A list of the most recent deficiencies for Cumberland Pointe Care 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-13 | 2023-09-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-19 | 2022-11-04 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-07-26 | 2022-08-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-26 | 2022-08-20 | 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 | 2022-07-26 | 2022-08-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-26 | 2022-08-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-26 | 2022-08-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-26 | 2022-08-20 | 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 | 2022-07-26 | 2022-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-26 | 2022-08-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-26 | 2022-08-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-07-26 | 2022-08-20 | 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 | 2022-07-26 | 2022-08-20 | N |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2022-07-26 | 2022-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-26 | 2022-08-20 | 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 | 2022-07-18 | 2022-08-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-07-18 | 2022-08-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-07-18 | 2022-08-20 | 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 | 2022-07-18 | 2022-08-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-18 | 2022-08-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-18 | 2022-08-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-18 | 2022-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-18 | 2022-08-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-18 | 2022-08-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-26 | 2022-05-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-08 | 2021-09-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-08 | 2021-09-10 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-09-08 | 2021-09-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-02 | 2021-09-10 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-08-02 | 2021-09-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-02 | 2021-09-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-02 | 2021-09-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-02 | 2021-09-10 | 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 | 2021-08-02 | 2021-09-10 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-08-02 | 2021-09-10 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2021-08-02 | 2021-09-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-02 | 2021-09-10 | Y |
| Implement a program that monitors antibiotic use. | Health | 2021-08-02 | 2021-09-10 | 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 | 2021-08-02 | 2021-08-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-11 | 2021-05-28 | Y |
| Provide or obtain dental services for each resident. | Health | 2021-05-11 | 2021-05-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-15 | 2021-05-28 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-03-17 | 2021-05-28 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2019-10-04 | 2019-10-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-04 | 2019-10-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-04 | 2019-10-23 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-04 | 2019-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-04 | 2019-10-23 | 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 | 2019-10-04 | 2019-10-23 | 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 | 2019-10-04 | 2019-10-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-04 | 2019-10-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-04 | 2019-10-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-04 | 2019-10-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-04 | 2019-10-23 | 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 | 2019-10-02 | 2019-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-02 | 2019-10-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-10-02 | 2019-10-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-02 | 2019-10-23 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2019-10-02 | 2019-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-02 | 2019-10-23 | 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 | 2018-09-13 | 2018-10-26 | 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 | 2018-09-13 | 2018-10-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-13 | 2018-10-26 | N |
| Provide activities to meet all resident's needs. | Health | 2018-09-13 | 2018-10-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-13 | 2018-10-26 | 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 | 2018-09-13 | 2018-10-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-13 | 2018-10-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-09-13 | 2018-10-26 | 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 | 2018-09-13 | 2018-10-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-13 | 2018-10-26 | 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 | 2018-09-13 | 2018-10-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-13 | 2018-10-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-12 | 2018-10-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-12 | 2018-10-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-12 | 2018-10-26 | N |
