Cumberland Creek Assisted Living

The facility failed to ensure medications were administered as ordered, resulting in an 8% medication error rate during a morning medication pass. Specifically, a resident was administered 650mg of Acetaminophen instead of the prescribed 500mg dose due to a failure to verify the medication label against the MAR.

The facility failed to ensure medications were administered as ordered, resulting in an 8% medication error rate during the 7:00am/8:00am medication pass. Specifically, Resident #6 was administered 650mg of Acetaminophen instead of the prescribed 500mg dose.

The facility failed to maintain appropriate hot water temperatures at various sinks and tubs. Specifically, temperatures were recorded as high as 125.2°F at one sink and as low as 118.8°F at another, with residents reporting inconsistent water temperatures.

The facility failed to maintain hot water temperatures at all resident fixtures between 100 and 116 degrees Fahrenheit. Specifically, 7 of 17 sampled fixtures were found to have temperatures ranging from 52 to 125.2 degrees Fahrenheit.

The facility failed to provide supervision in accordance with a resident's assessed needs and care plan. Specifically, a resident with a history of smoking while using oxygen was caught smoking with his oxygen tank attached to his walker, despite the facility's policy and physician orders regarding safety.

The facility failed to provide adequate supervision for a resident with a history of smoking while using oxygen. Specifically, a resident was observed in a smoking area with an oxygen cylinder attached to his rollator while another resident was smoking nearby, with no staff present to monitor the safety risk.

The facility failed to maintain walls, ceilings, and floors in a clean and good repair. Specific issues included bubbled and peeling paint, ceiling stains and holes, exposed insulation in air conditioning units, and damaged floor tiles with heavy dirt accumulation in multiple resident rooms and common areas.

The facility failed to maintain the adult care home in an uncluttered, clean, and orderly manner free of hazards. Observations revealed dirt and grime buildup on floors and HVAC units, broken floor tiles, peeling paint, water leaks, and holes in walls across multiple resident rooms and bathrooms.