Diversicare of Sedgwick

712 N Monroe Avenue, Box 49 · Sedgwick, KS · 67135 · 3167725185

62 certified beds For profit - Limited Liability company Chain: Diversicare Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

$51,670 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Total nurse staffing below 3.0 hours per resident-day

2.87 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

76% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 35
Serious harm & abuse 20% 64
Staffing 20% 45
Federal penalties 15% 65
Trend 10% 62
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.873.48 min · 4.1 strong
RN hours / resident-day0.400.55–0.75
Weekend hours / resident-day2.70≈ weekday level
Nursing turnover / year76%median 45%
Fines (3-yr window)1 · $51,670

Inspection citations (32 in the current record)

  • Potential for harm · D September 9, 2025 · found via complaint

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

    Corrected September 25, 2025 · Resident Rights

  • Immediate jeopardy · J May 15, 2025 · found via complaint

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected June 12, 2025 · Quality of Life and Care

  • Potential for harm · D May 15, 2025 · found via complaint

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected June 12, 2025 · Quality of Life and Care

  • Potential for harm · D May 15, 2025 · found via complaint

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected June 12, 2025 · Quality of Life and Care

  • Potential for harm · D May 15, 2025 · found via complaint

    Provide care or services that was trauma informed and/or culturally competent.

    Corrected June 12, 2025 · Quality of Life and Care

  • Potential for harm · F May 15, 2025 · found via complaint

    Observe each nurse aide's job performance and give regular training.

    Corrected June 12, 2025 · Nursing and Physician Services

  • Potential for harm · E May 15, 2025 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected June 12, 2025 · Infection Control

  • Potential for harm · F May 15, 2025 · found via complaint

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected June 12, 2025 · Environmental

  • Potential for harm · E July 19, 2023

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected August 25, 2023 · Resident Rights

  • Potential for harm · D July 19, 2023

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected August 25, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E July 19, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected August 25, 2023 · Quality of Life and Care

  • Potential for harm · D July 19, 2023

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected August 25, 2023 · Quality of Life and Care

  • Potential for harm · D July 19, 2023

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected August 25, 2023 · Quality of Life and Care

  • Potential for harm · D July 19, 2023

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected August 25, 2023 · Pharmacy Service

  • Potential for harm · D July 19, 2023

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Corrected August 25, 2023 · Pharmacy Service

  • Potential for harm · D July 19, 2023

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected August 25, 2023 · Pharmacy Service

  • Potential for harm · F July 19, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected August 25, 2023 · Nutrition and Dietary

  • Potential for harm · E July 19, 2023

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

    Corrected August 25, 2023 · Infection Control

  • Potential for harm · E July 19, 2023 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected August 25, 2023 · Quality of Life and Care

  • Potential for harm · D July 19, 2023 · found via complaint

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected August 25, 2023 · Quality of Life and Care

  • Potential for harm · F July 19, 2023 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected August 25, 2023 · Nursing and Physician Services

  • Potential for harm · F July 19, 2023 · found via complaint

    Observe each nurse aide's job performance and give regular training.

    Corrected August 25, 2023 · Nursing and Physician Services

  • Potential for harm · F July 19, 2023 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected August 25, 2023 · Administration

  • Potential for harm · F July 19, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected August 25, 2023 · Infection Control

  • Actual harm · G January 11, 2022

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected March 15, 2022 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 15, 2025Fine$51,670

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175254 · certified since July 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.