Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

DIVERSICARE OF PELL CITY

PELL CITY, AL · 94 certified beds · Last Life Safety survey March 3, 2022

CMS Certification Number 015189 · first certified November 1977

Ownership

Operated by DIVERSICARE HEALTHCARE · For profit - Corporation

  • Ownership changed November 1, 2016 (change of ownership)from BEVERLY ENTERPRISES - ALABAMA INC
12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
4
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within AL

12 citations — more than 66% of the 224 certified nursing homes in AL. Compared within AL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 4. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (March 2023 to August 2023), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was March 2022. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 consecutive surveys in the last two years of CMS records. AL has too few recent surveys to measure on its own, so the national interval is used.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

3 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 12 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in AL, and nationally. Surveyors differ markedly between states, so the AL figure is the meaningful one.

This facility12AL median9National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in AL9
Median facility nationally11

Survey history

Citations at each Life Safety survey
32018-0652019-0542022-03
Citations at each Life Safety survey
Survey dateCitations
June 14, 20183
May 21, 20195
March 3, 20224

Most-cited tags

Most-cited tags at this facility
K-03553K-02322K-03452K-03532K-03631K-09231K-07121
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.32022-03-03
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.22022-03-03
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22019-05-21
K-0353Inspect, test, and maintain automatic sprinkler systems.22019-05-21
K-0363Install corridor and hallway doors that block smoke.12022-03-03
K-0923Have proper medical gas storage and administration areas.12019-05-21
K-0712Have simulated fire drills held at unexpected times.12022-03-03

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 8
  • Egress Deficiencies 2
  • Miscellaneous Deficiencies 1
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies8
Egress Deficiencies2
Miscellaneous Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 3, 2022 — 4 citations

Citations issued on March 3, 2022
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (March 10, 2022)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 9, 2022)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 18, 2022)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (March 18, 2022)

May 21, 2019 — 5 citations

Citations issued on May 21, 2019
TagWhat the surveyor checksStatus
K-0232Have corridors or aisles that are unobstructed and are at least 8 feet in width.Deficient, Provider has date of correction (June 28, 2019)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 28, 2019)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 28, 2019)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 28, 2019)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 28, 2019)

June 14, 2018 — 3 citations

Citations issued on June 14, 2018
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (June 22, 2018)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 21, 2018)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (June 20, 2018)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.