Inspection visit
Inspection
Citations
21 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0155GeneralS&S Dpotential for harm
Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives.
- 0242GeneralS&S Epotential for harm
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
- 0247GeneralS&S Cno actual harm
Give notice to the resident before a room or roommate change.
- 0253GeneralS&S Epotential for harm
Provide housekeeping and maintenance services.
- 0276GeneralS&S Epotential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
- 0278GeneralS&S Dpotential for harm
Ensure each resident receives an accurate assessment by a qualified health professional.
- 0279GeneralS&S Epotential for harm
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0280GeneralS&S Epotential for harm
Allow residents the right to participate in the planning or revision of care and treatment.
- 0309GeneralS&S Dpotential for harm
Provide necessary care and services to maintain or improve the highest well being of each resident .
- 0311GeneralS&S Dpotential for harm
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
- 0329GeneralS&S Epotential for harm
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
- 0353GeneralS&S Fpotential for harm
Have enough nurses to care for every resident in a way that maximizes the resident's well being.
- 0356GeneralS&S Cno actual harm
Post nurse staffing information/data on a daily basis.
- 0428GeneralS&S Dpotential for harm
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
- 0514GeneralS&S Dpotential for harm
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
- 0520GeneralS&S Fpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
- 0223GeneralS&S Dpotential for harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- 0374GeneralS&S Epotential for harm
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- 0754GeneralS&S Dpotential for harm
Provide properly sized and located linen or trash receptacles.
- 0781GeneralS&S Dpotential for harm
Have restrictions on the use of portable space heaters.
F920 - Dining and Resident Activities
Ensure proper usage of power strips and extension cords.
FAQ · About this visit
Common questions about this visit
What happened during the September 29, 2017 survey of Cumberland Healthcare Center?
This was a inspection survey of Cumberland Healthcare Center on September 29, 2017. The surveyor cited 21 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at Cumberland Healthcare Center on September 29, 2017?
Yes, 21 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.