Diversicare of Chanute

In the surveyor’s words

From the most serious findings on record at Diversicare of Chanute, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 26, 2023

  The facility reported a census of 53 residents, with one, Resident (R)1, reviewed for accident hazards. Based on observation, interview, and record review the facility failed to ensure staff provided a safe environment as free of accidents as possible, when Certified Nurse Aide (CNA) M failed to apply the lap/shoulder belt on R1 prior to transport in the facility van to an appointment out of town. While traveling on the highway at approximately 67 miles per hour, CNA M looked in the rearview mirror, noted R1 to be dozing, and when CNA M looked back at the road, the vehicle in front of her had their brakes and left turn signal on. […]

• Actual harm, isolatedF684Mar 5, 2026

  The facility identified a census of 57 residents. The sample included three residents. Based on observation, interview, and record review, the facility failed to ensure Resident (R) 1 received the necessary care, including his personalized physician ordered medication regimen, to alleviate terminal agitation and promote comfort as intended by the hospice provider resulting in increased anxiety/agitation, a fall with an injury and low back pain. Findings included:- R1's Electronic Medical Record (EMR) documented a diagnosis of unspecified visual loss, muscle weakness, cerebral infarction (stroke - sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain), altered mental status (a non-specific, change in… […]

• Actual harm, isolatedF684Jun 25, 2024

  The facility reported a census of 46 residents with four residents selected for review, including three residents reviewed for skin conditions. Based on observation, interview, and record review, the facility failed to ensure one of the three residents, Resident (R)1, had clean and dry dressings to his lower extremities. On 06/17/24, at an appointment, Consultant Staff GG discovered two maggots on R1's right lower extremity while removing urine and fluid-soaked dressings due to weeping from his right lower extremity. The dressings removed were dated 06/13/24, four days prior, when Consultant Staff GG applied the lymphedema wraps (compression wraps used to try and reduce swelling caused by accumulation of lymph). […]

• Actual harm, isolatedF686May 25, 2022

  The facility reported a census of 54 residents with 17 residents sampled, including one resident reviewed for pressure ulcers (PU). Based on record review, interview, and observations, the facility failed to ensure appropriate treatment and services for the one Resident (R)4, with the failure to prevent the development of one unstageable (full thickness tissue loss in which the base of the ulcer is covered by slough (yellow, tan, gray, green or brown) and/or eschar (tan, brown or black) in the wound bed) PU. Findings included: - Review of Resident (R)4's electronic medical record (EMR), under the Med Diag[nosis] tab, included diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF584Sep 23, 2025

  The facility reported a census of 47 residents; the sample included 15 residents. Based on interviews, record review and observation, the facility failed to ensure a safe, clean home-like environment in the resident's rooms and facility common areas. Findings included: - Observed on 09/21/25 at 09:04 AM, Resident (R)1's room had trim-molding around the base of the wall peeled off and paint on the wall peeled off, exposing sheetrock; the inside of the room door had exposed wood and splintered areas.Observed on 09/21//25 at 09:48 AM, R17 and R8's bathroom door had multiple areas with paint missing and exposed wood, and the door frame to the bathroom had areas of peeled paint that exposed bare metal.Observed on 09/21/25 at 10:49 AM, in R9's room, the corner of the wall, by the floor, next to… […]