Diversicare Of Ripley

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

62.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 88 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 50.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 62 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.25 therapist hours per resident per day in 2026Q1 — more than 34% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 27% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 140 beds and averages 119.5 residents a day — about 85% occupied, or roughly 20 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.29 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.60 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.86 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.80 hrs/resident/day on weekends vs 3.49 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.70 to 0.34 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

38 citations, most serious first. The 18 most serious are shown; the remaining 20 are one tap away and print in full.

• Immediate jeopardy · J2024-01-22 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review and facility policy review the facility failed to protect the resident's right to be free from neglect as evidenced by failure of the staff to communicate and put measures in place to prevent the second elopement of Resident #1 who left the faciity on [DATE] unnoticed and unsupervised. Resident #1 was one (1) of three (3) residents reviewed. Resident #1 was allowed to exit the facility on 01/07/24 unnoticed and unsupervised at an unknown time and was discovered to be missing from the facility at approximately 8:10 PM. On 01/07/24 at approximately 8:00 PM, the police department received a 911 call from an unknown bystander who had seen an elderly lady walking with no shoes on who appeared to belong to a nursing home. A local Police Officer was dispatched and found Resident #1 walking in the middle of the street approximately 1850 feet from the facility and she had no shoes and no coat on. The Police Officer assisted Resident #1 into the backseat of his car and took her to the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-01-22 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, and facility policy review, the facility failed to implement effective comprehensive care plan interventions for Resident #1 who was at risk for elopement. Resident #1 was one (1) of three (3) wandering residents reviewed. Resident #1 was allowed to exit the facility on 01/07/24 unnoticed and unsupervised at an unknown time and was discovered to be missing from the facility at approximately 8:10 PM. On 01/07/24 at approximately 8:00 PM, the police department received a 911 call from an unknown bystander who had seen an elderly lady walking with no shoes on who appeared to belong to a nursing home. A local Police Officer was dispatched and found Resident #1 walking in the middle of the street approximately 1850 feet from the facility and she had no shoes and no coat on. The Police Officer assisted Resident #1 into the backseat of his car and took her to the facility where he discovered that the facility staff were looking for her. Resident #1 was last observed in the facility at 7:55 PM, a Code 10 (elopement) was called at 8:10 PM, and Resident #1…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-01-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review and facility policy review the facility failed to supervise and prevent the elopement of Resident #1 who left the faciity on [DATE] for the second time unnoticed and unsupervised. Resident #1 was one (1) of three (3) residents reviewed. Resident #1 was allowed to exit the facility on 01/07/24 unnoticed and unsupervised at an unknown time and was discovered to be missing from the facility at approximately 8:10 PM. On 01/07/24 at approximately 8:00 PM, the police department received a 911 call from an unknown bystander who had seen an elderly lady walking with no shoes on who appeared to belong to a nursing home. A local Police Officer was dispatched and found Resident #1 walking in the middle of the street approximately 1850 feet from the facility and she had no shoes and no coat on. The Police Officer assisted Resident #1 into the backseat of his car and took her to the facility where he discovered that the facility staff were looking for her. Resident #1 was last observed in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-01-22 · tag F0867 — failed to act on quality-improvement findings — isolated
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, record review and facility policy review the facility failed to monitor and implement a Quality Assurance (QA) program that prevented an elopement for Resident #1 who had previously eloped from the facility on 12/14/23 and continued to seek an exit from the building for one (1) of three (3) residents reviewed. Resident #1. Resident #1 was allowed to exit the facility on 01/07/24 unnoticed and unsupervised at an unknown time and was discovered to be missing from the facility at approximately 8:10 PM. On 01/07/24 at approximately 8:00 PM, the police department received a 911 call from an unknown bystander who had seen an elderly lady walking with no shoes on who appeared to belong to a nursing home. A local Police Officer was dispatched and found Resident #1 walking in the middle of the street approximately 1850 feet from the facility and she had no shoes and no coat on. The Police Officer assisted Resident #1 into the backseat of his car and took her to the facility where he discovered that…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2023-12-19 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews, record review, and facility policy review, the facility failed to implement the plan of care for Resident #1 who was at risk for elopement. Resident #1 was one (1) of three (3) residents reviewed. The facility failed to provide supervision to prevent the elopement of Resident #1, who was a wandering risk. Resident #1 had a Care Plan that documented that she was at risk for elopement. Facility #1 did not provide the supervision as outlined in the care plan to Resident #1 to prevent her from eloping. Resident #1 left the facility unnoticed and unsupervised at an unknown time and was discovered by the staff at another nursing home (Facility #2) approximately 380 yards from the facility. Facility #2 let the resident inside their nursing home and contacted Facility #1 at 9:04 PM to see if they had a resident missing and they discovered that it was Resident #1 and went to pick her up and return her to the facility. Resident #1 was last observed on 12/14/23 at 8:15 PM, prior to the elopement. Resident #1 was transported back to Facility #1, where a head-to-toe…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
• Immediate jeopardy · Jcited before2023-12-19 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, record review and facility policy review the facility failed to supervise and prevent the elopement of Resident #1, who was assessed as an elopement risk and left Facility #1 through an unarmed door on 12/14/23 unnoticed. Resident #1 was one (1) of three (3) residents reviewed. The facility failed to provide supervision to prevent the elopement of Resident #1, who was a wandering risk. Res #1 walked 380 yards away from Facility #1 to Facility #2 and was discovered by staff at Facility #2 as Res #1 was attempting to get inside their building. Resident #1 left Facility #1 unnoticed and unsupervised at an unknown time. Facility #2 allowed the resident inside their nursing home and contacted Facility #1 at 9:04 PM to see if they had any resident missing and they discovered that it was Resident #1 and went to pick her up and return her to the facility. Resident #1 was last observed on 12/14/23 at 8:15 PM prior to the elopement. Resident #1 was transported back to Facility #1, where a head to toe assessment was completed and there were no noted injuries or…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2024-09-11 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and facility policy review the facility failed to ensure that a comprehensive care plan was implemented for a dependent resident who was transferred via a mechanical lift using the wrong size sling which resulted in the sling breaking and causing the resident to sustain a fall with fracture for one (1) of three (3) residents reviewed. Resident #1. Based on implementation of corrective actions completed on 8/30/24 prior to the State Agency (SA) entrance on 9/11/24, it was determined to be Past Non-Compliance (PNC). Findings Included: Review of the facility policy, MDS (Minimum Data Set) and Care Plans with effective date of August 2019, revealed that care plans and MDS will be developed and maintained per RAI (Resident Assessment Instrument) Guidelines. Record review of Resident #1's Care Plan initiated on 07/17/24 revealed that she had a physical functioning deficit with interventions that included to use a total lift with blue sling. On 09/11/24 at 8:55 AM, an…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2024-09-11 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interview, record review, and facility policy review the facility failed to ensure the safety of a dependent resident during a lift transfer by using the wrong lift sling resulting in a strap on the sling breaking. Resident #1 fell to the floor and sustained fractures as a result of the fall for one (1) of three (3) residents reviewed for falls. Resident #1 Based on implementation of corrective actions completed on 8/30/24 prior to the State Agency (SA) entrance on 9/11/24, it was determined to be Past Non-Compliance (PNC). Findings Included: Review of the facility policy, Lift 4 Care - Safe 4 All dated May 2024, revealed under guideline, 7. In order to maintain patient's and residents' safety, patients and residents should be lifted or transferred by the lift and sling which is deemed appropriate after the lift evaluation is completed. There should be no interchanging of lifts and slings . Record review of the Investigation of Resident #1's fall revealed that on 08/21/24…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · Fcited before2026-02-11 · tag F0725 — failed to have enough nursing staff — widespread
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident and staff interviews, record review, staffing schedule review, and Payroll Based Journal (PBJ) staffing data report review, the facility failed to provide sufficient nursing staff to meet the needs of residents for six (6) of 119 residents and five (5) of 77 occupied rooms in the facility. This resulted in delayed call light response times, delayed toileting and incontinence care, and delayed assistance with activities of daily living for multiple residents, placing residents at risk for unmet care needs, skin breakdown, falls, and decreased quality of life. Resident #28, Resident #75, Resident #94, Resident #103, Resident #116, and Resident #122.Findings include:The facility provided a statement on letterhead, signed by the administrator which read, It is the practice of [Proper name of the facility]to assure that adequate staffing is maintained to provide the necessary care and services for each resident. Staffing expectations are based on resident acuity and needs and may fluctuate based on the center population as identified in the facility…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-02-11 · tag F0851 — widespread
  Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on staff interviews, record review, Payroll-Based Journal (PBJ) staffing data report review, and facility policy review, the facility failed to accurately submit staffing data into the PBJ system, in accordance with CMS (Centers for Medicare and Medicaid Services) reporting requirements, for one (1) of four (4) quarters reviewed (Fourth Quarter 2025, July 1 - September 30, 2025). Findings Include:Review of the facility policy titled Payroll Based Journal Entry Submission, unrevised, revealed under Policy: CMS (Centers for Medicare and Medicaid Services) regulations for Payroll Based Journal (PBJ) entries submission are adhered to.Record review of the PBJ Staffing Data Report revealed the facility submitted excessively low weekend staffing for the fourth quarter (July - September 2025).An interview with the Workforce Manager Coordinator (WMC) on 2/10/26 at 11:05 AM revealed she was responsible for scheduling the certified nurse aides (CNAs). She explained that the facility had CNAs who transported dialysis residents on Saturdays and, after returning to the facility, worked on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-02-11 · tag F0585 — failed to handle grievances — pattern
  Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, staff interview, and facility policy review, the facility failed to ensure concerns voiced during Resident Council meetings were addressed and resolved to residents' satisfaction in accordance with the requirements. Specifically, the facility failed to effectively respond to and resolve ongoing food-related concerns, including meals served cold and meats described as too tough to chew, which were repeatedly documented in Resident Council meeting minutes from August 2025 through December 2025, placing residents at risk for continued dissatisfaction for five (5) of six (6) months reviewed.Findings include:Review of facility policy titled, Customer Concern (Grievance) Policy with revised date: October 2024, revealed, Purpose: Support each customer's (patient's/responsible party's/family'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.Customer concerns will have a prompt response.A Resident Council meeting was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-02-11 · tag F0761 — failed to label and store drugs safely — pattern
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and facility policy review, the facility failed to ensure medication carts were secured to prevent unauthorized access for two (2) of five (5) medication carts observed (A Wing and E Wing). Findings include: Review of the facility policy titled, (Proper Name) PharMedCo, Inc. Policies and Procedures, revised 04/22, states, It is the responsibility of the facility to keep the medication cart locked and secure at all times when not in use . During an observation on 2/08/26 at 2:43 PM, the medication cart on E Wing was observed unlocked and unattended. Licensed Practical Nurse (LPN) #2 stated she walked down the hall to administer a medication and forgot to lock the cart. She stated the cart should always be secured when she leaves it. During an observation on 2/08/26 at 3:55 PM, the medication cart on A Wing was observed unlocked and unattended. LPN #1 stated she walked down the hall and forgot to lock the medication cart. She stated the cart should always be secured when not in use. On 2/09/26 at 2:45 PM, an interview was conducted with the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-11 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, staff and resident interviews, record review, and facility policy review, the facility failed to implement the comprehensive care plan for one (1) of 21 residents sampled. (Resident #111)Findings Include:Review of facility policy titled Care Plans with effective date: October 2021, revealed, Policy .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.Record review of Resident #111's Care Plan Report revised 12/10/25 revealed a Self-Care Deficit related to Mobility impairment, ROM (range of motion) limitations, Self-care impairment, related to spastic cerebral palsy, peripheral neuropathy, and spina bifida. Under intervention, Personal Hygiene provide substantial/maximum assistance. On 2/09/2026 at 8:20 AM, during an interview and observation, Resident #111 stated he doesn't get shaved…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-02-11 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, resident and staff interview, record review, and facility policy review, the facility failed to ensure a resident who required assistance received activities of daily living (ADL) care, including grooming and personal hygiene services such as shaving, in accordance with the resident's assessed needs, for one (1) of 21 residents. (Resident #111) Findings Include:Review of facility policy titled ADLs (Activities of Daily Living), with an effective date of August 2021, revealed the facility policy is to ensure activities of daily living are provided in accordance with accepted standards of practice, the resident's care plan, and reasonable accommodation of the resident's choices and preferences. The policy further identified hygiene activities of daily living to include bathing, dressing, grooming, and oral care. During an interview and observation on 2/09/2026 at 8:20 AM, Resident #111 stated he doesn't get shaved all the time when he is supposed to. They do it when they take a notion to do…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-11 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, resident and staff interviews, record review, and facility policy review, the facility failed to ensure a resident received the necessary treatment and services to promote healing of a pressure wound for one (1) of two (2) pressure wounds reviewed. Resident #120Findings Include:Review of the facility policy titled Clean Dressing Change, unrevised, revealed under Guideline: It is the policy of this center to provide wound care in a manner to decrease the potential for infection and/or cross contamination. Physician's orders will specify the type of dressing and frequency of changes.Record review of Resident #120's wound measurements dated 2/4/26 revealed a Stage 3 pressure ulcer/injury to the sacrum measuring 1.41 centimeters (cm) in length, 1.24 centimeters (cm) in width, and 0.2 centimeters (cm) in depth.An observation of Resident #120's sacral wound care with Registered Nurse (RN) #1 on 2/9/26 at 2:20 PM revealed the resident did not have a dressing intact on the wound, and the resident was wearing an incontinence brief that was saturated with urine, with the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-11 · tag F0810 — isolated
  Provide special eating equipment and utensils for residents who need them and appropriate assistance.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, resident and staff interview, record review, and facility policy review, the facility failed to ensure a resident was provided with the required adaptive equipment during meals for one (1) of four (4) residents reviewed for dining. Resident #33.Findings Include: Review of the facility policy titled Assistive Devices revealed under, Policy statement: Assistive devices/utensils will be provided as identified in the individualized plan of care to maintain or improve a resident's/patient's ability to eat or drink independently.An interview with Resident #33 on 2/8/26 at 4:10 PM revealed the resident required a divided plate to feed himself independently. The resident stated he did not always receive the divided plate with meals and further stated that when the divided plate was not provided, he was unable to feed himself using utensils.An observation of Resident #33's breakfast meal on 2/9/26 at 8:24 AM revealed the resident received oatmeal, a sausage patty, and a piece of toast served on a regular plate.Record review of Resident #33's breakfast tray card…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-11 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review and facility policy review the facility failed to utilize enhanced barrier precautions while providing care for two (2) of five (5) care areas observed. Resident #5 and Resident #120. Findings Include: Review of the undated facility Infection Control Guide revealed that EBP refers to the expanded use of PPE (Personal Protective Equipment) and refers to the use of gowns and gloves during high-contact resident care activities that provide opportunities for transfer of MDRO's (Multidrug-Resistant Organism) to staff hands and clothing Nursing home residents with wounds and indwelling medical devices are at especially high risk of both acquisition of and colonization with MDRO's. The use of gowns and gloves for high-contact residents is indicated when Contact Precautions do not otherwise apply, for nursing home residents with wounds/or indwelling medical devices An interview on 02/09/26 at 2:35 PM with Registered Nurse (RN) #1, revealed that Resident #5 had a Percutaneous Endoscopic Gastrostomy (PEG) tube that was used to administer…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-01-21 · tag F0802 — failed to prepare enough nourishing food — widespread
  Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interviews the facility failed to ensure sufficient staffing in the dietary department to meet the nutritional needs of residents for eight (8) of 12 sampled residents (Resident #2, Resident #3, Resident 4, Resident #5, Resident #6, Resident #7, Resident #9, Resident #10.) Specifically, the facility did not employ adequate dietary staff to prepare and serve meals in a timely manner, resulting in residents receiving cold meals and prolonged delays during meal service. Findings include: Review of the facility policy titled Food: Quality and Palatability with a revision date of 2/2023 revealed under, Policy Statement: Food will be prepared by methods that conserve nutritive value, flavor and appearance. Food will be palatable, attractive and served at a safe and appetizing temperature. Initial observation on 01/21/25 at 8:15 PM revealed one (1) employee in the kitchen preparing food for 122 resident census. On 1/21/25 at 9:15 AM, an interview with the Regional Dietary Manager (RDM) #1 revealed that the kitchen staffing continued to be the biggest concern for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$72,793 in federal fines across 5 penalties.

• $7,272 — penalty dated 2024-09-11
• $7,272 — penalty dated 2024-09-11
• $48,776 — penalty dated 2024-01-22
• $4,736 — penalty dated 2023-12-19
• $4,737 — penalty dated 2023-12-19

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to DIVERSICARE HEALTHCARE — 44 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 15 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 73% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $647K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2024). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in MS