Deficiency Records for Via Christi Village - Hays Inc
Updated as of April 01, 2019
This is not the most recent data for Via Christi Village - Hays Inc. For the most recent information, click here.
A list of the most recent deficiencies for Via Christi Village - Hays Inc. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-02-28 | 2018-03-20 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-28 | 2018-03-20 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-28 | 2018-03-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-28 | 2018-03-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-02-28 | 2018-03-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-28 | 2018-03-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-28 | 2018-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-28 | 2018-03-20 | 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 | 2018-02-28 | 2018-03-20 | 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 ne | Health | 2018-02-28 | 2018-03-20 | Y |
| Implement a program that monitors antibiotic use. | Health | 2018-02-28 | 2018-03-20 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-07-11 | 2016-08-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-07-11 | 2016-08-01 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-07-11 | 2016-08-01 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-07-11 | 2016-08-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-07-11 | 2016-08-01 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-07-11 | 2016-08-01 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-07-11 | 2016-08-01 | Y |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-07-11 | 2016-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-11 | 2016-08-01 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-07-11 | 2016-08-01 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-07-11 | 2016-08-01 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-07-11 | 2016-08-01 | Y |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-07-11 | 2016-08-01 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-07-11 | 2016-08-01 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-07-11 | 2016-08-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-05-21 | 2015-06-12 | 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 | 2015-05-21 | 2015-06-12 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-05-21 | 2015-06-12 | N |
| Completely assess the resident at least every twelve months. | Health | 2015-05-21 | 2015-06-12 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-05-21 | 2015-06-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-05-21 | 2015-06-12 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-05-21 | 2015-06-12 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-05-21 | 2015-06-12 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-05-21 | 2015-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-21 | 2015-06-12 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-05-21 | 2015-06-12 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-05-21 | 2015-06-12 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-05-21 | 2015-06-12 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-05-21 | 2015-06-12 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-05-21 | 2015-06-12 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-21 | 2015-06-12 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-05-21 | 2015-06-12 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-05-21 | 2015-06-12 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2015-05-21 | 2015-06-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-05-21 | 2015-06-12 | N |
