Deficiency Records for Good Samaritan Society - Hays
Updated as of April 01, 2022
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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-16 | 2021-12-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-16 | 2021-12-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-16 | 2021-12-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-16 | 2021-12-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-16 | 2021-12-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-16 | 2021-12-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-16 | 2021-12-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-16 | 2021-12-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-21 | 2021-11-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-21 | 2021-11-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-10-21 | 2021-11-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-21 | 2021-11-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-21 | 2021-11-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-10-21 | 2021-11-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-21 | 2021-11-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-10-21 | 2021-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-21 | 2021-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-11-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-11-19 | 2020-12-04 | Y |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2020-11-05 | 2020-12-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-11-05 | 2020-12-04 | Y |
| 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 |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-12 | 2019-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-12 | 2019-07-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-12 | 2019-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-12 | 2019-07-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-12 | 2019-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-12 | 2019-07-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-12 | 2019-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-14 | 2018-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-14 | 2018-11-30 | N |
| 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 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-14 | 2018-11-30 | N |
| 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 | N |
| 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 | N |
| 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 | N |
| 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 special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-10 | 2018-08-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-10 | 2018-07-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-07-10 | 2018-07-10 | N |
