Below average — CMS composite of the measures below.
The next survey window likely opens around March 2027
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 Oxford during CMS and state inspections, most recent first.
Failure to Supervise Residents at Risk for Elopement and Falls: The facility did not keep track of residents at risk for wandering or elopement and did not maintain safe supervision near exits and outdoor areas. A resident with dementia and a wander guard left through the front door while the receptionist was away and was later found by police near an interstate ditch after the alarm did not sound. Other residents using wheelchairs were left unsupervised during smoking breaks or on the porch, then were found near a store or on a busy highway after staff failed to notice they were missing. Another agitated resident voiced wanting to leave and was later found at a restaurant after being assisted out the door by another resident.
Failure to provide an FMP after therapy discharge. A resident with generalized muscle weakness, bipolar disorder, hemiplegia/hemiparesis following CVA, and lack of coordination received therapy for decline in strength and mobility, but staff confirmed the resident was not followed by an FMP and had no restorative care plan. The DOT, ADON, RN MDS Coordinator, and Staffing Coordinator all stated the facility did not have a restorative nurse, restorative program, or FMP in place.
Insufficient nursing staffing led an RN to miss a resident call light and not assess a resident found on the floor because she was responsible for about 50 to 55 residents and was occupied with med pass duties. The facility also lacked a restorative program, with the MDS coordinator stating there was not enough staff to support a restorative nurse position and that the program had not been maintained for years due to staffing shortages.
Failure to Protect Residents from Physical and Verbal Abuse: The facility had multiple abuse incidents involving two residents striking another resident, a housekeeper hitting a resident and using profane language, and one resident hitting another resident in the face area. The affected residents had dementia and other cognitive or behavioral diagnoses, and staff interviews and the facility investigation files documented the events as physical abuse and, in one case, verbal abuse.
QAPI failed to identify all causal factors related to four resident elopements and did not determine what corrective actions were needed to prevent further resident safety concerns. The DCO stated the elopements were viewed as separate events with different interventions, not a pattern, and said insufficient staffing or lack of supervision was not considered in the root cause analysis.
Misappropriation of discontinued resident medications. A former LPN removed entire cards of discontinued resident meds from the facility, and the cards were later found in her home during a police investigation. The meds belonged to residents with diagnoses including HTN heart disease, DM with hyperglycemia, diabetic neuropathy, anxiety disorder, COPD, and UTI. Facility interviews confirmed the meds were discontinued resident/facility property and should have been secured and destroyed, but they were not identified as missing by the facility.
Failure to timely report abuse and misappropriation allegations: a resident-to-resident physical abuse incident was reported to the SA after the required 2-hour timeframe, and an allegation that an LPN had possession of residents’ medications was reported after the required 24-hour timeframe. The facility became aware of both events before the reports were sent, and staff acknowledged the reporting delays.
Failure to obtain and document a resident’s temperature during a change in condition. An LPN said she took vital signs but did not document them and gave them to an RN to chart, while the RN stated the nurse taking the vitals was responsible for documenting them. The resident had pneumonia, sepsis, UTI, and respiratory distress with low O2 saturation, but the charted SBAR note did not include a temperature.
Failure to Supervise Residents at Risk for Elopement and Falls
Penalty
Summary
The facility failed to ensure residents at risk for elopement were supervised so their whereabouts were known and they remained in an environment free of accident hazards. The report cites an Immediate Jeopardy related to 483.25 Quality of Care and describes multiple incidents in which residents left the facility or were left unsupervised near busy roadways, parking areas, or other unsafe locations. The facility policy titled, Elopement, required assessment of elopement risk, individualized interventions, monitoring of bracelet alarms, and immediate search and notification procedures when a resident was missing. RI #119 had diagnoses including Cognitive Communication Deficit and Dementia in Other Diseases, and an MDS assessment documented a BIMS score of 9 of 15, indicating short term memory impairment. The resident had a care plan identifying risk for elopement related to wandering and was wearing a wander guard bracelet. On 01/26/2024, RI #119 left the facility unsupervised while the front receptionist was away from the desk. The facility’s investigation stated the resident was allowed out the front door by a visitor or family member who did not know the resident was a resident. The wander guard did not alert staff, and the facility could not determine how the resident exited. RI #119 was later found by police sitting in a ditch near the ramp to I-20, approximately 150 to 200 yards from the facility, after being missing for about 3 hours and 20 minutes. RI #88, who used a wheelchair and had diagnoses including chronic ischemic heart disease, tobacco use, adjustment disorder, and bilateral below-the-knee amputations, was outside with a smoking group supervised by one staff member. The resident wheeled away from the group and into the back parking lot, and staff did not identify the absence after the group returned inside. RI #88 was later found at a store next to the facility. RI #127, who had diagnoses including hypertensive heart disease with CKD and HF, CHF, cognitive communication deficit, hemiplegia and hemiparesis, and hypertension, was escorted to the front porch and then left unattended. The resident wheeled off the premises and was found on the shoulder of a busy highway after staff were alerted by a phone call. RI #106 was noted at the front door while agitated and stating a desire to leave; after being redirected to the room, the resident returned to the front door, remained agitated, voiced wanting to leave, and was later found at a restaurant after being assisted out the front door by another resident. The report also states the facility failed to implement and follow fall precautions for RI #60, a resident identified at risk for falls.
Failure to Provide Functional Maintenance Program After Therapy Discharge
Penalty
Summary
The facility failed to implement a functional maintenance program (FMP) for a resident after discharge from therapy, despite the resident having diagnoses of generalized muscle weakness, bipolar disorder, hemiplegia and hemiparesis following cerebral infarction affecting the right dominant side, and lack of coordination. The resident was admitted and re-admitted to the facility, had a BIMS score of 15 out of 15 on the quarterly MDS, and had been treated by therapy from 02/10/2026 to 03/27/2026 for decline in strength and mobility. Record review and staff interviews showed the facility did not have a restorative nurse, restorative program, or FMP in place. The DOT stated the resident was not being followed by an FMP after therapy discharge. The ADON stated the resident did not have a restorative care plan and confirmed the facility did not have a restorative nurse, restorative program, or FMP. The RN Assessment Coordinator/MDS Coordinator stated the restorative program had not been in place for at least eight years, and the Staffing Coordinator stated the facility had not had a restorative nurse for four years.
Insufficient Nursing Staffing and No Restorative Program
Penalty
Summary
The facility failed to provide sufficient nursing staff to meet resident needs when RN #40 did not respond to a resident’s call light or to notification that a resident had been found on the floor. During interview, RN #40 stated she was responsible for approximately 50 to 55 residents during the shift and said she could not recall the exact words used by CNA #39 when reporting that RI #60 had been found on the floor. She also stated she did not assess RI #60 because the situation was not significant enough to disrupt the medication pass, and that while administering medications she was unable to keep up with alarms or respond to call lights unless she was nearby. The facility also did not have a restorative program in place to maintain residents’ mobility and range of motion. The MDS Coordinator stated the facility did not have sufficient staff to support a restorative nurse position and reported it had been eight or more years since the facility last had a restorative nurse. The MDS Coordinator further stated that although the facility previously had three restorative nurses, the program was not maintained after their departure because of inadequate staffing.
Failure to Protect Residents from Physical and Verbal Abuse
Penalty
Summary
The facility failed to protect residents from abuse by other residents and by an employee. The report cites three separate incidents involving resident-on-resident physical abuse and staff-on-resident physical and verbal abuse, and states these deficient practices affected four of 17 residents reviewed for abuse concerns during the survey. The facility policy defined physical abuse as including hitting, slapping, punching, biting, and kicking, and verbal abuse as oral, written, or gestured communication, or sounds to residents within hearing distance. In one incident, two residents were reported to have struck another resident in the chest with open hands while returning from a smoke break. A CNA observed the two residents hitting the resident in the chest and separated them. The resident involved had diagnoses including major depressive disorder, psychosis not due to a substance or known physiological condition, and dementia, and had a BIMS score of 9 indicating moderate cognitive impairment. The resident later stated being hit by the two residents and said it did not feel good and that he/she felt abused. Facility interviews also documented that the resident was hit in the chest and that a reasonable person would feel like they were being attacked if someone hit them in the chest. In a second incident, a housekeeper physically and verbally abused a resident by hitting the resident on the back and using profane language, saying, "Don't ever do that shit again." The housekeeper self-reported the event and stated the resident had groped her, and that she reacted by popping the resident in the back and using the profane statement. The resident had diagnoses including vascular dementia, generalized anxiety, mood disorder, and heart failure, with a BIMS score of 12 indicating moderate cognitive impairment. The facility investigation file documented the incident as substantiated physical and verbal abuse, and the former administrator stated the housekeeper's actions were considered physical and verbal abuse and would make a reasonable person feel upset and fearful. In a third incident, one resident physically abused another resident in the front lobby after the two were arguing while seated in wheelchairs. A charge nurse witnessed the resident stand up and hit the other resident in the face area. The resident who was struck had vascular dementia and anxiety with a BIMS score of 9, while the resident who struck the other resident had vascular dementia, agitation, mood disorder, dementia with behavior disturbances, and anxiety, with a BIMS score of 15 indicating cognitive intactness. A facility administrator later stated the incident would be considered abuse based on what was heard from the nurse and other witnesses.
QAPI Failed to Fully Analyze Repeated Elopements
Penalty
Summary
The facility’s QAPI committee failed to identify all causal factors related to four resident elopements involving RI #119, RI #88, RI #127, and RI #106, and did not determine what corrective actions were needed to prevent further resident safety concerns. These deficient practices were identified during investigations of facility-reported incident/complaint/report numbers 447995, 447964, 2629802, and 2603429, and were cited under F689 and F725. Review of the facility’s QAPI policy dated March 2025 showed that the program was intended to be comprehensive, data-driven, and to include systematic analysis of underlying causes, development of corrective actions, and monitoring of effectiveness. During interview, the Director of Clinical Operations stated the facility identified the elopement issues, but said each elopement was different and different interventions had been put in place, so it was not considered a pattern. On follow-up, she stated that insufficient staffing or lack of supervision was not considered as a factor in the root cause of the elopements.
Misappropriation of Discontinued Resident Medications
Penalty
Summary
The facility failed to ensure residents’ medications were secured from misappropriation and failed to identify, report, and investigate allegations in accordance with its policies and regulatory requirements. The deficient practice involved three residents reviewed for misappropriation of property and centered on former LPN #31 removing entire cards of discontinued resident medications from the facility. The medications identified in the report included Atorvastatin 40 mg for one resident, Prednisone 40 mg for another resident, and Clonidine 0.1 mg for a third resident. The facility’s Medication Destruction policy required discontinued and expired medications, as well as medications of discharged, transferred, or deceased residents, to be destroyed within 30 days and stored in a designated area before destruction. The Abuse, Neglect, Misappropriation, Exploitation policy defined misappropriation as the deliberate misplacement, exploitation, or wrongful temporary or permanent use of a resident’s belongings or money without consent. Despite these requirements, the discontinued medication cards were not identified as missing by the facility and were later found in former LPN #31’s home during a police investigation. The residents involved had diagnoses including hypertensive heart disease, type 2 diabetes mellitus with hyperglycemia, muscle weakness, localized swelling and lump of the left lower limb, diabetic neuropathy, anxiety disorder due to a known physiological condition, wedge compression fracture of L1, COPD with acute exacerbation, and UTI. Facility interviews confirmed that the medications were discontinued, remained resident/facility property, and should have been secured and destroyed rather than removed from the facility. The facility was first notified when police arrived and informed leadership that medications belonging to the facility had been found in former LPN #31’s home, with photographic evidence showing medication cards removed from the facility.
Failure to Timely Report Abuse and Misappropriation Allegations
Penalty
Summary
The facility failed to report an incident of physical abuse involving Resident Identifier #128 and Resident Identifier #132 to the State Agency within the required two-hour timeframe. On 11/10/2025 at about 11:35 AM, RI #132 entered RI #128’s room and pinched RI #128 on the hand when attempting to redirect RI #128 out of the room. The facility did not report the allegation to the State Agency until 5:12 PM that same day. The Director of Clinical Operation stated the Administrator became aware of the incident at 11:51 AM and acknowledged that the report was not made within two hours. The facility also failed to report an allegation of misappropriation involving RI #12, RI #130, and RI #129 within 24 hours of becoming aware of the incident. On 11/18/2025 at 5:00 PM, the facility became aware that Former LPN #31 had in her possession medication belonging to those residents. The allegation was not reported to the State Agency until 7:14 PM on 11/19/2025. The Former DON stated she became aware of the alleged missing non-controlled medication when the Former Administrator reported it to her, and the DCO stated the allegation was reported to the Administrator at 5:00 PM on 11/18/2025 and to the State Agency the following evening.
Failure to Obtain and Document Temperature During Change in Condition
Penalty
Summary
The facility failed to ensure an LPN obtained and documented a resident’s temperature during a change in condition on 03/01/2025. The resident had diagnoses including vascular dementia, pneumonia, sepsis, urinary tract infection, adult failure to thrive, and elevated white blood count, and had a BIMS score of 12 out of 15 indicating moderate cognitive impairment. A progress note documented that the resident was lethargic with difficulty breathing, oxygen saturation of 87, congested lungs bilaterally, blood pressure of 114/92, pulse of 148, and respirations of 24, but there was no documentation that temperature was taken. The resident’s hospital history and physical for the same day documented oral temperatures of 104.4 degrees Fahrenheit and 103.6 degrees Fahrenheit later that day. During interviews, the LPN stated she took the vital signs but did not document them and gave them to an RN to chart. The RN stated vital signs included temperature and that the nurses taking the vital signs were responsible for documenting them, and that not obtaining a full set of vital signs, including temperature, would not meet the standard of care for a resident with a change in condition. The ADON, NP, and MD also stated that vital signs, including temperature, were expected when there was a change in condition.
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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 Oxford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Nhc Healthcare, Anniston | 2.2 mi | ★★★★★ | 0 | 0 |
| Anniston Health And Rehab Services | 3.2 mi | ★★★★★ | 0 | 0 |
| Cleburne County Nursing Home | 14.1 mi | ★★★★★ | 0 | 0 |
| Jacksonville Health And Rehabilitation, Llc | 14.4 mi | ★★★★★ | 0 | 0 |
| Talladega Healthcare Center, Inc | 19.3 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.