Good Samaritan - Hays

In the surveyor’s words

From the most serious findings on record at Good Samaritan - Hays, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 21, 2021

  The facility had a census of 43 residents. Based on observation, interview, and record review the facility failed to store, prepare, and serve foods in a sanitary kitchen for the 43 residents of the facility. Findings included: - On 10/20/21 at 10:30 AM observation in the facility kitchen revealed: The Ice machine had brown, slimy substance on the inside surface which easily wiped off with a clean paper towel. The plate-holder cart had food crumbs in the bottom and in the one column without plates. The wall knife holder had dust and food crumbs on top, where the knives slide in. Three of eight overhead fluorescent lights had cracked plastic covers, one had visible lint on the surface. Three utensil drawers under the steam oven had dried food or liquid spills inside the drawer. […]

• No harm, potential for more than minimal, patternF602Jul 12, 2023

  The facility identified a census of 42 residents Based on record review, observation, and interview, the facility failed to prevent misappropriation of medications when Administrative Nurse D diverted Resident (R)1's narcotic medications as well as other residents' discontinued narcotic medications from the waste bin. This placed all residents who received narcotic medications at risk for misappropriation and/or diversion. Findings included: - R1's Electronic Medical Record (EMR) recorded diagnoses of low back pain and malignant neoplasm (cancer). R1's Annual Minimum Data Set (MDS) dated [DATE] recorded R1 had a Brief Interview for Mental Status (BIMS) score of 12 which indicated moderate cognitive impairment. […]

• No harm, potential for more than minimal, patternF755Jul 12, 2023

  The facility identified a census of 42 residents. Based on record review, observation, and interview, the facility failed to ensure narcotic reconciliation which included regular narcotic counts of all narcotics, including the narcotics scheduled for destruction or a system which requires two qualified staff for access to a fixed and locked medication bin. This deficient practice placed the residents at risk for misappropriation and resulted in an opioid (narcotic pain medication with a high potential for abuse) drug diversion. Findings included: - In an electronic mail (e-mail) sent on 07/06/23, Consultant HH stated there was oxycodone missing from the waste bin. […]

• No harm, potential for more than minimal, patternF761May 15, 2023

  The facility had a census of 41 residents. The sample included 13 residents. Based on observation, interview, and record review, the facility failed to label Resident (R)16, and R28's insulin (hormone which allows cells throughout the body to uptake glucose) flex pen with the date opened and expiration date, failed to discard R6's and R38's expired insulin vial and failed to discard expired stock medications on two medication carts. This placed the affected residents at risk for ineffective medications. Findings included: - On 05/09/23 at 08:45 AM, observation of Hall-One medication cart revealed the following: R28's Novolog (a short acting insulin) flex pen lacked a date opened, and date of expiration. R38 's Novolog flex pen opened 03/01/23, expired 03/29/23 (28 days). […]

• No harm, potential for more than minimal, patternF880Oct 21, 2021

  The facility had a census of 43 residents. Based on observation, record review, and interview, the facility failed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of disease and infection for three unsampled residents, Resident (R) 9, R21, and R25 and three sampled resident R2, R19, and R30 when staff failed to store oxygen tubing per the standards of care to reduce contamination. The facility failed to sanitize contact precaution isolation room for Resident (R) 38's room to prevent spread of infection. Findings included: - On 10/20/21 at 01:45 PM, observation revealed R30's oxygen cannula (device used to deliver supplemental oxygen) and tubing unbagged and wrapped in the handle of the oxygen concentrator. […]