Inspection Results » The Waters of Cumberland, LLC

  1. Health Inspection on April 12, 2019 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-05-12)
      • Implement a program that monitors antibiotic use. (Corrected 2019-05-12)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. (Corrected 2019-05-12)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-05-12)
      • Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. (Corrected 2019-05-12)
      • Ensure that residents are free from significant medication errors. (Corrected 2019-05-12)
      • Provide and implement an infection prevention and control program. (Corrected 2019-05-12)
      • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2019-05-12)
      • Develop and implement policies and procedures for flu and pneumonia vaccinations. (Corrected 2019-05-12)
      • Ensure medication error rates are not 5 percent or greater. (Corrected 2019-05-12)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. (Corrected 2019-05-12)
      • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-05-12)
    4. Widespread: No actual harm with potential for minimal harm
      • Provide information about how to apply for and use Medicare and Medicaid benefits. (Corrected 2019-04-12)
      • Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. (Corrected 2019-04-12)
      • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2019-04-12)
    5. Pattern: No actual harm with potential for minimal harm
      • Notify the resident or the residentÂ’s representative in writing how long the nursing home will hold the residentÂ’s bed in cases of transfer to a hospital or therapeutic leave. (Corrected 2019-04-12)
      • Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. (Corrected 2019-04-12)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html