A list of the most recent deficiencies for Cummings Health Care Facility. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-11 | 2023-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-11 | 2023-07-03 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-11 | 2023-06-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-11 | 2023-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-06-21 | N |
| Post nurse staffing information every day. | Health | 2023-05-11 | 2023-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-11 | 2023-06-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-09 | 2023-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-09 | 2023-05-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-09 | 2023-05-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-09 | 2023-05-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-09 | 2023-05-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-29 | 2023-01-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-29 | 2023-01-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-29 | 2023-01-03 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-12-01 | 2022-12-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-01 | 2022-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2022-12-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-09 | 2022-03-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-09 | 2022-02-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-09 | 2022-02-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-02-09 | 2022-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-09 | 2022-02-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-07 | 2022-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-02-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-07 | 2022-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-07 | 2022-02-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-11 | 2020-09-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-11 | 2020-09-29 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-02-11 | 2020-09-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-11 | 2020-09-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2020-02-11 | 2020-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-11 | 2020-09-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-02-11 | 2020-09-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-11 | 2020-09-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-11 | 2020-09-29 | 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 | 2020-02-11 | 2020-09-29 | 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 | 2020-02-11 | 2020-09-29 | 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 | 2020-02-11 | 2020-09-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-11 | 2020-09-29 | 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 | 2020-02-11 | 2020-09-29 | 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 | 2020-02-11 | 2020-09-29 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2020-02-11 | 2020-09-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-02-09 | 2020-02-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-09 | 2020-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-09 | 2020-02-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-02-09 | 2020-02-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-09 | 2020-02-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-09 | 2020-02-20 | N |
