Diversicare Of Sedgwick
DIVERSICARE OF SEDGWICK in SEDGWICK, KS — inspection on September 9, 2025.
Found 1 citation. 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
safety of the other residents of the facility.On 09/09/25, Administrative Staff A and Administrative Nurse D were unavailable for interview.
During an interview on 09/09/25 at 02:25 PM, Administrative Staff B revealed R1's discharge was not planned.
Prior to his discharge, R1 had been sent multiple times to a hospital for his behaviors and attempts at self-harm; however, the hospital would only medicate R1 and discharge him back to the facility when no behaviors or attempts at self-harm were observed. R1 had attempted self-harm with anything he could find, so staff had removed potentially harmful objects from his room and placed padding on the walls and floor to prevent him from banging his head against the walls and/or floor.
The facility had even attempted to refer R1 to a facility with a special unit for individuals with Huntington's disease, but the receiving facility declined to take R1 due to his history of attempts at self-harm. On the date R1 was discharged , he had attempted to strangle himself by wrapping the power cord for the television and the cords for the window blinds around his neck; it took three staff members to pry his fingers away and remove the cords from around his neck.
Law Enforcement Officers (LEO) and EMS were called, and R1 was transported to a different hospital for psychiatric help.
During an interview on 09/09/25 at 03:05 PM, Administrative Staff B stated the facility expected to be cited for the discharge of R1.
The facility had exhausted all known resources and understood that R1 could not remain at the facility due to ongoing safety concerns for staff and other residents.The facility's 11/01/16 Transfer & Discharge policy documented the facility would permit each resident to remain and not transfer or discharge the resident except in accordance with Federal and State laws.
The facility could transfer a resident if the resident's welfare and needs could not be met by the facility, or the safety of other individuals was endangered due to the resident.
If the basis of the transfer or discharge was due to the safety or welfare of others, physician documentation would support the transfer.
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