Diversicare of Batesville

Inspectors wroteBased on observation, staff and resident interviews, record review, and facility policy review, the facility failed to ensure a resident was free from neglect as evidenced by not ensuring the availability of a functioning total mechanical lift or alternative transfer method for one (1) of 36 residents that required the use of a total lift. (Resident #96) Findings Include: Review of the facility policy titled, Abuse, Neglect, Misappropriation, Exploitation Policy, effective January 2019, revealed under Purpose .To prohibit and prevent abuse, neglect .Neglect: Failure of the center, its team members .to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish or emotional distress . [...]

Inspectors wroteBased on resident and staff interviews, record review, and facility policy review, the facility failed to promote dignity for two (2) of 35 residents in the sample. (Resident's #44 and #106)

Inspectors wroteBased on staff interviews, record review and review of the facility's dialysis contract, the facility failed to assess and document the presence of a bruit and thrill at the dialysis access site as part of routine monitoring as ordered for one (1) of four (4) dialysis residents reviewed:

Inspectors wroteBased on observation, staff interview, and facility policy review, the facility failed to ensure medications on the treatment cart were locked and secured for one (1) of five (5) medication /treatment carts observed.

Inspectors wroteBased on staff interview, record review and facility policy review, the facility failed to ensure a timely evaluation by therapy services after a referral was made for one (1) of 35 sampled residents. Resident #22.

Inspectors wroteBased on staff interviews, record review, and facility policy review, the facility failed to maintain proper infection control practices for one (1) of 35 sampled residents. (Resident #106) Findings Include Review of the facility policy titled, Policies and Practices-Infection Control, effective date November 1, 2017, revealed: Policy Statement: This center's infection control policies and practices are intended to facilitate maintaining a safe, sanitary, and comfortable environment and to help manage the transmission of diseases . On 6/9/25 at 10:10 AM an observation of Resident #106's room revealed a Wound VAC (Vacuum-Assisted Closure) on the bedside nightstand next to the resident's bed, half full of dark, thick serous drainage, with a foul odor noted. The drainage container was visible from the doorway of the room and was not in use. [...]

Inspectors wroteBased on resident and staff interview, record review, and facility policy review, the facility failed to put safety measures in place to prevent an accident during van transport for one (1) of five (5) residents reviewed.

Inspectors wroteBased on observation, resident and staff interviews, record review, and facility policy review, the facility failed to complete and document a resident self-administration of medications evaluation for one (1) of 1 resident reviewed for self-administration of medications. (Resident # 28) Findings Include: Record review of the facility policy revealed that the facility has adopted Clinical Nursing Skills and Techniques, [NAME] & Potter as supplementary policy and procedure. A record review of Clinical Nursing Skills and Techniques, Skill 44.6, Teaching Medication Self-Administration , page 1133 revealed Assessment .2. Assess the client's cognitive, sensory, and motor function .4. Assess client's learning readiness and ability to concentrate .and learning style preference . [...]

Inspectors wroteBased on resident, staff interview, record review and facility policy review the facility failed to report an accident involving the transport van which resulted in a major injury to a resident for one (1) of 34 sampled residents.

Inspectors wroteBased on resident, family and staff interview, record review and facility policy review the facility failed to provide written notification to the resident or resident representative regarding bed hold when the resident was sent to the hospital for an evaluation for two (2) of five (5) residents reviewed for hospitalization.

Inspectors wroteBased on record review, staff interviews and facility policy review, the facility failed to accurately code the Minimum Data Set (MDS) assessments for three (3) of 28 assessments reviewed. Resident #3, Resident #13 and Resident #99

Inspectors wroteBased on staff interviews and record review, the facility failed to submit a change in status referral for a Level II resident review for a resident who was hospitalized for a psychiatric condition which resulted in orders for an additional psychotropic medication for one (1) of seven (7) residents reviewed for Pre-admission Screening and Resident Review (PASARR). (Resident # 3). Findings Include: Review of a statement on facility letterhead signed by the Administrator and undated revealed, PASSAR .(Proper Name of Facility) follows the Mississippi Division of Medicaid's PASARR requirements as attached. Record review of the attached document, titled Mississippi PASARR Identifying Status Change revealed . User's Manual provides guidance .of Potential Change in Status indicators which may .require submission of a Resident Review (Status Change in MS). [...]

Inspectors wroteBased on observation, record review, resident interview, staff interview and facility policy review the facility failed to develop and implement a care plan for a resident who was self- administering medications (Resident #28) failed to implement a care plan for activities of daily living (ADL) care for (Resident #48 and #44) and failed to implement a care plan for fluid restriction (Resident #12) for four (4) of 28 care plans reviewed.

Inspectors wroteBased on observation, resident , family, and staff interviews, record review, and facility policy review, the facility failed to provide oral care for a resident (Resident # 44) and failed to shave a resident (Resident #48) for two (2) of 28 residents reviewed for activities of daily living (ADL's).

Inspectors wroteBased on observation, staff interview, record review and facility policy review the facility failed to ensure a resident on fluid restriction was monitored for one (1) of 13 residents on fluid restriction. Resident #12.

Inspectors wroteBased on staff interview and record review the facility failed to a provide a stop date on a psychotropic as needed (PRN) medication for one (1) of four (4) residents reviewed for unnecessary psychotropic medication use. Resident 68. Findings Include: A record review of a document titled, Med Tip, Improving Quality Outcomes, provided by the facility, revealed New Guidance Around PRN Psychotropic Medications .prn psychotropic medications are ordered for no more than 14 days . A record review of Resident # 68's Hospice Physician's Order revealed an order for Lorazepam Oral Concentrate 2 (two) milligrams per milliliter (mg/ml) Give 0.25 ML by mouth every six (6) hours as needed for agitation and restlessness with an onset date of 11/20/23 and no stop date. [...]

Inspectors wroteBased on observation, staff interview and facility policy review, the facility failed to maintain clean and sanitary kitchen appliances, as evidenced by buildup in icemaker and oven, for 1 of 2 kitchen tours.

Inspectors wroteBased on observations, staff and waste removal company interviews, record reviews, and policy reviews, the facility failed to provide a sanitary environment as evidenced by 2 overflowing garbage dumpsters that was visible on entry to the facility parking lot for 2 of 2 garbage dumpsters observed. Findings Include. Review of the facility policy titled Waste Control with a revision date of 08-01-2012 revealed under Policy .It is the policy of this facility to store garbage and trash in a sanitary manner until disposed of properly for infection control. This review revealed under Procedure # 3 .Trash should be discarded in the dumpster frequently and at least at the end of each shift. The dumpster must be kept closed at all times when not in use, # 4 .The dumpster should be emptied per facility contract with the waste removal company. [...]