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Good Samaritan Society - Hays

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: 2
Average number of Health Deficiencies in KS: 4
Average number of Health Deficiencies in US: 3
Range of Health Deficiencies in KS: 0 - 18
Quality Care Deficiencies
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 00/03/2012 01/00/2012 Few controls and keeps infection from spreading.

Inspection, 00/02/2012

Administration Deficiencies
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
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
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 86 52 68
Total, Licensed Nurse Staff Hours
per Resident per Day
16 hours 51 minutes 19 hours 26 minutes 1 hour 48 minutes
RN Hours
per Resident per Day
16 hours 3 minutes 18 hours 49 minutes 47 minutes
LPN/LVN Hours
per Resident per Day
16 hours 17 minutes 18 hours 48 minutes 1 hour 1 minute
CNA Hours
per Resident per Day
17 hours 46 minutes 20 hours 45 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
 

2700 Canal Blvd
Hays, KS 67601

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