Hays Nursing and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Hays Nursing and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600May 2, 2024

  Based on interview and record review, the facility failed to ensure the residents had the right to be free from abuse for two (Resident #1 and Resident #2) of four residents reviewed for abuse, in that: The facility failed to protect Resident #1 and Resident #2 who resided in the MCU (Memory Care Unit) from engaging in sexual activities when neither had the capacity to consent. An IJ was identified on 05/01/24. The IJ template was provided to the facility on [DATE] at 10:50 AM. While the IJ was removed on 05/02/24, the facility remained at a level of actual no actual harm at a scope of isolated that is not immediate jeopardy due to the facility's need to evaluate the effectiveness of the corrective systems. […]

• Immediate jeopardy, isolatedF607May 2, 2024

  Based on interview and record review the facility failed to implement their written policies and procedures regarding prohibiting and preventing abuse for two (Resident #1 and Resident #2) of four residents reviewed for developing and implementing abuse and neglect policies, in that: The facility failed to implement facility abuse policy when they failed to protect Resident #1 and Resident #2 who resided in the MCU (Memory Care Unit) from engaging in sexual activities when neither had the capacity to consent. This failure resulted in an identification of an Immediate Jeopardy (IJ) on 05/01/24 at 10:50 AM. […]

• No harm, potential for more than minimal, widespreadF908Dec 14, 2023

  Based on observation, interview, and record review, the facility failed to ensure mechanical, electrical, and patient care equipment was in safe operating condition for 1 of 1 dish room. The facility failed to ensure the kitchen dishwasher did not leak and the garbage disposal attached to the dishwasher worked. This failure placed residents at risk of food borne illness and staff at risk of slipping. Findings included: Observation on 12/13/23 at 09:21 AM revealed standing water on the floor outside dishwasher. The water was confined to the dish room and was 1/4 inch deep. DA H was working on washing dishes and cautiously maneuvering around the standing water. During an interview on 12/13/23 at 09:21 AM, DA H stated she was trying not to get her shoes wet . […]

• No harm, potential for more than minimal, widespreadF812Aug 25, 2021

  Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food under sanitary conditions in 1 of 1 facility kitchen and adjacent dining area, in that: 1. An unlabeled, undated container of cooked food that appeared to be meat was observed in the facility refrigerator. 2. An unlabeled, undated container of cooked food that appeared to be a vegetable dish was observed in the facility refrigerator. 3. The self-service ice dispenser in the dining area adjacent to the kitchen was observed with brown spots that appeared to be spattered/spilled liquid on the front surface directly behind the ice dispensing chute. 4. […]

• No harm, potential for more than minimal, patternF558Mar 5, 2026

  Based on observations, interviews, and record review, the facility failed to ensure residents had the right to reside and receive services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for four of twenty-five residents (Resident #4, Resident 73, Resident #83, and Resident #1) reviewed for reasonable accommodation of needs. 1. The facility failed to ensure the call light system in Resident #4's room was in a position accessible to the resident on 03/03/2026. 2. The facility failed to ensure the call light system in Resident #73's room was in a position accessible to the resident on 03/03/2026. 3. […]