Via Christi Village - Hays Inc

2225 Canterbury Dr
Hays, KS 67601
Ellis County
Phone: 785-628-3241
Provider Number: 175498
Last Inspection: 05/21/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
96
Number of Residents
Number of
Residents
90
Number of Beds Available
Beds Available
6
Percent Occupancy
Percent Occupancy
94%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Non profit - Corporation
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • KS
  • USA
  • 74
  • 32
  • 32
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2012
  • 74
  • 42
  • 90
Lower Numbers are Better

Details by Inspection Date

 

5/21/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 6/12/2015
Failed To: 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. Isolated : Minimal 3 6/12/2015
Failed To: Completely assess the resident at least every twelve months. Isolated : Minimal 3 6/12/2015
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Pattern : Minimal 4 6/12/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/12/2015
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Immediate 5 6/12/2015
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Actual 4 6/12/2015
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Actual 4 6/12/2015
Failed To: Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated : Minimal 3 6/12/2015
Failed To: 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. Pattern : Minimal 4 6/12/2015
Failed To: Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Isolated : Minimal 3 6/12/2015
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 6/12/2015
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 6/12/2015
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 6/12/2015
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated : Minimal 3 6/12/2015
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 6/12/2015
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 6/12/2015
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 6/12/2015
Failed To: 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. Isolated : Minimal 3 6/12/2015
Failed To: Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . Widespread : Minimal 5 6/12/2015
 

3/26/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Try to resolve each resident's complaints quickly. Isolated : Minimal 3 4/25/2014
Failed To: Assess in a timely manner the resident when the resident enters the nursing home. Isolated : Minimal 3 4/25/2014
Failed To: Ensure each resident receives an accurate assessment by a qualified health professional. Isolated : Minimal 3 4/25/2014
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 4/25/2014
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 4/25/2014
Failed To: 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. Isolated : Minimal 3 4/25/2014
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/25/2014
Failed To: 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. Isolated : Minimal 3 4/25/2014
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 4/25/2014
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 4/25/2014
Failed To: Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern : Minimal 4 4/25/2014
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 4/25/2014
 

12/13/2012 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 1/4/2013
Failed To: Allow residents to easily view the results of the nursing home's most recent inspection. Widespread : Potential 4 1/4/2013
Failed To: 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. Isolated : Minimal 3 1/4/2013
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern : Minimal 4 1/4/2013
Failed To: Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Isolated : Minimal 3 1/4/2013
Failed To: Provide activities to meet the interests and needs of each resident. Isolated : Minimal 3 1/4/2013
Failed To: Conduct initial and periodic assessments of each resident's functional capacity. Pattern : Minimal 4 1/4/2013
Failed To: Review or revise the resident's care plan after any major change in physical or mental health. Isolated : Minimal 3 1/4/2013
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern : Minimal 4 1/4/2013
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 1/4/2013
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 1/4/2013
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 1/4/2013
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 1/4/2013
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Actual 4 1/4/2013
Failed To: 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. Isolated : Minimal 3 1/4/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 1/4/2013
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 1/4/2013
Failed To: 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. Pattern : Minimal 4 1/4/2013
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Widespread : Minimal 5 1/4/2013
Failed To: Store, cook, and serve food in a safe and clean way. Widespread : Minimal 5 1/4/2013
Failed To: Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Pattern : Minimal 4 1/4/2013
Failed To: At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Pattern : Minimal 4 1/4/2013
Failed To: Have a program that investigates, controls and keeps infection from spreading. Widespread : Minimal 5 1/4/2013
Failed To: Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Widespread : Minimal 5 1/4/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

9/8/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 10/2/2015
 

7/28/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Permit residents to remain in the facility and not be transferred or discharged without adequate reason. Isolated : Minimal 3 7/29/2015
 

5/12/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 6/9/2014
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 6/9/2014
 

1/30/2014 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 3/1/2014
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated : Minimal 3 3/1/2014
 

9/24/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Pattern : Minimal 4 10/24/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern : Minimal 4 10/24/2013
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 10/24/2013
 

6/21/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/18/2013
Failed To: Ensure that residents are safe from serious medication errors. Isolated : Actual 4 7/18/2013
Failed To: Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated : Minimal 3 7/18/2013
 

3/21/2013 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/20/2013
Failed To: Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern : Minimal 4 4/20/2013

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg KS State Avg
Number of Residents 90 51.25 52.64
Registered Nurses 0.67 2.22 0.82
Licensed Practical / Vocational Nurses 0.34 0.41 0.62
Certified Nursing Assistants 3.07 3.00 2.64
Total Staff Hours 4.08 5.62 4.09

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% KS State Avg%
High Risk Long Stay Residents With Pressure Ulcers 4 5 5
Long Stay Residents Experiencing One or More Falls with Major Injury 7 7 4
Long Stay Residents Who Have Depressive Symptoms 6 4 7
Long Stay Residents Who Lose Too Much Weight 14 13 7
Long Stay Residents Who Received an Antipsychotic Medication 11 18 19
Long Stay Residents Who Self Report Moderate to Severe Pain 13 10 10
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 9 6 6
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 1 1 3
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 20 18 17
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3 2 3
Long Stay Residents With a Urinary Tract Infection 13 10 6
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 29 29 40
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 2 2
Short Stay Residents Who Self Report Moderate to Severe Pain 25 15 21
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 18 14 22
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 6 22
Short Stay Residents With Pressure Ulcers That Are New or Worsened 3 2 1