Inspection Results » The Waters of Cumberland, LLC

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)