Diversicare of Arab

In the surveyor’s words

From the most serious findings on record at Diversicare of Arab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 15, 2021

  Based on observations, interview, record review, and policy review the facility failed to ensure the kitchen was maintained in a sanitary manner creating the risk for foodborne illness to 75 of 78 residents (three residents received nutrition from tube feeding) residing in the facility. Kitchen flooring, surfaces, and areas were not sanitary and were in need of cleaning and repairs. Findings include: 1.The initial kitchen inspection was conducted with the Employee Identifier (EI) #27, Dietary Supervisor on 04/12/21 from 9:59 AM - 10:20 AM The following concerns were noted during the initial inspection: a. Can opener -The can opener was observed with a layer of accumulated black residue on the cutting blade. b. […]

• No harm, potential for more than minimal, widespreadF880Apr 15, 2021

  Based on observations, interviews, record review, policy review, and Center for Disease Control (CDC) guidance the facility failed to ensure infection control practices were implemented to prevent the potential spread of infection. The facility failed to enforce the practice that required staff and residents to wear a mask appropriately to cover the nose and mouth when in close contact with others and in general population areas of the facility. Resident Identifier (RI) #41, RI #5, RI #70, and RI #66 failed to follow guidance to wear a mask to cover both mouth and nose when out of their room. Eighteen of 25 Residents who resided on the secure unit ate meals in a dining room without maintaining social distance and staff failed to direct residents to wear a mask per guidance. […]

• No harm, potential for more than minimal, patternF758Apr 15, 2021

  Based on interview, observation, record review and facility policy review the facility failed to identify target behaviors, monitor for the target behaviors for antipsychotic medications, ensure a stop date for an as needed (PRN) anti-anxiety medication and provide indications for use for three of six residents (Residents (RI) #4, RI #41, and RI #131.) This failure had the potential to cause residents to receive [CONDITION(S)] medications without proper indications for use or monitoring for effectiveness. Findings include: 1. […]

• No harm, potential for more than minimal, patternF803Apr 15, 2021

  Based on observation, interview, record review, and policy review, the facility failed to ensure the menus were followed. Ten residents prescribed pureed diets (Resident Identifiers (RI) #24, RI #75, RI #27, RI #7, RI #46, RI #38, RI #3, RI #25, RI #2, RI #43) were not served pureed bread as directed on the menu during two of two meals observed. In addition, condiments indicated on the menu such as salt, pepper, and margarine were not served to residents on the 300 Hall during two of two meals observed. Three of 22 residents who ate meals on the 300 Hall RI #67, RI#79, RI#56) stated they would like to be served salt, pepper, and/or margarine with their meals. Findings include: 1. […]

• No harm, potential for more than minimal, isolatedF689Apr 15, 2021

  Based on observation, interview, record review and policy review, the facility failed to assess and implement interventions after one of three sampled resident reviewed for falls in sample of 20 residents (Resident Identifier (RI) #54) fell on [DATE] and sustained a laceration to her forehead. The facility failed to obtain vital signs, document in nurse's notes, and complete a thorough post fall assessment to determine the root cause of the fall, and determine if new interventions were necessary, putting the resident at risk for additional falls. […]