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

Polaris Rehabilitation and Care Center

Cheyenne, WY · 105 certified beds · Last Life Safety survey January 15, 2026

CMS Certification Number 535025 · first certified October 1984

Ownership

Independently operated (no chain recorded by CMS) · For profit - Limited Liability company

  • New ownershipOwnership changed October 1, 2024 (change of ownership)from CHEYENNE OPCO LLC
23
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within WY

23 citations — more than 71% of the 36 certified nursing homes in WY. Compared within WY 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

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

The latest survey found 10 citations; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was January 2026. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 consecutive surveys in the last two years of CMS records. WY has too few recent surveys to measure on its own, so the national interval is used.

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.

Emergency preparedness

4 of the 23 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 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 23 Life Safety citations above. The Physical Environment Index

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

How that compares

Citations on file over three years

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

This facility23WY median17National median11
Citations on file over three years, compared
MeasureCitations
This facility23
Median facility in WY17
Median facility nationally11

Survey history

Citations at each Life Safety survey
72023-0662024-06102026-01
Citations at each Life Safety survey
Survey dateCitations
June 22, 20237
June 26, 20246
January 15, 202610

Most-cited tags

Most-cited tags at this facility
K-03532K-03452E-00412K-03512K-05112K-02711K-03741E-00041
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22024-06-26
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22026-01-15
E-0041Implement emergency and standby power systems.22026-01-15
K-0351Install an approved automatic sprinkler system.22026-01-15
K-0511Have properly installed electrical wiring and gas equipment.22026-01-15
K-0271Have exits that are accessible at all times.12026-01-15
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12024-06-26
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-06-26

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 9
  • Emergency Preparedness Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 4
  • Services Deficiencies 3
  • Other 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies9
Emergency Preparedness Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies4
Services Deficiencies3
Egress Deficiencies2
Miscellaneous Deficiencies1

Every citation on file

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

January 15, 2026 — 10 citations

Citations issued on January 15, 2026
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (February 11, 2026)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (February 11, 2026)
K-0271Have exits that are accessible at all times.Deficient, Provider has date of correction (February 11, 2026)
K-0325Have properly installed hallway dispensers for alcohol-based hand rub.Deficient, Provider has date of correction (February 11, 2026)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 11, 2026)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 11, 2026)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 11, 2026)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (February 11, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 11, 2026)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 11, 2026)

June 26, 2024 — 6 citations

Citations issued on June 26, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (July 22, 2024)
E-0029Develop a communication plan.Deficient, Provider has date of correction (July 22, 2024)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (July 22, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 22, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (July 22, 2024)
K-0900Meet Health Care Facilities Code mechanical requirements.Deficient, Provider has date of correction (July 22, 2024)

June 22, 2023 — 7 citations

Citations issued on June 22, 2023
TagWhat the surveyor checksStatus
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (July 17, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (July 14, 2023)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (July 14, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 14, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (July 14, 2023)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (July 17, 2023)
K-0919Meet requirements for the use of electrical equipment.Deficient, Provider has date of correction (July 14, 2023)

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