Inspection Reports for
Diversicare of Boaz
600 Corley Avenue, Boaz, AL, 35957
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
47% worse than Alabama average
Alabama average: 3.6 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Deficiencies: 5
Date: Jul 4, 2025
Visit Reason
The inspection was conducted due to multiple allegations of staff-to-resident verbal abuse and failure to report and investigate abuse allegations properly at the facility.
Complaint Details
The complaint investigation involved allegations of verbal abuse by staff toward Residents #56, #39, #300, and #37. The facility investigated these allegations with varying outcomes. Some staff were placed on administrative leave or terminated. The investigation revealed failures in timely reporting and protective actions. Resident #300's family member also reported concerns. The facility was found to have failed in timely reporting and thorough investigation of abuse allegations.
Findings
The facility failed to protect residents from verbal abuse by staff, failed to timely report suspected abuse to administration, failed to immediately implement protective measures following abuse allegations, and failed to thoroughly investigate allegations of abuse and neglect. Specific incidents involved verbal abuse by CNAs and an LPN toward residents, failure to report abuse allegations within required timeframes, and inadequate investigation documentation.
Deficiencies (5)
Failure to protect residents from verbal abuse by staff affecting multiple residents.
Failure to timely report suspected abuse to administration within two hours for two residents.
Failure to immediately implement protective measures to prevent further potential abuse following an allegation of staff-to-resident verbal abuse.
Failure to thoroughly investigate allegations of abuse and neglect, including incomplete documentation of interviews and root cause analysis.
Use of physical restraint (gait belt buckled around resident's waist and wheelchair) not required to treat medical symptoms.
Report Facts
Residents reviewed for abuse: 11
Staff training attendance: 42
Medication dose: 50
Dates of incidents: Multiple dates including 09/15/2023, 03/18/2024, 11/01/2024, 05/29/2025, and 04/10/2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Unit Manager #9 | Unit Manager | Administered pain medication to Resident #37 and reported abuse allegations |
| RN #22 | Registered Nurse | Reported abuse allegations and participated in investigations |
| CNA #5 | Certified Nursing Assistant | Alleged perpetrator of verbal abuse toward Resident #56, placed on administrative leave and terminated |
| LPN #14 | Licensed Practical Nurse | Alleged perpetrator of verbal abuse toward Resident #39, placed on administrative leave and terminated |
| CNA #23 | Certified Nursing Assistant | Alleged perpetrator of verbal abuse toward Resident #300, placed on administrative leave |
| RN #36 | Registered Nurse | Reported mental abuse of Resident #300 and participated in investigation |
| Administrator | Facility Administrator | Oversaw investigations and stated expectations for staff conduct and reporting |
| Director of Nursing | Director of Nursing | Oversaw investigations and stated expectations for staff conduct and reporting |
| FM #37 | Family Member | Reported verbal abuse allegations for Resident #300 |
| FM #10 | Family Member | Reported suspected abuse related to bruising on Resident #14 |
| LPN #11 | Licensed Practical Nurse | Notified family member about bruising on Resident #14 and participated in investigation |
| CNA #12 | Certified Nursing Assistant | Reported bruising on Resident #14 and participated in investigation |
Inspection Report
Complaint Investigation
Deficiencies: 7
Date: Jul 4, 2025
Visit Reason
The inspection was conducted based on multiple complaints alleging failures in resident rights, abuse, neglect, and food safety at Diversicare of Boaz nursing home.
Complaint Details
The investigation was complaint-driven based on allegations of failure to provide resident access to funds, unresolved grievances, verbal abuse by staff, improper restraint use, delayed abuse reporting, inadequate abuse investigations, and food safety violations.
Findings
The facility was found deficient in multiple areas including failure to provide resident access to funds, failure to resolve grievances, verbal abuse by staff to residents, improper use of restraints, delayed reporting of abuse allegations, inadequate investigation of abuse, and food safety violations including expired foods, improper food storage, inadequate dishwashing temperatures, and improper cold food holding temperatures.
Deficiencies (7)
Failed to provide access to resident funds on an ongoing basis affecting 62 of 90 residents.
Failed to ensure resident rights were protected and failed to resolve a grievance for 1 resident.
Failed to protect residents from verbal abuse by staff for 2 residents.
Failed to ensure residents were free from physical restraints not medically necessary for 1 resident.
Failed to timely report suspected abuse and neglect to proper authorities for 2 residents.
Failed to immediately put protective measures in place and failed to thoroughly investigate allegations of abuse for 3 residents.
Failed to procure, store, prepare, distribute, and serve food in accordance with professional standards including discarding expired foods, improper food storage, inadequate dishwashing temperatures, and improper cold food holding temperatures affecting many residents.
Report Facts
Residents affected by fund access issue: 62
Residents reviewed for grievances: 3
Residents reviewed for abuse: 11
Residents reviewed for restraint use: 1
Dish machine wash temperature: 100
Dish machine wash temperature: 110
Dish machine rinse temperature: 115
Cold food temperature on tray line: 53
Cold food temperature on tray line: 52
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Unit Manager #9 | Unit Manager | Administered pain medication to Resident #37 and reported verbal abuse allegations. |
| Certified Nursing Assistant CNA #5 | CNA | Alleged perpetrator of verbal abuse to Resident #56, terminated after investigation. |
| Licensed Practical Nurse LPN #14 | LPN | Alleged perpetrator of verbal abuse to Resident #39, terminated after investigation. |
| Certified Nursing Assistant CNA #23 | CNA | Alleged perpetrator of verbal abuse to Resident #300, placed on administrative leave pending investigation. |
| Registered Nurse RN #36 | RN | Reported verbal abuse incident involving Resident #300 and CNAs. |
| Dietary Manager DM | Dietary Manager | Responsible for food safety oversight, acknowledged expired foods and improper storage. |
| Dietary Aide DA #16 | Dietary Aide | Responsible for putting away food and acknowledged food rotation procedures. |
Inspection Report
Routine
Census: 89
Deficiencies: 1
Date: Sep 19, 2019
Visit Reason
The inspection was conducted to evaluate compliance with food procurement, storage, preparation, distribution, and serving standards in the facility kitchen.
Findings
The facility failed to ensure that two pans and serving trays were allowed to air dry before storage, which posed a potential cross-contamination risk to all 89 residents served food from the kitchen.
Deficiencies (1)
Failure to ensure two pans and serving trays were allowed to air dry before storage, resulting in wet nesting and water droplets between trays.
Report Facts
Resident census: 89
Inspection Report
Deficiencies: 3
Date: Aug 8, 2018
Visit Reason
The inspection was conducted to evaluate compliance with regulatory requirements related to timely reporting of abuse allegations, accuracy of resident assessments, and implementation of infection prevention and control programs.
Findings
The facility failed to report allegations of sexual and verbal abuse within the required 2-hour timeframe affecting 2 residents, failed to accurately document oxygen use in a resident's assessment, and did not properly bag and change nebulizer equipment for one resident, posing potential infection risks.
Deficiencies (3)
Failed to timely report allegations of sexual and verbal abuse to the State Agency within 2 hours.
Failed to ensure accurate assessment documentation of oxygen use for Resident Identifier #9.
Failed to properly bag nebulizer machine tubing and face mask after use and to change medication cup and mask weekly for Resident Identifier #9.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 1
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