A list of the most recent deficiencies for Ahc Cumberland. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-21 | 2023-10-12 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-08-21 | 2023-10-12 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-08-21 | 2023-10-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-21 | 2023-10-12 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-08-21 | 2023-10-12 | 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 | 2023-08-21 | 2023-10-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-21 | 2023-10-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-21 | 2023-10-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-21 | 2023-10-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-21 | 2023-10-12 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-08-21 | 2023-10-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-21 | 2023-10-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-21 | 2023-10-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-08-30 | 2023-09-29 | Y |
| 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 | 2023-08-30 | 2023-09-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-30 | 2023-09-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-30 | 2023-09-29 | Y |
| 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 | 2023-08-30 | 2023-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-30 | 2023-09-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-30 | 2023-09-29 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-30 | 2023-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-30 | 2022-09-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-18 | 2022-06-17 | Y |
| 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 | 2022-05-18 | 2022-06-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-18 | 2022-06-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-18 | 2022-06-17 | Y |
| 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 | 2021-11-23 | 2022-01-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-23 | 2022-01-05 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-20 | 2019-08-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-21 | 2019-06-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-21 | 2019-06-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-21 | 2019-06-30 | 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 | 2019-05-21 | 2019-06-30 | 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 | 2019-05-21 | 2019-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-21 | 2019-06-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-20 | 2019-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-20 | 2019-06-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-05-20 | 2019-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-20 | 2019-06-28 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-05-20 | 2019-06-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-20 | 2019-06-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-25 | 2018-06-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-25 | 2018-06-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-23 | 2018-05-18 | N |
