Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Martin during CMS and state inspections, most recent first.
The facility failed to educate and provide written information to four residents regarding their right to formulate an advance directive, despite their intact cognition. The facility's policy requires that residents be informed about advance directives upon admission, but documentation was lacking for these residents.
A resident with Alzheimer's and dementia was observed with a self-release waist belt in a wheelchair, which functioned as a restraint. Despite facility policy requiring evaluation for restraint use, the resident was not assessed for a trunk restraint. The DON confirmed the restraint's presence and acknowledged the need for monitoring, while the resident's daughter insisted on its use due to past falls.
A facility failed to use proper supplies for insulin administration when an LPN used an insulin syringe to draw medication from a FlexPen due to a shortage of FlexPen needles. The DON was unaware of the shortage and the alternative method being used, and the pharmacy did not recall approving this practice.
The facility failed to properly store medications, as medications were found unsecured in resident rooms. A resident with cognitive impairment had Fluticasone nasal spray on their nightstand, contrary to the care plan requiring secure storage on the med cart. Another resident, cognitively intact, had Nystatin powder in their room. Staff confirmed medications should not be stored at the bedside, indicating a breach of the facility's medication storage policy.
A facility failed to maintain infection control practices when an LPN did not wear PPE in an enhanced barrier precautions room. The facility's Infection Control Guide mandates the use of gown and gloves for high-contact activities, especially for residents with wounds. A resident with a Stage IV pressure ulcer was receiving treatment, and the LPN was observed performing the care without a PPE gown. This was confirmed by an RN who stated that PPE should be worn during such procedures.
Failure to Educate Residents on Advance Directives
Penalty
Summary
The facility failed to educate and provide written information to residents regarding their right to formulate an advance directive. This deficiency was identified for four residents who were reviewed during the survey. The facility's policy on Advance Directives, dated November 1, 2016, states that residents should be provided with information about advance directives upon admission. However, the facility was unable to provide documentation that Residents #24, #36, #75, and #239 were educated about or given the opportunity to formulate an advance directive. Each of these residents had intact cognition as indicated by their Brief Interview for Mental Status (BIMS) scores, which were 15 for Residents #24, #36, and #239, and 13 for Resident #75. Despite their cognitive abilities, there was no completed documentation in their medical records to show that they were informed about advance directives. The facility's administrator confirmed that all available documentation related to advance directives had been provided, yet it was insufficient to demonstrate compliance with the policy.
Failure to Ensure Resident is Free from Physical Restraints
Penalty
Summary
The facility failed to ensure that a resident was free from the use of physical restraints, as required by their policy. The policy, dated June 2017, mandates that restraints should only be used when medically necessary and after a thorough evaluation. However, Resident #29, who was admitted with diagnoses including Alzheimer's Disease, Repeated Falls, Dementia, and Anxiety, was observed with a self-release waist belt in her wheelchair. Despite the facility's policy, there was no assessment for a trunk restraint, and the resident's care plan included an intervention for a self-release seatbelt without proper evaluation. Observations over several days revealed that Resident #29 was unable to release the waist belt independently, indicating it functioned as a restraint. During an interview, the DON confirmed the presence of the restraint and acknowledged the need for monitoring and assessment. The DON also mentioned that the resident's daughter insisted on the use of the belt due to previous falls, but the resident's inability to release the belt contradicted the claim that it was not a restraint.
Improper Insulin Administration Due to Supply Shortage
Penalty
Summary
The facility failed to adhere to professional standards of quality in medication administration when a Licensed Practical Nurse (LPN) used improper supplies to administer insulin. According to the facility's Clinical Skills Fair Guide, the correct procedure for using a FlexPen, a pre-filled insulin delivery device, involves attaching a new needle to the pen, dialing the required units, and injecting the insulin directly. However, during an observation, LPN A was seen drawing insulin from the FlexPen into an insulin syringe instead of using the pen as intended. LPN A explained that the facility had run out of FlexPen needles a few days prior, and this method was previously suggested in January. The Director of Nursing (DON) was unaware of the shortage of FlexPen needles and the alternative method being used by the staff. During an interview, the DON mentioned that the pharmacy had previously indicated that using an insulin syringe was acceptable, although she could not recall who provided this information. However, a subsequent interview with the pharmacist revealed that none of the pharmacists remembered any conversation about drawing insulin from the FlexPen with an insulin syringe, indicating a communication breakdown and lack of proper oversight in medication administration procedures.
Improper Medication Storage in Resident Rooms
Penalty
Summary
The facility failed to ensure medications were properly stored and secured, as evidenced by medications being found unsecured and unattended in resident-occupied rooms. Specifically, a bottle of Fluticasone nasal spray was observed on the nightstand in the room of a resident with Alzheimer's Disease, Dementia, Depression, and Anxiety. This resident was moderately cognitively impaired, with a BIMS score of 8, and the care plan indicated that medications should be stored in a secure location, specifically on the med cart. Interviews with LPN A and the Administrator confirmed that medications should not be stored at the bedside. In another instance, a medication cup containing Nystatin powder was found on a storage bin in the room of a resident with Depression, Anxiety, and Chronic Obstructive Pulmonary Disease, who was cognitively intact with a BIMS score of 15. The resident identified the powder as Nystatin, which was used at night. LPN B and the Director of Nursing confirmed that medications should not be stored at the bedside. These observations and interviews highlight the facility's failure to adhere to its medication storage policy, which requires medications to be stored safely, securely, and properly.
Failure to Use PPE in Enhanced Barrier Precautions Room
Penalty
Summary
The facility failed to maintain infection prevention practices when a Licensed Practical Nurse (LPN C) did not wear Personal Protective Equipment (PPE) in an enhanced barrier precautions room. According to the facility's Infection Control Guide, enhanced barrier precautions require the use of gown and gloves during high-contact resident activities, especially for residents with wounds. Resident #77, who was admitted with multiple diagnoses including a Stage IV pressure ulcer, was receiving treatment for the ulcer. During an observation of the pressure ulcer care, LPN C was noted to perform the treatment without wearing a PPE gown, despite the resident being in an enhanced barrier room. This was confirmed during an interview with Registered Nurse (RN) D, who acknowledged that PPE should be worn during such procedures.
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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 Martin
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Vanayer Senior Living And Rehabilitation | 0.3 mi | ★★★★★ | 4 | 0 |
| Weakley Rehabilitation And Nursing Center | 9.7 mi | ★★★★★ | 9 | 0 |
| Hillview Community Living Center | 10.8 mi | ★★★★★ | 9 | 0 |
| The Waters Of Union City , Llc | 10.8 mi | ★★★★★ | 4 | 0 |
| Union City Health And Rehabilitation | 10.9 mi | ★★★★★ | 3 | 1 |
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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.