Diversicare of Big Springs

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584May 11, 2023

  Based on observations, interviews, a facility policy, Resident's Rights and Quality of Life, and a review of the Maintenance Supervisor's POSITION DESCRIPTION, the facility failed to ensure air conditioner vents were not found with an accumulation of dust-like debris, food particles and other foreign objects. This affected Area Locators (AL) #'s 1-8, eight of twelve rooms of observed. Findings include: A review of a facility policy titled, Resident's Rights and Quality of Life dated May 1, 2012, revealed: . POLICY STATEMENT It is the policy . that all residents have the right to a dignified existence, . A resident has the right: . […]

• No harm, potential for more than minimal, isolatedF677May 11, 2023

  Based on interviews and record review, the facility failed to ensure Resident Identifier (RI) #10, a resident dependent on staff for bathing, was provided a shower as scheduled. This deficient practice affected RI #10; one of nine residents sampled for Activity of Daily Living (ADL) care. Findings include: RI #10 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses to include Parkinson's Disease and Generalized Muscle Weakness. RI #10's Quarterly Minimum Data Set (MDS) assessment, with an Assessment Reference Date (ARD) of 02/09/2023, coded RI #10 as being totally dependent on staff for bathing. A review of the shower schedule for the unit RI #10 resides on revealed RI #10 was scheduled a shower on the 2 PM - 10 PM shift on Tuesdays, Thursdays, and Saturdays. […]

• No harm, potential for more than minimal, isolatedF806May 11, 2023

  Based on observation, interviews and record review, the facility failed to honor Resident Identifier (RI) #10's food preference of no noodles when RI #10 was served spaghetti and meat sauce on 05/09/2023. This deficient practice affected RI #10; one of one resident sampled for food preferences. Finding include: RI #10 was admitted to the facility on [DATE] and readmitted on [DATE], with diagnoses to include Parkinson's Disease and Generalized Muscle Weakness. A review of a Customer Concern/Grievance Communication Form for RI #10, dated 02/09/2023, documented the following: . Actions to resolve: . no seafood, no spicy food, no pasta, no peas no rice . Date received: 2-14-23 . […]

• No harm, potential for more than minimal, isolatedF585Jan 27, 2022

  Based on interviews, record review, a review of the, Grievance Log and a facility policy titled, Customer Concern (Grievance) Policy, the facility failed to ensure the grievance process was followed when RI (Resident Identifier) #149's sponsor filed a grievance on 07/30/21. This deficient practice affected RI #149 one of three residents whose grievances were reviewed. Findings include: On 11/03/21, the State Agency received a complaint which alleged RI #149's missing clothes would be replacement and mailed to the complainant, however, the complainant had not received them. […]

• No harm, potential for more than minimal, isolatedF695Jan 27, 2022

  Based on observations, interviews and record review, the facility failed to ensure Resident Identifier (RI) #45's 02 (Oxygen) tubing/humidifier water bottle was dated and labeled; and the resident's nebulizer mask was stored in a covering on three of three days of survey. These deficient practices affected RI #'s 45 one of four residents sampled for oxygen therapy. Findings include: (1) RI #45 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . RI #45's January 2022 Order Summary Report (Physician Orders) revealed RI #45 had physicians orders to apply oxygen at 3 liters via (by way) nasal cannula as needed for SOB (shortness of Breath), and [MEDICATION(S)] Nebulization Solution 1 vial via nebulizer three times a day. […]