Diversicare of Bessemer

In the surveyor’s words

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

• Actual harm, isolatedF684Jun 24, 2021

  Based on observation, interview, record review, and document review, the facility failed to ensure two of 34 sampled residents (Resident Identifier (RI) #74 and RI #69) received nursing care and services in accordance with physician's orders [MEDICAL RECORD OR PHYSICIAN ORDER] . The skin assessments did not accurately record the resident's skin condition and a medicated cream prescribed by the physician was not implemented. RI #69 had a recent history of a fecal impaction. The resident complained of severe constipation during the survey. Staff failed to monitor and document his/her bowel movements to ensure he/she was not constipated. Findings include: 1. […]

• Actual harm, isolatedF688Jun 24, 2021

  Based on observation, interview, and record review, the facility failed to provide interventions for one of eight residents reviewed for range of motion impairment (Resident Identifier (RI) #74). RI #74) had contractures, including to his/her hands with callused areas observed from where his/her fingernails dug into his/her palms in the sample of 34. The contractures developed and/or worsened over the past year. No interventions had been or were currently in place to address the limitations in range of motion. […]

• No harm, potential for more than minimal, widespreadF801Dec 2, 2022

  Based on interview; document review; the Rules of the Alabama State Board of Health, Alabama Department of Public Health (ADPH), Chapter [DATE], Nursing Facilities; and the facility's job description for Dining Services Director/Account Manager; the facility failed to ensure the full time Dietary Manager, Employee Identifier (EI) #11, met the definition of a Dietary Manager per the rules of the State of Alabama. This had the potential to affect 130 of 130 residents receiving meals from the facility kitchen. Findings Include: The Rules of the Alabama State Board of Health, ADPH, Chapter [DATE], Nursing Facilities, original rules effective [DATE] and last amendments effective [DATE] included the following: . […]

• No harm, potential for more than minimal, widespreadF804Dec 2, 2022

  Based on observation, interview, the Resident Council Meeting on 11/30/2022, and a test tray on 12/01/2022; the facility failed to ensure scrambled eggs were served warm, palatable, and appetizing in appearance. This had the potential to affect 130 of 130 residents receiving meals from the kitchen. Findings Include: A Resident Council Meeting was conducted on 11/30/2022 at 11:00 AM with fourteen residents attending. During this meeting, the residents attending complained that hot foods were being served cold and the food did not taste good. On 12/01/2022 at 6:40 AM, the steamtable was observed to be setup with breakfast food items. The plate warmer not turned on. Employee Identifier (EI) #13, a Dietary Aide, turned on the plate warmer twenty minutes before the start of trayline. […]

• No harm, potential for more than minimal, widespreadF812Dec 2, 2022

  Based on observation, interview, the facility's policy for Food Storage: Cold Foods, and the 2017 Food Code of the United States (U.S.) Public Health Service and U.S. Food and Drug Administration (FDA); the facility failed to ensure: 1.) the dishmachine drain did not extend down into the floor drain, thereby creating the potential for backflow; 2.) food in the Walk-in Cooler was not stored on shelves that were less than six inches from the floor and with accumulated debris on the floor beneath the shelves; and 3.) the surfaces of the dishmachine wall, the shelf beneath the dishtable, and the interior of two food delivery carts were clean. This had the potential to affect 130 of 130 residents receiving meals from the kitchen. Findings Include: 1.) The 2017 Food Code of the U.S. […]