A list of the most recent deficiencies for Diversicare of Foley. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-15 | 2023-07-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-15 | 2023-07-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-15 | 2023-07-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-19 | 2023-07-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-19 | 2023-07-12 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-06-19 | 2023-07-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-19 | 2023-07-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-19 | 2023-07-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-19 | 2023-07-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-03 | 2022-03-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-03 | 2022-03-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-03 | 2022-03-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-03 | 2022-03-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-27 | 2021-09-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-27 | 2021-09-14 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-06-04 | 2021-07-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-06-04 | 2021-06-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-10 | 2019-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-03 | 2019-11-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-03 | 2019-11-07 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-10-03 | 2019-11-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-03 | 2019-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-03 | 2019-11-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-03 | 2019-11-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-03 | 2019-11-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-03 | 2019-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-03 | 2019-11-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-03 | 2019-11-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-04 | 2018-09-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-04 | 2018-09-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-04 | 2018-09-04 | N |
| Respond appropriately to all alleged violations. | Health | 2018-08-04 | 2018-09-04 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-08-04 | 2018-09-04 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-08-04 | 2018-09-04 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2018-08-04 | 2018-09-04 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-08-04 | 2018-09-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-08-04 | 2018-09-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-07-17 | 2018-07-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-17 | 2018-07-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-07-17 | 2018-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-17 | 2018-07-24 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-07-17 | 2018-07-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-17 | 2018-07-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-17 | 2018-07-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-17 | 2018-07-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-17 | 2018-07-18 | N |
