Greensboro, AL

Diversicare Of Greensboro

5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

616 Armory Street, Greensboro, AL

(334) 624-3054

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

97

Certified beds

Average residents

79

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Diversicare Healthcare

Operator or chain grouping

Approved since

1987-05-22

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.51

Registered nurse staffing

LPN hours / resident day

0.62

Licensed practical nurse staffing

Aide hours / resident day

1.89

Nurse aide staffing

Weekend hours

2.53

Weekend nurse staffing

RN turnover

13%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.2
2.0
0.8 pts better
1.9
0.7 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 0.8
1.8
1 pts better
1.8
1 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
91.3%
8.7 pts better
93.4%
6.6 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 1.0%
3.4%
2.4 pts better
3.3%
2.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.2%
1.3%
0.9 pts worse
11.4%
9.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.8%
5.3%
3.5 pts better
5.4%
3.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 19.6%
24.9%
5.3 pts better
19.6%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 9.9%
22.8%
12.9 pts better
16.7%
6.8 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 3.7%
14.8%
11.1 pts better
16.3%
12.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 1.2%
13.4%
12.2 pts better
14.9%
13.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.4%
1.3%
0.9 pts better
1.0%
0.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.0%
2.6%
1.6 pts better
1.7%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 2.0%
13.5%
11.5 pts better
19.8%
17.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.3%
5.7%
3.4 pts better
5.1%
2.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.6%
84.3%
6.3 pts better
81.7%
8.9 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 93.3%
80.3%
13 pts better
79.7%
13.6 pts better
Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-02-01 · Fire 2024-02-01

3 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

2 fire-safety deficiencies

Top issue: Services (1 deficiency)

Cycle 2 Health 2019-12-12 · Fire 2019-12-12

2 health deficiencies

Top issue: Infection Control (1 deficiency)

5 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2018-10-18 · Fire 2018-10-18

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-02-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-13

E · Potential for more than minimal harm 2024-02-01

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-03-13

F · Potential for more than minimal harm 2019-12-12

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2020-01-22

D · Potential for more than minimal harm 2019-12-12

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2020-01-22

D · Potential for more than minimal harm 2019-12-12

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2020-01-22

D · Potential for more than minimal harm 2019-12-12

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2020-01-22

D · Potential for more than minimal harm 2019-12-12

K521 · Services Deficiencies

Fire Safety

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

Corrected 2020-01-22

E · Potential for more than minimal harm 2018-10-18

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2018-11-17

E · Potential for more than minimal harm 2018-10-18

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2018-11-17

D · Potential for more than minimal harm 2018-10-18

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2018-11-17

C · Minimal harm 2018-10-18

K521 · Services Deficiencies

Fire Safety

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

Corrected 2018-11-17

Inspection history

Recent health citations

D · Potential for more than minimal harm 2024-02-01

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 2024-03-05

D · Potential for more than minimal harm 2024-02-01

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-05

D · Potential for more than minimal harm 2024-02-01

F842 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-03-05

D · Potential for more than minimal harm 2019-12-12

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2020-01-16

D · Potential for more than minimal harm 2019-12-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2020-01-16

F · Potential for more than minimal harm 2018-10-18

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 2018-11-22

D · Potential for more than minimal harm 2018-10-18

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 2018-11-22

D · Potential for more than minimal harm 2018-10-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2018-11-22

D · Potential for more than minimal harm 2018-10-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2018-11-22

Penalties and ownership

What sits behind the stars

Ownership

Bodie, Rebecca

Operational/Managerial Control · Individual

0% 41 facilities 2022-05-13
Diversicare Management Services LP.

Operational/Managerial Control · Organization

0% 38 facilities 2022-05-13
Lee, William

Operational/Managerial Control · Individual

0% 2 facilities 2024-06-01
Nee, Stephen

Operational/Managerial Control · Individual

0% 43 facilities 2022-05-13
Reynolds, Trent

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-06
Weishaar, Matthew

Operational/Managerial Control · Individual

0% 46 facilities 2022-05-13

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