Cuba Memorial Hospital Inc SNF

In the surveyor’s words

From the most serious findings on record at Cuba Memorial Hospital Inc SNF, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 11, 2026

  Based on interviews, and record review conducted during survey, the facility failed to protect resident's rights from verbal, mental and physical abuse by another resident for one (Resident #17) of four residents reviewed for abuse. Specifically, on 10/05/2025, Resident #17 was yelled at, grabbed by their arms and thrown back into their wheelchair by Resident #3. Following the abusive interaction, Resident #17 displayed emotional distress and was observed crying. Using the reasonable person concept, as referenced on the Centers for Medicare and Medicaid Services Psychosocial Outcome Severity guide, this resulted in psychosocial harm to Resident #17, that is not Immediate Jeopardy.The findings include: The facility policy titled Abuse, Neglect, Mistreatment dated 02/2026, documented the… […]

• No harm, potential for more than minimal, widespreadF727Sep 22, 2022

  Based on interview and record review conducted during the Standard survey started on 9/18/22 and completed on 9/22/22, the facility did not have a designated Registered Nurse (RN) to serve as the Director of Nursing (DON) on a full-time basis. Specifically, the Acting RN Director of Nursing was not designated as the DON from 5/25/2022 through 9/22/22 on a full-time basis. The finding is: The undated facility job description for the DON provided by the Human Resource (HR) Manager documented the DON provides administrative and clinical leadership and direction for nursing practice with 24-hour accountability on her/his nursing units. […]

• No harm, potential for more than minimal, patternF925Sep 22, 2022

  Based on observation, interview, and record review conducted during the Standard survey started 9/18/22 and completed 9/22/22, the facility did not maintain an effective pest control program so that the facility is free of pests and rodents. Specifically, one (Unit 3) of two units were observed to have black houseflies in residents' rooms and in the dining room. This involved Residents #8, 14, 24, 28, and 31. The findings are: The facility policy and procedure titled Facility Pest Control with a revised date of 1/11 documented the purpose was to provide safe effective pest control for the facility. […]

• No harm, potential for more than minimal, isolatedF610Jun 11, 2026

  Based on interview and record review conducted during a survey, the facility failed to ensure that all alleged violations of abuse and neglect were thoroughly investigated for two (Residents #2 and #6) of six residents reviewed. Specifically, the facility did not maintain documentation that an alleged violation was thoroughly investigated. The findings include:The policy and procedure titled Abuse- Identification, Investigation, and Reporting reviewed 01/2026 documented when any suspicious or actual forms of abuse were witnessed by any staff member, they were immediately reported to the nurse in charge. […]

• No harm, potential for more than minimal, isolatedF578May 17, 2024

  Based on interview and record review conducted during a Standard survey completed on 5/17/24, the facility did not ensure that a resident has the right to refuse treatment for one (Resident #10) of five residents reviewed for immunizations. Specifically, Resident #10 was administered the pneumococcal vaccine (used to prevent pneumonia) by facility staff without consent. The finding is: The policy and procedure titled Resident Rights dated 10/22 documented the facility will protect and promote the rights of the resident. The policy and procedure documented the resident had the right to accept or refuse care and treatment. […]