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Via Christi Village - Hays Inc

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About Via Christi Village - Hays Inc

General Information

Legal Business NameVia Christi Village Hays, Inc.
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 9, 2007 (10 years)
Capacity146
Residents94
Percent Occupied64%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityYes
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Via Christi Village - Hays Inc

Via Christi Village - Hays Inc
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kansas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

July 11, 2016 - 13 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
ESomePotential for HarmComplaint+InspectionPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.
ESomePotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
DFewPotential for HarmComplaint+InspectionEnsure 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.
DFewPotential for HarmComplaint+InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
DFewPotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmComplaint+InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmComplaint+InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

September 8, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

July 28, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintPermit residents to remain in the facility and not be transferred or discharged without adequate reason.

May 21, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
---Fine$47,483 fine
JFewImmediate JeopardyComplaint+InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
FManyPotential for HarmComplaint+InspectionHave enough nurses to care for every resident in a way that maximizes the resident's well being.
FManyPotential for HarmHealth InspectionMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
FManyPotential for HarmComplaint+InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
GFewActual HarmComplaint+InspectionEnsure residents maintain acceptable nutritional status.
GFewActual HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmComplaint+InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
ESomePotential for HarmComplaint+InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmComplaint+InspectionEnsure 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.
ESomePotential for HarmComplaint+InspectionAllow residents the right to participate in the planning or revision of care and treatment.
DFewPotential for HarmComplaint+InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DFewPotential for HarmComplaint+InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure 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.
DFewPotential for HarmComplaint+InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmComplaint+InspectionProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
DFewPotential for HarmComplaint+InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmComplaint+Inspection1) 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.
DFewPotential for HarmComplaint+InspectionCompletely assess the resident at least every twelve months.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Via Christi Village - Hays Inc require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 45min
2hr 20min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
45min
60min
ReportedExpected
RN
4hr 20min
3hr 55min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.7%
100.0%
100.0%
100.0%
95.4%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
100.0%
100.0%
98.9%
92.8%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine
26.1%
23.1%
35.6%
29.4%
39.7%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of low risk long-stay residents who lose control of their bowels or bladder
18.8%
20.7%
24.4%
19.5%
24.3%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who received an antianxiety or hypnotic medication
26.1%
27.3%
24.3%
29.8%
19.3%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents whose ability to move independently worsened
11.1%
10.7%
7.5%
5.9%
20.2%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who received an antipsychotic medication
21.8%
22.0%
26.6%
27.7%
16.7%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents whose need for help with daily activities has increased
19.3%
19.0%
15.4%
18.9%
10.4%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who self-report moderate to severe pain
11.4%
6.8%
12.0%
11.6%
7.5%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who lose too much weight
4.3%
3.4%
7.0%
2.2%
5.2%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of high risk long-stay residents with pressure ulcers
6.4%
11.4%
14.7%
7.1%
6.4%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who have depressive symptoms
8.8%
6.8%
15.7%
11.6%
6.0%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents with a urinary tract infection
3.6%
6.8%
7.2%
8.0%
4.8%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents experiencing one or more falls with major injury
4.0%
2.4%
5.9%
7.2%
2.6%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents with a catheter inserted and left in their bladder
0.0%
0.0%
0.0%
0.0%
0.2%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of long-stay residents who were physically restrained

Quality Measures for Short Stay Residents

95.3%
100.0%
97.4%
100.0%
76.2%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
87.5%
87.5%
87.5%
74.2%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine
-
-
-
-
69.5%
Q4 2015Q1 2016Q2 2016Q3 2016KS
* The data for this facility for some quarters is unavailable.
Percentage of short-stay residents who made improvements in function
25.8%
14.8%
23.3%
30.8%
20.9%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of short-stay residents who self-report moderate to severe pain
0.0%
0.0%
3.3%
3.0%
2.7%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of short-stay residents who newly received an antipsychotic medication
2.6%
5.1%
5.1%
6.5%
1.9%
Q4 2015Q1 2016Q2 2016Q3 2016KS
Percentage of short-stay residents with pressure ulcers that are new or worsened