Diversicare of Sedgwick

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684May 15, 2025

  The facility reported a census of 42 residents. The sample included 15 residents, which included three residents selected for closed record review. Based on interviews and record review the facility failed to provide the necessary care and service needed to manage symptoms when staff failed to promptly identify and react to a change in condition for Resident (R) 29, who had diabetes mellitus. On 05/04/25 R29 refused all his morning medication including his diabetic medications; R29's blood glucose was 388 milligrams (mg) per deciliter (dL) at 05:45 AM that morning. Staff did not notify R29's physician of the medication refusal or the abnormally high blood glucose level. […]

• Actual harm, isolatedF684Jan 11, 2022

  The facility census totaled 39 residents, with five residents reviewed for skin issues. Based on observation, interview, and record review the facility failed to order and provide four days (11/01/21-11/04/21) of continued intravenous antibiotic treatment as ordered for Resident (R)7, who was continuing post-surgical recovery for [CONDITION(S)] and gangrene (death of body tissue due to a lack of blood flow or a serious bacterial infection) treatment to his left foot. On 11/01/21 R7's Infectious Disease Provider prescribed [MEDICATION(S)] (antibiotic) intravenously (IV, through the vein) three times a day for an additional two weeks. The interruption in the IV antibiotic treatment for [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF730May 15, 2025

  The facility reported a census of 42 residents. Five Ceritifed Nurse Aide (CNA) were reviewed with three reviewed for annual performance evaluations. Based on interview and record review, the facility failed to complete annual performance reviews for two of the three CNA staff that were employed for a year or more. This placed the residents at risk for inadequate care. Findings included: - Per review of employee records, Certified Medication Aide (CMA) M was hired on 02/12/21. CMA M's annual Performance Evaluation, dated 02/13/25, was not completed with the employee's signature indicating it had been reviewed with the staff member. CMA N's employee records noted she was hired 05/08/20. CMA N's most recent Performance Evaluation, was completed on 02/27/24. […]

• No harm, potential for more than minimal, widespreadF921May 15, 2025

  The facility reported a census of 42 residents. The sample included 15 residents. Based on interviews, record reviews, and observation, the facility failed to ensure a safe environment in all areas of the facility including the laundry area. This deficient practice created the risk for contaminated laundry and fires. Findings included: - During an observation on 05/13/25 at 09:30 AM, the fluorescent light fixtures above the washers and the dryers had no covers over the bulbs. There were several light fixtures that had exposed rust on the metal housings. During an observation on 05/13/25 at 09:35 AM, the ceilings above the washers and dryers had cracked and peeling paint. […]

• No harm, potential for more than minimal, widespreadF725Jul 19, 2023

  The facility reported a census of 40 residents. Based on interview and record review, the facility failed to ensure sufficient qualified nursing staff available at all times to provide nursing and related services to meet the residents' needs safely and in a manner that promotes each resident's rights, physical, mental and psychosocial well-being. Findings included: - Review of the Facility Assessment, updated 04/28/23, documented the facility would base the staffing plan on resident population and the needs of residents' care and support. […]