Deficiency Records for The Blossoms at Cumberland Rehab and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for The Blossoms at Cumberland Rehab and Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-22 | 2023-01-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-22 | 2023-01-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-11-22 | 2023-01-08 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-02 | 2023-01-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-03 | 2022-12-04 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-11-03 | 2022-12-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-03 | 2022-12-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-03 | 2022-12-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-03 | 2022-12-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-03 | 2022-12-04 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-11-03 | 2022-12-04 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-11-02 | 2022-12-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-19 | 2022-09-19 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-08-19 | 2022-09-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-02 | 2022-06-30 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-06-02 | 2022-06-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-02 | 2022-06-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-07 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-01-06 | 2022-02-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-29 | 2021-11-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-10-29 | 2021-11-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-10-29 | 2021-11-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-29 | 2021-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-29 | 2021-11-30 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-10-29 | 2021-11-30 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-10-29 | 2021-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-29 | 2021-11-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-29 | 2021-11-30 | N |
| Keep all essential equipment working safely. | Health | 2021-10-29 | 2021-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-29 | 2021-11-30 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-10-29 | 2021-11-30 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-29 | 2021-11-30 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-10-26 | 2021-11-30 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-10-26 | 2021-11-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-09-15 | 2021-10-15 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-09-15 | 2021-10-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-20 | 2021-08-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-04 | 2020-11-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-09-04 | 2020-10-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-09-04 | 2020-10-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-09-04 | 2020-10-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-09-04 | 2020-10-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-09-04 | 2020-10-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-09-04 | 2020-10-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-09-04 | 2020-10-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-09-04 | 2020-10-01 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-09-04 | 2020-10-01 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-09-04 | 2020-10-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-09-04 | 2020-10-01 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2020-09-04 | 2020-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-09-04 | 2020-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-04 | 2020-10-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-09-04 | 2020-10-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-09-04 | 2020-10-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-09-04 | 2020-10-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-04 | 2020-10-01 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-09-04 | 2020-10-01 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2020-09-04 | 2020-10-01 | N |
