Bessemer, AL

Diversicare Of Bessemer

1-star overall rating with 1-star inspections with 13 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

820 Golf Course Road, Bessemer, AL

(205) 425-5241

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

151

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Diversicare Healthcare

Operator or chain grouping

Approved since

1978-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.50

Registered nurse staffing

LPN hours / resident day

0.51

Licensed practical nurse staffing

Aide hours / resident day

2.23

Nurse aide staffing

Weekend hours

2.70

Weekend nurse staffing

RN turnover

27%

Annual RN turnover

Total nurse turnover

47%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.5%
91.3%
7.2 pts better
93.4%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.8%
5.2 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 4.1%
3.4%
0.7 pts worse
3.3%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
1.3%
1.3 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 2.9%
5.3%
2.4 pts better
5.4%
2.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 21.0%
24.9%
3.9 pts better
19.6%
1.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 15.6%
22.8%
7.2 pts better
16.7%
1.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.6%
0.6 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 17.9%
14.8%
3.1 pts worse
16.3%
1.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 19.6%
13.4%
6.2 pts worse
14.9%
4.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.1%
1.3%
1.2 pts better
1.0%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.7%
2.6%
1.9 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 20.6%
13.5%
7.1 pts worse
19.8%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 7.7%
5.7%
2 pts worse
5.1%
2.6 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.7%
84.3%
15.4 pts better
81.7%
18 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.1%
2.1 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 98.8%
80.3%
18.5 pts better
79.7%
19.1 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2022-12-02 · Fire 2022-12-02

13 health deficiencies

Top issue: Nutrition and Dietary (5 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2021-06-24 · Fire 2021-06-24

11 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Miscellaneous (2 deficiencies)

Cycle 3 Health 2020-02-20 · Fire 2020-02-20

1 health deficiencies

Top issue: Infection Control (1 deficiency)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2022-12-02

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-01-11

F · Potential for more than minimal harm 2022-12-02

K531 · Services Deficiencies

Fire Safety

Have elevators that firefighters can control in the event of a fire.

Corrected 2023-01-11

F · Potential for more than minimal harm 2022-12-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-01-11

E · Potential for more than minimal harm 2022-12-02

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-01-11

E · Potential for more than minimal harm 2022-12-02

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-01-11

E · Potential for more than minimal harm 2022-12-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-01-11

D · Potential for more than minimal harm 2022-12-02

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-01-11

D · Potential for more than minimal harm 2021-06-24

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2021-08-04

D · Potential for more than minimal harm 2021-06-24

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2021-08-04

D · Potential for more than minimal harm 2021-06-24

K741 · Miscellaneous Deficiencies

Fire Safety

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

Corrected 2021-08-04

D · Potential for more than minimal harm 2021-06-24

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2021-08-04

E · Potential for more than minimal harm 2020-02-20

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2020-02-27

D · Potential for more than minimal harm 2020-02-20

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2020-03-03

D · Potential for more than minimal harm 2020-02-20

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2020-02-28

D · Potential for more than minimal harm 2020-02-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2020-02-28

Inspection history

Recent health citations

F · Potential for more than minimal harm 2022-12-02

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2023-01-06

F · Potential for more than minimal harm 2022-12-02

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2023-01-06

F · Potential for more than minimal harm 2022-12-02

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-01-06

F · Potential for more than minimal harm 2022-12-02

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2023-01-06

E · Potential for more than minimal harm 2022-12-02

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2023-01-06

D · Potential for more than minimal harm 2022-12-02

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-01-06

D · Potential for more than minimal harm 2022-12-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-01-06

D · Potential for more than minimal harm 2022-12-02

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-01-06

D · Potential for more than minimal harm 2022-12-02

F761 · Pharmacy Service Deficiencies

Health

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 2023-01-06

D · Potential for more than minimal harm 2022-12-02

F806 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-01-06

D · Potential for more than minimal harm 2022-12-02

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2023-01-06

D · Potential for more than minimal harm 2022-12-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-01-06

C · Minimal harm 2022-12-02

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-01-06

G · Actual harm 2021-06-24

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2021-07-29

G · Actual harm 2021-06-24

F688 · Quality of Life and Care Deficiencies

Health

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.

Corrected 2021-07-29

F · Potential for more than minimal harm 2021-06-24

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2021-07-29

E · Potential for more than minimal harm 2021-06-24

F565 · Resident Rights Deficiencies

Health

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2021-07-29

E · Potential for more than minimal harm 2021-06-24

F756 · Pharmacy Service Deficiencies

Health

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Corrected 2021-07-29

E · Potential for more than minimal harm 2021-06-24

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2021-07-29

D · Potential for more than minimal harm 2021-06-24

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2021-07-29

D · Potential for more than minimal harm 2021-06-24

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2021-07-29

D · Potential for more than minimal harm 2021-06-24

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2021-07-29

D · Potential for more than minimal harm 2021-06-24

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2021-07-29

D · Potential for more than minimal harm 2021-06-24

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2021-07-29

D · Potential for more than minimal harm 2020-02-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-03-20

Penalties and ownership

What sits behind the stars

Ownership

Diversicare Leasing Company Iii LLC

5% Or Greater Direct Ownership Interest · Organization

100% 21 facilities 2016-07-01
Advocat Finance, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 34 facilities 2016-07-01
Bodie, Rebecca

Corporate Officer · Individual

0% 41 facilities 2020-03-02
Dac Acquisition LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 39 facilities 2021-11-19
Dac Newcorp Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 34 facilities 2022-04-04
Diversicare Healthcare Services LLC

Limited Partnership Interest · Organization

0% 34 facilities 2022-04-04
Diversicare Management Services LP.

5% Or Greater Indirect Ownership Interest · Organization

0% 38 facilities 2016-07-01
Dms Gp LLC

General Partnership Interest · Organization

0% 23 facilities 2022-04-04
Ephraim, Maria

Operational/Managerial Control · Individual

0% 1 facilities 2021-06-07
Kellman, Franklin

Corporate Director · Individual

0% 35 facilities 2024-09-13
Kohn, Brian

Corporate Director · Individual

0% 47 facilities 2021-11-19
Nee, Stephen

Corporate Officer · Individual

0% 43 facilities 2023-02-20
Ratner, Eran

Operational/Managerial Control · Individual

0% 40 facilities 2024-09-13
Ratner, Eran

Corporate Director · Individual

0% 40 facilities 2021-11-19
Ratner, Eran

Corporate Officer · Individual

0% 40 facilities 2024-09-13
Weishaar, Matthew

Corporate Officer · Individual

0% 46 facilities 2003-12-01

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