Inspection Reports for
Diversicare of Southaven
1730 Dorchester Drive, Southaven, MS, 38671
Back to Facility Profile12 CMS Surveys
Inspection Report — Jul 1, 2025
Annual Inspection
Date: Jul 1, 2025
Visit Reason
The State Agency conducted an annual recertification survey at the facility.
Findings
The facility was found to have multiple deficiencies including failure to maintain a safe and homelike environment, incomplete care plans, failure to perform required nail care, inaccurate staffing data submission, and failure to implement infection prevention protocols.
Deficiencies (5)
F0584 - The facility failed to maintain a clean, safe, and homelike environment in one resident room with visible water damage and possible mold growth due to a leaking roof.
F0656 - The facility failed to implement a comprehensive care plan for nail care for one resident.
F0677 - The facility failed to perform nail care for a resident requiring assistance with activities of daily living.
F0851 - The facility failed to submit accurate Payroll-Based Journal staffing data for the 2nd quarter of 2025 due to manual entry errors.
F0880 - The facility failed to use Enhanced Barrier Precautions for a resident with a peripherally inserted central catheter, increasing the risk of infection.
Report Facts
Deficiencies cited: 5
Inspection Report — May 22, 2024
Annual Inspection
Date: May 22, 2024
Visit Reason
The State Agency conducted an annual recertification survey at the facility from 05/19/2024 through 05/21/2024.
Findings
The facility was found to have multiple deficiencies including failure to maintain a safe, clean environment, inaccurate resident assessments, incomplete care plans, failure to follow physician orders for enteral feeding, and inaccurate staffing data submission.
Deficiencies (5)
F0584 - The facility failed to provide blinds or window coverings in good repair for one of 60 resident rooms observed, with broken slats creating an opening.
F0641 - The facility failed to accurately complete section P of the Minimum Data Set for one of four residents with a wander alert bracelet.
F0656 - The facility failed to implement a comprehensive care plan for a resident receiving enteral feeding and failed to develop a care plan for a resident receiving antipsychotic medication for two of nineteen care plans reviewed.
F0693 - The facility failed to ensure a resident with a feeding tube received enteral feeding according to the physician's order, resulting in risk for dehydration, weight loss, and malnutrition.
F0851 - The facility failed to submit accurate staffing information into the Payroll-Based Journal system for the first quarter of 2024, due to exclusion of salaried management personnel hours.
Report Facts
Deficiencies cited: 5
Inspection Report — Jan 5, 2023
Date: Jan 5, 2023
Visit Reason
The survey documents a failure to refer a resident to the appropriate agency for a Level II Preadmission Screening and Resident Review (PASARR) following an inpatient Geri-psych admission with a new psychiatric diagnosis and new psychiatric medications for one of four sampled residents.
Findings
F0644 - The facility failed to submit a Change in Status Form for Resident #16 after an inpatient Geri-psych admission with a new diagnosis of Schizophrenia and new psychiatric medications, potentially preventing the resident from receiving a Level II screen for additional mental health services.
Deficiencies (1)
F0644 - The facility failed to submit a Change in Status Form for Resident #16 after an inpatient Geri-psych admission with a new diagnosis of Schizophrenia and new psychiatric medications, potentially preventing the resident from receiving a Level II screen for additional mental health services.
Report Facts
Deficiencies cited: 1
CMS Survey — Nov 2, 2023
Nov 2, 2023
CMS Survey — Mar 20, 2024
Mar 20, 2024
CMS Survey — Apr 9, 2024
Apr 9, 2024
CMS Survey — May 8, 2024
May 8, 2024
CMS Survey — Mar 20, 2025
Mar 20, 2025
CMS Survey — Mar 26, 2025
Mar 26, 2025
CMS Survey — Jul 27, 2022
Jul 27, 2022
CMS Survey — Nov 2, 2023
Nov 2, 2023
CMS Survey — Mar 20, 2025
Mar 20, 2025
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