F

DIVERSICARE OF SOUTHAVEN

1730 DORCHESTER DR, SOUTHAVEN, MS 38671
Score: 21 / 100

Diversicare Of Southaven has received an F grade based on CMS data, with a score of 21/100 — placing it among the lowest-rated nursing facilities in Mississippi. Families considering this Southaven facility should carefully review its inspection history and quality metrics.

Staffing at Diversicare Of Southaven is near the national average, with 3.48 total nursing hours per resident per day (national average: 3.8 hours).

Recent CMS inspections identified 39 deficiencies at Diversicare Of Southaven, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.48 3.8 Average
Registered Nurses (RN) 0.64 0.7 Average
Licensed Practical Nurses (LPN) 0.74 0.7 Average
Certified Nursing Assistants (CNA) 2.10 2.4 Below Average
Weekend Total Nursing 3.09 3.8 Below Average
Weekend RN Hours 0.31 0.7 Below Average

🔍 Inspection & Deficiency History

39
Total Deficiencies
Mar 25, 2025
Most Recent Inspection
🟠 37 Moderate 🔴 2 Serious
View recent deficiencies (5 shown)
  • Tag 0656 Severity G
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Mar 25, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Mar 25, 2025 · Quality of Life and Care Deficiencies
  • Tag 0851 Severity F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    Mar 19, 2025 · Administration Deficiencies
  • Tag 0689 Severity E
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Mar 19, 2025 · Quality of Life and Care Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    Mar 19, 2025 · Infection Control Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 7.4% 4.5% Worse
Falls with major injury 1.1% 3.0% Better
On antipsychotic medication 6.2% 14.5% Better
Urinary tract infections 2.0% 2.5% Better
ADL decline (daily activities) 18.3% 14.0% Worse
Excessive weight loss 7.2% 7.5% Average
New/worsened incontinence 15.2% 45.0% Better

⚠️ Penalties & Fines

7 penalties recorded by CMS

Total fines: $59,175

How This Grade Was Calculated

This facility's grade of F is based on a score of 21 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 4★ → 12 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -5 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
140
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 19, 2025
Deficiencies (Cycle 1)
12