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Good Samaritan Society - Hays
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2700 Canal Blvd
Hays, KS 67601
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0 Recommendations
Details
| Type of Ownership | Non profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 70 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 03/10/2011
| Date of last standard health inspection: | 03/10/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 3 |
| Average number of Health Deficiencies in KS: | 5 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in KS: | 0 - 18 |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 02/08/2012 | 01/09/2001 | 2 | Many |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Have a program that investigates, controls and keeps infection from spreading. | 00/03/2012 | 01/00/2012 | 2 | Few |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/02/2012 | 03/01/2012 | 3 | Few |
Inspection, 00/02/2012
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident. | 00/02/2012 | 01/04/2001 | 2 | Many |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | 00/02/2012 | 01/04/2001 | 2 | Many |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | 00/02/2012 | 01/04/2001 | 2 | Many |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | 00/02/2012 | 01/04/2001 | 2 | Few |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 00/02/2012 | 01/04/2001 | 2 | Many |
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/02/2012 | 01/04/2001 | 3 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 00/02/2012 | 01/04/2001 | 2 | Many |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | 00/02/2012 | 01/04/2001 | 3 | Few |
| 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. | 00/02/2012 | 01/04/2001 | 2 | Many |
| 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. | 00/02/2012 | 01/04/2001 | 2 | Some |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 00/02/2012 | 01/00/2002 | 2 | Some |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 00/02/2012 | 01/04/2001 | 2 | Some |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 00/02/2012 | 01/00/2002 | 2 | Few |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 00/02/2012 | 01/00/2002 | 2 | Some |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 00/02/2012 | 01/04/2001 | 2 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/02/2012 | 01/00/2002 | 3 | Few |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | 00/02/2012 | 01/00/2002 | 2 | Some |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | 00/02/2012 | 01/00/2002 | 3 | Some |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 00/02/2012 | 01/04/2001 | 2 | Many |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/02/2012 | 01/04/2001 | 2 | Some |
| Allow residents the right to participate in the planning or revision of care and treatment. | 00/02/2012 | 01/04/2001 | 2 | Some |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep residents' personal and medical records private and confidential. | 00/02/2012 | 01/04/2001 | 2 | Few |
| Allow residents to self-administer drugs if determined safe. | 00/02/2012 | 01/04/2001 | 2 | Few |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 00/02/2012 | 01/04/2001 | 2 | Some |
Inspection, 00/07/2006
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/07/2006 | 00/05/2007 | 2 | Some |
| Have a program that investigates, controls and keeps infection from spreading. | 00/07/2006 | 00/05/2007 | 2 | Some |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | 00/07/2006 | 00/05/2007 | 2 | Few |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Store, cook, and serve food in a safe and clean way. | 00/07/2006 | 00/05/2007 | 2 | Some |
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 00/07/2006 | 00/05/2007 | 2 | Few |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | 00/07/2006 | 00/05/2007 | 2 | Few |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | 00/07/2006 | 00/05/2007 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 00/07/2006 | 00/05/2007 | 2 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/07/2006 | 00/05/2007 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/07/2006 | 00/05/2007 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 00/07/2006 | 00/05/2007 | 2 | Few |
| Keep residents' personal and medical records private and confidential. | 00/07/2006 | 00/05/2007 | 2 | Some |
Inspection, 01/00/2003
Pharmacy Service Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| 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. | 01/00/2003 | 00/09/2004 | 2 | Few |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | 01/00/2003 | 00/09/2004 | 2 | Some |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | 01/00/2003 | 00/09/2004 | 2 | Few |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | 01/00/2003 | 00/09/2004 | 2 | Few |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in KS | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 4 out of 5 stars |
| Total Number of Residents | 85 | 52 | 68 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 14 hours 13 minutes | 1 hour 48 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 13 hours 35 minutes | 47 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 13 hours 33 minutes | 1 hour 1 minute |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 15 hours 31 minutes | 2 hours 12 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 11/23/2010
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 11/23/2010 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in KS: | 2 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in KS: | 0 - 2 |
Inspection, 01/09/2012
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 01/09/2012 | 01/09/2012 | 2 | Many |
| Properly installed electrical wiring and equipment. | 01/09/2012 | 02/02/2012 | 2 | Few |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Record of quarterly fire drills for each shift under varying conditions. | 01/09/2012 | 01/09/2012 | 2 | Many |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 01/09/2012 | 02/03/2012 | 2 | Few |
Inspection, 02/03/2011
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 02/03/2011 | 01/00/2012 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 02/03/2011 | 01/00/2012 | 2 | Some |
Inspection, 00/04/2011
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 00/04/2011 | 00/09/2011 | 2 | Few |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 00/04/2011 | 00/04/2011 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Weekly inspections and monthly testing of generators. | 00/04/2011 | 02/04/2011 | 2 | Few |
Emergency Plans and Fire Drills Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Record of quarterly fire drills for each shift under varying conditions. | 00/04/2011 | 00/04/2011 | 2 | Few |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are accessible at all times. | 00/04/2011 | 00/04/2011 | 2 | Few |
Fire Alarm Systems Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| A fire alarm system that can be heard throughout the facility. | 00/04/2011 | 01/06/2011 | 2 | Few |
Furnishings and Decorations Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exits that are free from obstructions and can be used at all times. | 00/04/2011 | 00/06/2011 | 2 | Few |
Medical Gases and Anesthetizing Areas Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 00/04/2011 | 01/03/2011 | 2 | Few |
