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Deficiency Records for Care and Rehab - Cumberland
A list of the most recent deficiencies for Care and Rehab - Cumberland. 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 Care and Rehab - 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-07 | 2023-10-07 | 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 | 2023-09-07 | 2023-10-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-07 | 2023-10-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-07 | 2023-10-07 | 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 | 2023-09-07 | 2023-10-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-10-07 | 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 | 2023-09-07 | 2023-10-07 | 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 | 2023-09-07 | 2023-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-06 | 2023-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-06 | 2023-10-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-06 | 2023-10-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-09-06 | 2023-10-07 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-08-10 | 2022-09-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-09-10 | 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 | 2022-08-10 | 2022-09-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-11 | 2022-09-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-11 | 2022-09-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-11 | 2022-09-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-11 | 2022-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-11 | 2022-09-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-11 | 2022-09-10 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-08-11 | 2022-09-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-11 | 2022-09-10 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-06-08 | 2021-07-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-08 | 2021-07-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-06-08 | 2021-07-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-08 | 2021-07-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-10 | 2021-06-28 | N |
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