Deficiency Records for Good Samaritan Society - Hays
Updated as of October 01, 2020
This is not the most recent data for Good Samaritan Society - Hays. For the most recent information, click here.
A list of the most recent deficiencies for Good Samaritan Society - Hays. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-05 | 2019-11-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-28 | 2019-09-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-08-28 | 2019-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-28 | 2019-09-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-08-28 | 2019-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-28 | 2019-09-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-28 | 2019-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-28 | 2019-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-28 | 2019-09-27 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-06 | 2019-08-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-14 | 2018-11-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-14 | 2018-11-30 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-11-14 | 2018-11-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-14 | 2018-11-30 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-11-14 | 2018-11-30 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-11-14 | 2018-11-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-14 | 2018-11-30 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-08-02 | 2018-08-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-02 | 2018-08-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-08-02 | 2018-08-31 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-01 | 2018-04-26 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-23 | 2017-11-10 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-08-24 | 2017-09-12 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-24 | 2017-09-12 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-24 | 2017-09-12 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-06-29 | 2017-07-26 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-29 | 2017-07-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-06-29 | 2017-07-26 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-06-29 | 2017-07-26 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-06-29 | 2017-07-26 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-29 | 2017-07-26 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-29 | 2017-07-26 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2017-06-29 | 2017-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-29 | 2017-07-26 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-06-29 | 2017-07-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-29 | 2017-07-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-29 | 2017-07-26 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-06-29 | 2017-07-26 | N |
