2, 2023
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (February 22, 2023)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 22, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 22, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (February 22, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 22, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 22, 2023)

August 2, 2021 — 12 citations

Citations issued on August 2, 2021
TagWhat the surveyor checksStatus
K-0161Use approved construction type or materials.Deficient, Provider has date of correction (September 27, 2021)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 27, 2021)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (September 27, 2021)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 27, 2021)
K-0354Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.Deficient, Provider has date of correction (September 27, 2021)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (September 27, 2021)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (September 27, 2021)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (September 27, 2021)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (September 27, 2021)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (September 27, 2021)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (September 27, 2021)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (September 27, 2021)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.