I love the warm, welcoming, and professional staff-Ms. Kat, the admin team, custodial, and top-notch physical therapy made a real difference in my recovery. My room was clean, the facility feels safe and caring, and with visible improvements underway and a team striving to be the best, I'm happy to recommend it.
Current/former resident
Jul 2026
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Amenities
Healthcare services
Activities of daily living assistance
Assistance with bathing
Assistance with dressing
Assistance with transfers
Medication management
Mental wellness program
Healthcare staffing
12-16 hour nursing
24-hour call system
24-hour supervision
Meals and dining
Diabetes diet
Meal preparation and service
Restaurant-style dining
Special dietary restrictions
Room
Air-conditioning
Cable
Fully furnished
Housekeeping and linen services
Kitchenettes
Private bathrooms
Telephone
Wifi
Transportation
Community operated transportation
Transportation arrangement
Transportation arrangement (non-medical)
Common areas
Beauty salon
Computer center
Dining room
Fitness room
Gaming room
Garden
Outdoor space
Small library
Wellness center
Community services
Concierge services
Fitness programs
Move-in coordination
Activities
Community-sponsored activities
Planned day trips
Resident-run activities
Scheduled daily activities
Reviews
3.12·(51)
Overall rating
5
4
3
2
1
Care
2.1
Staff
2.9
Meals
1.5
Amenities
3.1
Value
2.3
Pros
Compassionate and attentive caregiving staff
Strong physical therapy and rehabilitation outcomes
Supportive and responsive administrative and therapy teams
Ongoing quality‑improvement efforts under new leadership
On‑site salon and custodial services
Well‑maintained therapy and rehabilitation spaces
Warm, welcoming staff demeanor
Visible kitchen and dining-service improvements
Cons
Inconsistent personal‑care and incontinence‑care practices
Delays in medication administration and respiratory treatments
Gaps in bedside monitoring and staff responsiveness
Staffing instability and unprofessional staff conduct
Inconsistent meal timing and variable food quality
Hand‑hygiene and general sanitation concerns
Weak pressure‑injury prevention and repositioning protocols
Insufficient in‑room communication/call systems
Mismanagement of residents’ belongings and valuables
Management and organizational shortcomings leading to turnover
Allegations of serious care incidents and regulatory citations
Summary of reviews
The reviews for Diversicare of Tupelo present a highly polarized picture. A substantial portion of feedback highlights strong strengths in rehabilitation and certain staff teams: the facility’s physical therapy program and rehab outcomes are frequently praised, and many families describe individual caregivers, therapists, and administrators as kind, attentive, and professional. Multiple reviewers also note visible facility features such as an on‑site salon, custodial services, and recent kitchen or dining improvements. Several comments indicate new leadership and active quality‑improvement efforts that some residents and families view positively.
At the same time, a pattern of operational weaknesses emerges across numerous accounts. Concerns center on inconsistent personal‑care practices (including incontinence care and bathing), delays in medication administration and respiratory treatments (for example, CPAP and other breathing therapies), and lapses in bedside monitoring and responsiveness. These issues are reflected in reports of missed repositioning, pressure‑injury maintenance gaps, missed treatments or late medications, and delayed clinical responses that families found worrisome. There are also descriptions of unprofessional staff behavior and staffing instability, which reviewers associate with uneven day‑to‑day care.
Dining and housekeeping present mixed impressions: some reviewers appreciate recent kitchen improvements and acceptable meals, while others describe late meal delivery, limited meal assistance, and inconsistent beverage availability. Hygiene and hand‑hygiene compliance are noted as an area needing attention in multiple comments. Facility systems concerns extend to communication infrastructure (limited in‑room call or phone access) and occasional misplacement or poor handling of residents’ personal belongings.
Management and regulatory issues are recurring themes. Several reviewers cite organizational shortcomings such as poor coordination, denial of transfers, and turnover; a smaller number reference regulatory action and invoke allegations of serious care incidents. At the same time, others report that new leadership is implementing changes and that some teams are striving to improve care quality.
Overall, prospective residents and families should weigh the facility’s clear strengths in rehabilitation and the presence of compassionate individual staff against documented operational concerns related to personal care, medication and respiratory treatment timeliness, staffing reliability, and sanitation processes. Visitors should ask targeted questions about staffing ratios, medication‑administration protocols, respiratory‑care procedures, pressure‑injury prevention, incontinence care practices, recent regulatory history and corrective action, and what concrete steps leadership has taken to sustain the reported improvements.
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Medicare Ratings
1·/ 5
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Diversicare of Tupelo is located at 2273 S Eason Blvd, Tupelo, MS, 38804.
About Diversicare of Tupelo
Diversicare of Tupelo sits about 2.2 miles outside of Tupelo, Mississippi, and is part of the Diversicare Healthcare Services network, with about 27 certified skilled nursing beds out of 120 listed for June 2025, and this skilled nursing facility focuses on a hands-on, resident-centered approach for seniors of many needs, including those who need short-stay rehabilitation, long-term care, assisted living, independent living, memory care for people with Alzheimer's or dementia, hospice care, and even more complex medical or rehabilitation care. The nursing staff provides 12-16 hour nursing services each day with a 24-hour call system for supervision, help with baths, getting dressed, taking medicine, and support for those with serious mobility struggles who cannot move or walk on their own, which many families find brings some peace of mind when their loved ones need steady, watchful care. Some rooms come with private bathrooms, air conditioning, kitchenettes, cable TV, high-speed internet, and telephones, which means residents can stay comfortable, and there's a choice of studio apartment layouts, with an estimated price of about $4,738 for a studio.
Physical therapy, occupational therapy, speech therapy, and even respiratory therapy are available, and the staff works together with doctors and therapists to create custom care plans, always aiming to restore ability and help residents achieve as much independence as possible, though it's important to know the Centers for Medicare & Medicaid Services only gives this nursing home a 1-star rating, and the community average rating sits at 4.8 out of 10. There's a community dining room with all-day, restaurant-style meals prepared by a chef, and the kitchen teams can make special diets for allergies or diabetes when needed. Residents and families can access transportation and parking, and the facility takes care of housekeeping, laundry, and helps with the move-in process. The activities list is broad, ranging from an arts room, music programs, a library, fitness center, spa/wellness room, business room, outdoor walking paths, movie theater nights and resident-led events, to activities sponsored by local partners, with a strong effort to keep people engaged and social. There are programs available for those who love outdoor activities and arts, and the staff values each person's individuality and life story, providing personalized care and support for both the mind and body, while memory care, hospice, and palliative services are available for those who need them most. Medicaid and Medicare are accepted. Facility policies, staffing, available services, and provider details can sometimes change, and though some information is available from agencies like the Joint Commission or through neighborhood exploration features, it's a good idea for families to ask for up-to-date details, as the community tries to keep standards in line with accreditation and licensing. For those considering a move, tours can be scheduled to see the facility, and the setting aims to balance comfort, safety, and the medical care many residents may need, though it's always wise to check current ratings, review what services and therapies are active, and see what best fits your needs.
People often ask...
Diversicare of Tupelo offers assisted living, memory care, and skilled nursing.
There are 1 photos of Diversicare of Tupelo on Mirador.
The full address for this community is 2273 S Eason Blvd, Tupelo, MS 38804.
No, Diversicare of Tupelo does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In Mississippi, the State Department of Health licenses care facilities and publishes the survey, complaint, and infection-control reports from its inspections.
License number
nh-255105
Facility type
Nursing Home
Special certification
Medicaid/Medicare – Dually certified
Inspection Reports
106
Reports
125
Citations
68
Complaints
7
Years
01 Mar 2026Complaint
01 Mar 2026Complaint
Found no deficiencies. The agency determined compliance with applicable standards.
01 Mar 2026Complaint
01 Mar 2026Complaint
Found no deficiencies after three complaint investigations.
01 Feb 2026Revisit
01 Feb 2026Revisit
Concluded back in compliance after a follow-up visit.
01 Feb 2026Revisit
01 Feb 2026Revisit
Found no deficiencies related to emergency preparedness.
01 Feb 2026Revisit
01 Feb 2026Revisit
Verified compliance with Medicare and Medicaid requirements was restored following corrective actions.
01 Jan 2026Inspection
01 Jan 2026Inspection
Identified deficiencies in fire alarm system testing and maintenance, including an incomplete sensitivity inspection and no smoke detector testing since 2021.
NFPA 101 19.3.4.5; 9.6; NFPA 72 14.4.5.3.2; Table 14.3.1Fire Alarm System - Testing and Maintenance
01 Jan 2026Inspection
01 Jan 2026Inspection
Identified multiple deficiencies across staffing, TB testing, residents' rights, ADL care, catheter care, supervision after incidents, and infection control. Violations cited.
—Nursing Facility Staffing Requirements
—Tuberculosis Testing for Employees
—Residents' Rights — Freedom From Abuse
—Activities of Daily Living
—Urinary Catheter Care
—Accidents — Supervision and Prevention
—Infection Control
01 Jan 2026Inspection
01 Jan 2026Inspection
The survey found multiple deficiencies including abuse prevention failures, improper discharge notifications, and numerous care planning and infection control gaps. Several residents experienced unsafe care related to ADLs, catheter care, anticoagulant monitoring, and environmental safety.
483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
483.15(c)(2)-(8)Discharge Process
483.21(b)(1)(3)Comprehensive Care Plans
483.21(b)(2)(i)-(iii)Care Plan Timing and Revision
483.24(a)(2)ADL Care Provided for Dependent Residents
483.25(d)Accidents
483.25(e)Bowel/Bladder Incontinence, Catheter, UTI
483.45(d)Drug Regimen is Free from Unnecessary Drugs
483.80Infection Prevention & Control
01 Nov 2025Complaint
01 Nov 2025Complaint
Found no deficiencies identified after the investigation. The review showed compliance with Medicare/Medicaid participation requirements.
01 Nov 2025Complaint
01 Nov 2025Complaint
Investigated the complaint and found no deficiencies.
01 Sept 2025Revisit
01 Sept 2025Revisit
Determined compliance with minimum licensure requirements after a follow-up visit related to a prior complaint. Census was 109 of 120 beds.
01 Sept 2025Revisit
01 Sept 2025Revisit
Determined compliance with Medicare and Medicaid participation requirements after a follow-up and recommended placing back in compliance.
01 Sept 2025Complaint
01 Sept 2025Complaint
Investigated a complaint; found no deficiencies in this survey, but noted prior deficiencies from 08/11/25 left it out of compliance.
01 Sept 2025Complaint
01 Sept 2025Complaint
Investigated a complaint; found no new deficiencies but noted ongoing noncompliance due to earlier survey findings.
01 Aug 2025Complaint
01 Aug 2025Complaint
Found that staff did not follow the Kardex requiring two-person assistance for bed mobility and toileting, resulting in a resident fall with injuries.
45.21.8Accidents
01 Aug 2025Complaint
01 Aug 2025Complaint
Investigated a resident fall linked to not following two-person assistance per Kardex, resulting in injuries.
CFR 483.25(d)(1)-(2)Accidents; supervision; devices to prevent accidents
01 Jun 2025Complaint
01 Jun 2025Complaint
Found that pharmacy services were not provided timely, resulting in missed doses of hospital-ordered medications for two residents.
Investigated two complaints about medication delivery and found failures to obtain and dispense prescribed medications in a timely manner for two residents.
45.24.1General
01 Feb 2025Revisit
01 Feb 2025Revisit
Confirmed compliance with applicable standards. No deficiencies were cited.
01 Feb 2025Revisit
01 Feb 2025Revisit
Determined that the provider/supplier was placed back in compliance.
01 Jan 2025Complaint
01 Jan 2025Complaint
Found that three residents' voting rights were not honored during the 2024 election, with staff not ensuring access to absentee ballots or polling.
45.17.2 Residents' RightsResidents' Rights
01 Jan 2025Complaint
01 Jan 2025Complaint
Cited violations of residents' rights related to exercising voting rights; three residents did not receive assistance to vote in the 2024 election.
42 CFR 483.10Resident Rights/Exercise of Rights
01 Oct 2024Revisit
01 Oct 2024Revisit
Verified compliance was restored following the follow-up visit.
01 Oct 2024Revisit
01 Oct 2024Revisit
Verified compliance was restored after a follow-up visit.
01 Oct 2024Revisit
01 Oct 2024Revisit
Confirmed that corrective measures were in place and compliance with Medicare/Medicaid requirements was restored. The agency recommended placing it back in compliance.
01 Oct 2024Revisit
01 Oct 2024Revisit
Verified back in compliance after follow-up review.
01 Sept 2024Complaint
01 Sept 2024Complaint
Identified noncompliance with resident self-determination rights when a resident did not receive a preferred beverage with meals.
CFR 483.10(f)Self-determination
01 Sept 2024Inspection
01 Sept 2024Inspection
Investigative findings identified multiple deficiencies in resident rights, care planning, medication safety, safety, nutrition, and infection control, indicating noncompliance with standard regulatory requirements.
CFR 483.10(a)-(b)Resident Rights
CFR 483.10(f)(5)-(f)(7)Resident/Family Group and Response
CFR 483.75(c)-(e), (g)(2)-(i)-(ii)Quality Assurance and Performance Improvement (QAPI)
CFR 483.80(a)-(a)(4), (e), (f)Infection Prevention & Control
01 Sept 2024Complaint
01 Sept 2024Complaint
Investigated a combined annual recertification review and complaint investigation; identified non-compliance with required standards and cited six deficiencies.
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01 Sept 2024Inspection
01 Sept 2024Inspection
Investigated and identified deficiencies in administration, resident rights, ADL care, safety, nutrition, and infection control.
43-11-13 Mississippi Code of 1972Criminal History Record Checks
45.12.1 Mississippi Administrative Regulation (Residents' Rights) – exact statutory citation not explicitly listed in textResidents' Rights
45.21.2 Mississippi Code (Activities of Daily Living) – exact regulatory citation not explicitly listed in textActivities of daily living
45.21.8 Mississippi Code (Accidents) – exact regulatory citation not explicitly listed in textAccidents
45.30.7 Mississippi Code (Food Preparation) – exact regulatory citation not explicitly listed in textFood Preparation
48.58 Mississippi Infection Control – exact regulatory citation not explicitly listed in textInfection Control
01 Sept 2024Inspection
01 Sept 2024Inspection
Verified compliance with emergency preparedness requirements.
01 Sept 2024Inspection
01 Sept 2024Inspection
Found no deficiencies related to life safety code requirements during the survey.
01 Jul 2024Revisit
01 Jul 2024Revisit
Determined the facility was placed back in compliance effective 07/15/24.
01 Jul 2024Revisit
01 Jul 2024Revisit
Concluded compliance was restored after a desk review. Found no deficiencies.
01 Jun 2024Complaint
01 Jun 2024Complaint
Investigated complaints identified dignity and daily care deficiencies, including failing to assist a resident with toileting and not consistently providing mouth care or shaving for residents.
45.17.2Residents' Rights
45.21.2Activities of daily living
01 Jun 2024Complaint
01 Jun 2024Complaint
Investigated complaints found failures to treat residents with dignity and to follow care plans for grooming and oral care.
483.10(e)(2)Respect, Dignity/Right to have Personal Property
483.24(a)(2)ADL Care Provided for Dependent Residents
01 Mar 2024Revisit
01 Mar 2024Revisit
Investigated a complaint and found deficiencies in care planning and ADL care. The deficiencies included failure to implement a comprehensive care plan and to provide scheduled baths and nail care.
CFR 483.21(b)(1)(3)Develop/Implement Comprehensive Care Plan
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
01 Mar 2024Revisit
01 Mar 2024Revisit
Confirmed compliance with applicable standards after desk review; placed back in compliance.
01 Feb 2024Complaint
01 Feb 2024Complaint
Investigated a complaint about daily living activities and found that a resident did not receive scheduled baths in January and did not receive nail care.
45.21.2Activities of daily living
01 Feb 2024Complaint
01 Feb 2024Complaint
Investigated a complaint and found failures to implement a comprehensive care plan and provide ADL care, including missed baths and untrimmed nails.
42 CFR §483.21(b)(1), 42 CFR §483.21(b)(3)Develop/Implement Comprehensive Care Plan
42 CFR §483.24(a)(2)ADL Care Provided for Dependent Residents
01 Nov 2023Complaint
01 Nov 2023Complaint
Investigated a complaint and found no deficiencies. The investigation determined compliance with Medicare/Medicaid participation requirements.
01 Nov 2023Complaint
01 Nov 2023Complaint
Determined compliance with applicable standards; no deficiencies were cited.
01 Aug 2023Revisit
01 Aug 2023Revisit
Determined that compliance with Medicare/Medicaid participation requirements was restored and recommended placing back in compliance.
01 Aug 2023Revisit
01 Aug 2023Revisit
Determined no deficiencies cited. Recommended placing back in compliance.
01 Aug 2023Revisit
01 Aug 2023Revisit
Determined that compliance with Medicare/Medicaid participation requirements was achieved as of 08/04/23.
01 Aug 2023Revisit
01 Aug 2023Revisit
Confirmed no deficiencies. Compliance was found after the desk review.
01 Jun 2023Inspection
01 Jun 2023Inspection
State investigators found multiple deficiencies across resident rights, care planning, care provision, environment, transfers, staffing, medication storage, and infection control.
42 CFR 483.10Resident Rights
42 CFR 483.10(e)(3)Reasonable Accommodations/Needs and Preferences
42 CFR 483.10(f)Resident/Family Group and Response
42 CFR 483.10(i)Safe Environment
42 CFR 483.15(c)Notice Before Transfer/Discharge
42 CFR 483.15(d)Bed-Hold Notice
42 CFR 483.21(b)Care Plans
42 CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
42 CFR 483.25(d)Accidents/Safety
42 CFR 483.25(e)Bowel/Bladder Incontinence
42 CFR 483.35Sufficient Nursing Staff
42 CFR 483.45(g)-(h)Label/Store Drugs and Biologicals
42 CFR 483.80Infection Prevention & Control
01 Jun 2023Complaint
01 Jun 2023Complaint
Investigated and found multiple deficiencies across resident rights, ADL care, safety, incontinence care, and staffing, indicating noncompliance with Medicare/Medicaid requirements.
CFR 483.10(f)(5)-(7)Resident/Family Group and Response
CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
CFR 483.25(e)(1)-(3)Bowel/Bladder Incontinence, Catheter, UTI
CFR 483.35(a)(1)-(2)Sufficient Nursing Staff
01 Jun 2023Complaint
01 Jun 2023Complaint
Identified staffing shortages affecting resident care, and deficiencies in activities of daily living assistance and unsafe handling of smoking materials.
45.4.1Nursing Facility Staffing
45.21.2Activities of Daily Living
45.21.8Accidents
01 Jun 2023Inspection
01 Jun 2023Inspection
Found deficiencies related to residents' rights, ADL care, accidents, smoking materials security, and infection control.
Mississippi Administrative Code 45.17.2Residents' Rights
Mississippi Administrative Code 45.21.2Activities of Daily Living
Mississippi Administrative Code 45.21.8Accidents
Mississippi Administrative Code 48.58.1Infection Control
01 Jun 2023Inspection
01 Jun 2023Inspection
Found no deficiencies. The visit confirmed compliance with emergency preparedness requirements.
01 Jun 2023Inspection
01 Jun 2023Inspection
Found no deficiencies cited during the survey.
01 Apr 2023Infection Control
01 Apr 2023Infection Control
Identified incomplete reporting of COVID-19 data to NHSN during a seven-day period. CMS determined that between 04/10/2023 and 04/16/2023, information reported to NHSN was not complete as required.
CFR 483.80(g)(1)-(ix)(2)COVID-19 reporting
01 Mar 2023Complaint
01 Mar 2023Complaint
Found no deficiencies after investigating a complaint about notifying a responsible party of resident change and discharge rights.
01 Mar 2023Complaint
01 Mar 2023Complaint
Investigated a complaint and found no deficiencies.
01 Jan 2023Complaint
01 Jan 2023Complaint
Investigated a complaint and found no deficiencies, concluding compliance with participation requirements.
01 Jan 2023Complaint
01 Jan 2023Complaint
Found no deficiencies. The investigation determined compliance with licensure requirements.
01 Nov 2022Revisit
01 Nov 2022Revisit
Concluded that it was back in compliance.
01 Nov 2022Complaint
01 Nov 2022Complaint
Investigated a complaint alleging negligence and concluded there were no deficiencies.
01 Nov 2022Complaint
01 Nov 2022Complaint
Investigated a complaint of resident negligence and concluded ongoing noncompliance with participation standards due to deficiencies cited earlier.
01 Nov 2022Revisit
01 Nov 2022Revisit
Determined that compliance with participation requirements was achieved after review.
01 Oct 2022Complaint
01 Oct 2022Complaint
Investigated complaints found violations related to residents' rights, wound care management, and accident prevention.
45.17.2Residents' Rights
45.21.3Pressure sores
45.21.8Accidents
01 Oct 2022Complaint
01 Oct 2022Complaint
Investigated and identified deficiencies in privacy, misappropriation, wound care, and accident prevention.
CFR 483.10(h)Privacy and Confidentiality
CFR 483.12Free from Misappropriation/Exploitation
CFR 483.25(b)(1)(i)-(ii)Treatment/Svcs to Prevent/Heal Pressure Ulcer
CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
01 Apr 2022Complaint
01 Apr 2022Complaint
Found no deficiencies. Investigated the complaint and concluded that participation requirements were met.
01 Apr 2022Complaint
01 Apr 2022Complaint
Investigated complaints and found no deficiencies cited.
01 Jan 2022Infection Control
01 Jan 2022Infection Control
Found no deficiencies. A Covid-19 focused emergency preparedness review was conducted and compliance was confirmed.
01 Sept 2021Complaint
01 Sept 2021Complaint
Investigated a complaint of verbal abuse toward a resident; found that a CNA verbally abused a resident, violating residents' rights and resulting in past non-compliance.
45.17.2Residents' Rights
01 Sept 2021Complaint
01 Sept 2021Complaint
Investigated a complaint of verbal abuse by a CNA toward a resident; found evidence of abuse and cited a deficiency for abuse and neglect.
CFR 483.12(a)(1)Free from Abuse and Neglect
01 Sept 2021Revisit
01 Sept 2021Revisit
Determined no deficiencies were found during the revisit.
01 Sept 2021Revisit
01 Sept 2021Revisit
Verified compliance with Medicare/Medicaid participation requirements; no deficiencies cited.
01 Jul 2021Complaint
01 Jul 2021Complaint
Investigations found that an elopement occurred due to inadequate supervision and reporting, and additional deficiencies included discharge planning and care planning failures related to elopement risk. Four deficiency areas were identified regarding reporting, transfers/discharges, baseline care planning, and safety/supervision of residents.
42 CFR 483.12(c)(1), 42 CFR 483.12(c)(4)Reporting of Alleged Violations
42 CFR 483.15(c)(1)-(2)Transfer and Discharge Requirements
42 CFR 483.21(a)(1)-(3)Baseline Care Plan
42 CFR 483.25(d)(1)-(2)Free of Accident Hazards/Supervision/Devices
01 Jul 2021Complaint
01 Jul 2021Complaint
Investigated an elopement and found inadequate supervision that allowed a resident to leave unsupervised; an immediate jeopardy existed and was subsequently removed.
45.21.8Accidents
01 Jul 2021Revisit
01 Jul 2021Revisit
Found no deficiencies. The agency determined compliance with applicable requirements.
01 Jul 2021Revisit
01 Jul 2021Revisit
Found no deficiencies after the post-certification revisit. Compliance with Medicare/Medicaid participation was confirmed.
01 May 2021Inspection
01 May 2021Inspection
Identified deficiencies affecting resident care and safety, including inadequate nail care, medications left at bedside, and incorrect feeding and oxygen administration.
45.2.27Personal Care
45.21.8Accidents
45.21.11Special needs
01 May 2021Inspection
01 May 2021Inspection
Observed exit routes obstructed by furniture, carts, and pallets and a smoke barrier door that did not close and latch properly.
NFPA 101, Means of Egress - General (19.2.1, 7.1.10.1)Means of Egress - General
NFPA 101, Subdivision of Building Spaces - Smoke Barrier (19.3.7.6, 19.3.7.8, 19.3.7.9)Subdivision of Building Spaces - Smoke Barrier
01 May 2021Inspection
01 May 2021Inspection
Identified multiple deficiencies affecting resident safety, including lack of nail care, unsafe medication practices, tube feeding and oxygen management issues, nebulizer storage concerns, and a staff vaping incident.
483.24(a)(2)ADL Care Provided for Dependent Residents
483.25(d)Free of Accident Hazards/Supervision/Devices
Found no deficiencies identified during the survey.
01 Mar 2021Complaint
01 Mar 2021Complaint
Investigated a complaint and found no violations.
01 Mar 2021Complaint
01 Mar 2021Complaint
Found no deficiencies. The investigation concluded compliance with the regulations for the Aged and Infirmed.
01 Jan 2021Complaint
01 Jan 2021Complaint
Found no deficiencies related to emergency preparedness during a COVID-19 focused survey.
01 Jan 2021Infection Control
01 Jan 2021Infection Control
Verified compliance with COVID-19 emergency preparedness requirements; no deficiencies were identified.
01 Jan 2021Infection Control
01 Jan 2021Infection Control
Found no deficiencies cited and determined compliance with infection control requirements.
01 Jan 2021Complaint
01 Jan 2021Complaint
Found no deficiencies after a COVID-19 focused emergency preparedness review; census was 98.
01 Dec 2020Infection Control
01 Dec 2020Infection Control
Determined continued noncompliance from deficiencies identified on October 14, 2020. No new infection control observations were noted.
01 Dec 2020Infection Control
01 Dec 2020Infection Control
Found no deficiencies related to COVID-19 focused emergency preparedness.
01 Oct 2020Complaint
01 Oct 2020Complaint
Found that controlled medications were not stored in a locked container, enabling misappropriation of resident property.
CFR 483.12Free from Misappropriation/Exploitation
01 Oct 2020Infection Control
01 Oct 2020Infection Control
Investigated a complaint about misappropriation of resident property; found that controlled medications were not securely stored, allowing diversion.
483.12Free from Misappropriation/Exploitation
01 Oct 2020Complaint
01 Oct 2020Complaint
Confirmed compliance with infection control requirements during a COVID-19 focused review; no deficiencies were cited.
01 Oct 2020Infection Control
01 Oct 2020Infection Control
Concluded compliance with infection control requirements during a focused COVID-19 survey; no deficiencies were cited.
01 Aug 2020Infection Control
01 Aug 2020Infection Control
Determined that there were no deficiencies identified during a COVID infection control review.
01 Aug 2020Infection Control
01 Aug 2020Infection Control
Verified compliance with infection control requirements during a COVID infection control survey conducted on 2020-08-11. Census was 83 residents out of 120 beds at the time.
01 May 2020Infection Control
01 May 2020Infection Control
Confirmed no deficiencies were found in infection control practices.
01 May 2020Infection Control
01 May 2020Infection Control
Found no deficiencies.
01 Feb 2020Complaint
01 Feb 2020Complaint
Investigated a complaint; concluded concerns were not substantiated and no deficiencies were cited, with substantial compliance.
01 Feb 2020Complaint
01 Feb 2020Complaint
Found no deficiencies. Investigated allegations of quality of care, abuse and neglect, and resident rights; the agency determined substantial compliance with Medicare and Medicaid participation requirements.
01 Jan 2020Complaint
01 Jan 2020Complaint
Investigated a complaint alleging abuse and found that a resident was subjected to verbal and mental abuse by a supervisor, with inappropriate management response and failure to meet reporting requirements, resulting in an immediate jeopardy that was later removed.
45.17.2Residents' Rights
01 Jan 2020Complaint
01 Jan 2020Complaint
Investigated a complaint of staff verbal abuse toward a resident; found failures in protecting the resident, reporting the allegation, and investigating the事件, resulting in a major compliance concern and corrective actions.
42 CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
42 CFR 483.12(c)(1)-(4)Reporting of Alleged Violations
Investigated the complaint and found no deficiencies.
01 Oct 2019Complaint
01 Oct 2019Complaint
Investigated complaints and determined substantial compliance with no deficiencies cited.
01 Aug 2019Complaint
01 Aug 2019Complaint
Investigated a complaint and found no deficiencies.
01 May 2019Complaint
01 May 2019Complaint
Investigated a complaint and found no deficiencies.
01 May 2019Complaint
01 May 2019Complaint
Investigated a complaint alleging issues with Quality of Care and Admission/Discharge rights and concluded no deficiencies were found.
01 Mar 2019Complaint
01 Mar 2019Complaint
Investigated the allegation and found no deficiencies. No violations were cited.
01 Jan 2019Inspection
01 Jan 2019Inspection
Found deficiencies in comprehensive care planning, psychotropic medication management, and infection control. The issues involved improper wound care practices and missing stop dates for PRN psychotropic medications.
483.21(b)(1)Comprehensive Care Plans
483.45Free from Unnecessary Psychotropic Meds/PRN Use
483.80Infection Prevention & Control
01 Jan 2019Inspection
01 Jan 2019Inspection
Identified that annual generator testing records were not properly documented per NFPA 99. The missing documentation could affect emergency readiness.
NFPA 99 sections 6.4.4.1.1.3; 6.4.4.2Generator testing documentation per NFPA 99
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