Inspection Reports for
Diversicare of Tupelo
2273 S. Eason Boulevard, Tupelo, MS, 38804
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
10 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
163% worse than Mississippi average
Mississippi average: 3.8 deficiencies/yearDeficiencies per year
24
18
12
6
0
Inspection Report
Complaint Investigation
Census: 32
Deficiencies: 1
Date: Jan 14, 2026
Visit Reason
The inspection was conducted following a complaint/allegation of sexual abuse involving Resident #56 touching Resident #14 inappropriately.
Complaint Details
The complaint was substantiated. Resident #56 was observed touching Resident #14 inappropriately. Resident #56 acknowledged the behavior and was placed on one-to-one supervision. Resident #14 was cognitively impaired and unable to recall the incident.
Findings
The facility failed to ensure a resident's right to be free from sexual abuse. Resident #56 was observed touching Resident #14's breast, and the facility initiated an investigation and placed Resident #56 on one-to-one supervision.
Deficiencies (1)
F 0600: The facility failed to protect residents from sexual abuse when Resident #56 touched Resident #14's breast. The incident was witnessed by staff and reported to the State Agency.
Report Facts
Residents in initial pool: 32
Residents affected: 1
BIMS score: 11
BIMS score: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse (LPN) #6 | Interviewed regarding the abuse incident and supervision of Resident #56 | |
| Social Worker | Interviewed Resident #56 and documented statements about the incident | |
| Director of Nursing | Interviewed about the incident and facility's responsibility to protect residents | |
| Certified Nurse Aide (CNA) #4 | Witnessed the abuse incident and reported it to nursing staff | |
| Dietary Staff #1 | Observed interactions between residents related to the incident |
Inspection Report
Routine
Deficiencies: 8
Date: Jan 14, 2026
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, and infection control at Diversicare of Tupelo nursing home.
Findings
The facility was found deficient in multiple areas including failure to notify the State Long-Term Care Ombudsman of resident transfers, incomplete and unimplemented care plans, inadequate assistance with activities of daily living, insufficient supervision for a resident with suicidal ideation, improper catheter care, lack of monitoring for anticoagulant medication effects, and failure to maintain infection prevention practices such as dating oxygen equipment and following enhanced barrier precautions.
Deficiencies (8)
F 0628: The facility failed to notify the State Long-Term Care Ombudsman of a resident's hospital transfer, not ensuring required notification procedures for one of four hospitalizations reviewed.
F 0656: The facility failed to implement comprehensive care plans for two residents, including lack of monitoring for bleeding in a resident on anticoagulants and failure to provide scheduled hair washing.
F 0657: The facility failed to revise a resident's care plan after a fall, omitting an intervention to keep the bed in a low position to prevent injury.
F 0677: The facility failed to provide activities of daily living care, specifically hair washing, according to a resident's assessed needs and care plan.
F 0689: The facility failed to ensure adequate supervision and monitoring for a resident expressing suicidal ideation, despite emergency room recommendations for psychiatric follow-up.
F 0690: The facility failed to perform catheter care correctly for a resident with an indwelling catheter, including improper cleaning sequence and not rinsing soap.
F 0757: The facility failed to ensure ongoing monitoring for adverse effects of anticoagulant medication for a resident, lacking orders to monitor for bleeding signs and symptoms.
F 0880: The facility failed to maintain oxygen equipment by not dating oxygen tubing and humidifier water bottles for two residents and failed to follow Enhanced Barrier Precautions by not wearing a gown during catheter care for a resident requiring it.
Report Facts
Residents sampled for care plan implementation: 28
Residents reviewed for catheter care: 6
Residents reviewed for medication monitoring: 5
Residents sampled for infection prevention: 29
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Confirmed failure to notify Ombudsman, lack of monitoring orders for anticoagulant, failure to revise care plan post-fall, expectation for hair washing, and infection control expectations. |
| Licensed Practical Nurse #4 | Licensed Practical Nurse | Confirmed oxygen tubing and water bottles were not dated and explained policy changes. |
| Certified Nurse Aide #4 | Certified Nurse Aide | Performed improper catheter care without gown and acknowledged the error. |
| Registered Nurse #1 | Registered Nurse | Confirmed resident's hair appeared unwashed. |
| Social Services | Social Services | Made referral for psychiatric follow-up and discussed resident behavior. |
| MDS Coordinator | MDS Coordinator | Confirmed hair washing included in care plan but lacked specific schedule. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Aug 11, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding a resident fall incident where staff allegedly failed to follow the resident's care plan requiring two-person assistance for bed mobility and toileting.
Complaint Details
The complaint investigation found that staff did not follow the required two-person assist for Resident #1, resulting in a fall with injury. The incident was substantiated by interviews with CNAs, the Director of Nursing, and the Administrator, as well as record reviews including the resident's Kardex and medical records.
Findings
The facility failed to ensure staff followed the resident's Kardex requiring two-person assistance, resulting in Resident #1 falling from the bed and sustaining actual harm including a skin tear, facial swelling, bruising, and a maxillary hematoma. Interviews and record reviews confirmed the failure to provide required assistance and subsequent injury requiring new pain medication.
Deficiencies (1)
F0689: The facility failed to ensure staff followed Resident #1's Kardex requiring two-person assistance for bed mobility and toileting. This failure caused Resident #1 to fall from the bed, sustaining a skin tear, facial swelling, bruising, and a maxillary hematoma requiring new pain medication.
Report Facts
Medication doses: 6
Medication dose: 1
Medication dosage: 50
Dates: Jul 25, 2025
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jun 18, 2025
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to provide timely pharmacy services and medications to residents admitted from the hospital.
Complaint Details
The complaint investigation found that Resident #1 and Resident #2 did not receive ordered antibiotics and respiratory medications timely after admission from the hospital. The facility acknowledged delays due to pharmacy delivery schedules and medication system start times. The issue was substantiated.
Findings
The facility failed to provide timely pharmacy services and administer ordered medications to two residents admitted from the hospital, resulting in missed doses of critical antibiotics and respiratory treatments. Interviews and record reviews confirmed delays in medication delivery from an offsite pharmacy and lapses in medication administration.
Deficiencies (1)
F 0755: The facility failed to provide pharmaceutical services to meet the needs of residents and employ or obtain the services of a licensed pharmacist. Two residents did not receive timely medications ordered by physicians upon admission.
Report Facts
Residents affected: 2
Date of survey completed: Jun 18, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | Licensed Practical Nurse | Interviewed regarding Resident #1's medication administration and condition. |
| Director of Nursing | Director of Nursing | Interviewed about medication delivery processes and acknowledged medication delays. |
| Administrator | Administrator | Interviewed and acknowledged facility failed to provide timely medications to residents. |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Jan 17, 2025
Visit Reason
The inspection was conducted to investigate complaints regarding the facility's failure to honor residents' rights to vote in the 2024 presidential election.
Complaint Details
The complaint investigation found that residents who expressed the desire to vote were not given the opportunity on election day. The Social Services staff failed to research the proper absentee ballot request process, and the facility did not assist residents adequately. The Administrator confirmed the failure to assist residents in exercising their voting rights.
Findings
The facility failed to ensure that residents who wished to vote were assisted properly, resulting in some residents not receiving absentee ballots or being taken to the polls. The Social Services staff and Administrator confirmed the facility did not provide adequate assistance for residents to exercise their voting rights.
Deficiencies (1)
F 0550: The facility failed to honor the residents' right to a dignified existence, self-determination, communication, and to exercise their rights by not assisting residents to vote in the 2024 election. Three of six sampled residents were unable to vote due to lack of assistance with absentee ballots or transportation to the polls.
Report Facts
Residents who desired to vote: 47
Residents who voted with absentee ballots: 9
Residents who voted at the poll: 4
Residents who declined to go to the poll: 6
Residents sampled for rights review: 6
Residents affected by deficiency: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services #1 | Social Services Staff | Confirmed failure to assist residents with voting and absentee ballot process |
| Administrator | Confirmed facility failed to ensure residents were assisted to vote |
Inspection Report
Deficiencies: 1
Date: Sep 19, 2024
Visit Reason
The inspection was conducted to assess compliance with resident rights and quality of life policies, specifically regarding honoring resident choices.
Findings
The facility failed to honor a resident's choice for sweet tea with meals for one of twenty-two sampled residents. Observations and interviews confirmed the resident repeatedly received unsweetened tea despite meal tickets indicating sweetened tea.
Deficiencies (1)
F 0561: The facility failed to honor Resident #44's choice for sweet tea with meals, providing unsweetened tea despite meal tickets indicating sweetened tea. This issue was confirmed by observation, resident and staff interviews, and policy review.
Report Facts
Residents sampled: 22
Assessment Reference Date: Jul 1, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Dietary Manager | Interviewed regarding meal preparation and resident preferences |
Inspection Report
Annual Inspection
Deficiencies: 16
Date: Sep 19, 2024
Visit Reason
Annual recertification survey and complaint investigation of Diversicare of Tupelo nursing home.
Findings
The facility was cited for multiple deficiencies including failure to maintain resident dignity related to uncovered urinary catheter bags, failure to inform residents of council meetings and resolve grievances, incomplete advance directives, privacy violations, unsafe environment hazards, incomplete background checks, incomplete and unimplemented care plans, medication administration and storage errors, inadequate infection control practices, and ineffective quality assurance and performance improvement.
Deficiencies (16)
F 0550: The facility failed to maintain resident dignity by leaving urinary catheter bags uncovered for two residents, Resident #52 and Resident #190.
F 0565: The facility failed to ensure residents were informed about resident council meetings and failed to resolve grievances related to food complaints for multiple residents.
F 0578: The facility failed to ensure advance directives were addressed or correct for three residents, including Resident #43, Resident #63, and Resident #84.
F 0583: The facility failed to keep resident personal and medical records confidential when a medication cart was left unattended with visible resident information.
F 0584: The facility failed to maintain a clean and safe environment, evidenced by a dirty wheelchair for Resident #71 and exposed electrical wires on Resident #12's bed control.
F 0606: The facility failed to ensure a new employee had a background check completed within two years prior to hire.
F 0656: The facility failed to implement comprehensive care plans related to activities of daily living for Residents #22, #58, and #59, including smoking safety and nail care.
F 0657: The facility failed to revise and update Resident #33's care plan to include a raised perimeter air mattress used for fall prevention.
F 0658: The facility failed to follow nursing standards of practice for Resident #20 with incomplete documentation of intravenous antibiotic administration.
F 0677: The facility failed to provide necessary assistance with activities of daily living for Residents #7, #58, and #59, including incontinent care and nail care.
F 0689: The facility failed to ensure a resident environment free from accident hazards, evidenced by smoking paraphernalia in Resident #22's room and medications left at bedside for Resident #34.
F 0700: The facility failed to properly assess and obtain consent for bed rails for Residents #33 and #60, and failed to correctly install and maintain bed rails.
F 0761: The facility failed to ensure medications were stored securely in locked medication carts or storage rooms, with medications left unattended on carts.
F 0804: The facility failed to serve food that met residents' choices and failed to serve food in an attractive and palatable manner for Residents #20, #27, #43, and #50.
F 0835: The facility failed to administer in a manner that allowed effective use of resources, with repeated deficiencies and ineffective follow-up on quality assurance measures.
F 0880: The facility failed to fully implement Enhanced Barrier Precautions (EBP) and infection control measures, including failure to don gowns during care and improper disposal of soiled items.
Report Facts
Residents affected: 2
Residents affected: 7
Residents affected: 3
Residents affected: 22
Residents affected: 4
Residents affected: 11
Medication carts: 4
Residents reviewed: 22
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #2 | Licensed Practical Nurse | Left medications unsecured on medication cart |
| RN Unit Manager | Registered Nurse Unit Manager | Responsible nurse for undocumented IV antibiotic administration |
| Administrator | Administrator | Interviewed regarding multiple deficiencies and quality assurance |
| Director of Nursing | Director of Nursing | Interviewed regarding multiple deficiencies and infection control |
| Assistant Director of Nurses | Assistant Director of Nurses | Interviewed regarding catheter bag privacy and background check |
| Certified Nurse Assistant #7 | Certified Nurse Assistant | Observed incontinent care failure |
| Licensed Practical Nurse #6 | Licensed Practical Nurse | Failed to don gown during Enhanced Barrier Precautions |
| Registered Nurse #1 | Registered Nurse | Left medication cards unattended on medication cart |
Inspection Report
Complaint Investigation
Deficiencies: 3
Date: Jun 12, 2024
Visit Reason
The inspection was conducted based on a complaint alleging that a resident was not treated with dignity when requesting assistance with toileting and that care plans for activities of daily living were not properly implemented for certain residents.
Complaint Details
The complaint was substantiated. Resident #1 was denied toileting assistance and told to use her brief instead. Care plans for Residents #1 and #8 were not followed regarding shaving and oral care.
Findings
The facility failed to ensure dignity for Resident #1 when staff refused toileting assistance. Additionally, the facility failed to implement care plans related to shaving and oral care for Residents #1 and #8, resulting in unmet personal hygiene needs.
Deficiencies (3)
F 0557: The facility failed to honor Resident #1's right to dignity by refusing toileting assistance when requested, resulting in the resident being told to use her brief instead of being helped to the bathroom.
F 0656: The facility failed to implement Activities of Daily Living care plans for Residents #1 and #8, including failure to remove facial hair as scheduled and provide oral care.
F 0677: The facility failed to provide oral care for Resident #8 and failed to shave Residents #1 and #8 as required, despite care plans specifying these needs.
Report Facts
Residents reviewed: 8
Residents affected: 2
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #1 | Certified Nursing Assistant | Refused toileting assistance to Resident #1 |
| LPN #1 | Licensed Practical Nurse | Acknowledged CNA #1 should have assisted Resident #1 and reported incident to DON |
| DON | Director of Nursing | Confirmed refusal to assist Resident #1 was unacceptable and care plans were not followed for Residents #1 and #8 |
| Administrator | Facility Administrator | Stated refusal to assist Resident #1 was unacceptable |
| LPN #2 | Licensed Practical Nurse | Confirmed facial hair and oral care deficiencies for Residents #1 and #8 and planned corrective actions |
| CNA #2 | Certified Nursing Assistant | Described responsibilities for mouth care and shaving, confirmed lack of assistance to Resident #8 |
| CNA #3 | Certified Nursing Assistant | Assigned to Resident #8, confirmed no mouth care provided |
| CNA #4 | Certified Nursing Assistant | Confirmed shaving and mouth care responsibilities during baths/showers |
Inspection Report
Complaint Investigation
Deficiencies: 2
Date: Feb 8, 2024
Visit Reason
The inspection was conducted due to a complaint regarding inadequate care for Resident #1, specifically failure to provide scheduled baths and proper nail care.
Complaint Details
The complaint involved failure to provide scheduled baths and proper nail care for Resident #1. The complaint was substantiated based on observations, interviews, and record reviews confirming missed care and inadequate implementation of the care plan.
Findings
The facility failed to implement a comprehensive care plan for Resident #1, resulting in missed baths and improperly clipped fingernails that caused skin indentations and a foul odor. Documentation confirmed missed baths on four days in January 2024, and staff interviews acknowledged lapses in care.
Deficiencies (2)
F 0656: The facility failed to develop and implement a complete care plan that meets all the resident's needs, including timely and measurable actions. Resident #1's care plan was not followed, as her fingernails were not clipped and she missed scheduled baths.
F 0677: The facility failed to provide care and assistance for activities of daily living, including scheduled baths and nail care for Resident #1. Missed baths and long fingernails caused skin indentations and a foul odor.
Report Facts
Missed bath days: 4
Residents reviewed: 9
Fingernail length: 0.5
BIMS Score: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Licensed Practical Nurse #1 | LPN | Confirmed long fingernails causing indentations and foul odor in Resident #1's hand. |
| Administrator | Acknowledged missed baths and long fingernails could cause wounds and confirmed care plan was not followed. | |
| Director of Nursing | DON | Confirmed that missed baths and unclipped fingernails indicated care plan was not followed and resident was not receiving needed care. |
| Certified Nursing Assistant #1 | CNA | Stated that sometimes baths or showers get missed due to workload. |
Inspection Report
Routine
Deficiencies: 6
Date: Jun 22, 2023
Visit Reason
The inspection was conducted as a routine survey to assess compliance with regulatory requirements and investigate resident grievances and care concerns.
Findings
The facility was found deficient in maintaining call lights within residents' reach, timely resolution of resident grievances, providing adequate personal care including nail and shower care, securing smoking materials, timely incontinent care, and staffing levels sufficient to meet resident needs. Multiple residents reported ongoing issues with call light response times and unresolved grievances.
Deficiencies (6)
F 0558: The facility failed to maintain call lights within reach for two residents, Resident #6 and Resident #20, impeding their ability to summon assistance.
F 0565: The facility failed to resolve resident grievances in a timely manner for five residents, including complaints about slow call light response and missing clothing.
F 0677: The facility failed to provide adequate personal care, including nail trimming and showering, for two residents, Resident #25 and Resident #30.
F 0689: The facility failed to ensure safety by not securing smoking materials for one resident, Resident #57, who had cigarettes and a lighter accessible.
F 0690: The facility failed to provide timely incontinent care to Resident #6, resulting in prolonged exposure to wet briefs.
F 0725: The facility failed to provide enough nursing staff to meet resident needs for four days of the survey, contributing to delayed care and call light responses.
Report Facts
Residents reviewed: 26
Residents reviewed: 17
Smokers in facility: 18
Incontinent residents: 67
Days of staffing shortage: 4
Call light complaints: 5
BIMS scores: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing (DON) | Confirmed Resident #6 needed a touch pad call light and acknowledged care deficiencies | |
| Administrator (ADM) | Observed call light accessibility issues and acknowledged ongoing staffing and grievance issues | |
| Certified Nurse Assistant (CNA) #1 | Confirmed Resident #30 did not receive scheduled shower and admitted to incorrect documentation | |
| Certified Nurse Assistant (CNA) #3 | Confirmed Resident #6's call light was on the floor and assisted with incontinent care | |
| Certified Nurse Assistant (CNA) #4 | Reported difficulty controlling cigarettes and lighters among residents | |
| Workforce Scheduler | Reported staffing shortages and difficulty covering call-in shifts | |
| Social Services | Acknowledged ongoing complaints about call light response and grievance resolution delays | |
| Human Resources Coordinator | Reported hiring challenges and high number of PRN CNAs |
Report
June 22, 2023
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