Inspection Results » Hays Nursing & Rehab Center

  1. Health Inspection on April 5, 2019 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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. (Corrected 2019-04-07)
      • 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. (Corrected 2019-04-09)
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-04-07)
      • Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. (Corrected 2019-04-07)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2019-04-07)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2019-05-23)
      • 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. (Corrected 2019-05-23)
      • Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. (Corrected 2019-05-23)
      • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. (Corrected 2019-05-23)
      • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-05-23)
      • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-05-23)
      • Provide and implement an infection prevention and control program. (Corrected 2019-05-23)
      • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2019-04-07)
      • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-05-23)
      • 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. (Corrected 2019-05-23)
      • Provide appropriate treatment and care according to orders, residentÂ’s preferences and goals. (Corrected 2019-05-23)
      • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2019-04-26)
      • Ensure each resident receives an accurate assessment. (Corrected 2019-05-23)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • 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. (Corrected 2019-05-23)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html