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Deficiency Records for Cumberland Pointe Care Center
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.
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-27 | 2024-07-18 | 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 | 2024-06-27 | 2024-07-18 | 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 | 2024-06-27 | 2024-07-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-27 | 2024-07-18 | 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 | 2024-06-27 | 2024-07-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-27 | 2024-07-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-27 | 2024-07-18 | 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 | 2024-06-27 | 2024-07-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-27 | 2024-07-18 | 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 | 2024-06-27 | 2024-07-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-27 | 2024-07-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-27 | 2024-07-18 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2024-06-27 | 2024-07-18 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2024-06-27 | 2024-07-18 | 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 | 2024-06-27 | 2024-07-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-27 | 2024-07-18 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-17 | 2024-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-17 | 2024-07-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-06-17 | 2024-07-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-17 | 2024-07-18 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2024-06-17 | 2024-07-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-17 | 2024-07-18 | N |
| 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 |
| 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 |
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