Inspection Reports for
Diversicare of Eupora
156E Walnut Avenue, Eupora, MS, 39744
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
92% worse than Mississippi average
Mississippi average: 3.8 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Aug 28, 2025
Visit Reason
The inspection was conducted due to allegations of abuse by a Licensed Practical Nurse (LPN) toward a resident diagnosed with Alzheimer's disease, including use of profanity and physical force.
Complaint Details
The complaint involved allegations that LPN #1 used profanity and physical force against Resident #1 on 7/28/25. The facility substantiated the use of profanity but did not substantiate improper physical force. Staff delayed reporting the incident, and the facility failed to notify the Board of Nursing as required.
Findings
The facility substantiated the use of profanity by LPN #1 toward Resident #1 but did not substantiate the allegation of improper physical force. The facility also failed to immediately report the abuse allegations to the Board of Nursing as required.
Deficiencies (2)
F 0600: The facility failed to protect residents from abuse when an LPN used profanity and applied physical force to a resident with Alzheimer's disease, placing the resident at risk of harm.
F 0609: The facility failed to timely report suspected abuse and failed to report allegations involving a licensed nurse to the appropriate licensing board as required.
Report Facts
Residents reviewed for abuse: 6
Residents affected: 1
Residents reviewed for abuse allegations: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Licensed Practical Nurse | Named in findings for use of profanity and physical force toward Resident #1 |
| LPN #2 | Licensed Practical Nurse | Witnessed incident and provided statements regarding profanity use |
| CNA #1 | Certified Nursing Assistant | Witnessed incident and reported abuse allegations |
| CNA #2 | Certified Nursing Assistant | Witnessed incident and reported abuse allegations |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Apr 16, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to provide needed care and services to Resident #3, specifically related to insulin administration and wound care following hospital discharge.
Complaint Details
The complaint investigation found that Resident #3 was not provided insulin or wound care after hospital discharge due to failure to obtain physician orders. The resident self-administered insulin brought from home. The facility did not document attempts to contact the provider and failed to notify the Medical Director when no response was received. The resident was cognitively intact and repeatedly requested needed care.
Findings
The facility failed to identify and provide resident-centered care according to orders and resident preferences for one of five residents reviewed. Resident #3, an insulin-dependent diabetic with a diabetic ulcer, did not receive ordered insulin or wound care due to lack of physician orders and failure of staff to obtain necessary orders despite resident requests and documented attempts.
Deficiencies (1)
F 0684: The facility failed to provide appropriate treatment and care according to orders and resident preferences. Resident #3 did not receive insulin or wound care as needed due to lack of physician orders and failure to obtain orders despite resident and staff requests.
Report Facts
Residents reviewed for quality of care: 5
Residents affected: Few residents affected as stated
BIMS score: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse Treatment Nurse | Stated he did not assess Resident #3 until several days after admission and described wound care orders | |
| Director of Nursing (DON) | Acknowledged failure to obtain physician orders for insulin and wound care and confirmed resident's diagnosis and medication status | |
| Nurse Practitioner (NP) | Offered to restart insulin and provided wound care orders after admission |
Inspection Report
Routine
Deficiencies: 10
Date: Aug 29, 2024
Visit Reason
Routine state inspection survey conducted to assess compliance with regulatory requirements related to resident rights, care planning, medication administration, food quality, and other aspects of facility operations.
Findings
The facility was found deficient in multiple areas including failure to honor resident rights during toileting assistance, unresolved resident grievances about food quality and linen changes, inaccurate Minimum Data Set (MDS) assessments, incomplete care plans for specific resident needs, failure to provide personal hygiene and range of motion care, improper medication storage, inadequate behavioral monitoring for a resident with Binge Eating Disorder, poor food quality and variety, and failure to provide bedtime snacks to residents.
Deficiencies (10)
F 0550: Facility failed to honor a resident's right to dignified existence and timely toileting assistance during meal tray passing for one resident.
F 0565: Facility failed to resolve grievances related to food quality and bed linen changes for five residents despite repeated complaints.
F 0641: Facility failed to accurately complete Section N of the Minimum Data Set (MDS) for two residents regarding anticoagulant and antibiotic medication administration.
F 0656: Facility failed to develop or implement care plans for nail care, leg brace use, and behavior monitoring for three residents.
F 0677: Facility failed to provide nail care for one resident as part of personal hygiene.
F 0688: Facility failed to ensure a resident with limited mobility received appropriate services and assistance to maintain or improve range of motion.
F 0742: Facility failed to provide behavioral monitoring and interventions for a resident with a new diagnosis of Binge Eating Disorder.
F 0761: Facility failed to store an inhalant medication in a locked compartment, leaving it at a resident's bedside.
F 0804: Facility failed to ensure food was palatable, attractive, and served at a safe and appetizing temperature for seven residents.
F 0809: Facility failed to provide bedtime snacks to six residents who requested them and needed them for diabetic care.
Report Facts
Residents affected: 1
Residents affected: 5
Residents affected: 2
Residents affected: 3
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 1
Residents affected: 7
Residents affected: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Interviewed regarding toileting assistance, care plan failures, medication storage, and range of motion care |
| Licensed Practical Nurse #1 | Registered Nurse | Involved in toileting assistance refusal |
| Certified Nurse Aide #1 | Certified Nurse Aide | Interviewed about toileting during mealtimes |
| Certified Nurse Aide #8 | Certified Nurse Aide | Interviewed about toileting during mealtimes |
| Dietary Manager | Dietary Manager | Interviewed about food complaints and resident council concerns |
| Administrator | Administrator | Interviewed about grievance resolution, food complaints, linen changes, and bedtime snack issues |
| Physical Therapist | Physical Therapist | Interviewed about leg brace use and therapy discontinuation |
| Certified Nursing Assistant #6 | Certified Nursing Assistant | Interviewed about resident brace use refusal |
| Physical Therapy Assistant | Physical Therapy Assistant | Interviewed about failure to apply leg braces |
| Registered Nurse #2 | Registered Nurse | Interviewed about behavioral monitoring and bedtime snack distribution |
| Licensed Practical Nurse #6 | Licensed Practical Nurse | Interviewed about medication administration and storage |
| Certified Nurse Assistant #2 | Certified Nurse Assistant | Interviewed about resident behavior related to Binge Eating Disorder |
| Certified Nurse Assistant #3 | Certified Nurse Assistant | Interviewed about resident behavior related to Binge Eating Disorder |
| Registered Nurse Director of Clinical Services | Registered Nurse Director of Clinical Services | Interviewed about behavioral monitoring for Binge Eating Disorder |
Inspection Report
Routine
Deficiencies: 5
Date: Aug 29, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, care planning, personal hygiene, nutrition, and behavioral monitoring in a nursing home facility.
Findings
The facility failed to honor a resident's right to timely toileting assistance during meal times, did not implement or develop complete care plans for several residents including nail care, leg brace use, and behavioral monitoring for binge eating disorder, and failed to follow dietary recommendations for a resident receiving enteral nutrition.
Deficiencies (5)
F 0550: The facility failed to ensure a resident's right to dignified existence and timely toileting assistance during meal tray passing, resulting in delayed bathroom access for Resident #2.
F 0656: The facility failed to develop and implement complete care plans for nail care, leg brace application, and behavioral monitoring for Residents #41, #51, and #113 respectively.
F 0677: The facility failed to provide personal hygiene as evidenced by failure to provide nail care for Resident #41, whose nails were long and posed a risk of skin injury.
F 0692: The facility failed to address dietary recommendations to change and increase enteral feeding and water flushes for Resident #112, resulting in inadequate nutritional support.
F 0742: The facility failed to provide appropriate behavioral monitoring and interventions for Resident #113 with a new diagnosis of Binge Eating Disorder, despite known behaviors and risks.
Report Facts
Survey days: 4
Resident care plans reviewed: 26
Residents reviewed with behaviors: 3
Residents receiving enteral nutrition reviewed: 3
Nail length: 0.5
BIMS score Resident #2: 15
BIMS score Resident #41: 9
BIMS score Resident #51: 14
BIMS score Resident #113: 5
Tube feeding kcal recommended: 1780
Tube feeding kcal current: 1127
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN #1 | Registered Nurse | Named in toileting assistance refusal for Resident #2 |
| Director of Nursing | Director of Nursing (DON) | Interviewed regarding toileting policy, care plan failures, and dietary and behavioral monitoring issues |
| CNA #1 | Certified Nurse Aide | Interviewed regarding toileting restrictions during mealtime |
| CNA #8 | Certified Nurse Aide | Interviewed regarding toileting restrictions during mealtime |
| LPN #5 | Licensed Practical Nurse | Confirmed Resident #41's nail care needs |
| Physical Therapist | Physical Therapist (PT) | Interviewed regarding Resident #51's leg brace use |
| RN Director of Clinical Services | Registered Nurse Director of Clinical Services | Confirmed lack of care plan for Resident #113's binge eating disorder |
| RN #2 | Registered Nurse | Interviewed regarding Resident #113's behavior |
| CNA #2 | Certified Nurse Assistant | Interviewed regarding Resident #113's behavior and snack requests |
| CNA #3 | Certified Nurse Assistant | Interviewed regarding Resident #113's behavior and snack requests |
| LPN #1 | Licensed Practical Nurse | Interviewed regarding dietary recommendations for Resident #112 |
| Registered Dietician | Registered Dietician (RD) | Provided dietary recommendations for Resident #112 |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 17, 2023
Visit Reason
The inspection was conducted due to an allegation of physical abuse by a Certified Nursing Assistant (CNA) against a resident (Resident #1) on 08/01/2023. The investigation was initiated following a complaint and reports from staff members.
Complaint Details
The complaint was substantiated. The abuse incident involving CNA #1 and Resident #1 was immediately investigated, reported to the State Department of Health and Attorney General's Office, and confirmed through staff interviews and record review.
Findings
The facility failed to protect one resident from physical abuse when CNA #1 slapped the back of Resident #1's hand during care. The incident was immediately reported, investigated, and CNA #1 was suspended and terminated. The resident was assessed with no injuries or emotional distress. Staff were re-trained on abuse and neglect, and a Quality Assurance meeting was held.
Deficiencies (1)
F 0600: The facility failed to protect Resident #1 from physical abuse when CNA #1 slapped the back of the resident's hand during care. The incident was substantiated and resulted in termination of CNA #1.
Report Facts
Residents Affected: 1
Date of Incident: Aug 1, 2023
Date of Survey Completion: Aug 17, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Named in physical abuse finding and terminated for substantiated abuse. |
| Administrator | Administrator | Reported the abuse incident and conducted investigation. |
| Director of Nursing | Director of Nursing | Responded to abuse incident, suspended CNA #1, and confirmed findings. |
| CNA #2 | Certified Nursing Assistant | Witnessed the abuse incident and reported it. |
| CNA #3 | Certified Nursing Assistant | Witnessed/heard the abuse incident and reported it. |
Inspection Report
Routine
Deficiencies: 8
Date: Apr 27, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident rights, care planning, grievance resolution, hygiene, smoking safety, mental health care, and infection control at Diversicare of Eupora nursing home.
Findings
The facility was found deficient in honoring resident privacy, reevaluating advance directives, resolving grievances, developing person-centered care plans, providing hygiene care, performing safe smoking assessments, addressing mental health care needs, and implementing infection prevention and control practices.
Deficiencies (8)
F 0550: The facility failed to honor a resident's privacy by posting a sign with the resident's name and stool sample needs above the bed, visible to others.
F 0578: The facility failed to reevaluate and provide advance directive information directly to a resident once cognitively able, resulting in an unsigned advance directive.
F 0585: The facility failed to resolve a grievance regarding missing clothing reimbursement for a resident's family, resulting in delayed reimbursement.
F 0656: The facility failed to develop and implement a person-centered care plan for a resident who smokes, placing the resident at risk for injury.
F 0677: The facility failed to provide hygiene care to a resident dependent on staff, evidenced by long nails with brown substance and long gray chin hair.
F 0689: The facility failed to perform a safe smoking assessment for a resident who smokes, increasing risk of injury.
F 0742: The facility failed to develop a person-centered care plan for a resident diagnosed with Post-Traumatic Stress Disorder (PTSD), omitting triggers and coping mechanisms.
F 0880: The facility failed to prevent possible infection spread by not sanitizing multi-use blood pressure cuffs and stethoscopes, not sanitizing hands between medication administrations, and not rinsing and drying PEG tube syringes after use.
Report Facts
Residents reviewed for dignity: 111
Residents' Advance Directives reviewed: 32
Residents sampled for grievance: 23
Resident care plans reviewed: 23
Residents reviewed for smoking: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #1 | Confirmed privacy sign removal and hygiene care failures | |
| Director of Nursing (DON) | Confirmed privacy violation, advance directive and care plan deficiencies, and infection control concerns | |
| Administrator | Provided information on advance directive and grievance issues | |
| Social Services #1 | Confirmed grievance filing and follow-up issues | |
| Certified Nurse Aide (CNA) #1 | Confirmed hygiene care deficiencies | |
| Minimum Data Set (MDS) Nurse #1 and #2 | Discussed care plan and assessment deficiencies | |
| Licensed Practical Nurse (LPN) #1 | Observed failing to sanitize equipment and hands during medication administration | |
| Licensed Practical Nurse (LPN) #2 | Observed failing to sanitize blood pressure machine after use | |
| Maintenance Director | Provided stethoscope to nurse, unsure if sanitized | |
| Infection Control (IC)/Clinical Instructor | Confirmed infection control policy and concerns |
Inspection Report
Routine
Deficiencies: 2
Date: Mar 5, 2020
Visit Reason
The inspection was conducted to evaluate compliance with respiratory care and infection control policies related to the storage and handling of respiratory equipment for residents.
Findings
The facility failed to follow care plans for respiratory equipment storage for multiple residents, resulting in uncovered nebulizer masks and oxygen tubing not stored in protective bags, posing infection control risks.
Deficiencies (2)
F 0656: The facility failed to develop and implement a complete care plan that meets all the resident's needs, specifically failing to follow respiratory care plans for Residents #27 and #72 regarding storage of respiratory equipment.
F 0695: The facility failed to provide safe and appropriate respiratory care by not storing respiratory equipment in a manner to prevent contamination for six residents, including Residents #3, #27, #53, #72, #87, and #103.
Report Facts
Residents reviewed for respiratory care: 7
Residents affected by F 0656 deficiency: 2
Residents affected by F 0695 deficiency: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) #1 | Confirmed uncovered nebulizer mask for Resident #27 and acknowledged infection control issue | |
| Licensed Practical Nurse (LPN) #1 | Confirmed Resident #3's oxygen tubing was not dated or in a plastic bag and explained night shift nurse responsibilities | |
| Licensed Practical Nurse (LPN) #2 | Confirmed all respiratory equipment should be in bags and noted lack of storage bags for Resident #87 | |
| Director of Nursing (DON) | Confirmed care plans for Residents #27 and #72 were not followed and stated facility policy on tubing storage |
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