Wichita Presbyterian Manor

In the surveyor’s words

From the most serious findings on record at Wichita Presbyterian Manor, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Dec 6, 2021

  The facility reported a census 49 residents, with 16 included in the sample, and one reviewed for elopements. Based on observation, interview, and record review, the facility failed to provide sufficient supervision to cognitively impaired Resident (R) 22 who eloped from the facility for approximately eight minutes without staff knowledge within a mile of a busy four-lane highway and within a quarter mile of a busy four-lane intersection next to live railroad tracks. These failures placed R22 in immediate jeopardy. […]

• No harm, potential for more than minimal, widespreadF812Sep 14, 2023

  The facility reported a census of 47 residents. The facility identified one central kitchen with four dining areas. Based on observation, interview, and record review, the facility failed to provide sanitary food preparation and storage of food to prevent the spread of food borne illness to the residents of the facility. Findings included: - Initial tour of the kitchen on 09/11/23 at 11:00 AM with Dietary Staff C, revealed the following areas of concerns: 1. In the dry storage area revealed a container of shredded coconut, resealed with expiration date of 07/19/23. 2. In dry storage area revealed a container of white baking chips, with an expiration date of 04/08/23. 3. In the walk-in refrigerator, eight trays contained dessert foods, uncovered and undated. 4. […]

• No harm, potential for more than minimal, widespreadF812Dec 6, 2021

  The facility reported a census of 49 residents with one main kitchen and two satellite kitchens, which served all residents in the facility. Based on observation, interview, and record review the facility failed to store food in accordance with professional standards for food service safety, ensuring the residents remain free from the potential of a foodborne illness, when staff failed to date or discard expired food items. Findings included: - On [DATE] at 11:22 AM, during the initial tour of the main kitchen, the following items were noted to be expired: five 32-ounce plain frozen yogurt dated [DATE] (two months prior), three 32-ounce plastic containers of garlic sauce dated [DATE], one 48-ounce plastic Boursin cream cheese spread dated [DATE], and one 16-ounce plastic container of… […]

• No harm, potential for more than minimal, patternF761May 28, 2025

  The facility reported a census of 46 residents. Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were labeled and stored in locked compartments and permitted only authorized personnel to have access to the keys. This placed the residents at risk for medication errors, ineffective medication regimens, and diversions. Findings included: - During an observation of the Medication Room on 05/22/25 at 11:30 AM, the medication refrigerator lacked temperature documentation for 15 days in January 2025, 17 days in February 2025, 24 days in March 2025, 15 days in April 2025, and 12 days in May 2025 from 05/01/25 to 05/20/25. […]

• No harm, potential for more than minimal, patternF880May 28, 2025

  The facility reported a census of 46 residents. The sample included 12 residents. Based on observation, interview, and record review, the facility failed to disinfect the shared sit-to-stand lift (a mechanical lift) after use and failed to utilize proper respiratory infection control methods. This placed the residents at risk for infections. Findings included: - Observation on 05/20/25 at 03:00 PM, staff used the sit-to-stand on Resident (R) 12. Staff then took the sit-to-stand lift out of R12's room and placed it in R7 ' s room without disinfecting it. Ongoing observation on 05/20/25 at 03:20 PM revealed staff transferred R7 with the sit-to-stand lift, then took the lift to the hall. […]