Below average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Diversicare Of Boaz during CMS and state inspections, most recent first.
Surveyors identified multiple deficiencies in food storage, preparation, and sanitation, including expired and improperly stored foods, dishwashing at inadequate temperatures without sanitizer, and cold foods held above safe temperatures on the tray line. These practices had the potential to affect all residents receiving meals, as staff did not consistently follow established policies for food safety and sanitation.
The facility did not ensure residents had ongoing access to their personal funds, as residents and staff reported that funds could only be withdrawn during weekday business office hours. Two residents stated they could not access their money on weekends, and staff interviews confirmed there was no established process for after-hours access. The Business Office Manager and Administrator acknowledged the lack of a system for weekend or after-hours withdrawals, resulting in residents being unable to manage their finances as needed.
A resident with intact cognition reported missing money, and while the facility replaced the funds and documented that a lockbox was offered, the resident never received the lockbox as promised. Multiple staff members were unaware of the lockbox being provided, and the Administrator found no documentation confirming its delivery, indicating the grievance was not fully resolved according to facility policy.
A resident with moderate cognitive impairment and high care needs reported being verbally abused and denied assistance by a CNA, including being told to use a diaper and being refused help with toileting and linen changes. These incidents were overheard by a family member and described by an RN as cruel and bordering on mental abuse. The facility's investigation did not substantiate the abuse, and administration was unaware of the nurse's report of potential mental abuse.
A resident with severe cognitive impairment and a history of Alzheimer's disease was found with a gait belt fastened around their waist and wheelchair, constituting a physical restraint not documented in the care plan or MDS. Staff interviews confirmed that restraints and gait belts were not standard practice in the memory unit, and the device was placed by a hospice CNA.
Staff failed to promptly report allegations of staff-to-resident abuse to administration within the required two-hour window for two residents with moderate cognitive impairment and complex medical needs. In both cases, staff delayed notifying the Administrator and DON about alleged verbal and physical abuse, resulting in late reporting to the state agency and noncompliance with facility policy.
The facility failed to immediately protect a resident after an allegation of staff verbal abuse, allowing the alleged perpetrators to complete their shift before being suspended. Additionally, investigations into abuse allegations for two residents were incomplete, lacking documentation of interviews with all relevant staff and failing to analyze the root cause of unexplained bruising, including whether improper transfer techniques were used.
Deficient Food Storage, Preparation, and Sanitation Practices Identified
Penalty
Summary
The facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, as evidenced by multiple observations and staff interviews. Expired foods, including cucumbers, bell peppers, and buttermilk, were found in the walk-in refrigerator, with visible mold growth and use-by dates that had passed. Staff admitted to not properly rotating stock and sometimes adding new produce to older batches, resulting in expired items not being discarded. Additionally, several items in the walk-in freezer, such as beef hamburger patties, diced chicken, and cookie dough, were stored in open containers, contrary to policy requiring sealed and closed storage to prevent contamination. Dishwashing procedures were also found to be deficient. The dish machine logs showed that wash and rinse temperatures frequently fell below the required minimum of 120 degrees Fahrenheit, and on one occasion, the sanitizer solution was found to be empty during use. Staff responsible for operating the dish machine did not consistently check water temperature or sanitizer levels before washing dishes, and some washed and stored serving trays and dome lids without proper sanitization. The Dietary Manager and Registered Dietitian confirmed that staff were expected to follow manufacturer guidelines for dishwashing, but logs and interviews indicated this was not consistently done. Cold food holding practices on the tray line were inadequate, with temperatures of cold foods such as watermelon and grapes measured well above the required 41 degrees Fahrenheit. Staff reported that cold foods were kept in the refrigerator before service but were then brought out in large quantities, causing them to warm above safe temperatures during meal service. The Dietary Manager acknowledged that staff had not been checking food temperatures during tray line service to ensure compliance with policy. The facility census indicated that all 89 residents, on regular or controlled carbohydrate diets, were potentially affected by these deficiencies.
Failure to Provide Ongoing Access to Resident Personal Funds
Penalty
Summary
The facility failed to provide residents with ongoing access to their personal funds managed by the facility, as required by policy and regulation. Review of the facility's Resident Trust policy revealed it did not specify how or when residents could access their funds. Facility records showed that 62 residents had active trust accounts. Multiple interviews with residents confirmed that they were unable to withdraw funds on weekends or after business office hours, as the business office staff were only available Monday through Friday from 7:00 AM to 4:00 PM. Staff interviews further indicated uncertainty about the process for residents to access funds outside of these hours, with no clear alternative in place. The Business Office Manager (BOM) acknowledged that residents could only access their money during business office hours and that, while there had been discussions about leaving money at the nurse's desk or in the medication cart for after-hours access, this process had not been implemented. The BOM stated that residents were advised to withdraw money on Fridays if they anticipated needing it over the weekend, but there was no established process for those who did not plan ahead. The Administrator was under the impression that money was kept in the nurses' medication carts for distribution after hours, but was unaware that this was not actually occurring. As a result, residents did not have reliable access to their funds outside of regular business hours.
Failure to Resolve Resident Grievance and Provide Promised Safeguards
Penalty
Summary
The facility failed to ensure that a resident's right to voice grievances was fully honored and that prompt efforts were made to resolve the grievance. According to facility policy, when a concern is reported, a plan of action should be developed and implemented, with follow-up to validate resolution and communication with the resident. In this case, a resident with intact cognition and a history of adjustment disorder, neuropathy, spina bifida, and cerebral infarction reported that twenty dollars was missing from their bedside table. The facility documented that the money was replaced and a lockbox was offered to the resident as a resolution. However, interviews and record reviews revealed that the resident did not receive the lockbox as promised, despite being told one would be provided. The resident continued to store money in their overbed table drawer and took extra precautions to safeguard it. Multiple staff members, including the Activity Assistant, CNA, CMA, and DON, were either unaware of the resident receiving a lockbox or could not recall if one was provided. The current Administrator confirmed there was no documentation that the resident received a lockbox and was unaware of the grievance being filed, indicating a lack of follow-through and communication regarding the resolution of the resident's grievance.
Failure to Protect Resident from Verbal and Mental Abuse by Staff
Penalty
Summary
Resident #300, who had chronic peripheral venous insufficiency, a nonthermal blister on the right lower leg, moderate cognitive impairment, and required substantial assistance for toileting and hygiene, was admitted to the facility. The resident was dependent on staff for care and was occasionally incontinent of urine and frequently incontinent of bowel. On the evening in question, the resident reported that after using the call light for toileting assistance, a CNA told them to learn to use the urinal or their diaper, and then refused to help. The resident stated they did not receive help for several hours and, when requesting clean linens, was again refused assistance and told to learn how to change the linens themselves. The resident also reported that when asking for help with a phone charger, the CNA refused and acted aggressively in the room. These incidents were overheard by a family member on the phone, who later reported the behavior to facility staff and administration. A review of the facility's abuse investigation file confirmed that an initial report of verbal abuse was submitted to the State Department of Public Health, naming the CNA as the alleged perpetrator. The investigation included statements from the resident, the family member, and the involved CNA, who denied the allegations. Another CNA present during care also denied hearing any rude or mean comments. However, a registered nurse assigned to the resident that night described the CNAs' behavior as cruel and bordering on mental abuse, noting that the resident became agitated and anxious when the CNAs would not respond to their repeated questions about their identities. The nurse reported this incident to the Director of Nursing, though the timing of the report was unclear. The family member corroborated the resident's account, stating they overheard the CNA telling the resident to toilet themselves and to void in their brief if unable to use the toilet independently. The family member also reported that one CNA sat in a chair while the other changed the resident's clothing in front of them, and that the resident was left without assistance for an extended period. The family member reported the incident to facility staff on the night it occurred and later to the administrator. The administrator and Director of Nursing stated they were unaware of the potential mental abuse reported by the nurse. The facility's investigation ultimately determined there was no evidence to substantiate the alleged abuse.
Failure to Prevent Unauthorized Use of Physical Restraint
Penalty
Summary
The facility failed to ensure that a resident was free from the use of physical restraints not required for medical treatment. According to facility policy, residents who may require restraints must be evaluated for the least restrictive device, considering physical and medical issues and possible alternatives. In this case, a resident with Alzheimer's disease, severe cognitive impairment, and a high risk for falls was admitted and care planned for various interventions, but there was no documentation or care plan indicating the use of a restraint. The Minimum Data Set (MDS) also did not indicate restraint use. Despite this, the resident was observed by an occupational therapist and the Director of Care Coordination with a gait belt fastened around their waist and buckled behind their back while seated in a wheelchair. Facility documentation and an incident report confirmed this observation, and the gait belt was subsequently removed by the Maintenance Director. Interviews with staff revealed that restraints were not used in the memory unit, and gait belts were typically only used by therapy staff. A hospice CNA was identified as the individual who placed the gait belt on the resident.
Failure to Timely Report Alleged Abuse to Administration and Authorities
Penalty
Summary
The facility failed to ensure that staff reported allegations of staff-to-resident abuse to administration within the required two-hour timeframe for two residents. According to facility policy, all alleged violations involving abuse or resulting in serious bodily injury must be reported immediately, but not later than two hours after the incident. In the first case, a resident with moderate cognitive impairment and multiple chronic conditions reported to a nurse that two CNAs had spoken to them in a threatening and disrespectful manner, delayed their pain medication, treated them roughly, and caused bruising. The nurse who received this report during the night shift did not immediately notify the administration, instead waiting until later in the morning when the Administrator and DON arrived. The incident was not reported to the state agency until several hours after the initial disclosure. In the second case, another resident with moderate cognitive impairment and significant care needs was involved in an allegation of verbal abuse by a CNA. The allegation was initially communicated by a family member to staff, and subsequently relayed through several staff members before reaching the Administrator and DON. Documentation and interviews revealed that the initial report of the incident was delayed, as staff who were made aware of the allegation during or shortly after their shift did not immediately escalate the report to administration. The DON confirmed that the report to the state agency was not made within the required timeframe, and that staff failed to follow the facility's policy for immediate reporting of abuse allegations. Interviews with staff, including nurses and CNAs, confirmed that there was confusion and delay in reporting both incidents. The DON and Administrator both stated that they expect staff to report any allegations or suspicions of abuse immediately, regardless of the perceived severity. However, in both cases, the required immediate notification to administration and timely reporting to the state agency did not occur, resulting in noncompliance with facility policy and regulatory requirements.
Failure to Protect Residents and Incomplete Abuse Investigations
Penalty
Summary
The facility failed to immediately implement protective measures following an allegation of staff-to-resident verbal abuse. In one instance, a resident with moderate cognitive impairment reported to a nurse that two CNAs spoke to them in a derogatory manner and delayed pain medication administration. The nurse did not report the allegation immediately, and the CNAs completed their shift before the incident was reported to the Administrator and DON. The facility's policy required immediate suspension of the alleged perpetrators, but this did not occur until after the shift had ended, leaving the resident potentially unprotected during that time. Additionally, the facility did not thoroughly document or conduct comprehensive investigations into allegations of abuse or neglect for two other residents. In one case, a resident and their family member alleged verbal abuse by a CNA. The facility's investigation file lacked documented interviews with all relevant staff, including another CNA who worked with the alleged perpetrator, the assigned RN, and the family member who made the allegation. The Administrator acknowledged that interviews may have occurred but were not documented, resulting in an incomplete investigation record. In another case, a resident was found with unexplained bruising on their hand and wrist. Although the resident attributed the bruising to staff assisting them, the facility's investigation did not include a root cause analysis or specific questioning of staff about how the resident was transferred or repositioned. The investigation focused on whether abuse occurred but did not address whether improper transfer techniques may have caused the injury. The family member of the resident was not informed of the outcome of the investigation, and the Administrator later admitted that the investigation should have included an assessment of staff transfer practices.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Boaz
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Albertville Nursing Home | 4 mi | ★★★★★ | 0 | 0 |
| Marshall Manor Nursing Home | 10.8 mi | ★★★★★ | 0 | 0 |
| Crossville Health And Rehabilitation, Llc | 11.2 mi | ★★★★★ | 0 | 0 |
| Barfield Health Care | 15.2 mi | ★★★★★ | 0 | 0 |
| Altoona Health & Rehab | 15.6 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.