A list of the most recent deficiencies for Cumberland Pointe Health Campus. 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-07 | 2023-04-28 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-07 | 2023-04-28 | 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 | 2023-03-07 | 2023-04-28 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-07 | 2023-04-28 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-07 | 2023-04-28 | 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 | 2023-03-07 | 2023-04-28 | 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 | 2023-03-07 | 2023-04-28 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-07 | 2023-04-28 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-07 | 2023-04-28 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-07 | 2023-04-28 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-07 | 2023-04-28 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-10-04 | 2022-10-18 | Y |
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2020-08-21 | 2020-10-13 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-08-21 | 2020-09-20 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-08-21 | 2020-09-20 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-08-21 | 2020-09-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-08-21 | 2020-09-20 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-02-28 | 2020-03-19 | 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 | 2020-02-28 | 2020-03-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-28 | 2020-03-19 | 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 | 2020-02-28 | 2020-03-19 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-28 | 2020-03-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-28 | 2020-03-19 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-01-24 | 2019-02-26 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-01-24 | 2019-02-26 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-24 | 2019-02-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-09 | 2019-02-08 | 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 | 2019-01-09 | 2019-02-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-09 | 2019-02-08 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-01-09 | 2019-02-08 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-01-09 | 2019-02-08 | 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 | 2019-01-09 | 2019-02-08 | N |
Implement a program that monitors antibiotic use. | Health | 2019-01-09 | 2019-02-08 | N |