Diversicare of Eupora

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF658Feb 26, 2026

  Based on staff and resident interviews, record review, and facility policy review, the facility failed to ensure licensed nursing staff followed professional standards of practice related to accurate and individualized documentation of as needed (PRN) pain medication administration for 13 of 25 residents reviewed on the B-hall medication cart. This deficient practice resulted in repetitive clustered documentation of PRN narcotic pain medications at identical times for multiple residents, which did not reflect individualized assessment or real-time documentation of care provided. Resident #9, #12, #22, #27, #38, #43, #44, #47, #61, #65, #68, #95 and unsampled Resident D. […]

• No harm, potential for more than minimal, patternF755Feb 26, 2026

  Based on staff interview, record review, monthly pharmacy reviews, and facility policy review, the facility failed to ensure its pharmacy services and drug regimen review process identified and addressed irregularities in as needed (PRN) opioid medication documentation for 13 of 25 residents on medication cart B. Resident #9, #12, #22, #27, #38, #43, #44, #47, #61, #65, #68, #95 and unsampled Resident D. Findings Include:Review of the facility policy titled Drug Regimen Review reviewed 4/23, revealed under, Policy: Drug Regimen Review consists of a review and analysis of prescribed medication therapy and medication use, including nursing documentation, medication ordering, and administration. […]

• No harm, potential for more than minimal, patternF550Aug 29, 2024

  Based on observation, staff and resident interviews, record review, and facility policy review, the facility failed to ensure that a resident's rights were honored when a staff member refused to assist a resident with toileting for one (1) of four (4) survey days. Resident #2 Findings include: Review of the facility policy titled, Resident Rights & Quality of Life, with an effective date of March 13, 2020, revealed, .It is the policy that all residents and patients have the right to a dignified existence, self-determination, and communication with access to people and services inside and outside the center . An observation and interview on 8/27/24 at 12:00 PM, revealed Resident #2 sitting in her wheelchair in her room. Resident #2 stated My bladder is about to bust. […]

• No harm, potential for more than minimal, patternF565Aug 29, 2024

  Based on resident and staff interviews, record review, and facility policy review, the facility failed to resolve grievances related to food concerns and bed linens not being changed for five (5) of seven (7) residents with grievances. Resident #3, #19, #26, #88, and #108. Findings Include: Review of the Facility policy titled Customer Concern (Grievance) Policy dated 7/2018, revealed Purpose: Support each customer's (patient's/resident's) right to voice concerns (grievances) and to ensure after receiving a concern, the center actively seeks a resolution and keeps the customer appropriately apprised of its progress toward resolution .Process . […]

• No harm, potential for more than minimal, patternF656Aug 29, 2024

  Based on resident and staff interviews, record view, facility policy review, the facility failed to implement a care plan for nail care for Resident #41 and failed to develop a care plan for the application of leg braces for Resident #51 and failed to develop a behavior monitoring care plan for Resident #113 for three (3) of 26 resident care plans reviewed. Resident #41, #51 and #113 Findings include: Record review of facility policy titled, Care Plans dated October 2021, revealed, Care plans will be developed for all patients and residents based upon the RAI (Resident Assessment Instrument) manual guidelines. Care plans are developed by the interdisciplinary team and revised as needed according to resident and patient status or change. […]