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Deficiency Records for Cumberland Healthcare Center
View the most recent health deficiencies and inspection results for Cumberland Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Cumberland Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-10-09 | 2026-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-10-09 | 2026-03-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-10-09 | 2026-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-10-09 | 2026-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-10-09 | 2026-03-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-10-09 | 2026-03-06 | N |
| 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 | 2025-10-09 | 2026-03-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-09 | 2025-12-15 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2025-10-09 | 2025-12-15 | 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 | 2025-10-09 | 2025-12-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-10-09 | 2025-12-15 | 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 | 2025-10-09 | 2025-12-15 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-10-09 | 2025-12-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-10-09 | 2025-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-10-09 | 2025-12-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-10-09 | 2025-12-15 | N |
| 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 | 2025-10-09 | 2025-12-15 | 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 | 2025-10-09 | 2025-12-15 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-10-09 | 2025-12-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-10-09 | 2025-12-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-10-09 | 2025-12-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-10-09 | 2025-12-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-25 | 2023-12-04 | N |
| Meet other general requirements. | Fire Safety | 2023-09-25 | 2023-12-04 | N |
| 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 | 2023-09-25 | 2023-12-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-25 | 2023-12-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-25 | 2023-12-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-25 | 2023-12-04 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-25 | 2023-11-09 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-25 | 2023-11-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-25 | 2023-11-09 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-25 | 2023-11-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-25 | 2023-11-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-25 | 2023-11-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-25 | 2023-11-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-25 | 2023-11-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-25 | 2023-11-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-25 | 2023-11-09 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-25 | 2023-11-09 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-09-25 | 2023-11-09 | Y |
| 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 | 2023-09-25 | 2023-11-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-25 | 2023-11-09 | 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 | 2023-09-25 | 2023-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-25 | 2023-11-09 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-09-25 | 2023-11-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-25 | 2023-11-09 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-09-25 | 2023-11-09 | 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 | 2023-09-25 | 2023-11-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-25 | 2023-11-09 | 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 | 2023-09-25 | 2023-11-09 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-25 | 2023-11-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-09-25 | 2023-11-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-25 | 2023-11-09 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-02-08 | 2019-03-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-08 | 2019-03-25 | 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 | 2019-02-08 | 2019-03-25 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-02-08 | 2019-03-25 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-02-08 | 2019-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-08 | 2019-03-25 | 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 | 2019-02-08 | 2019-03-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-02-08 | 2019-03-25 | 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 | 2019-02-08 | 2019-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-08 | 2019-03-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-08 | 2019-03-25 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-02-08 | 2019-03-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-08 | 2019-03-25 | 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 | 2019-02-08 | 2019-03-25 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-02-08 | 2019-03-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-08 | 2019-03-15 | N |