Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Good Samaritan Society - Hays during CMS and state inspections, most recent first.
A resident with a chronic indwelling urinary catheter and history of UTIs did not receive complete incontinent and catheter care after a bowel movement. Staff cleaned only the buttocks and butt crease, leaving the front perineal area and catheter care incomplete, despite facility policy and staff acknowledgment that full care was required.
A resident with multiple chronic conditions received blood pressure medications outside of physician-ordered parameters due to transcription errors in the MAR, with the greater than and less than symbols reversed. Despite ongoing administration errors over several months, the Consultant Pharmacist did not identify or report these issues during monthly medication regimen reviews, as required by facility policy. Nursing and administrative staff later confirmed the transcription errors and lack of reporting by the CP.
A resident with multiple diagnoses, including hypertension and dementia, received blood pressure medications outside of physician-ordered parameters due to incorrect transcription of orders and failure by staff to hold medications or notify the physician as required. This occurred repeatedly over several months, as confirmed by record review and staff interviews.
A resident with Alzheimer's disease and heart disease, who was dependent on staff for most ADLs and receiving hospice services, did not have a hospice plan of care included in their clinical record. The care plan lacked required details such as service descriptions, contact information, visit frequency, medications, and medical equipment, and staff confirmed the omission during interviews.
Incomplete Incontinent and Catheter Care After Bowel Movement
Penalty
Summary
Staff failed to provide complete incontinent and catheter care to a resident with a chronic indwelling urinary catheter and a history of urinary tract infections. The resident, who had diagnoses including neuromuscular dysfunction of the bladder, urine retention, neurogenic bladder, multiple sclerosis, and limited mobility, was observed after a bowel movement with fecal matter present on the buttocks, butt crease, and up to the catheter insertion site, with the bowel movement touching the catheter tubing. During care, the nurse provided perineal care to the buttocks and butt crease but did not clean the front perineal area or perform catheter care before proceeding with a dressing change and redressing the resident. The facility's policy required catheter care to be completed with morning and bedtime care and as needed. Both the nurse involved and another administrative nurse acknowledged that full incontinent and catheter care should have been provided after a bowel movement, especially for a resident with a catheter. The failure to follow these procedures was documented in the resident's care plan and medical record, which also noted a previous UTI. This lapse in care was identified through observation, record review, and staff interviews.
Consultant Pharmacist Failed to Identify and Report Medication Administration Outside Physician-Ordered Parameters
Penalty
Summary
The facility failed to ensure that the Consultant Pharmacist (CP) identified and reported that a resident's blood pressure medications were administered outside of the physician-ordered parameters, and that the parameters were transcribed incorrectly in the medical record. The resident in question had multiple diagnoses, including dementia, hypertension, atrial fibrillation, and depressive disorder, and required varying levels of assistance with daily activities. The resident's care plan and physician orders specified strict blood pressure parameters for the administration of antihypertensive medications, with instructions to hold the medications and notify the physician if readings fell outside these parameters. A review of the electronic medical record revealed that staff administered the resident's hypertension medications outside the prescribed parameters on numerous occasions over several months. Additionally, the medication administration record (MAR) contained transcription errors, with the greater than and less than symbols reversed, leading to further confusion about the correct parameters. Despite these ongoing issues, monthly Medication Regimen Reviews (MRR) conducted by the CP from March 2024 through January 2025 did not identify or report the administration of medications outside the ordered parameters or the transcription errors present in the MAR. Interviews with nursing staff and administrative personnel confirmed that the parameters had been transcribed incorrectly and that the CP had not reported these discrepancies. The facility's policy required the CP to assess the medication list and chart for clinically significant medication issues and to report any drug irregularities, but there was no evidence that this process was followed in this case. This failure placed the resident at risk for physical decline, related complications, and unnecessary drug administration, as directly stated in the report.
Failure to Follow Physician-Ordered Parameters for Blood Pressure Medications
Penalty
Summary
The facility failed to properly follow physician-ordered parameters for administering blood pressure medications to a resident with diagnoses including dementia, hypertension, atrial fibrillation, and depressive disorder. Specifically, staff did not hold or notify the physician when the resident's blood pressure readings were outside the prescribed parameters. Additionally, the physician's orders for blood pressure medication were transcribed incorrectly in the Medication Administration Record (MAR), with the greater than and less than symbols reversed, leading to repeated administration of medications outside the intended parameters over multiple months. Record review showed that hypertension medications were administered outside the physician-ordered parameters on numerous occasions across several months. Interviews with nursing staff and administrative nurses confirmed the transcription errors and the failure to notify the physician as required. The facility's own medication administration policy required accurate transcription and adherence to provider orders, but these were not followed, resulting in the identified deficiency.
Failure to Include Hospice Plan of Care in Resident Record
Penalty
Summary
The facility failed to include a hospice plan of care for a resident who was receiving hospice services. The resident, who had diagnoses of Alzheimer's disease and atherosclerotic heart disease, was dependent on staff for most activities of daily living and had severe cognitive impairment. The resident's care plan, revised after the initiation of hospice services, did not contain a section regarding hospice services, including a description of the services provided, contact information, visit frequency, medications, or medical equipment. The clinical record confirmed the resident was admitted to hospice care, but the required hospice care plan was missing. Interviews with facility staff confirmed that the hospice care plan was not present in the resident's clinical record, and staff responsible for updating care plans acknowledged the omission. The facility's policy required a coordinated comprehensive plan of care to be jointly developed with the hospice provider, but this was not done for the resident. As a result, the facility did not coordinate care between the facility and the hospice provider for the resident receiving hospice services.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Hays
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Via Christi Village Hays Ks Llc | 1.9 mi | ★★★★★ | 6 | 0 |
| Good Samaritan Society - Ellis | 12.3 mi | ★★★★★ | 12 | 0 |
| Redbud Village | 23.5 mi | — | 2 | 0 |
| Locust Grove Village | 24.7 mi | ★★★★★ | 1 | 1 |
| Wheatland Nursing & Rehabilitation Center | 25.4 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.