Cumberland Trace Health & Living Community
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 82 Google reviews
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What this means for your family
Cumberland Trace Health & Living Community falls in the middle range of Medicare quality ratings. This means baseline standards are met, but there is room for improvement. Strengths include long-term staff relationships with families - staff know residents and family members by name within a week. Some reviewers note concerns about serious understaffing issues leading to extended response times and missed care. A personal tour and conversation with current residents' families will give you the best picture of daily life here.
Google Reviews
Google Reviews
82 reviews on Google“Cumberland Trace receives mixed reviews with many families praising compassionate staff and quality care, but concerning patterns emerge around staffing shortages, communication barriers, and inconsistent care quality. While some residents thrive here for years, others have experienced serious safety issues and neglect.”
Quality Themes
Tap a score for detailsStrengths
- Long-term staff relationships with families - staff know residents and family members by name within a week
- Comprehensive on-site services including dentist, podiatrist, physician, and physical therapy
- Quality rehabilitation services with dedicated therapy staff helping residents regain mobility and speech
- Well-designed assisted living units with kitchenettes, washer/dryer, and private bathrooms
- Family involvement encouraged - quarterly care plans, consultation before treatment changes, and responsive communication for some families
- Some residents genuinely consider it home after years of residence
Concerns
- Serious understaffing issues leading to extended response times and missed care
- Language barriers affecting communication between staff and residents/families
- Inconsistent medication management and dangerous oversights (oxygen disconnections, wrong medications)
- Basic hygiene care neglected - residents left in soiled conditions, missed bed baths
- Significant variation in care quality between different staff members and shifts
- Food service problems including cold meals and slow service
- Communication breakdowns with families regarding resident status and medical changes
Rating Trends
Distribution · 84 analyzed
Review Pace
accelerating over 118mo
How They Respond to Reviews
This facility responds to some reviews.
Questions for Your Tour
- 1We love hearing that staff members get to know families by name so quickly; how do you ensure that this personal connection is maintained even during shift changes?
- 2With so many great on-site services like the dentist and podiatrist, how do you coordinate these visits to ensure my loved one doesn't miss any important appointments?
- 3What specific protocols do you have in place to ensure medication is administered accurately and that all medical equipment, like oxygen, is checked regularly?
- 4How does the nursing team communicate important updates or changes in care plans to us to ensure we are always in the loop?
- 5Can you tell us about the daily activities and social engagement opportunities available to help residents stay active and connected with each other?
- 6In the event of a medical emergency after hours, what is the immediate process for contacting the physician and notifying our family?
Personalized based on this facility's data
Key Review Excerpts
“My mother suffers daily from the pain of multiple sclerosis, and the emotional toll of seeing her treated this way is devastating... She deserves better and I hate that she has to spend the rest of her life being treated this way at this place.”
“Three times they have let her go without oxygen, one of the times lasting for 15 minutes they only knew so because she didn't feel right and she told them.”
“Our sweet momma has been in assisted living there for 7+ years. We ❤️ the dedicated care given to her and the support of dedicated employees including Hardeep, Donnie, Cinda. and Heather.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
3
measures
3
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose walking got worse
Residents vaccinated for the flu
Residents on anti-anxiety or sleep medication
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Cumberland Trace shows a concerning pattern of recurring deficiencies across multiple surveys, with families filing at least one complaint that triggered an investigation. The facility has struggled most with resident rights issues, care planning and assessments, and medication management, with several problems repeating across surveys from 2023 to 2025. While all deficiencies show correction dates, the persistence of similar issues suggests ongoing challenges with consistent quality care.
May 23, 2025Routine6
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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.
Resident Rights Deficiencies
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.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
May 23, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 23, 2024Routine5
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Feb 16, 2023Routine10
Miscellaneous Deficiencies
Provide properly sized and located linen or trash receptacles.
Quality of Life and Care Deficiencies
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Resident Rights Deficiencies
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.
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Federal Penalties
Fine
May 23, 2025
$33,579
Ownership & Operations
Who Operates This Facility
Cumberland Trace Health & Living Community
government
Chain Affiliation
Cardon & Associates
20 facilities nationwide
Chain avg rating: 3.8/5 · Rank 18 of 20
Ownership & Management
Owners
Riverview Hospital
Owner · Organization
Headley, Kathy
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Moore, Daniel
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Moore, David
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Moore, Stephen
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
82 reviews from families & visitors
Official Website
Visit cardon.us
Medicare data downloads
Original nursing home datasets
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