Catholic Care Center, Inc
CATHOLIC CARE CENTER, INC in BEL AIRE, KS — inspection on November 18, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
jeopardy to resident health or safety
order in effect.On [DATE] 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 R1, who desired resuscitative measures, placed R1 and all 61 residents with full code status in IJ.The facility identified and completed the following corrective actions by [DATE]: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], 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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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.