Diversicare of Marion

In the surveyor’s words

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

• Immediate jeopardy, patternF607Oct 20, 2022

  Based on interviews, record review, review of the facility's abuse investigation, and review of the facility policy titled, Abuse, Neglect, Misappropriation, Exploitation Policy, the facility failed to ensure Employee Identifier (EI) #3, Social Service Director, implemented immediate protective measures in accordance with the facility's abuse policy upon witnessing EI #4, Certified Nursing Assistant (CNA) both verbally and physically abuse Resident Identifier (RI) #1 on 09/13/2022. On 9/13/2022 at approximately 12:50 PM, EI #3, the Social Services Director, was on the Memory Care Unit and heard a loud noise, described as the sound of a chair scraping against the floor. EI #3 turned and saw RI #1 rise up halfway to a standing position from his/her chair. […]

• Immediate jeopardy, isolatedF600Oct 20, 2022

  Based on interviews, record review, review of the facility's abuse investigation, and review of the facility policy titled, Abuse, Neglect, Misappropriation, Exploitation Policy, the facility failed to protect Resident Identifier (RI) #1's right to be free from verbal and physical abuse. On 9/13/2022 at approximately 12:50 PM, Employee Identifier (EI) #3, the Social Services Director, was on the Memory Care Unit and heard a loud noise, described as the sound of a chair scraping against the floor. EI #3 turned and saw RI #1 rise up halfway to a standing position from his/her chair. […]

• No harm, potential for more than minimal, isolatedF561Aug 19, 2022

  Based on interviews, record review, and review of a facility policy titled, Rights of Nursing Facility Residents, the facility failed to ensure Resident Identifier (RI) #56 was offered a bathing method other than bed baths to promote the resident's right to choose. This deficient practice affected RI #56, one of two sampled residents for choices. Findings include: Review of a facility policy titled, Rights of Nursing Facility Residents, dated 05/01/2012, revealed, . every nursing facility resident had the right . To receive all care necessary to have the highest possible level of health. RI #56 was admitted to the facility on [DATE]. RI #56 has diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, isolatedF644Apr 8, 2021

  Based on interview and record review, the facility failed to coordinate assessments with the Preadmission Screening and Resident Review (PASARR) program by failing to update a level I screen when a new [DIAGNOSES REDACTED].#30) of three (3) residents reviewed for PASARR out of 17 sampled residents. The findings include: Review of the medical record for Resident #30 revealed he/she was admitted to the facility on [DATE]. [DIAGNOSES REDACTED]. [DIAGNOSES REDACTED]. Review of the Level I PASARR Screening and Results document for Resident #30 revealed it was completed on 1/13/2020 by hospital staff prior to admission. This screen did not note a [DIAGNOSES REDACTED]. […]

• No harm, potential for more than minimal, isolatedF645Apr 8, 2021

  Based on interview and record review, the facility failed to complete a level II Pre-admission Screening and Record Review (PASARR) evaluation as required when a level I screening determined a level II to be necessary for one (1) (Resident #40) of three (3) reviewed for PASARR out of 17 sampled residents. The findings include: Review of the medical record for Resident #40 revealed he/she was admitted to the facility on [DATE] with a recent readmission date of [DATE]. [DIAGNOSES REDACTED]. Review of the PASARR file for Resident #40 revealed a level I PASARR was completed on 6/18/19, prior to admission and did not require a level II evaluation. […]