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Complaint Investigation

Orchard Gardens

September 3, 2025 · Wichita, KS · 1600 S Woodlawn Blvd
Citations 3
CMS Rating 1/5
Beds 80
Provider ID 175452
Healthcare Facility
Orchard Gardens
Wichita, KS  ·  View full profile →
Inspection Summary

ORCHARD GARDENS in WICHITA, KS — inspection on September 3, 2025.

Found 3 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.

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Inspection Findings

FF0584
Resident Rights Deficiencies
Potential for More Than Minimal Harm

damaged or discolored areas to maintenance staff.

Consultant GG stated the expectation was for the facility to be free of black/brown substances on the walls, with repairs to be performed as needed.The facility's undated Quality of Life - Homelike Environment policy documented residents would be provided with a safe, clean, comfortable, and homelike environment.

Staff and management would provide characteristics of a homelike setting that included a clean and sanitary environment.

The facility's undated Smoking Policy - Residents policy documented metal containers with self-closing cover devices would be available in smoking areas.

The policy did not contain additional information related to the proper disposal of cigarette buts or other used smoking materials.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/03/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Orchard Gardens

1600 S Woodlawn Blvd Wichita, KS 67218

SUMMARY STATEMENT OF DEFICIENCIES

Aide (CNA) N revealed she had received an in-service recently that covered abuse, neglect, and exploitation.

During an interview on 09/03/25 at 01:30 PM, Administrative Staff A reported the facility terminated Maintenance U for verbal abuse to R1.

The investigation was unable to determine if Maintenance U or R1 started yelling first, and Maintenance U was observed by other residents and staff yelling at R1.

Administrative Staff A said Maintenance U was informed the behavior was unacceptable and was immediately suspended pending the investigation and terminated effective 09/03/25.During an interview on 09/03/25 at 02:40 PM, Licensed Nurse (LN) H revealed she had received an in-service related to abuse, neglect, and exploitation within the last few days.

During an interview on 09/03/25 at 03:05 PM, R1 confirmed that he was involved in a verbal exchange with Maintenance U and that voices were raised and profanities were exchanged. R1 reported no lasting ill effects as a result, and the exchange was from a personality conflict. R1 reported that in the future, if he experiences that again, he will leave the situation and notify a staff member.The facility's Recognizing Signs and Symptoms of Abuse/Neglect/Exploitation policy, dated 10/2021, documented the facility would not condone any form of resident abuse.

The policy defined abuse as willful infliction of injury or intimidation that resulted in physical harm, pain, or mental anguish.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

09/03/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Orchard Gardens

1600 S Woodlawn Blvd Wichita, KS 67218

SUMMARY STATEMENT OF DEFICIENCIES

Based on observation, record review and interview the facility failed to prepare and serve food under sanitary conditions to prevent the potential for food borne bacteria.

This placed the residents at risk for food borne illnesses.

Findings included:- During an observation on 09/03/25 at 09:53 AM, several dead roaches and live roaches were observed in different stages of life throughout the kitchen on the floor.

The roaches were observed behind and on the side of the refrigerators, freezers, under the clean dish storage rack, under the meal prep counter, behind doors, and in the dry storage room.

Dietary Staff CC said she had seen several roaches and had reported the concern to Dietary Staff BB, Certified Dietary Manager (CDM).

Additionally, Dietary Staff CC said a person would come into the kitchen weekly to try to control all the roaches.

Further observation revealed two garbage cans with no lids on them in the kitchen.

Dietary Staff CC reported the lids were off, as it was easier to throw items away.

During an interview on 09/03/25 at 10:00 AM, Dietary Staff BB confirmed the roaches in all stages of life throughout the kitchen in dry storage, behind fridges, freezers, under counters, and behind doors.

Dietary Staff BB reported the facility had a pest control service came monthly, which was due sometime in September, and stated Administrative Staff A is responsible for calling the pest control company.

Dietary Staff BB reported the kitchen staff had been dealing with roaches for about six months now.

During an interview on 09/03/25 at 04:50 PM, Administrative Staff A stated he expected the kitchen to be pest-free, and the facility has tried to accomplish this.

Administrative Staff A confirmed there were roaches in the kitchen.The facility's Pest Control policy dated June 2025, documented our facility shall maintain an effective pest control program.

This facility maintains an ongoing pest control program to ensure the building is kept free of insects and rodents.

Facility ID:

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 WICHITA, 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 ORCHARD GARDENS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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