Inspection Reports for
Diversicare of Moss Point

Complaint Investigation MS #3063455 and MS #3092894 were investigated for nursing services, quality of care/treatment, discharge rights, infection control, quality of care, and abuse. The facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint Investigation MS #3063455 and MS #3092894 were conducted for nursing services, quality of care/treatment, discharge rights, infection control, quality of care, and abuse. 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 for participation in Medicare and Medicaid and there were no deficiencies cited.

The State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement and recommends the facility be placed back in compliance effective 5/21/26.

The State Agency found the facility to be in compliance with the requirements of participation in Medicare and Medicaid and recommends the facility be placed back in compliance effective 5/21/26.

Multiple complaint investigations were conducted regarding resident abuse, pain management, quality of care, and residents' rights. Deficiencies were cited for CI MS# 2991541 (quality of care and resident rights) and CI MS# 2988331 (residents' rights for means of private communication). Other complaints were investigated with no citations.

The facility was found not in compliance with Medicare and Medicaid participation requirements due to failures in ensuring residents' rights to private communication and providing adequate assistance with activities of daily living for dependent residents.

Complaint Investigations CI MS# 2978133, CI MS# 2968120, CI MS# 2969903 regarding resident abuse, CI MS# 2974749 regarding pain management, and CI MS# 2976551 regarding quality of care were investigated with no citations. CI MS# 2991541 regarding quality of care and resident rights resulted in citation M610. CI MS# 2988331 regarding residents' rights for means of private communication resulted in citation M500.

The facility was found not in compliance with state licensure requirements due to failure to ensure residents' rights to private telephone communication and failure to provide assistance with activities of daily living for two sampled residents.

The facility was found to be in compliance with all applicable Life Safety Code and Emergency Preparedness requirements. No deficiencies were cited during this survey.

CI MS#2693700 was investigated for resident rights related to room changes. The SA determined the facility was in compliance with no deficiencies cited.

The survey determined the facility was in compliance with the requirements of participation in Medicare and Medicaid and there were no deficiencies cited.

Complaint CI MS #2693700 investigated resident rights related to room changes; the complaint was not substantiated as no deficiencies were cited.

The SA determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint Investigations MS #2561871, MS #504146, and MS #504152 were conducted related to resident rights, quality of care, call bells not answered, activities of daily living not performed timely, missed follow-up appointments, physical environment, medical records, dietary services, resident left wet, resident not groomed/turned, and a missing wheelchair. The facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint investigations MS #2561871, MS #504146, and MS #504152 were conducted related to multiple concerns including resident rights, quality of care, call bells, physical environment, medical records, dietary services, and resident care issues. 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 for participation in Medicare and Medicaid and there were no deficiencies cited.

CI MS#28426 was investigated related to resident left wet, call bell not answered, and water not offered. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

CI MS#28426 was investigated related to resident left wet, call bell not answered, and water not offered. The SA determined the facility was in compliance with no deficiencies cited.

The survey determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Five complaint investigations (MS #27513, MS #27842, MS #27843, MS #27936, and MS #27956) were conducted covering quality of care, neglect, nursing services, resident left wet, call bells, missing clothes, injury, falls, and notification issues. 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 for participation in Medicare and Medicaid, and there were no deficiencies cited related to the investigations.

Five complaint investigations were conducted covering quality of care, neglect, nursing services, resident left wet, call bells, missing clothes, injury, falls, and notification issues. The facility was found in compliance with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement and there were no deficiencies cited.

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 01/06/25.

The State Agency is recommending that the facility be placed back in compliance effective 01/06/25. No deficiencies were cited in this desk review.

Complaint Investigation (CI), MS #26776, was investigated for resident abuse, resident safety, and quality of life and there were no deficiencies cited related to the complaint.

The facility was found not in compliance with several requirements including failure to provide written transfer and bed hold notices, failure to timely submit MDS discharge assessments, incomplete care plans for PTSD and enhanced barrier precautions, food safety violations, and failure to implement infection control precautions for a resident at high risk for MDRO.

Complaint Investigation (CI), MS #26776, was investigated for resident abuse, resident safety, and quality of life and there were no deficiencies cited related to the complaint.

The facility was found not in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements, with deficiencies cited for safe food handling procedures and infection control.

The facility failed to provide timely written notifications to residents and representatives regarding transfers and bed hold policies for three residents. One discharge MDS was not submitted timely. Care plans lacked specific PTSD triggers and failed to implement enhanced barrier precautions for two residents. Food safety violations were observed including unlabeled and exposed foods and an unclean ice machine. Infection control practices were not followed as an occupational therapist failed to wear a gown while providing care to a resident requiring enhanced barrier precautions.

No deficiencies were cited during this survey.

Complaint number CI MS #24811 was investigated related to abuse. The facility was found in compliance with no deficiencies cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

CI MS#24811 was investigated related to abuse. The SA determined the facility was in compliance with no deficiencies cited.

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

Complaint number CI MS #23451 was investigated related to quality of care, not scheduling physician appointments. The SA determined the facility was in compliance with no deficiencies cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

CI MS #23451 was investigated related to quality of care, not scheduling physician appointments. The SA determined the facility was in compliance with no deficiencies cited.

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

Complaint CI MS#22688 was investigated related to medications not given as prescribed and roaches in the facility. The complaint was not substantiated as no deficiencies were cited.

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

CI MS#22688 was investigated related to medications not given as prescribed and roaches in the facility. The SA determined the facility was in compliance with no deficiencies cited.

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

Complaint number CI MS#22276 was investigated related to complaints of body odor, not groomed, discharge rights, accidents, and over sedated. The complaint was determined to be unsubstantiated with no deficiencies cited.

The surveyor determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

CI MS#22276 was investigated related to body odor, residents not groomed, discharge rights, accidents, and residents over sedated. 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 for participation in Medicare and Medicaid, and there were no deficiencies cited.

The facility remains out of compliance with Medicare and Medicaid participation requirements due to deficiencies cited on the 4/13/23 survey. No new deficiencies are detailed in this follow-up report.

The State Agency found the corrective measures put in place by the facility corrected the deficiencies cited on the 04/13/23 survey effective 5/22/23 and is recommending the facility be placed in substantial compliance with the Minimum Standards for Institutions for the Aged or Infirm.

CI MS#21546 investigated for Accidents/Safety involving Resident #1 eloping from the facility. The complaint was substantiated with deficiencies cited.

The facility failed to provide adequate supervision to prevent Resident #1, an identified elopement risk, from exiting the facility unnoticed through a malfunctioning exit door. Immediate Jeopardy was identified but removed after corrective actions were implemented.

The complaint investigation was substantiated. Resident #1, an identified elopement risk, exited the facility unnoticed on 5/14/2023 due to a malfunctioning door alarm and locking mechanism. The facility implemented a Removal Plan and corrective actions, which were validated and the immediate jeopardy was removed on 5/18/2023.

The facility failed to provide adequate supervision and maintain proper door security, allowing Resident #1 to elope unnoticed for approximately 10 minutes. The exit door alarm and locking mechanism were not functioning properly, placing residents at risk of serious injury or death. Immediate corrective actions and systemic changes were implemented, including staff education, door repairs, and monitoring.

Complaint Investigation MS #21192 involved allegations of resident abuse. The SA determined the facility was in compliance with no deficiencies cited during the investigation.

The facility was found not in compliance with participation requirements due to unresolved Resident Council grievances related to food concerns and improper food storage and handling practices in the kitchen.

The complaint was substantiated based on observations, interviews, and record reviews confirming unresolved grievances about food quality and improper food storage practices.

The facility failed to resolve Resident Council grievances related to food concerns for nine residents. Additionally, the facility failed to properly seal dry goods, label and date refrigerated foods, and remove expired foods during kitchen observations.

The facility was found deficient in maintaining proper documentation for the annual testing of the fire alarm system, fire drills for certain shifts, and the annual inspection of the emergency generator. These deficiencies potentially affected all residents in the facility.

The facility failed to properly document the annual inspection of the generator for calendar year 2022, which had the potential to affect the entire facility. The Administrator and Maintenance Supervisor acknowledged the finding during the exit interview.

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

Complaint Investigation MS #20859 involved allegations of falsification of medical records and residents not groomed adequately. Complaint Investigation MS #21010 involved allegations of resident body odor, inadequate grooming, facility cleanliness, untimely resident repositioning, and lack of pressure sore precautions. Both complaints were found to be unsubstantiated with no deficiencies cited.

During the survey, the State Agency determined the facility was in compliance with the requirements for participation in Medicare and Medicaid and there were no deficiencies cited. The facility was also in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement.

Complaint number CI MS#19951 was unsubstantiated for protection of privacy or failure to follow physician orders and no deficiencies were cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm. No deficiencies were cited.

Complaint CI #19951 alleged protection of privacy or failure to follow physician orders; it was unsubstantiated and no deficiencies were cited.

The survey determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint Investigation MS #19267, MS #19451, MS #19513, and MS #19514 were not substantiated and no deficiencies were cited.

The facility was found in compliance with the Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements. No deficiencies were cited.

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

Complaint Investigation (CI), MS #19267, MS #19451, MS #19513, and MS #19514 were investigated and not substantiated. The facility was found in compliance with Medicare and Medicaid participation requirements and infection control regulations.

The facility was found to be in compliance with infection control regulations and CMS and CDC recommended practices to prepare for COVID-19. No deficiencies were cited during the complaint investigations.

Complaint number CI #17901 was investigated and found to have no deficiencies cited; the facility was in compliance.

The facility was found in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm, state licensure requirements. There were no deficiencies cited by the SA.

CI #17901 was investigated and not substantiated due to lack of evidence of deficient quality of care or neglect.

The facility was found in compliance with Medicare and Medicaid requirements. No deficiencies were cited by the State Agency.

Complaint investigations CI MS# 17210 and CI MS# 17841 were conducted and found no deficiencies; the facility was in compliance.

The SSA determined the facility was in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm, and cited no deficiencies.

Complaint investigations CI MS# 17841 and CI MS# 17210 regarding Quality of Care/Treatment and physical environment were not substantiated due to lack of evidence. No deficiencies were cited.

The SSA determined the facility was in compliance with the requirements of participation in Medicare and Medicaid. No deficiencies were cited.

The document contains no deficiencies; the facility was found in compliance.

CI MS #17664. The complaint investigation found the facility in substantial compliance with no deficiencies cited.

The facility was found in substantial compliance with no deficiencies cited during this complaint investigation.

CI #17664 substantiated for failure to allow residents the right to make financial decisions regarding burial policy upgrades; deficiencies cited.

The facility failed to obtain resident or responsible party permission to upgrade or purchase burial policies for three of seventeen sampled residents. The Administrative Assistant, acting as Representative Payee, purchased burial policy upgrades without proper consent, spending significant resident funds without authorization. The facility acknowledged the issue and implemented corrective actions including audits, in-services, and new oversight procedures.

CI MS#17664 involved allegations that the facility failed to obtain permission to purchase burial policy upgrades for residents. The complaint was substantiated with deficiencies cited.

F0602 - The facility failed to obtain resident or responsible party permission to upgrade or purchase burial policies for three of seventeen sampled residents and two unsampled residents, resulting in unauthorized use of resident funds totaling over $54,000. The Administrative Assistant, acting as Representative Payee, purchased burial policy upgrades without proper consent, and the facility lacked appropriate oversight and authorization procedures.

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.

CI MS #16590: Unsubstantiated with no deficiencies cited for Resident Rights related to Resident Not Treated With Dignity. CI MS #16643: Unsubstantiated with no deficiencies cited for Quality of Care, Misappropriation of Property related to Resident Personal Items. CI MS #16777: Unsubstantiated with no deficiencies cited for Quality of Care related to Resident Safety.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19. The complaint investigations were unsubstantiated with no deficiencies cited.

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

CI MS #16590: Unsubstantiated with no deficiencies cited for Resident Rights related to Resident Not Treated With Dignity. CI MS #16643: Unsubstantiated with no deficiencies cited for Quality of Care, Misappropriation of Property related to Resident Personal Items. CI MS #16777: Unsubstantiated with no deficiencies cited for Quality of Care related to Resident Safety.

The facility was found in compliance with the Minimum Standards for State Licensure Requirements for nursing homes. No deficiencies were cited for any of the three complaints investigated.

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 survey found multiple deficiencies including failure to assist residents to vote, unresolved grievances, failure to notify parties of hospital transfers, failure to provide bed hold notices, inaccurate MDS coding for hospice, failure to follow care plans for catheter and feeding tube care, and lack of a qualified social worker for a facility licensed for more than 120 beds.

The facility was found deficient in multiple areas including failure to assist residents to vote, unresolved grievances, failure to notify residents and representatives of hospital transfers and bed hold notices, inaccurate coding of Minimum Data Set assessments related to hospice, failure to follow care plans for catheter and enteral feeding pump care, and lack of a licensed social worker for the licensed bed capacity.

Complaint investigation CI MS #15928, CI MS #15966, CI MS #15992, and CI MS #16044 were unsubstantiated with no deficiencies cited.

The result of the investigation was unsubstantiated with no deficiencies cited.

The facility was found not in compliance with Medicare and Medicaid requirements, with deficiencies cited in resident rights, abuse prevention, assessment accuracy, care planning, dialysis, food safety, garbage disposal, and infection control.