Inspection Reports for Diversicare of Chanute

A revisit survey was conducted on 11/19/25 to verify correction of all previous deficiencies cited on 09/23/25.

All deficiencies cited in the prior inspection have been corrected as of the compliance date of 10/23/25, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

This document is a Plan of Correction submitted by the facility to address and correct deficiencies identified during a prior inspection.

The plan outlines corrective actions for deficiencies related to psychotropic medication informed consent, environmental repairs and cleaning, nail care provision, and nursing staffing information posting. The facility commits to audits and education to ensure compliance by 10/23/2025.

The inspection was an extended Health Recertification Survey and complaint survey regarding allegations in cases 2619946, 575460, and 2578024.

The facility failed to ensure informed consent for psychotropic medications for one resident, failed to maintain a safe, clean, and homelike environment in resident rooms and common areas, failed to provide nail care for a resident, and failed to post accurate nurse staffing information daily.

The survey included complaint allegations in cases 2619946, 575460, and 2578024. The findings relate to informed consent, environment safety, resident care, and staffing information.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 09/17/2025.

All deficiencies have been corrected as of the compliance date of 09/13/2025, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was conducted as a complaint investigation based on complaints numbered 1587363 and 1587358 regarding residents' rights to communication and dietary services.

The facility failed to provide residents with reasonable access to receive mail on Saturdays, violating their right to communication. Additionally, the facility failed to provide food that was nutritionally balanced, palatable, attractive, and served at safe and appetizing temperatures, leading to resident dissatisfaction and risk of inadequate nutrition.

The investigation was triggered by complaints regarding residents not receiving mail on Saturdays and dissatisfaction with dietary services including food temperature, quality, and variety. The complaints were substantiated with observations and interviews confirming mail delivery issues and ongoing dietary concerns.

This Plan of Correction document addresses deficiencies cited during a prior survey conducted on 2025-07-30 and outlines corrective actions the facility will implement to ensure compliance with regulations.

The facility submitted corrective actions for deficiencies related to Saturday mail delivery and meal delivery systems, including education of residents and staff, auditing processes, and updates to procedures to ensure compliance and proper service.

A revisit survey was conducted to verify correction of all previous deficiencies cited on 06/25/24.

All deficiencies cited in the previous inspection have been corrected as of 07/11/24, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

Complaint investigation #KS00188676 regarding quality of care and infection control issues at Diversicare of Chanute.

The facility failed to ensure Resident 1 had clean, dry dressings and timely treatment, resulting in maggots found on his leg. The facility also failed to follow physician orders for wound care for Resident 4, failed to monitor and treat constipation for Resident 3, and failed to maintain effective infection control and pest control programs.

Complaint investigation #KS00188676 focused on quality of care issues including wound care and infection control.

This document is a Plan of Correction submitted by Diversicare of Chanute in response to deficiencies cited during a survey conducted on June 25, 2024.

The plan addresses multiple deficiencies related to wound care, bowel movement documentation, infection control, and pest control. The facility outlines corrective actions including staff education, audits, and ongoing monitoring to ensure compliance with standards.

An offsite revisit survey was conducted on 04/23/24 for all previous deficiencies cited on 03/21/24 to verify correction of cited deficiencies.

All deficiencies have been corrected as of the compliance date of 04/03/24, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

An offsite revisit survey was conducted on 04/23/24 to verify correction of all previous deficiencies cited on 03/04/24.

All deficiencies cited in the previous inspection have been corrected as of the compliance date 03/29/24, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

This document is a Plan of Correction submitted by Diversicare of Chanute in response to deficiencies cited during a survey inspection.

The Plan of Correction addresses multiple deficiencies including environmental issues, care plan timing and revision, range of motion/mobility, accident hazards and supervision, dialysis documentation, nurse aide performance review, pharmacy services, drug regimen monitoring, food procurement sanitation, and payroll based journal data accuracy. Corrective actions include repairs, staff education, audits, and ongoing monitoring with results submitted to the Quality Assurance Committee.

The inspection was conducted as a complaint investigation (#KS00186602) focusing on respiratory care and medication administration at Diversicare of Chanute.

The facility failed to administer physician-ordered oxygen correctly for two residents, resulting in inadequate oxygen delivery and empty oxygen tanks. Additionally, the facility failed to start a prescribed anticoagulant medication (Eliquis) for Resident 1 for 22 days after the order, and did not notify the cardiologist about the fistula placement appointment for medication management.

The visit was triggered by complaint investigation #KS00186602. The complaint involved concerns about respiratory care and medication administration errors.

This document is a Plan of Correction submitted by the facility in response to deficiencies cited during a survey conducted on March 21, 2024.

The facility addressed deficiencies related to respiratory/tracheostomy care and pharmacy services, including oxygen settings and initiation of physician orders. Staff education and ongoing audits were planned to ensure compliance.

The inspection was conducted as a Health Resurvey and Complaint Investigation to assess compliance with regulatory requirements and investigate complaints.

The facility was found deficient in multiple areas including failure to maintain a safe, clean, and homelike environment; failure to timely revise care plans after falls and medication changes; failure to provide restorative services; failure to initiate appropriate interventions after falls; failure to complete post dialysis assessments; failure to complete annual performance reviews for staff; failure to notify physicians of abnormal blood sugars; failure to hold hypertensive medications when indicated; failure to maintain food safety standards; and failure to accurately submit payroll-based staffing data.

The inspection included a complaint investigation #185790.

The revisit survey was conducted on 07/26-28/2022 to verify correction of all previous deficiencies cited on 05/25/2022.

All deficiencies cited in the previous inspection have been corrected as of the compliance date of 07/01/2022, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

This document is a Plan of Correction submitted in response to deficiencies cited in the inspection report dated 2022-05-25 for Diversicare of Chanute.

The document indicates that the Plan of Correction is currently a Work In Progress (WIP) status related to the cited deficiencies from the inspection.

Health Resurvey and Complaint Investigations for multiple complaint numbers.

The facility had multiple deficiencies including failure to provide sanitary dressing changes, failure to prevent pressure ulcers, inadequate fall interventions, improper handling of urinary catheter bags, failure to follow dialysis center communications, insufficient nursing staff, medication administration errors, unpalatable food, failure to provide physician-ordered therapeutic diets, unsanitary food storage and preparation, inadequate infection control practices, failure to provide COVID-19 vaccine education, and unsafe kitchen oven temperatures.

An offsite revisit survey was conducted on 01/05/2022 for all previous deficiencies cited on 12/02/2021.

All deficiencies have been corrected as of the compliance date of 12/14/2021, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

This document is a Plan of Correction submitted in response to deficiencies cited during a prior survey of the facility.

The facility addressed deficiencies related to staff qualifications, specifically regarding medication administration by LPN, LPN G, and CNA M. Education was provided, residents were assessed for adverse effects, and ongoing monitoring and training plans were established to ensure compliance.

The inspection was conducted as a result of complaint investigations #157758, #167477, and #167533 regarding staff qualifications and medication administration.

The facility failed to ensure that only qualified certified medication staff administered medications to residents on the west unit. Specifically, a Certified Nurse Aide (CNA M) who was not certified as a Certified Medication Aide administered medications to 20 residents on Thanksgiving Day, November 25, 2021, under the supervision of a Licensed Nurse (LN G).

The findings represent the results of complaint investigations #157758, #167477, and #167533. The complaint was substantiated as the facility allowed a non-certified CNA to administer medications, which is against state certification requirements.

An offsite revisit survey was conducted on 08/06/21 for all previous deficiencies cited on 07/01/21.

All deficiencies have been corrected as of the compliance date of 08/01/21, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

This document is a Plan of Correction submitted by Diversicare of Chanute in response to deficiencies cited in a prior inspection related to abuse/neglect reporting, investigation, and medication storage.

The Plan of Correction addresses termination of an LPN involved in alleged violations, reeducation of staff on abuse/neglect policies, monthly interviews and audits related to abuse/neglect, and improvements in medication storage procedures including securing medications awaiting destruction.

The inspection was conducted as a complaint investigation (#KS 00162982) regarding allegations of potential drug diversion (theft) of residents' narcotic medications.

The facility failed to immediately report the allegation of drug diversion to the State Agency and did not thoroughly investigate the allegation. Additionally, the facility failed to ensure safe and secure storage of controlled medications, as the narcotic medication lock box was structurally compromised allowing potential unauthorized access.

The complaint investigation was triggered by allegations of drug diversion (theft) of narcotic medications by Licensed Nurse I. The facility failed to report the allegation timely and did not conduct a thorough investigation, lacking witness statements and resident interviews. The drug screen of the alleged perpetrator was negative, but monitoring was insufficient. The medication storage was found to be insecure, facilitating potential diversion.

A revisit survey was conducted on 11/30/2020 - 12/01/2020 for all previous deficiencies cited on 09/01/2020.

All deficiencies have been corrected as of the compliance date of 09/28/2020, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a Health Resurvey and Complaint investigation involving multiple complaint investigations and a resurvey of the facility.

The facility was found deficient in multiple areas including failure to provide written bed-hold notice upon hospital transfer, inaccurate resident assessments, failure to develop and implement comprehensive care plans, inadequate restorative services, failure to provide appropriate oral hygiene, improper treatment of pressure ulcers, failure to maintain range of motion, improper respiratory equipment cleaning and maintenance, failure to provide individualized nurse aide in-service training, failure to act on pharmacy recommendations, and ineffective quality assurance processes.

The inspection included complaint investigations #154623, #153170, and #150316.

This document is a Plan of Correction submitted by the facility in response to deficiencies cited in a prior inspection report dated 09/01/2020.

The Plan of Correction outlines corrective actions taken or planned for multiple deficiencies related to resident care, documentation, staff education, and policy compliance, with audits and monitoring scheduled to ensure compliance by 09/28/2020.

A non-compliance revisit for the Targeted Infection Control/Covid-19 survey was conducted on 08/10/2020 to verify correction of all previous deficiencies cited on 06/17/2020.

All deficiencies cited in the previous survey have been corrected as of 07/02/2020, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

A Targeted Infection Control/COVID-19 Survey was conducted by Kansas Department for Aging and Disability Services (KDADS) on behalf of CMS from 06/15/2020 through 06/17/2020 to assess the facility's infection prevention and control practices related to COVID-19.

The facility failed to perform appropriate staff screening including temperature checks on 42 occasions, allowing staff to work with temperatures of 100.0 degrees Fahrenheit or greater on four occasions, placing residents at immediate jeopardy. The facility implemented a plan of removal including staff education and enhanced screening procedures, which was validated by the survey team.

This document is a Plan of Correction submitted in response to deficiencies identified in a COVID-19 related inspection at Diversicare Chanute on 6/17/2020.

The plan outlines immediate actions taken to educate and screen all staff on infection control, handwashing, PPE use, and visitor screening. It includes ongoing audits, staff education, and involvement of the Administrator, DNS, and Medical Director to ensure compliance and monitoring.

An offsite revisit was conducted to verify correction of all previous deficiencies cited on 2019-11-26.

All deficiencies cited in the prior inspection have been corrected as of the compliance date 2019-12-13, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was conducted as a complaint investigation (#147644) regarding the facility's failure to provide timely repositioning to prevent pressure ulcers in a resident.

The facility failed to timely reposition one resident who required assistance, resulting in pressure ulcer risk. Observations confirmed the resident remained in the same position for over four hours and again for over two hours without repositioning, contrary to the care plan and facility policy.

The complaint investigation (#147644) found the facility failed to reposition a resident as required, substantiated by observations and staff interviews confirming the resident was left in the same position for extended periods.

The document is a Plan of Correction submitted in response to deficiencies cited during a prior inspection on 11-21-2019 related to resident care and skin assessments.

Deficiencies involved failure to properly reposition residents, perform incontinent care, and maintain skin assessments. The facility implemented corrective actions including staff education, updated skin assessment schedules, and ongoing audits.

An offsite revisit was conducted to verify correction of all previous deficiencies cited on 2019-08-08.

All deficiencies cited in the prior inspection have been corrected as of 2019-08-28, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was conducted as a complaint investigation (#144151) regarding concerns about inadequate bathing assistance and restorative services for dependent residents.

The facility failed to provide adequate bathing assistance and restorative range of motion (ROM) services as recommended by therapy for four sampled residents. Additionally, the facility lacked sufficient nursing staff to provide necessary care and supervision, including bathing and restorative services.

The complaint investigation #144151 was triggered by family concerns regarding lack of bathing and restorative care for residents, specifically citing failure to provide showers and range of motion exercises as scheduled.

This document is a Plan of Correction submitted by Diversicare of Chanute in response to deficiencies cited during a prior inspection on August 8, 2019.

The plan outlines corrective actions addressing deficiencies related to residents' ADL care needs, restorative therapy programs, and staffing schedules, with education and audits planned to ensure compliance by August 28, 2019.

A revisit survey was conducted from 2019-05-15 to 2019-05-20 to verify correction of all previous deficiencies cited on 2019-03-21.

All deficiencies cited in the previous inspection have been corrected as of the compliance date of 2019-04-23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

A revisit survey was conducted from 2019-05-15 to 2019-05-20 to verify correction of all previous deficiencies cited on 2019-03-21.

All deficiencies cited in the previous inspection have been corrected as of the compliance date 2019-04-23, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

An abbreviated survey was conducted on May 2, 2019 by the Kansas Department for Aging & Disability Services to determine if the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiency at a level of actual harm that is not immediate jeopardy and identified past non-compliance for F689, "G", CFR 483.25(d)(1)(2). Due to this and prior non-compliance, the facility was not given an opportunity to correct deficiencies before enforcement remedies were imposed.

The inspection was conducted as a complaint investigation (#140700) related to an accident involving a resident during facility van transportation.

The facility failed to provide safe van transportation for one resident, resulting in the resident falling out of a wheelchair during transport due to the lap and shoulder restraint belt becoming unhooked from the floor track. The resident sustained multiple injuries including maxillary sinus fractures, facial lacerations, bruising, and skin tears. The facility identified debris in the van floor tracks as the cause and took immediate corrective actions including van cleaning, staff re-education, and implementation of pre-trip inspections.

The visit was triggered by complaint investigation #140700. The resident fell out of the wheelchair during transport when the restraint belt became unhooked. The resident sustained injuries including fractures and lacerations. The facility was cited for past non-compliance with no prior plan of correction.

The inspection was a Health Resurvey and Complaint Investigation triggered by complaints #139266, #139278, and #139478, focusing on resident dignity, safe environment, reporting of alleged violations, and other compliance issues.

The facility was found deficient in multiple areas including failure to treat residents with dignity, unsafe and unsanitary environment conditions, failure to report and investigate abuse allegations timely, incomplete and untimely resident assessments and care plans, inadequate restorative nursing services, insufficient staffing, failure to provide scheduled showers and grooming, lack of activities meeting resident preferences, failure to implement fall prevention interventions, and failure to monitor side effects of psychotropic medications.

The visit was complaint-related as it included a complaint investigation triggered by complaints #139266, #139278, and #139478.

This document is a Plan of Correction submitted by the facility in response to deficiencies cited during a prior inspection conducted on March 13, 2019, and related investigations.

The plan outlines corrective actions taken or planned to address multiple deficiencies including resident dignity, environmental issues, abuse/neglect reporting, care plan updates, wound care, staffing, medication administration, and other compliance areas. The facility commits to ongoing audits and education with results reported to the QAPI committee.

A revisit survey was conducted on 6/20/18 to verify correction of all previous deficiencies cited on 5/1/18.

All deficiencies cited in the prior inspection have been corrected as of the compliance date of 5/23/18, and no new noncompliance was found. The facility is in compliance with all regulations.

This document is a Plan of Correction submitted by the facility in response to deficiencies cited during a prior survey, outlining corrective actions to achieve substantial compliance by May 23, 2018.

The plan addresses multiple deficiencies including failure to provide residents with state survey agency contact information, medication administration issues, comprehensive assessments for functional limitations, care plan updates for pressure ulcers and urinary catheters, discharge summaries, activity programming, hospice care coordination, pressure ulcer prevention, medication order accuracy, food service quality and sanitation, infection control, and antibiotic stewardship.

Health Resurvey and investigation of multiple complaints including resident rights, abuse, neglect, medication errors, and infection control.

The facility was cited for multiple deficiencies including failure to provide required resident notices, failure to report alleged violations, inaccurate assessments, failure to revise care plans, inadequate discharge summary, insufficient activities program, poor quality of care related to pressure ulcers, medication regimen review errors, food temperature and sanitation issues, infection prevention and control failures, and lack of antibiotic stewardship.

The inspection included investigation of complaints #112672, #113634, #116949, #117713, #121609, #122891, #124601.

The off-site visit was conducted to verify that the deficiency cited on 10/13/2017 was corrected.

The deficiency cited on 10/13/2017 was found to be corrected effective October 20, 2017.

This document is a Plan of Correction submitted in response to deficiencies identified in a complaint investigation survey of Diversicare of Chanute.

The plan addresses deficiencies related to oral assessments and dental care for residents, including completion of oral assessments, dental appointments for Resident #1, care plan updates, and staff education on oral care.

This Plan of Correction is linked to Diversicare of Chanute Complaint 101317.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be an "E" level deficiency indicating no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was reviewed and accepted, resulting in a finding of substantial compliance effective October 20, 2017.

The inspection was conducted as a complaint investigation (#121726) regarding the facility's failure to provide adequate dental services to residents.

The facility failed to ensure that one resident received adequate dental assessment and care, lacked a system to identify residents needing dental services, and did not complete routine oral assessments. The resident had broken lower front teeth with no timely dental intervention, and the facility lacked a dental services policy.

The complaint investigation (#121726) found the facility failed to provide adequate dental services and assessments for resident #1, including failure to identify dental needs and provide timely dental care.

An abbreviated survey was conducted to determine if the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found that the facility was not in substantial compliance with participation requirements and that conditions constituted Immediate Jeopardy and Past Non-compliance to resident health or safety for specific regulatory citations.

The inspection was conducted as a complaint investigation (#117428) regarding the facility's failure to honor a resident's code status and maintain accurate documentation of code status for multiple residents.

The facility failed to initiate CPR for a resident who was a full code and found unresponsive without vital signs, placing the resident in immediate jeopardy. Additionally, the facility failed to maintain accurate and accessible code status documentation for 10 of 69 residents, including the resident involved in the incident.

Complaint investigation #117428 revealed failure to honor resident #1's full code status and failure to maintain accurate code status documentation for 10 residents.

This document is a Plan of Correction submitted in response to deficiencies cited in a complaint investigation at the facility.

The plan addresses past non-compliance issues identified under tags F0000 and F155-L, with no new plan of correction required as these were past non-compliance findings.

This plan of correction is linked to a complaint investigation identified as DVC Chanute complaint dated 06/28/2017.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The report indicates that all previously cited deficiencies have been corrected as of the dates noted, with no uncorrected deficiencies remaining.

This document is a Plan of Correction submitted in response to deficiencies identified in a complaint investigation survey of Diversicare of Chanute.

The plan addresses a deficiency related to Resident #5's cardiology referral and pacemaker monitoring. It includes corrective actions such as updating the care plan, assessing all residents with pacemakers, educating nursing staff, and auditing pacemaker checks to ensure compliance.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction had been corrected.

The revisit confirmed that the previously cited deficiency related to regulation 483.25(d)(1)(2)(n)(1)-(3) was corrected as of 03/31/2017. No other deficiencies were noted.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be a "D" level deficiency that constitutes no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance effective April 25, 2017.

The inspection was conducted as a complaint investigation (#114606) regarding the facility's care and services.

The facility failed to adequately monitor one resident with a pacemaker by not obtaining physician orders for pacemaker checks or implementing a monitoring system. The resident had not had a pacemaker check since admission approximately three years prior, and the facility lacked a policy for monitoring pacemaker function.

The complaint investigation #114606 found deficiencies related to inadequate monitoring of a resident with a pacemaker, including lack of physician orders and monitoring system.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiencies to be a 'D' level deficiency, indicating no actual harm but potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction and was found to be in substantial compliance based on credible allegation of compliance and evidence of correction.

Investigation of complaint #113696 regarding the facility's failure to provide adequate supervision and assistive devices to prevent resident elopement.

The facility failed to prevent resident #01, an elopement risk, from exiting the facility without staff knowledge when a vendor staff opened the front door and allowed the resident to leave. The resident was found outside without injury and returned to the facility. The facility updated care plans and trained vendors to prevent recurrence.

Investigation of complaint #113696. The complaint was substantiated as the facility failed to prevent elopement of resident #01.

The plan of correction addresses deficiencies identified in a complaint investigation related to resident elopement risk and facility security procedures.

Resident #1 was assisted back into the center without injury after an elopement event. The facility updated care plans, reassessed elopement risks for all residents, educated staff and vendors on elopement prevention, and implemented new signage and audit procedures to ensure compliance.

Complaint investigation related to resident elopement; family and doctor notified; corrective actions implemented.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The report indicates that the previously cited deficiency with regulation 483.10(f)(1)-(3) was corrected and the corrective action was completed by the revisit date.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found a 'D' level deficiency indicating no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, resulting in a finding of substantial compliance effective December 29, 2016.

The inspection was conducted as a complaint investigation (#105926) regarding the facility's failure to provide a resident with menu preference choices.

The facility failed to provide 1 of 3 sampled residents with a menu preference choice for breakfast. Despite the resident's consistent request for rice, staff sometimes served cereal instead due to unavailability or preparation issues. The facility's policy on alternate foods was not adequately followed.

The complaint investigation #105926 found that the facility did not consistently provide the resident with their requested menu choice of rice for breakfast, sometimes substituting cereal due to kitchen limitations. The resident's family expressed concerns about the dietary issues.

This document is a Plan of Correction submitted in response to deficiencies identified during a complaint investigation at the facility.

The facility failed to ensure that all residents received their preferred breakfast choice, specifically Resident #1 who did not receive shredded wheat as requested. The dietary team was re-educated and audits were planned to ensure compliance.

This Plan of Correction is related to a complaint investigation identified as DVC Chanute complaint 12222016.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

All previously cited deficiencies were corrected as of the revisit date, with each correction completed and documented under the respective regulation numbers.

This document is a Plan of Correction submitted by the facility in response to deficiencies cited during a prior survey, outlining corrective actions to address and ensure compliance with regulations.

The Plan of Correction details multiple deficiencies related to environmental issues, resident assessments, medication documentation, vehicle maintenance, cleaning protocols, and medication storage, with corrective actions including staff education, audits, repairs, and ongoing monitoring through the QAPI committee.

The inspection was conducted as a Health Resurvey and Complaint Investigations #102138 and #102770 to assess compliance with regulatory requirements.

The facility failed to maintain sanitary housekeeping and maintenance services, complete accurate resident assessments, provide adequate care and services including medication management, maintain sanitary food storage and preparation, ensure timely pharmacist medication reviews, and uphold infection control practices.

The inspection included complaint investigations #102138 and #102770.

A Health survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiencies to be 'F' level, widespread, constituting no actual harm but with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction and was found to be in substantial compliance based on the credible allegation of compliance and the plan.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The revisit report confirms that the deficiencies previously cited under regulations 483.13(c)(1)(ii)-(iii), (c)(2)-(4) and 483.25(h) were corrected as of 04/08/2016.

A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility was in compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiencies in the facility to be at an 'F' level, indicating no harm with potential for more than minimal harm but not immediate jeopardy. Remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

An abbreviated survey was conducted to determine if the facility was in compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiency to be at a level of actual harm that is not immediate jeopardy, requiring corrections. Due to the facility's history of noncompliance, no opportunity to correct deficiencies before remedies are imposed was given.

The inspection was conducted based on complaint investigations #97696 and #97887, focusing on allegations of neglect and failure to investigate and report incidents properly.

The facility failed to thoroughly investigate and report possible neglect of two residents who sustained fractured hips after falls. The facility lacked appropriate fall prevention interventions, failed to implement adequate supervision and assistive devices, and did not have a policy for investigating and reporting falls and potential neglect. Staff were unaware of the 'Call before you Fall' program and did not consistently follow care plans or post-fall interventions.

The visit was triggered by complaint investigations #97696 and #97887 concerning neglect and failure to report incidents properly.

This post-certification revisit was conducted to verify that previously reported deficiencies on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The revisit confirmed that the previously cited deficiency under regulation 483.60(a),(b) was corrected as of the revisit date.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be a D level deficiency that constitutes no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, resulting in a finding of substantial compliance effective March 11, 2016.

The inspection was conducted as an investigation of complaint #97169 regarding the facility's pharmaceutical services.

The facility failed to provide chemotherapy medication (Xtandi) as ordered for one skilled care resident, resulting in a 21-day delay in administration due to cost and procurement issues.

Investigation of complaint #97169 regarding failure to provide chemotherapy medication as ordered. The complaint was substantiated by findings of delayed medication administration.

This plan of correction addresses deficiencies cited during a survey related to medication administration, specifically concerning a resident who received chemotherapy medication on February 17, 2016.

The facility identified a medication administration issue involving Resident #1 receiving chemotherapy medication. An audit was conducted to identify other residents potentially affected, and corrective actions including medication review processes were implemented to ensure compliance.

The inspection was conducted as a complaint investigation based on allegations related to elopement risks and failure to report an elopement incident.

The facility failed to report an elopement of a resident to the state agency as required and failed to provide adequate supervision and assistive devices to prevent the elopement of one resident. The resident left the facility without staff knowledge, traveled approximately 20 miles to their home, and returned without staff awareness until family notified the facility.

The complaint investigations #96423, #96590, and #96630 focused on allegations of failure to report elopement and inadequate supervision of residents at risk of elopement. The facility was found to have failed to report an elopement incident and failed to provide adequate supervision to prevent the elopement of one resident.

This plan of correction is submitted in response to deficiencies cited during a complaint investigation survey conducted at Diversicare of Chanute.

The plan addresses deficiencies related to elopement risk, including updating care plans, educating staff and residents, changing door codes, and reporting elopements to the State Survey and Certification Agency.

This plan of correction is related to a complaint investigation at Diversicare of Chanute, complaint ID 01292016.

This post-certification revisit was conducted to verify that previously identified deficiencies reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

The revisit confirmed that the deficiency identified under regulation 483.25(h) was corrected as of 12/11/2015.

An abbreviated survey was conducted to determine if the facility is in compliance with Federal participation requirements for nursing homes participating in the Medicare and/or Medicaid program.

The survey found the most serious deficiency to be a "D" level deficiency that constitutes no actual harm with potential for more than minimal harm that is not immediate jeopardy. The facility submitted a plan of correction which was accepted, and the facility was found to be in substantial compliance based on the credible allegation of compliance and the plan of correction.

The inspection was conducted as an investigation of complaint #93721 regarding the facility's failure to provide adequate supervision and assistive devices to prevent falls.

The facility failed to provide adequate supervision and a working personal alarm to prevent a resident from falling, resulting in the resident sustaining an abrasion and swelling. The resident was at high risk for falls and totally dependent on staff for transfers and mobility.

The complaint investigation found that the facility did not provide adequate supervision or a working personal alarm for resident #01, who fell from a wheelchair and sustained injuries. The resident's personal alarm failed to sound at the time of the fall.

This post-certification revisit was conducted to verify correction of previously cited deficiencies reported on the CMS-2567 Statement of Deficiencies and Plan of Correction.

The report documents that the previously cited deficiency with regulation number 483.25(h) was corrected as of the revisit date.

The revisit was conducted on September 22, 2015, following an Abbreviated survey on August 5, 2015, to verify that the facility had achieved and maintained compliance with Federal requirements for nursing homes participating in Medicare and Medicaid programs.

The facility was found not to be in substantial compliance with Federal requirements, resulting in enforcement remedies including a denial of payment for new Medicare and Medicaid admissions effective November 5, 2015, which will remain until compliance is achieved or the provider agreement is terminated.

This post-certification revisit was conducted to verify that previously identified deficiencies reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

All deficiencies previously cited in the prior survey were corrected as of the revisit date, with corrections completed on 09/22/2015 for multiple regulatory requirements.

The inspection was conducted as a non-compliance revisit for multiple prior complaint investigations and current complaint investigations related to resident safety and supervision.

The facility failed to provide adequate supervision to prevent elopement for one resident who left the building without staff knowledge twice within three days. The resident was at risk for wandering and elopement, had a history of removing a wanderguard bracelet, and staff failed to consistently perform required 15-minute checks. The facility's care plan and supervision practices were inadequate to prevent the incidents.

The visit was a non-compliance revisit for complaint investigations #89255, 89062, 88518, 87562 and current complaint investigations #91502 and 89938. The resident eloped on 9/7/15 and 9/10/15 despite being identified as at risk and under 15-minute checks, which were inconsistently performed and documented.

This document is a Plan of Correction submitted in response to deficiencies cited during a complaint investigation survey at Diversicare of Chanute.

The plan outlines corrective actions including updating care plans for patient #2 with one-on-one coverage due to wandering and elopement risk, replacing door alarms, conducting elopement assessments for all residents, staff education on elopement guidelines, and performing elopement drills to ensure compliance.

This Plan of Correction is related to a complaint investigation survey (Diversicare of Chanute 1st Revisit 092215 Complaint).

This document is a Plan of Correction submitted by the facility in response to deficiencies cited during a complaint survey conducted at Diversicare Chanute.

The Plan of Correction outlines multiple corrective actions including re-education of nursing staff on vital sign parameters, admission care plans, skin care documentation, hygiene and grooming policies, hydration expectations, medication delivery, and monitoring procedures to ensure compliance and resident care standards are met.

The inspection was conducted as a complaint investigation based on complaint investigation numbers 89255, 89062, 88518, and 87562.

The facility failed to report significant changes in residents' conditions, develop temporary care plans, provide adequate care and services including hygiene and hydration, monitor skin issues, administer medications timely, and maintain sufficient staffing to meet residents' needs.

The inspection was conducted as a complaint investigation based on complaint investigation numbers 89255, 89062, 88518, and 87562.

This is a post-certification revisit to verify that previously reported deficiencies have been corrected as indicated on the CMS-2567 Statement of Deficiencies and Plan of Correction.

The report shows that deficiencies identified in prior surveys have been corrected as of the revisit date, with corrections completed for items F0242, F0315, and F0327.

A Health survey was conducted by the Kansas Department for Aging & Disability Services to determine compliance with Federal participation requirements for nursing homes participating in Medicare and/or Medicaid.

The survey found isolated 'D' level deficiencies that constituted no actual harm but had potential for more than minimal harm without immediate jeopardy. The facility submitted a plan of correction which was accepted, resulting in a finding of substantial compliance effective April 22, 2015.

The inspection was conducted as a Health Resurvey and Complaint investigations #83730 and #83817 to assess compliance with resident care and facility regulations.

The facility failed to provide one resident with bathing according to their preference, failed to provide proper incontinence care to prevent urinary tract infections for another resident, and failed to provide adequate assistance for hydration to a resident at risk for dehydration.

The inspection included complaint investigations #83730 and #83817. The findings substantiated failures in bathing, incontinence care, and hydration assistance.

This report documents a revisit inspection to verify that previously identified deficiencies have been corrected and to confirm the dates such corrective actions were accomplished.

The revisit inspection confirmed that the previously reported deficiency identified by regulation 28-39-160 with prefix code S0770 was corrected as of 03/11/2015.

The inspection was conducted as a complaint investigation (#84102) and a partial extended survey related to the facility's provision of adult day care services and supervision of residents.

The facility failed to provide adequate supervision to prevent a cognitively impaired resident from leaving the facility unnoticed, resulting in the resident being found lying in a ditch approximately two blocks away on a cold night. The facility also lacked a day care policy and failed to complete an assessment for the cognitively impaired resident upon admission to day care.

Complaint investigation #84102 focused on the incident where a cognitively impaired resident exited the facility without staff knowledge and was found lying in a ditch two blocks away on a cold night. The investigation found failures in supervision, assessment, and communication with family.

This Plan of Correction is submitted in response to deficiencies cited during a complaint survey at Diversicare Chanute.

The facility will no longer provide Daycare Services to resident #1 or others requesting the service. Staff received education on elopement policy and daycare service discontinuation. New elopement assessments were conducted on all current residents. Door alarm key codes were changed and door checks will be conducted daily with concerns reported promptly. Compliance is expected by 02/28/2015.

A Life Safety Code survey was conducted by the State Fire Marshal's Office to determine if the facility was in compliance with Federal requirements for nursing homes participating in Medicare and/or Medicaid programs.

The survey found the most serious deficiency to be an 'E' level deficiency, pattern, with no harm but potential for more than minimal harm that is not immediate jeopardy. Remedies including denial of payments and possible termination of provider agreement were recommended if substantial compliance is not achieved.

This is a post-certification revisit to verify that previously reported deficiencies have been corrected as indicated on the CMS-2567 Statement of Deficiencies and Plan of Correction.

All previously cited deficiencies identified by their regulation numbers were corrected as of the revisit date, January 10, 2014.

The inspection was conducted as a Health Resurvey and Complaint Investigation #69055 to investigate allegations of abuse, neglect, and compliance with regulatory requirements.

The facility failed to thoroughly investigate and report incidents of alleged abuse and neglect, maintain a sanitary and safe environment, properly update care plans for residents with skin conditions and pressure ulcers, provide appropriate care to prevent urinary tract infections, ensure safe water temperatures, and maintain infection control procedures.

The visit was complaint-related as it included a complaint investigation #69055 focusing on allegations of abuse and neglect, and other regulatory compliance issues.

This post-certification revisit was conducted to verify that previously identified deficiencies reported on the CMS-2567 Statement of Deficiencies and Plan of Correction have been corrected.

All deficiencies previously cited with various regulation numbers were corrected as of the revisit date, with corrections completed on 09/28/2012.

This Plan of Correction document is submitted in response to deficiencies cited during a prior survey to outline corrective actions the facility will implement to achieve compliance with state and federal regulations.

The facility identified multiple deficiencies including issues with patient dignity and rights, individualized care planning, environmental repairs, oral health assessments, dietary menu compliance, and sanitation. The plan details corrective actions such as staff education, environmental repairs, monitoring, and quality assurance committee oversight to ensure substantial compliance by September 28, 2012.

The inspection was a health resurvey of Chanute Healthcare Center to assess compliance with federal regulations related to resident care, environment, and facility operations.

The facility was found deficient in multiple areas including failure to provide resident privacy during care, inadequate activities programming, poor housekeeping and maintenance, incomplete comprehensive assessments, failure to revise care plans for positioning, inadequate dental care and services, failure to provide appropriate positioning devices, failure to follow pureed diet menus, and unsanitary kitchen conditions.

This document is a Plan of Correction submitted in response to deficiencies cited during a complaint survey at Diversicare of Chanute.

The facility identified issues related to the use and monitoring of personal alarms for residents, including failure to ensure alarms were working properly and leaving residents unattended when alarms were not functioning.

This Plan of Correction addresses deficiencies cited during a complaint survey. Resident #01 was discharged prior to the plan submission. The facility will assess all new admits for accident risks and educate staff on proper alarm use and monitoring.

This document is a Plan of Correction submitted in response to deficiencies cited during a complaint investigation survey related to DVC Chanute complaint dated 03/25/2016.

The facility identified deficiencies related to resident care plans, fall interventions, and reporting of injuries of unknown origin. The Plan of Correction outlines actions including reassessment of care plans, staff education on abuse/neglect policies and fall interventions, timely reporting to KDADS, and ongoing review through Quality Assurance meetings to prevent recurrence.

This Plan of Correction is in response to a complaint investigation triggered by DVC Chanute complaint dated 03/25/2016.

This document is a Plan of Correction submitted by Diversicare Chanute in response to deficiencies cited during a prior survey.

The facility outlines corrective actions to address deficiencies related to care plan updates, personal care guidelines, hydration risk factors, and staff training to ensure compliance with patient preferences and care standards.

This document is a Plan of Correction submitted by the facility in response to previously identified deficiencies.

The plan indicates that the deficiencies identified (F0000 and F689-G) were past noncompliance issues for which no plan of correction was required.