The Blossoms at Cumberland Rehab & Nursing Center

In the surveyor’s words

From the most serious findings on record at The Blossoms at Cumberland Rehab & Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Feb 2, 2024

  Based on record review and interview, the facility failed to provide necessary care and services to identify and manage skin complications, as evidenced by failure to accurately perform weekly body audits, which resulted in a delay in identifying and addressing a serious complication of the skin on the resident's left foot that resulted in the resident developing gangrene which resulted in body parts being surgically removed for 1 (Resident #323) of 1 sampled resident. This failed practice resulted in Immediate Jeopardy, which caused or could have caused serious harm, injury, or death to Resident #323, who developed gangrene in the 3rd, 4th and 5th toes of the left foot resulting in surgical amputation of the 4th and 5th toes. […]

• Actual harm, patternF600Mar 4, 2025

  Based on observations, interviews, record review, and facility policy review, it was determined that the facility failed to prevent resident abuse for 2 (Resident #1 and Resident #2) of 6 residents reviewed for abuse. The findings include: A review of a facility policy titled, Resident Rights, dated 04/2021, indicated, Federal and state laws guarantee certain basic rights to all residents of this facility. These rights include the resident's right to: c. be free from abuse, neglect. g. exercise his or her rights as a citizen of the facility. h. be supported by the facility in exercising his or her rights; A review of a facility policy titled, Resident [NAME] of Rights for Nursing Home Residents, dated 07/12/1988, indicated, 2. The right to a safe and clean environment. 10. […]

• Actual harm, isolatedF600Jun 4, 2026

  Number of residents sampled: Number of residents cited: Based on observations, interviews, record review, and facility policy review, it was determined that the facility failed to prevent staff to resident abuse for one (Resident #76) of four residents reviewed for abuse. The findings include: Review of an admission Record indicated the facility admitted Resident #76 with diagnoses that included adjustment disorder with mixed disturbances of emotions and conduct, mood affective disorder, bipolar disorder, nicotine dependence, problem related to social environment, intellectual disabilities, symptoms and signs involving appearance and behavior and traumatic brain injury. […]

• No harm, potential for more than minimal, widespreadF812Jan 16, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure dented cans were promptly removed from stock; leftover meat products were used in a manner to maintain food quality; surfaces were cleaned to provide a sanitary environment for food preparation, floors, dish washer and kitchen walls, door and frames were free of, debris, dirt, grease, rust, stains, wall tiles were replaced; food items stored in the freezer were covered or sealed properly; expired food items were promptly removed from stock; ice machine was maintained in clean and sanitary condition; and dietary staff washed their hands before handling clean equipment for 1 of 1 meal observed. The Findings are: 1. […]

• No harm, potential for more than minimal, widespreadF726Feb 2, 2024

  Based on record review and interview, the facility failed to ensure licensed nursing staff demonstrated competency in the care of a resident who required weekly body audits, as evidenced by failure to accurately perform weekly body audits resulting in the resident developing gangrene in the 4th and 5th toes on the left foot, which resulted in surgical amputations of the 4th and 5th toes on the (L) foot for 1 (Resident #323) of 1 sampled resident. The findings are: 1. Resident #323 had diagnoses of Type 2 Diabetes Mellitus with Hyperglycemia and Need for Personal Care. a. […]