Deficiency Records for Hays Nursing and Rehabilitation Center
Updated as of January 01, 2021
This is not the most recent data for Hays Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Hays Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2019-04-05 | 2019-05-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-05 | 2019-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-05-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-05 | 2019-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-05 | 2019-05-23 | 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 | 2019-04-05 | 2019-05-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-05 | 2019-05-23 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-04-05 | 2019-05-23 | 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 | 2019-04-05 | 2019-05-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-04-05 | 2019-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-05-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-04-05 | 2019-05-23 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-04-02 | 2019-05-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-05 | 2019-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-02 | 2019-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-02 | 2019-04-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-04-05 | 2019-04-09 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-04-05 | 2019-04-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-04-05 | 2019-04-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-05 | 2019-04-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-04-05 | 2019-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-05 | 2019-04-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-02 | 2019-01-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-02 | 2019-01-20 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-07 | 2018-04-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-07 | 2018-04-14 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-03-07 | 2018-04-11 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2018-03-07 | 2018-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-07 | 2018-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-07 | 2018-03-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-09 | 2018-03-28 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-03-09 | 2018-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-09 | 2018-03-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-03-07 | 2018-03-26 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-03-09 | 2018-03-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-03-09 | 2018-03-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-09 | 2018-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-09 | 2018-03-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-07 | 2018-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-07 | 2018-03-08 | N |
| Be properly staffed | Fire Safety | 2018-03-07 | 2018-03-08 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-01-11 | 2018-02-28 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-23 | 2017-03-31 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-23 | 2017-03-31 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-23 | 2017-03-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-23 | 2017-03-31 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-02-23 | 2017-03-31 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-02-21 | 2017-03-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-21 | 2017-03-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-21 | 2017-03-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-02-21 | 2017-03-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-02-21 | 2017-03-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-21 | 2017-03-01 | N |
