A list of the most recent deficiencies for Cumberland Rehab and Health Cc. 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-12 | 2024-01-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-12 | 2024-01-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-12 | 2024-01-05 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-12-12 | 2024-01-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-12 | 2024-01-05 | 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 | 2023-12-12 | 2024-01-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-12 | 2024-01-05 | 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 | 2023-12-12 | 2024-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-12 | 2024-01-05 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-12-12 | 2024-01-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-12 | 2024-01-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-12 | 2024-01-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-12 | 2024-01-05 | 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 | 2023-12-12 | 2024-01-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-24 | 2023-06-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-24 | 2023-06-22 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-05-24 | 2023-06-22 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-10-11 | 2022-11-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-14 | 2022-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-14 | 2022-10-31 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-10-14 | 2022-10-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-11 | 2022-10-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-11 | 2022-10-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-29 | 2022-09-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-05 | 2021-11-22 | N |
| Use approved construction type or materials. | Fire Safety | 2021-11-10 | 2021-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-10 | 2021-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-05 | 2021-11-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-05 | 2021-11-15 | 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 | 2021-11-05 | 2021-11-15 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-11-05 | 2021-11-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-05 | 2021-11-15 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-05 | 2021-11-15 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-10 | 2021-11-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-10 | 2021-11-10 | N |
