Diversicare of Tupelo

    2273 S Eason Blvd, Tupelo, MS 38804
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Warm professional staff aided recovery

    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

    1. 5
    2. 4
    3. 3
    4. 2
    5. 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

    Map showing location of Diversicare of Tupelo

    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 numbernh-255105
    Facility typeNursing Home
    Special certificationMedicaid/Medicare – Dually certified

    Inspection Reports

    106

    Reports

    125

    Citations

    68

    Complaints

    7

    Years

    01 Mar 2026Complaint
    Found no deficiencies. The agency determined compliance with applicable standards.
    01 Mar 2026Complaint
    Found no deficiencies after three complaint investigations.
    01 Feb 2026Revisit
    Concluded back in compliance after a follow-up visit.
    01 Feb 2026Revisit
    Found no deficiencies related to emergency preparedness.
    01 Feb 2026Revisit
    Verified compliance with Medicare and Medicaid requirements was restored following corrective actions.
    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
    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
    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
    Found no deficiencies identified after the investigation. The review showed compliance with Medicare/Medicaid participation requirements.
    01 Nov 2025Complaint
    Investigated the complaint and found no deficiencies.
    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
    Determined compliance with Medicare and Medicaid participation requirements after a follow-up and recommended placing back in compliance.
    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
    Investigated a complaint; found no new deficiencies but noted ongoing noncompliance due to earlier survey findings.
    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
    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
    Found that pharmacy services were not provided timely, resulting in missed doses of hospital-ordered medications for two residents.
    • 42 CFR 483.45(a)-(b)(3); 42 CFR 483.45(b)(2)-(3)Pharmacy Services
    01 Jun 2025Complaint
    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
    Confirmed compliance with applicable standards. No deficiencies were cited.
    01 Feb 2025Revisit
    Determined that the provider/supplier was placed back in compliance.
    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
    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
    Verified compliance was restored following the follow-up visit.
    01 Oct 2024Revisit
    Verified compliance was restored after a follow-up visit.
    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
    Verified back in compliance after follow-up review.
    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
    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 483.10(c)(6), (c)(8), (g)(12)Advance Directives
    • CFR 483.10(h)Personal Privacy/Confidentiality of Records
    • CFR 483.10(i)Safe/Clean/Comfortable/Homelike Environment
    • CFR 483.12(a)(3)-(a)(4)Not Employ/Engage Staff w/ Adverse Actions
    • CFR 483.21(b)(1)-(3)Develop/Implement Comprehensive Care Plan
    • CFR 483.21(b)(3)(i)-(iii)Services Provided Meet Professional Standards
    • CFR 483.24(a)(2)ADL Care Provided for Dependent Residents
    • CFR 483.25(d)Not free of Accident Hazards/Supervision/Devices
    • CFR 483.25(n)Bed Rails
    • CFR 483.45(g)-(h)(1)-(2)Label/Store Drugs and Biologicals
    • CFR 483.60(d)Nutritive Value/Appear, Palatable/Prefer Temp
    • CFR 483.70Administration
    • 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
    Investigated a combined annual recertification review and complaint investigation; identified non-compliance with required standards and cited six deficiencies.
    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
    Verified compliance with emergency preparedness requirements.
    01 Sept 2024Inspection
    Found no deficiencies related to life safety code requirements during the survey.
    01 Jul 2024Revisit
    Determined the facility was placed back in compliance effective 07/15/24.
    01 Jul 2024Revisit
    Concluded compliance was restored after a desk review. Found no deficiencies.
    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
    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
    • 483.21(b)(1)Comprehensive Care Plans
    • 483.21(b)(3)Care plans; culturally-competent/trauma-informed services
    • 483.24(a)(2)ADL Care Provided for Dependent Residents
    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
    Confirmed compliance with applicable standards after desk review; placed back in compliance.
    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
    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
    Investigated a complaint and found no deficiencies. The investigation determined compliance with Medicare/Medicaid participation requirements.
    01 Nov 2023Complaint
    Determined compliance with applicable standards; no deficiencies were cited.
    01 Aug 2023Revisit
    Determined that compliance with Medicare/Medicaid participation requirements was restored and recommended placing back in compliance.
    01 Aug 2023Revisit
    Determined no deficiencies cited. Recommended placing back in compliance.
    01 Aug 2023Revisit
    Determined that compliance with Medicare/Medicaid participation requirements was achieved as of 08/04/23.
    01 Aug 2023Revisit
    Confirmed no deficiencies. Compliance was found after the desk review.
    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
    Investigated and found multiple deficiencies across resident rights, ADL care, safety, incontinence care, and staffing, indicating noncompliance with Medicare/Medicaid requirements.
    • CFR 483.10(e)(3)Reasonable Accommodations Needs/Preferences
    • 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
    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
    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
    Found no deficiencies. The visit confirmed compliance with emergency preparedness requirements.
    01 Jun 2023Inspection
    Found no deficiencies cited during the survey.
    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
    Found no deficiencies after investigating a complaint about notifying a responsible party of resident change and discharge rights.
    01 Mar 2023Complaint
    Investigated a complaint and found no deficiencies.
    01 Jan 2023Complaint
    Investigated a complaint and found no deficiencies, concluding compliance with participation requirements.
    01 Jan 2023Complaint
    Found no deficiencies. The investigation determined compliance with licensure requirements.
    01 Nov 2022Revisit
    Concluded that it was back in compliance.
    01 Nov 2022Complaint
    Investigated a complaint alleging negligence and concluded there were no deficiencies.
    01 Nov 2022Complaint
    Investigated a complaint of resident negligence and concluded ongoing noncompliance with participation standards due to deficiencies cited earlier.
    01 Nov 2022Revisit
    Determined that compliance with participation requirements was achieved after review.
    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
    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
    Found no deficiencies. Investigated the complaint and concluded that participation requirements were met.
    01 Apr 2022Complaint
    Investigated complaints and found no deficiencies cited.
    01 Jan 2022Infection Control
    Found no deficiencies. A Covid-19 focused emergency preparedness review was conducted and compliance was confirmed.
    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
    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
    Determined no deficiencies were found during the revisit.
    01 Sept 2021Revisit
    Verified compliance with Medicare/Medicaid participation requirements; no deficiencies cited.
    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
    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
    Found no deficiencies. The agency determined compliance with applicable requirements.
    01 Jul 2021Revisit
    Found no deficiencies after the post-certification revisit. Compliance with Medicare/Medicaid participation was confirmed.
    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
    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
    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
    • 483.25(g)(4)(5)Tube Feeding Mgmt/Restore Eating Skills
    • 483.25(i)Respiratory Care
    • 483.80Infection Prevention & Control
    • 483.90(i)Safe/Functional/Sanitary/Comfortable Environment
    01 May 2021Inspection
    Found no deficiencies identified during the survey.
    01 Mar 2021Complaint
    Investigated a complaint and found no violations.
    01 Mar 2021Complaint
    Found no deficiencies. The investigation concluded compliance with the regulations for the Aged and Infirmed.
    01 Jan 2021Complaint
    Found no deficiencies related to emergency preparedness during a COVID-19 focused survey.
    01 Jan 2021Infection Control
    Verified compliance with COVID-19 emergency preparedness requirements; no deficiencies were identified.
    01 Jan 2021Infection Control
    Found no deficiencies cited and determined compliance with infection control requirements.
    01 Jan 2021Complaint
    Found no deficiencies after a COVID-19 focused emergency preparedness review; census was 98.
    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
    Found no deficiencies related to COVID-19 focused emergency preparedness.
    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
    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
    Confirmed compliance with infection control requirements during a COVID-19 focused review; no deficiencies were cited.
    01 Oct 2020Infection Control
    Concluded compliance with infection control requirements during a focused COVID-19 survey; no deficiencies were cited.
    01 Aug 2020Infection Control
    Determined that there were no deficiencies identified during a COVID infection control review.
    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
    Confirmed no deficiencies were found in infection control practices.
    01 May 2020Infection Control
    Found no deficiencies.
    01 Feb 2020Complaint
    Investigated a complaint; concluded concerns were not substantiated and no deficiencies were cited, with substantial compliance.
    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
    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
    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
    • 42 CFR 483.12(c)(2)-(4)Investigate/Prevent/Correct Alleged Violation
    01 Oct 2019Complaint
    Investigated the complaint and found no deficiencies.
    01 Oct 2019Complaint
    Investigated complaints and determined substantial compliance with no deficiencies cited.
    01 Aug 2019Complaint
    Investigated a complaint and found no deficiencies.
    01 May 2019Complaint
    Investigated a complaint and found no deficiencies.
    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
    Investigated the allegation and found no deficiencies. No violations were cited.
    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
    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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