A list of the most recent deficiencies for Diversicare of Riverchase. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-28 | 2023-06-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-28 | 2023-06-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-28 | 2023-06-02 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-04-28 | 2023-06-02 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-04-28 | 2023-06-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-28 | 2023-06-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-28 | 2023-06-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-28 | 2023-06-02 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-04-28 | 2023-06-02 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-22 | 2022-04-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-22 | 2022-04-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-22 | 2022-04-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-22 | 2022-04-26 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-07-01 | 2021-08-05 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-07-07 | 2021-07-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-07 | 2021-07-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-07 | 2021-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-06 | 2021-05-01 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-10-10 | 2019-11-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-10 | 2019-11-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-10 | 2019-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-10 | 2019-11-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-10 | 2019-11-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-10 | 2019-11-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-10 | 2019-11-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-10-10 | 2019-11-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-10 | 2019-11-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-10-03 | 2019-11-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-10-03 | 2019-11-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-03 | 2019-11-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-03 | 2019-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-03 | 2019-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-03 | 2019-11-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-10-03 | 2019-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-29 | 2019-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-15 | 2018-12-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-29 | 2018-12-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-11-29 | 2018-12-12 | N |
