Cumberland Pointe Health Campus

In the surveyor’s words

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

• Actual harm, isolatedF689Jun 16, 2025

  Based on interview and record review, the facility failed to ensure a resident was kept safe during care and was evaluated for assistive devices to prevent an accident for 1 of 1 resident reviewed for accidents. (Resident 19) This deficient practice resulted in a right femoral neck fracture, a left scalp laceration, and a hematoma of the frontal scalp for Resident 19. Findings include: During an interview, on 6/12/25 at 3:40 p.m., Resident 19's daughter indicated she was the resident's Power of Attorney (POA) and was never called by the facility to inform her the resident had fallen. She heard about the fall from a Home Health Aide (HHA 6) she had hired for extra help to make sure the resident received all the care he needed. […]

• No harm, potential for more than minimal, widespreadF812Mar 7, 2023

  Based on observation, interview and record review, the facility failed to ensure frozen food was securely covered, the refrigerator did not contain employee drinks and the thermometer used to temp food was cleaned between testing temperatures. The deficient practice had the potential to affect 62 of 62 residents who received food from the kitchen. Findings include: 1. During the kitchen observation, on 2/27/23 at 12:37 p.m., with the Dietary Manager (DM), the following were observed: a. The walk-in freezer had a large silver pan containing pulled pork and the plastic wrap over the top was not pulled tightly over the meat. The meat had ice formed over the top of the meat and the whole length of the pan. b. The refrigerator door had a large approximately 32 oz blue cup with a lid. […]

• No harm, potential for more than minimal, patternF684Jun 10, 2024

  Based on observation, interview and record review, the facility failed to provide a bowel stimulant according to the bowel protocol, failed to ensure residents were wearing compression hose as ordered by the physician, failed to hold a medication per the physician's hold orders, and failed to ensure a preventive cushion was in place for 4 of 4 residents reviewed for quality of care. (Residents 43, 44, 15 and 25) Findings include: 1. The record for Resident 43 was reviewed on 6/4/24 at 3:44 p.m. The diagnoses included, but were not limited to, metabolic encephalopathy (a problem in the brain, caused by a chemical imbalance in the blood) and constipation. a. […]

• No harm, potential for more than minimal, patternF725Mar 7, 2023

  Based on observation, interview and record review, the facility failed to ensure there were enough staff to complete showers, to complete hair care, to administer medications on time and to obtain physician ordered medications for 3 of 5 residents reviewed for activities of daily living (ADL) care, 5 of 5 residents reviewed for timely medication administration, and 4 of 5 residents reviewed for missing medications. (Resident G, C, D, E, F, H, J, K, L, M and B). Findings include: 1. During an observation, on 2/27/23 at 3:03 p.m., Resident G's hair was combed, appeared flat and slightly greasy like it had not been washed in a while. The record for Resident G was reviewed on 3/2/23 at 10:17 a.m. […]

• No harm, potential for more than minimal, isolatedF578Jun 16, 2025

  2. The clinical record for Resident 29 was reviewed on 6/10/25 at 3:06 p.m. The diagnoses included, but were not limited to, diabetes type 2, cardiomegaly, hypertension, obesity, and age-related physical debility. A current physician's order, dated 12/22/21, indicated Resident 29 had a full code status. A care plan, dated 12/23/21, indicated advanced directives would be reviewed quarterly and honor Resident 29's medical POA's decisions. An Indiana Physicians Orders for Scope of Treatment (POST) form, dated 4/9/24, was signed by Resident 29's power of attorney (POA) and indicated the resident's code status was DNR (do not resuscitate). It was not signed by a physician. […]