Diversicare Of Tylertown

Based on interviews, record review and facility policy review, the facility failed to ensure that residents who receive meals in their rooms were informed of their daily menu options and provided the opportunity to make meal choices for two (2) of (14) residents reviewed for choices. Resident #22 and Resident #37.Findings include: A review of the facility policy, Menu revised 10/22, revealed, Menus will be planned in advance to meet the nutritional needs of the residents .will adjust the individual meal plan to meet the individual requests, including cultural, religious or ethnic preferences .Resident #22During an initial interview on 1/11/26 at 11:34 AM, Resident #22 stated that since arriving at the facility a few months ago, she has preferred to eat in her room. She reported that due to health reasons, she is unable to get up freely and requires staff assistance to get out of bed. She explained that during her stay, the staff had not informed her of menu choices or that she could choose something different from what was brought to her. She stated that, because there is no menu 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.

Based on observation, interviews, record reviews and facility policy review the facility failed to obtain a physician order to flush Percutaneous Endoscopic Gastrostomy (peg) tubes with water before and after administering medication via peg tube for one (1) of six (6) residents with peg tubes. Resident #32.Findings include: Record review of the facility policy Eternal Tube Medication Administration with a review date of 04/22 revealed .Crushed medications, contents of opened capsules as well as liquid medications are diluted with at least 5 milliliters (ml) of water when fluid is not restricted .Following drug administration, flush the tube with a final flush of at least 30 ml of water. On 01/13/2026 at 2:15 PM, LPN #2 was observed giving peg medications to Resident #32 via peg tube. The following medications were administered Buspirone 10 milligrams (mg) Hydroxyzine 25 mg, and Trazadone 50 mg via peg tube. LPN#2 flushed the peg tube with 30 cc water before and after medications administration. A record review of Resident #32 Order Summary Report with active orders as of 1/13/26…

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.

Based on observation, interview, and facility policy review, the facility failed to properly secure and store medications and wound care supplies for two (2) of four (4) days of survey.Findings include:Record review of the facility policy Medication Storage updated 04/22 revealed .Medications are accessible ONLY to licensed nursing personnel, pharmacy personnel, or staff members lawfully authorized to administer medications . On 1/13/26 at 3:07 PM, the wound care cart was observed unattended and unlocked on the resident care unit. The cart remained unsecured until 3:10 PM, when Registered Nurse (RN) #2 was observed walking past and locking it.On 1/13/26 at 3:10 PM, in an interview, RN #2 stated that the wound care nurse was the last to use the cart before going into a resident's room and must not have locked it. She confirmed the cart should remain locked when not in use to prevent resident access.On 1/14/26 at 9:04 AM, the wound care cart was again observed unlocked and unattended in the hallway. It remained unsecured until 9:07 AM, when RN #1 came down the hall and locked it.In 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.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record reviews and facility policy review the facility failed to prevent the possibility of spreading infection during wound care and medication administration via Percutaneous Endoscopic Gastrostomy (peg) tube for three (3) of (10) care and medication observations. Resident #4, Resident #32 and Resident #49.Findings included: Record review of the facility's policy Infection Control dated 11/1/17 revealed, Policy Statement: This center's infection control policies and practices are intended to facilitate maintain a safe, sanitary and comfortable environment and to help prevent and manage transmission of diseases and infection . Resident #4 On 01/13/26 at 10:26 AM, during an observation, Resident #4 received Liquid Protein Supplement 30 milliliters (ml) administered by Licensed Practical Nurse (LPN) #1. LPN#1 retrieved the syringe from the pole and attempted to flush peg tube with 30 cubic centimeter (cc) water. She was unable to flush tube. She got a cup off bedside table and…

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.

Based on interviews, record review, policy review, and facility investigation, the facility failed to ensure residents were free from misappropriation of funds for nine (9) of 30 residents who have a resident trust fund. (Residents #2, #5, #7, #12, #13, #25, #28, #32, and #33) Findings include: A review of the facility policy titled, Resident Trust, dated 9/20/17, revealed Purpose . To maintain a Resident Trust Account, for the safekeeping of a resident's personal money, if requested to do so . Policy Statement . Each Center shall have standardized policies for the handling of resident trust accounts . Monitoring systems shall be in place to ensure funds are handled in accordance with applicable state regulations . A review of the facility policy titles, Abuse, Neglect, Misappropriation, Exploitation Policy, dated January 2019 revealed, Purpose: To prohibit and prevent abuse, neglect, exploitation, misappropriation of resident property and to ensure reporting and investigation of alleged violations . in accordance with Federal and State Laws . Misappropriation of Resident Property:…

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.

Based on observation, interviews, record review, and policy review the facility failed to provide perineal care in a manner to prevent the possibility of urinary tract infection for one (1) of four (4) residents reviewed for incontinent care. (Resident #5) Findings include: On 09/04/24 at 3:03 PM, during an observation of Certified Nurse Aide (CNA) #1 as she provided perineal care for Resident #5, the CNA assisted the resident to turn on her side to complete her perineal care. The CNA wiped the resident from the back to front, instead of front to back, a total of five (5) times. On 09/05/24 at 9:36 AM, in an interview with CNA #1, she stated she did not do the perineal care on the buttocks correctly. She stated she wiped back to front. She stated she should have wiped front to back. She stated her actions could cause the resident to develop a urinary tract infection (UTI). She stated she has been a CNA for 17 years and has had training on perineal care. On 09/05/24 at 9:45 AM, in an interview, the Director of Nursing (DON) stated CNA #1 should have wiped front to back when she…

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.

Based on observation, interviews, record reviews and facility policy reviews the facility failed ensure tube feedings were administered as ordered for one (1) of seven (7) residents who recieve enteral feedings. (Resident #1) Findings include: Review of the facility policy titled, Enteral Nutrition, dated 8/1/12 revealed, It is the policy of this facility to ensure that a nutritional assessment is completed for all residents receiving enteral feeding. Orders will reflect specific content to assure quality of enteral delivery .2.The tube feeding order will be recorded. The following information should be included in the diet order or comments section: . e. amount (c.c.s) of formula to be given for each feeding and total c.c.s to be given per 24 hours . On 9/3/24 at 10:48 AM, an observation revealed Resident #1 lying in bed with his PEG (Percutaneous Endoscopic Gastrostomy) tube feeding formula attached to an electronic pump. Jevity 1.5 was infusing per pump at the rate of 70 ml/hr. (milliliters/ per hour). On 9/3/24 at 2:19 PM, in an attempt to verify the physician orders regarding…

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.

Based on observation, staff interview, and facility policy review, the facility failed to prevent the possible transmission of diseases and infections by storing clean durable medical equipment (DME) in a room marked for biohazard materials for two (2) of three (3) days of survey. Findings include: Review of the facility's, Policies and Practices - Infection Control, dated 11/1/2017, revealed, .This center's infection control policies and practices are intended to facilitate maintaining a safe, sanitary, and comfortable environment and to help prevent and manage the transmission of diseases and infections . On 9/3/24 at 11:27 AM, in an observation of the biohazard room and interview with Maintenance #1, revealed the room was clearly marked as a biohazard area. Inside the room, a biohazard container with a red bag was placed on the right side, while oxygen concentrators, covered in plastic bags, were located on the left side of the room. Maintenance #1 stated the oxygen concentrators were considered clean since they were bagged, though he acknowledged the room was marked as a…

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.

Based on observation, interviews, record review, and facility policy review, the facility failed to provide an ongoing resident centered activities program for nine (9) of the nine (9) residents sampled. This has the potential to affect 49 of the 49 residents residing in the facility. Residents #5, #12, #15, #18, #20, #21, #30, #31, and #38 Findings include: Review of the facility's policy, Activities, dated April 2022, revealed, POLICY: It is the policy of this center to provide an ongoing program to support residents in their choice of activities based on their comprehensive assessment, care plan, and preferences. Center-sponsored group, individual, and independent activities will be designed to meet the interests of each resident, as well as support their physical, mental, and psychosocial well-being. Activities will encourage both independence and interaction within the community . An observation on 3/13/23, at 10:58 AM, revealed five (5) residents sitting in front of the nurse's station. There were no activities taking place in the facility at this time. Record review of 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.

Based on observations, interviews, record review, and facility policy review, the facility failed to post cautionary and safety signs indicating the use of oxygen for one (1 )of one (1) sampled residents. Resident #198 Findings include: A record review of the facility's policy, Applying An Oxygen-Delivery Device, undated, revealed . IMPLEMENTATION . 9. Post Oxygen in Use signs on wall behind bed and at entrance to room .12 . Alerts visitors and are providers that oxygen is in use . On 3/13/23 at 11:02 AM, an observation of Resident #198 revealed the resident lying in bed, wearing a nasal cannula. An oxygen concentrator (a medical device used to deliver oxygen) was noted next to the resident's bed and turned on. There was no cautionary signage posted at the entrance to the resident's room or within the room to indicate that oxygen was in use. Observations on 3/14/23 at 3:00 PM and again on 3/15/23 at 11:36 AM, revealed Resident #198, the resident sitting in his room with oxygen in use. There continued to be no cautionary signage within the resident's room or near the entrance 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.