Medicalodges Coffeyville On Midland
MEDICALODGES COFFEYVILLE ON MIDLAND in COFFEYVILLE, KS — inspection on April 9, 2026.
Found 10 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Findings included:- R4's Electronic Medical Record (EMR) documented a
R4's Annual Minimum Data Set (MDS), dated [DATE], documented the staff assessment for cognition revealed severe cognitive impairment.
She was dependent on staff for all Activities of Daily Living (ADL). R4's ADL Care Area Assessment (CAA), dated 12/18/25, did not trigger. R4's Quarterly MDS, dated [DATE], documented the staff assessment for cognition revealed severe cognitive impairment.
She was dependent on staff for all ADLs. R4's Care Plan, revised 03/26/26, instructed staff she was dependent on staff for all ADLs. On 04/06/26 at 10:03 AM, the resident rested in her bed, covered with blankets, and the door to her room was open to the hallway. R39 wandered into R4's room and began to move around the blankets covering her on the bed.
License Nurse (LN) H assisted R39 out of R4's room when she received a report of R39 being in R4's room. On 04/06/26 at 04:23 PM, Certified Nurse Aide (CNA) M stated the residents were allowed to ambulate wherever they liked on the memory unit. On 04/06/26 at 10:03 AM, LN H stated on the memory care unit residents were permitted to go wherever they wanted.
There were no boundaries for wandering on the unit. On 04/06/26 at 01:30 PM, Administrative Nurse D stated the idea of the memory care unit was to allow residents to wander wherever they wanted even if it meant going into and out of other resident rooms.
The facility policy for Activities and Resident Rights, dated 10/2019, included: Resident dignity and privacy are to be respected.
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Medicalodges Coffeyville on Midland 2921 W 1st Street Coffeyville, KS 67337
no deeper than the dermis, including intact or ruptured blisters), and congestive heart failure (CHF- a
R7's Nurse's Note dated 12/06/25 at 12:03 PM documented R7 had a temperature and was short of breath when he moved. R7 had chest pain when breathing.
The on-call doctor gave the order to send him to the hospital.
R7's Nurse's Note dated 12/06/25 at 06:08 PM documented R7 was admitted to the hospital with pneumonia (an infection in the lungs).
R7's Nurse's Note dated 02/12/26 at 11:44 AM documented R7 became pale and weak and was diaphoretic (sweating heavily). R7 was not responsive for about 10 seconds. He was drooling.
Vital signs were taken, and he had low blood pressure.
The doctor gave the order to transfer R7 to the hospital.
R7's Nurse's Note dated 02/12/26 at 05:00 PM documented R7 was admitted to the hospital for Pneumonia.
R7's EMR lacked documentation of a written notification to the residents and/or the representative, which explained the reason for the transfer to the hospital.
On 04/07/26 at 03:02 PM, Social Services X stated that the business office manager is the person who got the Bed Hold signed.
Social Services X said she was unaware of the regulation to notify the residents in writing of the reason for the transfer.
They did notify the ombudsman of transfers.
On 04/08/26 at 02:15 PM, Administrative Nurse D and Administrative Staff A stated the bed hold should be completed and signed when a person was transferred out of the facility.
Administrative Staff A said the facility does not notify the residents' representative in writing of a discharge or transfer.
On 04/08/25 at 10:55 AM, Administrative Nurse D stated the facility did not have a discharge policy.
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Medicalodges Coffeyville on Midland 2921 W 1st Street Coffeyville, KS 67337
dependent on staff for his Activities of Daily Living (ADL). On 04/06/26 at 10:23 AM, the resident sat
continued to have dried-on food debris on the front of his t-shirt. On 04/07/26 at 08:46 AM, Certified
always get done. CNA NN confirmed the resident needed to be shaven and was wearing a t-shirt with dried-on food substance on the front. On 04/08/26 at 09:43 AM, CNA O stated the residents did not always get shaven on their shower days, and their clothes would be changed anytime they were dirty.
On 04/07/26 at 08:50 AM, Licensed Nurse (LN) G stated residents were to be shaven on shower days, but it did not always happen.
The staff should make sure the residents have clean clothes. On 04/06/26 at 01:30 PM, Administrative Nurse D stated residents were to be shaven on their shower days and as needed (PRN), as well as have their clothes changed when dirty.
The facility policy Your Rights and Protections as a Nursing Home Resident, undated, included: Residents have the right to be treated with dignity and respect. - R39's Electronic Medical Record (EMR) documented a diagnosis of Alzheimer's disease (progressive mental deterioration characterized by confusion and memory failure). R39's Annual Minimum Data Set (MDS), dated [DATE], documented the staff assessment revealed severe cognitive impairment. He was dependent on staff for personal hygiene. R39's Activity of Daily Living (ADL) Care Area Assessment (CAA), dated 12/31/25, documented the resident required staff assistance with completing ADLs. R39's Quarterly MDS, dated [DATE], documented the staff assessment revealed severe cognitive impairment. He was dependent on staff for personal hygiene. R39's Care Plan, revised 03/20/26, instructed staff the resident was dependent for completion of personal hygiene tasks.
Staff were to offer to shave the resident when showering.
R39's EMR from 03/06/26 through 04/06/26 documented he required substantial/maximal assistance with personal hygiene. On 04/06/26 at 10:07 AM, the resident was unshaven, and he had jagged, dirty fingernails. On 04/07/26 at 02:07 PM, the resident remained unshaven with jagged, dirty fingernails, and he had dried-on food on his face around his mouth. On 04/07/26 at 08:46 AM, Certified Nurse Aide (CNA) NN stated residents are to be shaven on their shower days, but the task does not always get done. CNA NN confirmed the resident needed to be shaven and had jagged, dirty fingernails. On 04/08/26 at 09:43 AM, CNA O stated the residents did not always get shaven on their shower days.
Staff were to trim and file residents' fingernails weekly and make sure their faces were clean following meals. On 04/07/26 at 08:50 AM, Licensed Nurse (LN) G stated residents were to be shaven on shower days, but it did not always happen.
Staff were to trim and file the resident's fingernails and ensure they had clean faces. On 04/06/26 at 01:30 PM, Administrative Nurse D stated residents were to be shaven on their shower days and as needed (PRN).
Staff were also to ensure residents' fingernails were kept clean and smooth, and were to clean residents' faces following meals PRN.
The facility policy Your Rights and Protections as a Nursing Home Resident, undated, included: Residents have the right to be treated with dignity and respect.
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Medicalodges Coffeyville on Midland 2921 W 1st Street Coffeyville, KS 67337
sense of well-being, and satisfaction with the facility's active lifestyle.
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Medicalodges Coffeyville on Midland 2921 W 1st Street Coffeyville, KS 67337
Findings included:- R59's Electronic Medical Record (EMR) from the Diagnosis tab documented Alzheimer's Disease (progressive mental deterioration characterized by confusion and memory failure), chronic kidney disease-stage three (CKD), benign prostatic hyperplasia (BPH-non-cancerous enlargement of the prostate which can lead to interference with urine flow, urinary frequency, and urinary tract infections), atrial fibrillation (rapid, irregular heartbeat), obstructive uropathy, neurogenic bladder and weakness.
The Quarterly Minimum Data Set (MDS), dated [DATE], documented a Brief Interview of Mental Status (BIMS) score of 13, which indicated minimally impaired cognition.
The MDS documented R59 had an indwelling catheter during the observation period.
The Functional Abilities Care Area Assessment (CAA) dated 03/18/26 documented staff assistance was required with activities of daily living (ADLs) due to R59's physical limitations and decreased safety awareness.
The Urinary Incontinence CAA, dated 03/18/26, documented the need for a urinary catheter due to obstructive uropathy and to help prevent skin breakdown and risk of UTI. R59's Care Plan, dated 10/24/24, directed staff to encourage R59 to increase his fluid intake to reduce constipation. On 02/28/25, the plan documented the use of a urinary catheter, size 16Fr, to be used for acute urinary retention with obstruction of normal flow (of urine), with use of a Stat-lock (securement device for prevention of catheter removal) to hold the catheter in place and reduce tugging.
The plan of care documented the staff would monitor the catheter output of urine every shift.
During an observation on 04/06/26 at 10:00 AM, R59 began self-propelling his wheelchair slowly up the hallway. A few minutes later, a steady stream of what appeared to be urine was noted on the floor, where R59 was sitting, all the way up the hallway.
Less than two minutes later, a male housekeeper arrived with a wet mop and began cleaning up the stream of urine, stating, I know who this belongs to. An observation conducted on 04/08/2026 at 10:37 AM with Certified Nursing Assistant (CNA) II and CNA Q revealed catheter care, which included emptying R59's catheter bag and noting the amount and color of the urine before discarding it. A CNA cleaned around the insertion site of the catheter and determined there were no catheter defects or skin issues that needed to be reported to the nurse. R59 did not have Stat-lock on his thigh to anchor his catheter tubing.
Upon interviewing CNA II after the completion of this task, she stated they are supposed to empty the catheter at the end of our shift.
When asked if a Stat-lock was supposed to be used, CNA II stated no, because he just takes them off. R59 was observed sitting patiently in the dining room on 04/07/26 at 03:42 PM in his wheelchair, with his feet resting on his foot pedals. A full, round catheter bag was noted, hanging under R59's wheelchair. A nursing staff member behind the desk was notified.
During an interview on 04/08/26 at 11:00 AM with Licensed Nurse (LN) I stated CNA's typically empty the catheter bags at the end of their shift.
She also stated all catheterized residents should have a stat lock on their leg, and there were four cases of them in stock. An interview on 04/08/26 with Administrative Nurse D at 11:22 AM, she revealed her expectations to be as the care plan dictates, which are to have the stat lock on the resident unless he cannot tolerate it, which should be documented in the Care Plan.
The facility did not provide a policy related to catheter care. On 04/09/26 at 12:21 PM, Administrative Nurse D stated the facility did not have a policy for catheter care and followed the standards of practice.
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Medicalodges Coffeyville on Midland 2921 W 1st Street Coffeyville, KS 67337
Findings included:- R3's Electronic Medical Record
front of a vertebra collapses while the back remains intact) of the second lumbar vertebra. R3's Significant Change Minimum Data Set (MDS), dated [DATE], documented the resident had a Brief Interview for Mental Status (BIMS) score of nine, indicating moderately impaired cognition.
She received as-needed (PRN) pain medications and non-medication pain interventions during the assessment period.
Pain was not assessed.
She received opioid (narcotic pain medication) medication during the seven-day look-back period.
The Pain Care Area Assessment (CAA), dated 01/19/26, did not trigger.
The re-admission MDS, dated [DATE], documented the resident had a BIMS score of seven, indicating severe cognitive impairment.
The resident did not receive scheduled or PRN pain medications and did not utilize non-medication pain interventions during the look-back period.
The resident reported occasional pain, with the worst pain in the past five days, being eight on the one to ten pain scale (a tool for patients to rate pain intensity, where 0 is no pain and 10 is the worst imaginable pain).
She received opioid (narcotic pain medication) medication during the seven-day look-back period. R3's Care Plan, revised 03/31/26, instructed staff to utilize alternative methods of pain management such as massage, aroma therapy, warm packs, and distraction. R3's EMR included the following physician's orders: Ibuprofen (an over-the-counter, anti-inflammatory analgesic), 400 milligrams (mg), by mouth (po), every (Q) six hours, PRN, for a diagnosis of pain, ordered 03/17/26 Hydrocodone-Acetaminophen (an opioid medication), 7.5-325 mg, po, Q six hours, PRN, for a diagnosis of pain, ordered 03/17/26 R3's Medication Administration Record (MAR), for 04/01/26 through 04/07/26, documented the resident's pain to range from one to seven on the one to ten pain scale.
Staff administered the physician's ordered pain medication with effective results documented. On 04/07/26 at 08:33 AM, the resident sat at the dining room table.
The resident was tearful with clenched fists and facial grimacing. On 04/07/26 at 10:31 AM, Certified Nurse Aide (CNA) P and CNA NN transferred the resident from her wheelchair to the recliner using extensive assistance.
The resident had facial grimacing and audible indicators of pain during the transfer. On 04/07/26 at 10:31 AM, CNA P stated the resident often complained of pain following a fall she had. CNA P stated he was not aware of any non-pharmacologic pain interventions being utilized for the resident. On 04/07/26 at 08:46 AM, CNA NN stated the resident had a lot of pain in her hips. CNA NN stated the nurse would give the resident pain medication, but CNA was unaware of any non-pharmacologic pain interventions for the resident. On 04/08/26 at 10:59 AM, Administrative Nurse D stated that, along with the scheduled and PRN pain medications, it was the expectation for staff to attempt non-pharmacologic pain interventions.
Administrative Nurse D stated the facility did not have an actual policy for pain management, but used the standard of care.
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Medicalodges Coffeyville on Midland 2921 W 1st Street Coffeyville, KS 67337
Findings included:- Review of
check-off for two Certified Nurse Aides (CNAs), CNA OO and CNA PP. CNA OO had a date of hire of 11/10/23, and CNA PP had a date of hire of 07/29/24. On 04/08/26 PM, Administrative Staff A and Administrative Nurse D confirmed the employee evaluation documents provided to the survey team did not contain performance evaluations for CNA OO and CNA PP.
Administrative Staff A stated she expected performance evaluations to be performed annually.
The facility did not provide a policy related to annual performance evaluations as requested on 04/09/26.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
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Medicalodges Coffeyville on Midland 2921 W 1st Street Coffeyville, KS 67337
the hospitality aids are responsible for cleaning the dirty cart by the ice maker near the South
document included:Food shall be stored on shelves in a clean, dry area, free from contaminants.
Food
of food safety.
All food items will be labelled to include the name of the food and the date by which it should be consumed or discarded.
Follow and adhere to the guidance regarding proper storage temperatures and maximum length of storage.
Place internal hanging thermometers in the warmest part of the refrigerator.Additionally, Staff should wear hair restraints in all food preparation and serving areas to prevent hair from contacting exposed foods.
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Medicalodges Coffeyville on Midland 2921 W 1st Street Coffeyville, KS 67337
minimal harm the facility failed to maintain and/or dispose of kitchen garbage and refuse properly.
Findings included:During the initial kitchen tour on 04/06/26 at 08:44 AM, with Dietary Staff BB, the following
of the dumpster.One broken metal and upholstered armchairFour cloth recliners with large black stain/substance on the fabric surface, which included one red recliner with the back pulled/broken off. A broken chest of drawers with broken shelving and top. On 04/06/26 at 08:54 AM, Dietary Staff BB confirmed the above findings and reported she was not aware of the trash and garbage accumulation around the dumpster and did not know what arrangements were made to pick up the trash and garbage.
The maintenance department handled the disposal of trash, garbage, and refuse.
On 04/08/26 at 02:20 PM, Maintenance staff U stated maintenance the staff were responsible for the maintenance and cleaning of the dumpster area. He put the chairs out by the dumpster to be disposed of in January 2026.
Maintenance Staff U reported that the person who picked up and disposed of the garbage and trash around the dumpster just stopped doing it, and he had not found a replacement for that duty. He agreed that the dumpster area with debris and trash posed potential for rodent infestation, as well as the gloves posed a risk for cross-contamination and the spread of infection to the residents and staff of the facility.
The undated facility policy Housekeeping, Laundry and Maintenance- Basic Services Provided documentation included storage areas must be kept neat and free of extraneous material such as refuse and discarded furniture.
Findings included:- Observation on 04/06/26 10:36 AM, R20 oxygen tubing was wound around the portable oxygen tank. R20's nebulizer mouthpiece was attached to the medication bowl with a small amount of fluid in the medication bowl and attached to the nebulizer machine. On 04/08/26 at 10:35 AM, R1's nebulizer machine was attached to the face mask with the medication bowl attached with fluid in it. It laid on her chair beside her bed with the tubing wound up with a blacket, and her back brace laid on top of the nebulizer. An observation of catheter care was conducted on 04/08/2026 at 10:37 AM with Certified Nursing Assistant (CNA) II and CNA Q assisting R59 with toileting and catheter care.
Both staff members entered R59's room, donned gloves, and wheeled R59 into the bathroom.
This resident had a bowel movement, and CNA II assisted with cleaning the resident and changing his clothes into a clean pair of jeans and a shirt.
The catheter bag was emptied into a plastic urinal and placed on the back of the toilet, with 600 milliliters of amber colored urine.
After the catheter was emptied and the resident finished and dressed, he was assisted back into his wheelchair.
The urine was emptied into the toilet, both CNAs removed their gloves, one CNA washed her hands, and the other CNA exited the room and escorted R59 down to the dining room.
The CNAs were interviewed at 10:55 AM, and both stated they forgot to put on the Enhanced Barrier Precautions (EBP) gowns that were on the resident's door. CNA Q stated that washing was supposed to be done before and after handling a patient or a catheter. On 04/08/26 at 12:50 PM, Licensed Nurse (LN) K stated when she gave a resident a breathing treatment, she checked the order and got the breathing treatment out of the cart.
She put the medication into the medication cup that was attached to the mouthpiece. LN K stated she rinsed out the cup if it was dirty (had drops of moisture in it). LN K stated she rinsed out the mask and dried it with a paper towel, then put it back together and placed it on the nebulizer when she finished breathing treatment.
On 04/08/26 at 01:00 PM, LN K stated when a breathing treatment is complete, she turned it off and rinsed the mouthpiece and medication cup out. LN K stated they allowed it to air dry, then placed it in a plastic bag to prevent bacteria that could cause infection. On 04/08/26 at 01:27 PM, Administrative Nurse E stated the nurse was to clean out the mouthpiece and medication cup, allow it to dry, and place it in a bag for infection control.
She expected staff to use proper EBP when caring for a resident with a wound or with a catheter.
The facility's policy Infection Control Surveillance documented all staff are to be educated on infection control prevention practices as it relates to their job.
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Medicalodges Coffeyville on Midland 2921 W 1st Street Coffeyville, KS 67337
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in COFFEYVILLE, KS, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from MEDICALODGES COFFEYVILLE ON MIDLAND or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.