Inspection Reports for
Diversicare of Eupora

The SA is recommending that the facility be placed back in compliance effective 3/27/26. The facility was found to be in compliance at the time of this revisit.

The survey included five complaint investigations (CI MS #2709313, CI MS #2709504, CI MS #2710537, CI MS #2787564, and CI MS #2788123). Deficiencies were cited for CI MS #2709504 and CI MS #2787564 related to residents' rights, quality of care, and activities of daily living (F0550). CI MS #2788123 was investigated with citations for professional standards and pharmacy services (F0658, F0755). CI MS #2709313 (neglect) and CI MS #2710537 (pest control) had no deficiencies cited.

The survey identified deficiencies in resident rights, safe environment, professional standards, ADL care, accident hazards, pharmacy services, medication storage, and infection control. The facility failed to provide timely toileting assistance, maintain a clean environment, ensure accurate medication documentation, secure medication carts, and follow infection prevention protocols.

The facility met all applicable provisions of the Life Safety Code and Emergency Preparedness requirements. No deficiencies were cited during this survey.

Complaint investigation MS# 2695845 and MS# 2695795; the facility was found in compliance with no deficiencies cited.

The facility was found in compliance with the requirements of participation in Medicare and Medicaid Services and no deficiencies were cited.

CI MS# not explicitly stated. The complaint survey was completed on 08/28/25. The facility was found in compliance after the desk review and no deficiencies were cited.

The State Agency found the facility in compliance and recommended it be placed back in compliance effective 09/12/25. No deficiencies were cited in this desk review.

Complaint Investigations (CI), MS #2612461, MS #2612478, MS #2611216 related to Quality of Care; the facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the requirements of participation in Medicare and Medicaid and there were no deficiencies cited. However, the facility remains out of compliance due to deficiencies cited on the 08/28/25 survey.

Complaint investigation involved multiple complaint numbers and a facility reported incident related to abuse and reporting abuse. Deficiencies were cited for CI MS# 2580120 and FRI# 2577877. Other complaints related to pressure ulcers, assessing/monitoring, call lights, environment, quality of care and food services were found in compliance.

The facility failed to ensure residents were free from abuse when a Licensed Practical Nurse (LPN) used profanity and applied physical force to a resident with Alzheimer's disease. The facility also failed to immediately report all allegations of abuse to the State Agency and appropriate licensing board, and staff failed to recognize and report abuse promptly.

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.

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.

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.

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.

Complaint investigation CI MS #28401 was substantiated with deficiencies cited. Other complaint investigations CI MS #28132, CI MS #28229, CI MS #28381, CI MS #28494, CI MS #28500, and CI MS #28534 were investigated with no deficiencies cited.

The facility was found not in compliance with resident rights related to failure to identify and provide needed care and services for one resident. Resident #3, an insulin-dependent diabetic with a diabetic ulcer, did not receive ordered insulin or wound care due to failure to obtain physician orders and notify providers despite resident and staff requests. The resident self-administered insulin brought from home and was not assessed for self-administration. The facility acknowledged the failure and implemented audits and education to ensure compliance.

The State Agency is recommending that the facility be placed back in compliance effective 10/07/24. No deficiencies were cited in this revisit.

Complaint investigation CI MS #26594 and CI MS #26618 were conducted; no deficiencies were cited during this survey.

No deficiencies were cited during the survey, but the facility remains out of compliance with state licensure requirements due to deficiencies cited on the 08/29/24 survey.

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.

Complaint Investigations CI MS #26214, #26299 were investigated and deficiencies were cited. CI MS #26316 was investigated with no deficiencies cited.

The facility was found not in compliance with Medicare and Medicaid requirements and cited for multiple deficiencies including resident rights, care planning, ADL care, mobility, nutrition, medication storage, food quality, and snack provision.

Complaint Investigations (CI) MS #26214 and CI MS #26299 were substantiated with deficiencies cited (M635). CI MS #26316 was found in compliance.

The facility was found not in compliance with state licensure requirements with deficiencies cited at M500, M610, and M855 related to the annual recertification survey. The facility was also found not in compliance related to CI MS #26214 and CI MS #26299 with deficiency M635 cited. The facility was found in compliance with CI MS #26316.

The facility failed to report complete COVID-19 information to the CDC's NHSN during a required seven-day period, which has the potential to cause more than minimal harm to all residents.

Complaint CI MS#24003 alleged misappropriation of resident funds. The complaint was investigated and no deficiencies were cited.

The SA determined that the facility was in compliance with the standards for participation in Medicare and Medicaid and no deficiencies were cited.

Two complaint investigations were conducted for CI MS #23555 and CI MS #23630. The facility was found in compliance and no deficiencies were cited.

The facility was found in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm and no deficiencies were cited.

Complaint investigation CI MS #22273 involved an allegation of physical abuse of Resident #1 by CNA #1. The allegation was substantiated and deficiencies were cited.

F0600 - Free from Abuse and Neglect. The facility failed to ensure that one of three residents reviewed was protected from physical abuse when a CNA slapped a resident's hand during care. The facility investigated, suspended, and terminated the CNA and provided staff in-service on abuse and neglect.

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.

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.

The facility failed to report complete COVID-19 information to the CDC's NHSN during a seven-day period as required by regulation.

The State Agency is recommending that the facility be placed back in compliance effective 06/02/23. No deficiencies were cited in this desk review.

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.

The facility was found not in compliance with multiple requirements including resident rights, advance directives, grievance resolution, care planning, activities of daily living, accident hazards, and infection control. Immediate corrective actions and education were initiated to address these deficiencies.

The information provided by the facility confirmed the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm. The SA is recommending that your facility be placed back in compliance effective 06/02/23.

The facility was found in compliance with all emergency preparedness requirements. No deficiencies were cited.

The facility was found in compliance with all emergency preparedness requirements. No deficiencies were cited.

Complaint MS00020805 alleged quality of care issues related to turning and repositioning residents and failure to offer water; the complaint was not substantiated and no deficiencies were cited.

The facility was found in compliance with the Mississippi Regulations for Minimum Standards for Institutions for Aged or Infirm. The complaint regarding quality of care related to turning and repositioning residents and not offering water was not substantiated.

The facility was found to be in compliance with 42 CFR 483.73 related to E-0024 (b)(6).

Complaint MS00019790 alleged Quality of Care/Treatment Resident Safety/Falls, Quality of Care/Treatment Resident Left Wet For Extended Periods, Quality of Care/Treatment resident Not Groomed Adequately; the complaint was not substantiated and no deficiencies were cited.

The facility was found in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

CI MS #18850 regarding complaints of cold and non-palatable food, call lights not answered timely, no proper equipment for resident showers and toileting, pressure ulcers, and poor quality of care. The complaint was unsubstantiated and no deficiencies were cited.

The SA unsubstantiated abuse and neglect and no deficiencies were cited. The facility was determined to be in substantial compliance with the standards for participation in Medicare and Medicaid.

The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).

Complaint investigation for CI MS #18017, CI MS #18290, CI MS #18573, and CI MS #18675 found no substantiated noncompliance and no deficiencies cited.

The survey determined that the facility followed Medicare and Medicaid participation requirements and did not substantiate noncompliance for the complaints investigated. No deficiencies were cited.

The facility was found to be in compliance with 42 CFR 483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

The facility was found to be in compliance with 42 CFR 483.73 related to E-0024(b)(6).

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

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.

The facility was found not in compliance due to failures in following comprehensive care plans for respiratory care and improper storage of respiratory equipment, affecting multiple residents. The facility failed to store respiratory equipment properly to prevent contamination for six residents reviewed.

Complaint MS#15765 was investigated but not substantiated for quality of care related to skin impairments, with no citations related to the complaint.

The facility was found not in compliance with deficiencies cited for inaccurate resident assessments, failure to revise care plans timely, and failure to provide medications as ordered. The facility also failed to ensure the correct medication was administered to a resident.