Deficiency Index

Diversicare of Southaven

Southaven, Mississippi · CCN 255109

27 surveys since 2011. The first finding at harm level was recorded in 2018.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
139
Surveys
27
Harm or worse
19
Immediate jeopardy
12
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy12

Findings at the most serious level CMS records. 2 of these were recorded as past non-compliance — corrected before the survey.

Beyond CMS’s monthly file19/27

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
140
Ownership
For profit - Limited Liability company
Chain
DIVERSICARE HEALTHCARE
County
De Soto
Medicare-certified since
1989

CMS ratings

Overall
1
Health inspection
1
Staffing
4
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 17 for-profit facilities with 128 or more beds in Mississippi.

Last survey on record

Apr 23, 2026

200 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.413.57
Registered-nurse hours per resident day0.64—
Annual nurse turnover21.9%47.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$71,603 across 8 penalties
Payment denials
1

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ36.8%K—L—
Actual harmG715.9%H—I—
No harm, potential for more than minimalD2454.5%E818.2%F24.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 44 of the 139 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6566×

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  • F6895×

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • F6774×

    Provide care and assistance to perform activities of daily living for any resident who is unable.

  • F5583×

    Reasonably accommodate the needs and preferences of each resident.

  • F5843×

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

In the surveyor’s words

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

  • Immediate jeopardy, isolatedF689Feb 20, 2026

    Based on staff and resident interviews, record reviews, the facility's investigation, and the facility clinical care system guidelines review, the facility failed to provide adequate supervision to prevent Resident #1, who was identified as an elopement and wandering risk, from exiting the facility unnoticed and unsupervised for one (1) of three (3) residents reviewed for accident hazards (Resident #1). The facility's failure to provide supervision resulted in Resident #1 exiting the facility unnoticed and unsupervised. She was determined to have exited the facility on 2/14/26, at approximately 1:08 PM and was located by staff 0.4 miles from the facility at 1:33 PM. […]

  • Immediate jeopardy, isolatedF656Apr 9, 2024

    Based on staff interview, facility policy review, facility statement review and record review, the facility failed to implement an elopement/wandering risk plan of care for Resident #1 who had worn a wander guard since his admission on February 12, 2024. Resident #1 had a documented history of wandering and elopement attempts prior to his admission to the facility. Resident #1 was one (1) of four (4) residents identified by the facility, who were at risk for elopement and that wore a wander guard. On 3/31/24 Resident #1 exited the facility unsupervised and undetected by facility staff. It was determined that Resident #1 was missing from the facility for approximately ten to twenty minutes prior to discovery. […]

  • Immediate jeopardy, isolatedF689Apr 9, 2024

    Based on observation, staff and family interviews, record review and facility policy review the facility failed to provide adequate supervision to prevent Resident #1, who was identified as an elopement and wandering risk, from exiting the facility unnoticed and unsupervised for one (1) of four (4) residents reviewed. Resident #1 On 3/31/24 Resident #1 exited the facility unsupervised and undetected by facility staff. It was determined that Resident #1 was missing from the facility for approximately ten to twenty minutes prior to discovery. […]

  • Actual harm, isolatedF656Apr 23, 2026

    Based on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure the Activities of Daily Living (ADL) care plan was implemented for personal hygiene and grooming (Resident #101 and Resident #119) and failed to implement a pain care plan (Resident #144) for three (3) of 31 care plans reviewed. Resident #101, #119, and #144.Findings Include: Record review of the facility policy titled Care Plans revealed under, Guideline: Care plans will be developed for all patients and residents based upon the RAI (Resident Assessment Instrument) manual guidelines. […]

  • Actual harm, isolatedF697Apr 23, 2026

    Based on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure timely assessment and management of pain for one (1) of 16 residents residing on the rehabilitation unit (Resident #144), resulting in a delay of greater than three hours in treatment, prolonged unrelieved pain at a level ten (10), inability to eat, and unnecessary physical suffering. Findings include:Review of the facility policy titled Pain Management revealed under, Purpose: To provide guidelines for consistent evaluation, management and documentation of pain in order to provide maximum comfort and enhanced quality of life .An observation and interview with Resident #144 on 4/20/26 at 11:15 AM revealed she was lying in bed with facial frowning and rubbing her… […]

Read 34 findings in full →The most serious and the most recent: 34 of 139 on record.

Every survey on record

FindingsAt actual harm or above

  • Apr 23, 2026Standard and complaint10 findings · 2 harm
  • Feb 20, 2026Complaint2 findings · 1 harm
  • Mar 26, 2025Complaint2 findings · 2 harm
  • Mar 20, 2025Standard and complaint12 findings
  • May 8, 2024Complaint1 finding · 1 harm
  • Apr 9, 2024Complaint2 findings · 2 harm
  • Mar 20, 2024Complaint6 findings
  • Nov 2, 2023Standard and complaint9 findings · 2 harm
Show the 19 earlier surveys
  • Dec 28, 2022Complaint1 finding
  • Jul 27, 2022Standard and complaint8 findings
  • Sep 3, 2021Complaint1 finding
  • Feb 24, 2021Infection control1 finding
  • Aug 28, 2020Infection control1 finding · 1 harm
  • Mar 5, 2020Complaint1 finding
  • Feb 6, 2020Standard6 findings
  • Jan 10, 2019Standard3 findings
  • Mar 6, 2018Complaint11 findings · 8 harm
  • Sep 15, 2017Standard4 findings
  • Mar 17, 2017Complaint1 finding
  • Jul 27, 2016Standard8 findings
  • Sep 30, 2015Standard7 findings
  • Jul 24, 2014Standard9 findings
  • Sep 20, 2013—13 findings
  • Nov 8, 2012—5 findings
  • Aug 25, 2011—10 findings
  • Jul 28, 2011—2 findings
  • May 31, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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