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Deficiency Records for Diversicare of Southaven
A list of the most recent deficiencies for Diversicare of Southaven. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Diversicare of Southaven. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-08 | 2024-06-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-20 | 2024-06-03 | Y |
| 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. | Health | 2024-03-20 | 2024-06-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-20 | 2024-06-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-20 | 2024-06-03 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-03-20 | 2024-06-03 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-03-20 | 2024-06-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-09 | 2024-04-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-09 | 2024-04-09 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-30 | 2023-12-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-02 | 2023-11-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-02 | 2023-11-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-02 | 2023-11-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-02 | 2023-11-27 | N |
| 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. | Health | 2023-11-02 | 2023-11-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-02 | 2023-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-11-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-02 | 2023-11-27 | Y |
| 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. | Health | 2022-12-28 | 2023-01-31 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-27 | 2022-09-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-27 | 2022-09-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-27 | 2022-09-09 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-07-27 | 2022-09-09 | N |
| 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. | Health | 2022-07-27 | 2022-09-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-27 | 2022-09-09 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-07-27 | 2022-09-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-27 | 2022-09-09 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-20 | 2022-09-09 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-20 | 2022-09-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-20 | 2022-09-09 | N |
| 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. | Health | 2020-02-06 | 2020-03-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-06 | 2020-03-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-06 | 2020-03-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-06 | 2020-03-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-06 | 2020-03-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-04 | 2020-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-04 | 2020-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-04 | 2020-03-10 | N |
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