Cumberland Pointe Care Center

In the surveyor’s words

From the most serious findings on record at Cumberland Pointe Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF835Sep 15, 2025

  Based on record review, including review of facility billing/financial information, interview, and review of the Administrator Job Description, the facility failed to be administered in a manner to prevent potential interruption in service or delay in receipt of inspection reports as a result of not following up timely to failed generator testing. This had the potential to affect all 66 residents residing in the facility. Findings include: In an interview on 09/11/2025 at 7:56 A.M. with Maintenance Director (MD) #501 revealed he had been employed by the corporation for three years. […]

• No harm, potential for more than minimal, widespreadF725Oct 3, 2024

  Based on review of the facility Payroll Based Journal (PBJ) submission data for the third quarter of 2024, review of the facility assessment, review of medical records, review of shower sheets, and staff and resident interviews, the facility failed to maintain sufficient levels of direct care staff to meet the total care needs of all residents. This affected five residents (#16 , #25, #27, #31, and #52) and had the potential to affect all 62 residents residing in the facility. Findings include: 1a. […]

• No harm, potential for more than minimal, widespreadF606Jun 27, 2024

  Based on review of the criminal background check log, interview, and policy review, the facility failed to ensure all staff had a completed criminal background check. This had the potential to affect all 65 residents. Findings include: Review of the facility's criminal background check log revealed notations beside entries for Registered Nurse (RN) #521 (hired 07/20/22), Admission Director #526 (hired 04/20/23), and State tested Nursing Assistant (STNA) #547 (hired 04/23/24) indicating fingerprint submissions to the Bureau of Criminal Investigations had been rejected. […]

• No harm, potential for more than minimal, widespreadF725Jun 27, 2024

  Based on review of the facility Payroll Based Journal (PBJ) submission data for the first quarter of 2024, review of the facility assessment, and staff and resident interviews, the facility failed to maintain sufficient levels of direct care staff to meet the total care needs of all residents. This affected six residents (#46, #44, #2, #39, #28 and #51) and had the potential to affect all 65 residents residing in the facility. Findings include: Review of the facility PBJ submission data (staffing data submitted to the Centers for Medicare and Medicaid) revealed the facility was identified to have low weekend staffing during the first quarter (October through December of 2023) of 2024. […]

• No harm, potential for more than minimal, widespreadF880Jun 27, 2024

  Based on observations, review of personnel records, policy review, review of time punches, and interview, the facility failed to ensure staff were adequately tested for signs of tuberculosis prior to resident contact and failed to maintain infection control protocols during medication administration and incontinence care. This affected Residents #10 and #15 and had the potential to affect all 65 residents. Findings include: 1. On 06/20/24 at 2:00 P.M., State tested Nursing Assistant (STNA) #567 was observed providing incontinence care to Resident #15. After turning Resident #15 over to provide incontinence care to the buttocks, STNA #567 started cleaning from the top of the buttocks toward the vaginal area. […]