ST. JOHN'S OF HAYS

The information listed below provides an in-depth look into the type and quality of care offered at St. John's of Hays. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

ST. JOHN'S OF HAYS
2401 CANTERBURY
HAYS, KS 67601
(785) 628-3241

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

98%

Number of Residents and Certified Beds

  • Residents: 59
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Corporation
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Victoria | Ellis | Russell

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by St. John's of Hays. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1619.8%
ADL Index Range: 6-102.8%
ADL Index Range: 0-514.3%
Total Percent:36.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1621.6%
ADL Index Range: 6-102.1%
ADL Index Range: 0-520.7%
Total Percent:44.3%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-164.6%
ADL Index Range: 6-107.4%
ADL Index Range: 0-56.5%
Total Percent:18.6%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Tracheostomy care or ventilator/respirator
0.2%
Total Percent:0.2%
 

Rating Details For St. John's of Hays

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours38 Minutes1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours26 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 9 Minutes2 Hours and 7 Minutes
Total Licensed Nurse Hours1 Hour and 4 Minutes1 Hour and 36 Minutes
Total Nurse Hours3 Hours and 13 Minutes3 Hours and 43 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Kansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityKansas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%91%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%

Long-Term Stay Deficiencies

Percent of High-Risk Long-Stay Residents Who Have Pressure Sores2%10%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased18%14%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%11%
Percent of Long-Stay Residents Who Lose Too Much Weight11%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%6%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious18%17%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain4%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder27%44%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection12%10%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%82%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%86%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium9%4%
Percent of Short-Stay Residents Who Have Pressure Sores3%10%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain33%20%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 05/24/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Be Administered in a Way That Leads to the Highest Possible Level of Well Being for Each Resident.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Keep Accurate and Appropriate Medical Records.
  • Inspection Date: 03/11/2009
  • Correction Date: 04/10/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 05/24/2010
  • Correction Date: 07/20/2010

Mistreatment

Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 05/24/2010
  • Correction Date: 07/20/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 05/24/2010
  • Correction Date: 07/20/2010

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Make Sure That Each Residents' Abilities to Take Care of Themselves Does Not Lessen, Unless a Change Cannot Be Avoided.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable.
  • Inspection Date: 03/13/2008
  • Correction Date: 05/19/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 03/13/2008
  • Correction Date: 05/19/2008
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/13/2008
  • Correction Date: 05/19/2008
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 03/13/2008
  • Correction Date: 05/19/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Have Enough Nurses to Care for Every Resident in a Way That Maximizes the Resident's Well Being.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/11/2009
  • Correction Date: 04/10/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 03/11/2009
  • Correction Date: 04/10/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 05/24/2010
  • Correction Date: 07/20/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 05/24/2010
  • Correction Date: 07/20/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 05/24/2010
  • Correction Date: 08/26/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 05/24/2010
  • Correction Date: 07/20/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 05/24/2010
  • Correction Date: 07/20/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/13/2008
  • Correction Date: 05/19/2008
Do a New Assessment After Any Major Change in a Resident's Physical or Mental Health.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/13/2008
  • Correction Date: 05/19/2008
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 03/11/2009
  • Correction Date: 04/10/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/11/2009
  • Correction Date: 04/10/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 05/24/2010
  • Correction Date: 08/26/2010
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 05/24/2010
  • Correction Date: 08/26/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Listen to the Resident or Family Groups or Act on Their Complaints or Suggestions.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Provide Services to Meet the Needs and Preferences of Each Resident.
  • Inspection Date: 03/13/2008
  • Correction Date: 04/16/2008
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 03/11/2009
  • Correction Date: 04/10/2009
Have a Private Telephone Available for Use.
  • Inspection Date: 05/24/2010
  • Correction Date: 07/20/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 05/24/2010
  • Correction Date: 08/26/2010

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Denial of Payment for New Admission (DPNA)05/24/2010-

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for St. John's of Hays, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 07/31/2008
  • Correction Date: 10/14/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that St. John's of Hays had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 05/24/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 05/06/2008
  • Correction Date: 06/05/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/09/2009

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 05/06/2008
  • Correction Date: 05/07/2008
Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/09/2009

Fire Alarm Systems

Properly Maintained Smoke Detectors.
  • Inspection Date: 05/06/2008
  • Correction Date: 06/05/2008
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/09/2009

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 05/06/2008
  • Correction Date: 05/09/2008

Illumination and Emergency Power

Proper Backup Exit Lighting.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/09/2009
Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 03/12/2009
  • Correction Date: 04/09/2009

Interior Finish

Fire-Resistant Room Wall Surfaces.
  • Inspection Date: 05/06/2008
  • Correction Date: 06/05/2008

Medical Gases and Anesthetizing Areas

Proper Medical Gas Storage and Administration Areas.
  • Inspection Date: 05/06/2008
  • Correction Date: 05/06/2008

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes.
  • Inspection Date: 05/06/2008
  • Correction Date: 05/09/2008
Source: Medicare Nursing Home Compare; Kansas Department on Aging - Retrieved 2011