Medicalodges Coffeyville: Hygiene Neglect Found - KS
Federal inspectors found the man, identified as Resident 39, in his recliner at Medicalodges Coffeyville on Midland on April 6 at 10:23 AM with food remnants crusted on his shirt and facial hair that hadn't been trimmed. When inspectors returned more than three hours later, nothing had changed.
The resident remained in the same condition the following day. By April 7 at 2:07 PM, dried food had accumulated around his mouth and his fingernails remained jagged and dirty. His face was still unshaven.
Staff members admitted the facility wasn't following its own care protocols. Certified Nurse Aide NN told inspectors on April 7 that residents were supposed to be shaven on shower days "but the task does not always get done." The aide confirmed this particular resident needed shaving and was wearing a shirt with dried food substance on the front.
Another aide, CNA O, echoed the same admission the next day, stating residents "did not always get shaven on their shower days." This aide said clothes should be changed whenever dirty and that staff were responsible for trimming fingernails weekly and cleaning residents' faces after meals.
Licensed Nurse G provided identical explanations, acknowledging that shower day shaving "did not always happen" and that staff should ensure residents had clean faces and properly maintained fingernails.
The resident's medical records documented severe cognitive impairment from Alzheimer's disease and complete dependence on staff for personal hygiene tasks. His care plan, revised just weeks before the inspection on March 20, specifically instructed staff to offer shaving when the resident showered.
His quarterly assessment confirmed he required substantial to maximal assistance with all personal hygiene activities. Electronic medical records from March 6 through April 6 consistently documented this level of care dependency.
Administrative Nurse D told inspectors the facility's policy required residents to be shaven on shower days and as needed, with clothes changed when dirty. Staff were also supposed to keep fingernails clean and smooth while ensuring faces stayed clean after meals.
The facility's own resident rights policy states that residents have the right to be treated with dignity and respect.
Yet the inspection revealed a pattern of neglect that contradicted these stated standards. The resident sat in public areas day after day in a deteriorating state of cleanliness while staff acknowledged their failures to multiple inspectors.
The man's condition represented more than missed tasks. His jagged, dirty fingernails posed potential injury risks. Food debris left on his face and clothing created unsanitary conditions. The unshaven appearance in common areas where other residents and families gathered violated basic dignity standards.
Staff explanations revealed systemic problems rather than isolated incidents. Multiple aides and nurses used nearly identical language about tasks that "don't always get done" and care that "doesn't always happen," suggesting widespread awareness of routine failures.
The resident's Alzheimer's diagnosis made him particularly vulnerable to this neglect. His severe cognitive impairment meant he couldn't advocate for himself, request clean clothes, or communicate discomfort about his appearance. He depended entirely on staff who admitted they weren't providing the care his condition required.
Federal inspectors documented the violations over multiple days, photographing evidence of the deteriorating hygiene conditions. Their findings showed a facility that had clear policies and care plans but failed to implement them consistently for a resident who had no ability to speak for himself.
The inspection occurred in April 2026, but the resident's care plan had been revised just weeks earlier in March, indicating the facility was aware of his needs yet still failing to meet them when inspectors arrived unannounced.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Medicalodges Coffeyville On Midland from 2026-04-09 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 20, 2026 · Our methodology
MEDICALODGES COFFEYVILLE ON MIDLAND in COFFEYVILLE, KS was cited for neglect violations during a health inspection on April 9, 2026.
When inspectors returned more than three hours later, nothing had changed.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.