Inspection Reports for
Diversicare of Tylertown

Complaint 2992632 was investigated related to infection control and quality of care. The SA determined the facility was in compliance with no deficiencies cited.

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

Four complaint investigations (CI MS #274765, CI MS #2749359, CI MS #2749335, and CI MS #2746686) related to nursing services, neglect, and quality of care were conducted; 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.

Four complaint investigations (CI MS #274765, CI MS #2749359, CI MS #2749335, and CI MS #2746686) related to nursing services, neglect, and quality of care were conducted; 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.

The SA is recommending that the facility be placed back in compliance effective 02/20/26. No deficiencies were cited in this desk review.

The facility was cited for deficiencies related to resident self-determination, professional standards in care, medication storage and labeling, and infection prevention and control. Issues included failure to inform residents of meal choices, lack of physician orders for flushing PEG tubes, unsecured medication storage, and improper infection control practices during wound care and medication administration.

Two deficiencies were cited related to medication storage and infection control. The facility failed to properly secure wound care supplies and medications, and failed to prevent infection risks during wound care and medication administration via PEG tube.

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.

The facility failed to ensure residents receiving meals in their rooms were informed of meal choices, failed to obtain physician orders for flushing PEG tubes, improperly secured medications and wound care supplies, and did not consistently follow infection prevention protocols during wound care and medication administration.

Complaint 2592288 was investigated related to neglect and quality of care and pressure ulcers. Complaint 2590269 was investigated regarding accidents/fall. Complaint 500452 was investigated related to abuse, neglect, quality of care and residents' rights. Complaint 2563104 was investigated related to neglect and quality of care. Complaint 2561790 was investigated related to resident left wet/soiled for extended period, neglect and quality of care. Complaint 500450 was investigated related to physical environment. Complaint 500451 was investigated related to resident left wet/soiled for extended period, quality of care and neglect. 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.

The facility was found to be in compliance with the applicable provisions of the 2012 Edition of the Life Safety Code as of 10/04/24.

The SA is recommending that your facility be placed back in compliance effective 10/18/24.

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 10/18/24.

CI MS #25630 investigated misappropriation of resident's trust funds. Deficiency F602 was cited related to this complaint.

The facility failed to ensure residents were free from misappropriation of funds for nine residents who have a resident trust fund. The investigation revealed fraudulent activity by the Business Office Manager involving cash withdrawals from resident trust accounts, with residents denying signatures or receipt of funds. The facility replaced the funds and took corrective actions including staff education and monitoring.

Complaint Investigation MS #25630 was for misappropriation of resident's trust funds and deficiencies were cited.

The facility was found not in compliance with state licensure requirements due to misappropriation of resident trust funds affecting nine residents. The facility conducted an internal investigation, replaced funds for discrepancies, and implemented corrective actions including staff education and monitoring.

The complaint investigation was substantiated, confirming misappropriation of funds for nine residents. The Business Office Manager was implicated and resigned. The facility reimbursed residents for the misappropriated amounts.

The facility failed to ensure residents were free from misappropriation of funds for nine of 30 residents with resident trust funds. An internal investigation revealed fraudulent cash withdrawals linked to the Business Office Manager, who resigned after the findings. The facility reimbursed residents for identified discrepancies and no negative outcomes were reported.

The facility was found deficient in providing appropriate perineal care to prevent urinary tract infections, ensuring tube feedings were administered as ordered, and maintaining infection control by improperly storing clean durable medical equipment in a biohazard room.

The facility was found deficient for failing to provide a remote manual stop station for the generator as required by NFPA 110 section 5.6.5.6, affecting all residents on the day of survey.

The facility was found deficient for failing to provide a remote manual stop station for the generator as required by NFPA 110 section 5.6.5.6. The deficiency affected all residents and was corrected by installation of the remote manual stop station on September 13, 2024.

The facility failed to report complete COVID-19 information to the CDC's National Healthcare Safety Network during a required seven-day period, potentially causing more than minimal harm to all residents.

Complaint Investigation MS #22194 regarding Resident Rights related to dialysis transportation and meals was investigated and found to have 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.

Complaint MS #22194 investigated Resident Rights regarding dialysis transportation and meals; the facility was found 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 MS #21772 for Abuse and Neglect was investigated 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. No deficiencies were cited.

Complaint MS #21772 for Abuse and Neglect was investigated and no deficiencies were cited.

The facility was found to be in compliance with Medicare and Medicaid requirements. No deficiencies were cited during the investigation.

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

The facility was found to have corrected the deficient practice and sustained compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 04/17/23.

Complaint Investigation MS #20259 for Abuse/Neglect was investigated and no deficiencies were cited.

The facility was found in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements. The SA investigated MS #20259 for Abuse/Neglect and cited no deficiencies.

Complaint MS #20259 was investigated for Abuse/Neglect and no deficiencies were cited.

The facility was found to have deficiencies in providing an ongoing resident-centered activities program for all sampled residents and failed to post required oxygen cautionary signage for one resident receiving oxygen. The complaint investigation found no deficiencies.

The facility failed to provide an ongoing resident-centered activities program during the absence of the Activity Director, affecting 9 sampled residents and potentially 49 residents overall. Additionally, the facility failed to post cautionary oxygen use signs for one resident receiving oxygen therapy.

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code. There were no Life Safety Code deficiencies cited during this survey.

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 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 not in compliance with Medicare and Medicaid requirements, citing deficiencies related to assessment accuracy, care plan revisions, respiratory care, medication errors, and food safety.

One deficiency was cited related to safe food handling procedures. The facility failed to prevent cross contamination of milk products by mixing expired milk with non-expired milk in the refrigerator.

The facility was found not in compliance with Medicare and Medicaid requirements. Deficiencies were cited related to resident rights and care plan timing and revision.