Above average — CMS composite of the measures below.
A standard survey is most likely before around September 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 Dierks Health And Rehab Of Dierks during CMS and state inspections, most recent first.
A resident with Alzheimer's disease and moderate cognitive impairment accessed and ingested a hydrogen peroxide-based cleaning solution after a housekeeping cart containing hazardous chemicals was left unattended and unsecured. The resident, who had a known history of attempting to drink cleaning chemicals, was able to obtain the spray bottle, take some of the solution into their mouth, and subsequently vomited. Staff interviews confirmed the cart was not properly secured, in violation of facility policy.
A deficiency was identified when an LPN administered medications through a feeding tube to a resident on Enhanced Barrier Precautions (EBP) without wearing a required gown, despite clear signage and facility policy. The resident had multiple medical conditions and a feeding tube, and both the DON and Infection Preventionist confirmed that EBP protocols, including gown and gloves, should have been followed.
The facility failed to maintain proper temperature control and sanitation in food storage areas, with undated and improperly stored food items, unsanitary conditions, and non-compliance with cleaning policies. Specific incidents included uncovered cereal with a fly, an open bag of cane sugar, and a corroded can opener.
The facility failed to ensure residents were free from accidents and hazards by leaving a spray bottle labeled floor cleaner and spray buff unattended in the hallway. Maintenance Staff left the bottle hanging on the wall rail and confirmed it was unsupervised, acknowledging the potential danger to residents. The bottle contained hazardous chemicals and had a warning label to keep out of reach of children.
Failure to Secure Hazardous Chemicals Resulting in Resident Ingestion
Penalty
Summary
The facility failed to secure hazardous chemicals and prevent access by residents with cognitive impairment, resulting in an incident where a resident with Alzheimer's disease and moderate cognitive impairment ingested a hydrogen peroxide-based cleaning solution. The resident, who had a history of behavioral indicators of drinking cleaning chemicals, was able to access a spray bottle of disinfectant that had been left unattended on a housekeeping cart outside the janitor's closet. The bottle's lid was off, and the resident was observed with the bottle up to their mouth, taking some of the solution into their mouth and then spitting it out. The resident vomited once after breakfast but did not report any complaints or suffer further ill effects. Staff interviews and documentation confirmed that the housekeeping cart containing cleaning chemicals was left out and unattended, contrary to facility policy requiring chemicals to be stored in secure, locked areas when not in use. The incident was observed by a treatment nurse, and the event was reported to the medical director. The facility's care plan for the resident had previously identified the risk of ingesting cleaning chemicals, but the failure to secure the cart allowed the resident access to the hazardous substance.
Failure to Implement Enhanced Barrier Precautions During Medication Administration
Penalty
Summary
A deficiency occurred when a Licensed Practical Nurse (LPN) failed to implement Enhanced Barrier Precautions (EBP) as required while administering medications through a feeding tube to a resident. During the observed medication administration, the LPN performed hand hygiene and donned gloves but did not wear a gown, despite an EBP sign being posted on the resident's door. The LPN acknowledged after the observation that both a gown and gloves were required for this procedure under EBP protocols. Interviews with the Director of Nursing (DON) and the Infection Preventionist (IP) confirmed that the resident was on EBP due to the presence of a feeding tube and that facility policy required both gown and gloves for such care. The resident had significant medical conditions, including end stage kidney disease, diabetes mellitus, and difficulty swallowing, and was assessed as having moderate cognitive impairment. Documentation in the care plan and physician's orders also indicated the need for EBP related to the feeding tube. The failure to follow established EBP protocols was directly observed and confirmed by facility leadership.
Deficiencies in Food Storage and Sanitation Practices
Penalty
Summary
The facility failed to ensure proper temperature control and sanitation in their food storage areas. Observations revealed that one of the refrigerators and one of the freezers were not within the proper temperature range. Additionally, food items in these storage units were not dated with open and expiration dates, which could lead to potential cross-contamination and foodborne illness. Dry goods on the shelves lacked expiration dates, and open food packages were not properly closed. The facility also failed to maintain a homelike environment by not removing meal items from serving trays and did not ensure a sanitary environment, as staff were observed reaching through the serving window from the dining side, and appliances were not clean, with food items left uncovered and walls and floors in unsanitary conditions. Specific incidents included a housekeeper reaching through the serving window, uncovered bowls of cereal with a fly landing in one, and a plastic bag of cane sugar left open on the counter. A can opener was found with a blackish broken substance around the blade, and empty boxes were stored on the floor in front of the janitor's closet. The walls and floors had a black substance buildup, and a storage container with breadcrumbs did not have an expiration date and had a scoop left inside. Various food items in the freezers and refrigerator were found without open or expiration dates, and some were expired. The freezer in the dry storage room showed a temperature of 16 degrees, and the ciabatta rolls inside were not frozen solid. The facility's policies on cleaning food preparation appliances, general food preparation and handling, and dry storage areas were not followed. The policies required that small appliances be cleaned and sanitized after each use, food items be covered for storage, leftovers be used within three days or discarded, and dry storage areas be kept clean and organized. The facility failed to adhere to these policies, leading to multiple deficiencies in food safety and sanitation practices.
Unattended Chemical Spray Bottle in Hallway
Penalty
Summary
The facility failed to ensure residents were free from accidents and hazards by leaving a spray bottle labeled floor cleaner and spray buff unattended in the hallway. On 04/16/2024 at 09:10 AM, Maintenance Staff #1 left the chemical spray bottle hanging on the wall rail and returned to it at 09:20 AM. Maintenance Staff #1 confirmed the bottle was left unsupervised and acknowledged it was not good if residents grabbed it, especially since the item had a warning label for children. The label on the bottle stated, 'WARNING Keep out of reach of children. Read label before use,' and contained hazardous chemicals such as Alkyl Polyglycolide and Linear Alcohol Ethoxylate. The Material Safety Data Sheet for the floor cleaner indicated it may be harmful if swallowed and causes skin and eye irritation, with ingestion leading to gastrointestinal irritation, nausea, vomiting, and diarrhea. Precautions included keeping the product out of reach of children.
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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 Dierks
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Blossoms At Nashville Rehab And Nursing Center | 14.6 mi | ★★★★★ | 1 | 0 |
| The Springs Of Mine Creek | 14.7 mi | ★★★★★ | 1 | 0 |
| Bear Creek Healthcare Llc | 19 mi | ★★★★★ | 3 | 0 |
| Murfreesboro Rehab And Nursing, Inc | 19.1 mi | ★★★★★ | 21 | 1 |
| Little River Nursing & Rehab | 31 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.