DIVERSICARE OF BIG SPRINGS Nursing Home


DIVERSICARE OF BIG SPRINGS (CCN: 015111) is a For profit - Corporation facility located in HUNTSVILLE, AL (35801). The facility has an overall rating of 3/5, health inspection rating of 3/5, and a staffing rating of 1/5. It offers 145 certified beds and maintains an average of 118. residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 2.42804 total hours per resident per day. It has been certified since November 1, 1978 and the last listed health inspection was on January 27, 2022, The facility is located in Madison county and provides senior and nursing home care.

DIVERSICARE OF BIG SPRINGS Summary


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Provider Name: DIVERSICARE OF BIG SPRINGS

Address: 500 ST. CLAIR AVENUE SOUTHWEST, HUNTSVILLE, AL 35801

Phone: (256) 539-5111

County: Madison (440)

Ownership Type: For profit - Corporation

Certified Beds: 145

Average Residents Per Day: 118. ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: DIVERSICARE OF BIG SPRINGS LLC

First Approved Date: November 1, 1978

Affiliated Entity: DIVERSICARE HEALTHCARE (185)

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 3 ()

Health Inspection Rating: 3 ()

QM Rating: 5 ()

Long Stay QM Rating: 5 ()

Short Stay QM Rating: 4 ()

Staffing Rating: 1 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 1.45487, LPN Staff Hours Per Day: 0.4603, RN Staff Hours Per Day: 0.5128, Licensed Staff Hours Per Day: 0.9731

Total Nurse Staff Hours Per Day, per resident: 2.42804

Weekend Nurse Staff Hours: 2.07985, Weekend RN Staff Hours: 0.3092

PT Staff Hours Per Day, per resident: 0.0419

Nurse Staff Turnover: 80.8, Nurse Turnover Note:

RN Turnover: 70.6, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 1.8083, Case Mix LPN Hours Per Day: 0.6391, Case Mix RN Hours Per Day: 0.2816

Adjusted Nurse Aide Hours Per Day, per resident: 1.63904, Adjusted LPN Hours Per Day: 0.5315, Adjusted RN Hours Per Day: 0.6860

Total Adjusted Nurse Hours Per Day, per resident: 2.80434

Adjusted Weekend Nurse Hours Per Day, per resident: 2.40218

Health Survey Dates and Scores: Cycle 1: 2022-01-27 (Score: 24), Cycle 2: 2021-03-26 (Score: 4), Cycle 3: 2019-07-18 (Score: 36)

Total Weighted Health Score: 19.333

Reported Incidents: 0, Substantiated Complaints: 3

Infection Control Citations: 3

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 500 ST. CLAIR AVENUE SOUTHWEST,HUNTSVILLE,AL,35801 (34.7217, -86.585)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-05-11

Type: Health, Deficiency: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-06-13

Citation on 2023-05-11

Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-06-13

Citation on 2023-05-11

Type: Health, Deficiency: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-06-13

Citation on 2022-01-27

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-03-01

Citation on 2022-01-27

Type: Health, Deficiency: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-03-01

Citation on 2021-03-26

Type: Health, Deficiency: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-04-30

Citation on 2019-07-18

Type: Health, Deficiency: Assure that each resident’s assessment is updated at least once every 3 months.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-22

Citation on 2019-07-18

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-22

Citation on 2019-07-18

Type: Health, Deficiency: Ensure that residents are free from significant medication errors.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-22

Citation on 2019-07-18

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-22

Citation on 2019-07-18

Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-22

Citation on 2019-07-18

Type: Health, Deficiency: Provide and implement an infection prevention and control program.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-22


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2021-04-01

Type: Fire Safety, Tag: 0004, Version: New

Description: Develop and maintain an Emergency Preparedness Program (EP).

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2021-05-06

Citation on 2019-07-17

Type: Fire Safety, Tag: 0222, Version: New

Description: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-21

Citation on 2019-07-17

Type: Fire Safety, Tag: 0341, Version: New

Description: Install a fire alarm system that can be heard throughout the facility.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-21

Citation on 2019-07-17

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-21

Citation on 2019-07-17

Type: Fire Safety, Tag: 0361, Version: New

Description: Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-21

Citation on 2019-07-17

Type: Fire Safety, Tag: 0372, Version: New

Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-21

Citation on 2019-07-17

Type: Fire Safety, Tag: 0741, Version: New

Description: Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-08-21