Halstead Health: Infection Control Failures - KS
Federal inspectors documented the April 14 incident during a routine survey of the 67056 facility. Licensed Nurse H had just completed wound care for Resident 6 when she reached down, still wearing the same gloves used during the procedure, and manipulated the patient's suprapubic catheter tubing before exiting without hand hygiene.
The catheter violation was part of broader infection control failures inspectors found at the McNair Street facility. During tracheostomy care for another resident that same morning, the same nurse failed to wear a protective gown despite facility requirements for enhanced barrier precautions during high-contact care.
At 7:50 AM on April 14, inspectors observed Licensed Nurse H performing tracheostomy care for Resident 2. The nurse completed hand hygiene, put on gloves and wore a mask, but skipped the required gown before changing the patient's breathing tube and placing clean gauze.
"She should have changed gloves and wore a gown prior to tracheostomy care," the nurse admitted to inspectors two days later.
Enhanced barrier precautions require targeted gown and glove use during procedures involving patients with multidrug-resistant organisms. The facility's own policy, updated in April 2024, mandates this protective equipment during high-contact resident care.
Administrative Staff D told inspectors she expected staff to wear "a gown, gloves, and a mask at minimum" for enhanced barrier precautions. Staff should complete hand sanitizing "after the dirty side is done and new gloves applied," she said.
The infection control problems extended beyond wound care. On the same day, Housekeeping and Laundry Staff U violated protocol while delivering residents' personal items. After placing a covered cart in one hallway, she removed items and carried them over her shoulder to another hall, leaving the cart uncovered.
"She expected the laundry staff to place the covered cart next to the room where they would deliver personal items to the residents and make sure the cart is covered between rooms," Housekeeping Staff V told inspectors about proper procedure.
The facility's hand hygiene policy requires staff to wash hands before and after resident contact, after touching blood or body fluids, after removing protective equipment, and before procedures involving invasive devices like urinary catheters or wound dressing changes.
Licensed Nurse I confirmed to inspectors that wound care supplies should stay in residents' rooms or be bagged for transport to the wound nurse. Hand sanitizing should occur "before/after wound care and if soiled," she said.
Administrative Staff D acknowledged that staff should "follow the hand hygiene and glove use during catheter care" and perform hand hygiene "if touching a bag or catheter tubing."
The violations occurred despite the facility having written policies addressing both enhanced barrier precautions and hand hygiene. The hand hygiene policy dates to November 2017 and specifically covers procedures involving urinary catheters and dressing care.
Federal inspectors classified the deficiencies as causing minimal harm or potential for actual harm, affecting some residents. The inspection was completed April 15.
The failures represent basic infection control lapses that could facilitate transmission of resistant organisms between residents. Tracheostomy care requires particular attention to protective barriers since patients with breathing tubes face elevated infection risks.
Suprapubic catheters, which drain urine through the abdominal wall, also present infection hazards when handled with contaminated equipment. The nurse's failure to perform hand hygiene after manipulating the catheter tubing violated fundamental infection prevention protocols.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Halstead Health and Rehabilitation Center from 2026-04-15 including all violations, facility responses, and corrective action plans.
Additional Resources
- View all inspection reports for Halstead Health and Rehabilitation Center
- Browse all KS nursing home inspections
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 15, 2026 · Our methodology
HALSTEAD HEALTH AND REHABILITATION CENTER in HALSTEAD, KS was cited for violations during a health inspection on April 15, 2026.
Federal inspectors documented the April 14 incident during a routine survey of the 67056 facility.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.
Frequently Asked Questions
- What happened at HALSTEAD HEALTH AND REHABILITATION CENTER?
- Federal inspectors documented the April 14 incident during a routine survey of the 67056 facility.
- How serious are these violations?
- Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
- What should families do?
- Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in HALSTEAD, KS, (5) Report any new concerns directly to state authorities.
- Where can I see the full inspection report?
- The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from HALSTEAD HEALTH AND REHABILITATION CENTER or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 175446.
- Has this facility had violations before?
- To check HALSTEAD HEALTH AND REHABILITATION CENTER's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.