Diversicare of Martin

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Jun 16, 2021

  Based on policy review, observation, and interview the facility failed to ensure food was stored and distributed in a manner to prevent the spread of infection when unlabeled and expired foods were found in a refrigerator in the Kitchen, and when 4 of 21 staff members (Certified Nursing Assistant (CNA) #1 and #3, Licensed Practical Nurse (LPN) #3 and Nursing Assistant (NA) #1) touched residents' food, failed to appropriately sanitize their hands, and failed to wear appropriate Personal Protective Equipment (PPE) during meal service. […]

• No harm, potential for more than minimal, isolatedF578Apr 3, 2025

  Based on policy review, medical record review, and interview, the facility failed to educate and provide written information to residents regarding a right to formulate an advanced directive for 4 of 24 residents (Residents #24, #36, #75, and #239) reviewed. The findings include: 1.Review of the facility's policy titled, Advance Directives, dated 11/1/2016, revealed .[Named facility] recognizes the right of each resident to issue Advance Directives regarding his or her health care .and a right to formulate, at the individual's option, an Advance Directive .will provide Residents with information regarding Advance Directives at admission .If a Resident is incapacitated .unable to receive information about Advanced Directives or articulate whether he/she has an Advance Directive .will… […]

• No harm, potential for more than minimal, isolatedF604Apr 3, 2025

  Based on facility policy review, medical record review, observation, and interview, the facility failed to ensure residents were free of physical restraints for 1 of 1 (Resident #29) sampled residents reviewed for restraints. The findings include: 1. Review of the facility policy titled, Physical Restraint Guideline, dated 6/2017, revealed .For each patient/resident to maintain his or her highest practical health or well being in an environment that prohibits the use of restraints .and limits restraint use to circumstances in which the resident has medical symptoms that warrant the use of restraints .Upon determination a patient/resident presents with medical symptoms that may require a restraint, they are evaluated .The Care Plan .is reviewed .revised to include restraint use. 2. […]

• No harm, potential for more than minimal, isolatedF658Apr 3, 2025

  Based on the facility's Clinical Skills Fair Guide, observation, and interview, the facility failed to use proper supplies when 1 of 5 nurses (Licensed Practical Nurse (LPN) A) administered medication from a flex pen during medication administration. The findings include: 1. Review of the [Named Facility] Clinical Skills Fair Guide, page 32 FLEX PEN [a pre-filled insulin delivery device] COMPETENCY AUDIT AND ADMINISTRATION GUIDE . revealed .REQUIRED MATERIALS .FlexPen .FLexPen needles .Removes the cover from the syringe .Opens new needle .screws the needle onto the FlexPen .Dials the number of units needed to inject .1 click=[equals] 1 unit of insulin .injects insulin by pressing the push button all the way in .Leaves the needle under the skin for at least 10 second after injecting… […]

• No harm, potential for more than minimal, isolatedF761Apr 3, 2025

  Based on policy review, medical record review, observation, and interview, the facility failed to ensure medications were properly stored and secured when medications were found unsecured and unattended in 2 of 57 (Residents #23 and #47) resident occupied rooms. The findings include: 1. Review of the facility policy titled, MEDICATION STORAGE IN THE FACILITY POLICY, dated 4/2025, revealed .Medications and biologicals must be stored safely, securely, and properly .BEDSIDE MEDICATION STORAGE .Written order in the medical record .Document on MAR [Medication Administration Record] and care plan .store in original/pharmacy containers . 2. […]