F 0806
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Ensure each resident receives and the facility provides food that accommodates resident allergies,
intolerances, and preferences, as well as appealing options.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
review of the medical record, review of the facility menus, review of incident logs, resident interviews and
staff interviews, the facility failed to ensure Resident #47 #53, and #57 were able to make meal choices
which aligned with their preferences. This affected three residents (Resident #47, #53, #57) of five reviewed
for residents rights with meal preferences.Findings include:1. Review of the medical record revealed
Resident #53 was admitted to the facility on [DATE]. Diagnoses included respiratory failure, shortness of
breath, chronic pain, dysphagia, major depressive disorder, anxiety disorder, osteoarthritis, presbyopia,
hearing loss, insomnia, and osteoporosis.Review of the endoscopy results dated 01/14/25 revealed no
observed deficits and recommended upgrading Resident #53's diet from mechanical soft to regular
consistency and thin liquidsReview of the physician's orders revealed Resident #53 had a regular diet with
regular texture and thin liquids dated 01/14/25. Review of the Quarterly Minimum Data Set assessment
dated [DATE] revealed Resident #53 had intact cognition, was not on a mechanically altered diet, and the
resident had no swallowing disorders.Review of the plan of care dated 03/25/25 revealed Resident #53 had
alteration in chewing, swallowing related to dysphagia-oral phase, oropharyngeal phase dysphagia, and
tracheal deviation. Interventions included educating the resident and family on chewing and swallowing
precautions, encouraging the resident to eat slowly and chew thoroughly, follow up with an Ear, Nose and
Throat Specialist, monitor weight loss, dehydration, and aspiration pneumonia, monitor for chewing or
swallowing difficulties, place the resident in a sitting or upright position during meals, and speech therapy to
evaluate and treat as indicated.Review of the progress notes from 02/12/25 to 08/12/25 revealed no
documentation of Resident #53 choking on food. An interview on 08/12/25 at 9:45 A.M. with Resident #53
revealed about a year ago they stopped serving them hot dogs and kielbasa. She stated they were told they
were a choking hazard. She stated any food item could be a choking hazard if that were the case. She
stated she wanted hot dogs especially during the summer cook outs. She stated she was told she could
have someone bring her one in, however she had no way of doing that. She stated she had asked
numerous times for a hot dog and was always told no.2. Review of the medical record revealed Resident
#47 was admitted to the facility on [DATE]. Diagnoses included end stage renal disease, renal dialysis,
diabetes, decreased white blood count, neutropenia, cardiomyopathy, hypertension, and peripheral
vascular diseases.Review of the physician's orders revealed Resident #47 had an order for a low
concentrated sweet, no added salt, regular texture with thin liquid diet and a 1500 milliliter fluid restriction
dated 11/17/23.Review of the Quarterly Minimum Data Set assessment dated [DATE] revealed Resident
#47 had intact cognition and had no swallowing disorders.Review of the progress notes from 02/12/25 to
08/12/25 revealed no documentation of Resident #47 choking on food.An interview on 08/12/25 at 12:50
P.M. with Resident #47 revealed the facility had a lot of stuff he did not eat so he would order hot dogs
instead, then he was told he could not have hot
(continued on next page)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other
safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the
date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER
REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Facility ID:
If continuation sheet
Page 1 of 2
Event ID:
366177
Printed: 05/15/2026
Form Approved OMB
No. 0938-0391
Department of Health & Human Services
Centers for Medicare & Medicaid Services
STATEMENT OF DEFICIENCIES
AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA
IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
366177
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/12/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Cumberland Pointe Care Center
68637 Bannock Road
St Clairsville, OH 43950
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency.
(X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES
(Each deficiency must be preceded by full regulatory or LSC identifying information)
F 0806
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
dogs anymore. He stated he had been ordering cheeseburgers and grilled chicken from the alternate menu,
but it would be nice to have a hot dog occasionally.3. Review of the medical record revealed Resident #57
was admitted to the facility on [DATE]. Diagnoses included chronic respiratory failure, nontraumatic
intracerebral hemorrhage, acute kidney disease, heart failure, major depressive disorder, intermittent
explosive disorder, polyneuropathy, peripheral vascular disease, insomnia, anorexia, mood disorder,
hypertension, benign prostatic hyperplasia, and edema.Review of the physician's orders revealed Resident
#57 had an order for a regular diet with regular texture and thin liquids dated 05/20/23.Review of the
Quarterly Minimum Data Set assessment revealed Resident #57 had intact cognition and had no
swallowing disorders.Review of the progress notes from 02/12/25 to 08/12/25 revealed no documentation of
Resident #57 choking on food.Review of the Always Offered Menu revealed there were no hot dogs listed
on the menu.Review of the four-week menu rotation revealed no encased-link meat on the menu.Review of
the incident log from 02/12/25 to 08/12/25 revealed no incidents of choking in the facility.An interview on
08/12/25 at 10:05 A.M. with Dietary Manager #300 revealed she received an email about a year ago stating
they were to stop serving encased-meat links. She stated they were not given a reason except that it was
corporate wide. She stated she was able to find no-casing sausage links for breakfast and bratwurst patties,
but there was not a substitution for hot dogs. She stated several residents had asked for them at resident
council. She stated she had to tell them that the facility could not serve them and they must pick something
else as their meal of choice. She stated they had also complained to her about hot dogs not being on the
alternate menu.An interview on 08/12/25 at 10:10 A.M. with the Administrator revealed the facility was not
telling the residents they could not have hot dogs, the facility was just not serving them anymore. He stated
the residents were more than welcome to have someone bring them in a hot dog or they could order one to
be delivered. He stated they did not serve them filet [NAME] either so he did not understand why not
serving them hot dogs would be any different. He stated they could use their monthly allowance to order a
hot dog from the community if that was what they really wanted to do. An interview on 08/12/25 at 11:35
A.M. with the Administrator revealed they facility did not have a policy on not serving encased-meat links,
however they stopped serving them on 01/01/25. He stated the residents were still able to choose
something for the alternate menu, so they were not restricting their right to choose. He stated the facility
was just not offering them a hot dog as an alternative. An interview on 08/12/25 at 12:00 P.M. with the
Administrator revealed he did not know why they eliminated hot dogs and would assume it was due to them
being a choking hazard or liability concern. He stated he did not believe they were violating any resident
rights and did not know of any regulatory tags which stated they had to offer all foods to the residents. He
stated they had offered the resident items in place of hot dogs on the menu and that was what the
regulation stated. He stated Dietary Manager #300 has worked with the residents to provide alternatives to
hot dogs. He verified they were previously on the menu prior to 01/01/25. An interview on 08/12/25 at 12:50
P.M. with Resident #57 revealed the facility had a lot of stuff he did not eat so he would order hot dogs
instead, then he was told he could not have hot dogs anymore. He stated he had been ordering
cheeseburgers and grilled chicken from the alternate menu, but it would be nice to have a hot dog
occasionally.This deficiency represents non-compliance investigated under Complaint Number 2584123.
Event ID:
Facility ID:
366177
If continuation sheet
Page 2 of 2