Inspection Results » Diversicare of St Theresa

Health Inspection on November 29, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-01-15)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2019-01-15)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2019-01-15)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Honor the resident's right to manage his or her financial affairs. (Corrected 2019-01-15)
   • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-01-15)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-01-15)
   • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2019-01-15)