DIVERSICARE OF TYLERTOWN

Nursing Home Inspector

200 MEDICAL CIRCLE
TYLERTOWN, MS 39667
Walthall County
Phone: 601-876-2107
Provider Number: 255100
Last Inspection: 08/10/2017

About the Nursing Home

Number of Beds: 60
Number of Residents: 47
Beds Available: 13
Percent Occupancy: 78%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Corporation
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

11

Facility
7

County
11

MS
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

11

2017
14

2016
0

2015

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

8/10/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 9/8/2017
 
Failed To: Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern : Minimal 4 9/8/2017
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 9/8/2017
 

6/22/2016 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Isolated : Minimal 3 7/29/2016
 
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Pattern : Minimal 4 7/29/2016
 
Failed To: Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. Isolated : Minimal 3 7/29/2016
 
Failed To: Provide care by qualified persons according to each resident's written plan of care. Pattern : Minimal 4 7/29/2016
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg MS State Avg
Number of Residents 47 49.50 77.87
Registered Nurses 0.71 0.70 0.78
Licensed Practical / Vocational Nurses 0.85 1.06 0.98
Certified Nursing Assistants 1.77 0.89 2.33
Total Staff Hours 3.34 2.65 4.09

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% MS State Avg%
of high risk long-stay residents with pressure ulcers 7 7 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 99 99 97
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 98 96
of long-stay residents experiencing one or more falls with major injury 2 3 3
of long-stay residents who have depressive symptoms 0 0 1
of long-stay residents who lose too much weight 4 8 7
of long-stay residents who received an antianxiety or hypnotic medication 31 31 26
of long-stay residents who received an antipsychotic medication 13 18 19
of long-stay residents who self-report moderate to severe pain 20 10 8
of long-stay residents who were physically restrained 4 3 1
of long-stay residents whose ability to move independently worsened 25 20 18
of long-stay residents whose need for help with daily activities has increased 19 13 16
of long-stay residents with a catheter inserted and left in their bladder 2 1 2
of long-stay residents with a urinary tract infection 5 7 4
of low risk long-stay residents who lose control of their bowels or bladder 50 48 49
of short-stay residents assessed and appropriately given the pneumococcal vaccine 97 98 87
of short-stay residents who had an outpatient emergency department visit 18 17 14
of short-stay residents who made improvements in function 87 72 62
of short-stay residents who newly received an antipsychotic medication 3 2 2
of short-stay residents who self-report moderate to severe pain 10 5 15
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 54 76 84
of short-stay residents who were rehospitalized after a nursing home admission 25 24 24
of short-stay residents with pressure ulcers that are new or worsened 2 25 41