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Hays Nursing And Rehabilitation Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Jan 16, 2025 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D |
| — | Jan 16, 2025 | Provide activities to meet all resident's needs. | E |
| — | Jan 16, 2025 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E |
| — | Jan 16, 2025 | 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. | E |
| — | Jan 16, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
0.4 RN Hours / Resident / Day
3.4 Total Nurse Hours / Resident / Day
57.1% RN Turnover Rate
4.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
94.9 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST GUADALUPE COUNTY HOSPITAL BOARD
OPERATIONAL/MANAGERIAL CONTROL WILLOW SPRINGS CREEK HEALTHCARE, INC.
OPERATIONAL/MANAGERIAL CONTROL CHUDLEIGH, JAMES
OPERATIONAL/MANAGERIAL CONTROL PHELPS, NELSON
CORPORATE OFFICER BURNAM, SOON
CORPORATE OFFICER GANN, KODY
CORPORATE OFFICER KEETCH, CHAD
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| May 2, 2024 | Fine | $8,226 |
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