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Complaint Investigation

Catholic Care Center, Inc

Inspection Date: November 18, 2025
Total Violations 1
Facility ID 175410
Location BEL AIRE, KS
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Inspection Findings

F-Tag F0678

Quality of Life and Care Deficiencies
Harm Level: Immediate Jeopardy

F 0678 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

order in effect.On [DATE REDACTED] at 02:41 PM, Administrative Staff A received a copy of the Immediate Jeopardy [IJ] Template and was informed that the facility's failure to ensure staff provided CPR to Resident R1, who desired resuscitative measures, placed Resident R1 and all 61 residents with full code status in IJ.The facility identified and completed the following corrective actions by [DATE REDACTED]:1. The nursing staff were re-educated on residents' rights, including the right to self-determination and to formulate advanced directives, education on advanced directives, including DNR orders and DNR directives, Full Code status, and CPR protocols.2. All licensed nurses demonstrated competency with the Code Status written quiz and Code Blue Protocols, including return demonstration.3. Mock Code Drills were completed two to four times a week.4. The Annual Education Calendar was updated to include code blue protocols and honoring code status.5. The facility added code blue response protocols to be demonstrated upon hire during clinical competencies.On [DATE REDACTED],

an onsite survey verified the facility completed the above corrective actions prior to the survey, therefore the deficient practice was deemed past noncompliance at a scope and severity of K (pattern, immediate jeopardy).

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📋 Inspection Summary

CATHOLIC CARE CENTER, INC in BEL AIRE, KS inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BEL AIRE, KS, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CATHOLIC CARE CENTER, INC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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