Diversicare of Sedgwick: Discharge After Self-Harm - KS
The resident, identified in inspection records only as R1, had Huntington's disease and had been attempting to harm himself repeatedly at Diversicare of Sedgwick. He banged his head against walls and floors. The facility had tried to transfer him to a unit that specializes in Huntington's disease, but that facility refused him because of his history of self-harm attempts.
On the day he was discharged, he wrapped a television power cord and the cords from his window blinds around his neck and tried to strangle himself. It took three staff members to stop him. Law enforcement and EMS responded, and he was transported to a hospital for psychiatric care.
The facility knew a citation was coming. Administrative Staff B told inspectors during a September 9 interview that the facility expected to be cited for the discharge. Staff B said the facility had exhausted every resource it knew of and that R1 could not safely stay, given the ongoing danger to staff and other residents.
Federal inspectors rated the harm level as minimal, a designation that reflects regulatory classification rather than what those three staff members experienced when they pulled the cords away.
The facility's own transfer and discharge policy allowed a resident to be moved if their needs could not be met or if they endangered others, provided a physician's documentation supported the decision. The inspection record does not indicate whether that documentation existed before R1 was sent out the door.
What the record does show is a facility that had nowhere left to turn, a man no other facility would take, and a television cord wrapped around a person's neck on the day he finally left.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Diversicare of Sedgwick from 2025-09-09 including all violations, facility responses, and corrective action plans.
Download the official CMS inspection PDF from Medicare.gov
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 22, 2026 · Our methodology
DIVERSICARE OF SEDGWICK in SEDGWICK, KS was cited for violations during a health inspection on September 9, 2025.
He banged his head against walls and floors.
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.