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NATIONAL NURSING HOME WATCH LIST

CUMBERLAND MANOR NURSING CENTER: Actual Harm and/or Immediate Jeopardy

4343 ASHLAND CITY HWY

NASHVILLE TN

TELEPHONE: 6157260492

TYPE OF OWNERSHIP: For profit - Corporation

NUMBER OF BEDS / PERCENT OCCUPIED: 124 / 96

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Based on the annual and complaint survey data reported by CMS as of 06/25/08 , this home is listed because in at least one area they caused actual harm to a patient and/or subjected the patients to immediate jeopardy. More recent reports/corrections may be available. Check with the nursing home administrator. Actual harm is indicated by a score of G, H, I, while J, K, L indicate immediate jeopardy. The color coding scheme is below:
RATING DEFINITION
actual harm and/or immediate jeopardy: score= G,H,I,J,K,L
potential for more than minimal harm: score= D, E, F
potential for minimal harm: score= A, B, C
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RESULTS LISTED BASED ON MOST RECENT ANNUAL SURVEY DATED: 11/13/2007
RATING VIOLATION SCOPE/SEVERITY CODE
Make sure that the nursing home area is free of dangers that cause accidents. J
Provide needed housekeeping and maintenance. E
Make a complete assessment that covers all questions for areas that are listed in official regulations. D
Do a new assessment after any major change in a resident's physical or mental health. D
Do an assessment of the resident every year. G
Check and update (if needed) each resident's assessment every 3 months. G
Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. D
1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care pla D
Give professional services that meet a professional standard of quality. D
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. D
Give each resident care and services to get or keep the highest quality of life possible. D
Be administered in a way that leads to the highest possible level of well being for each resident. K
Make sure that residents are safe from serious medication errors. D
Have enough nurses to care for every resident in a way that maximizes the resident's well being. K
post nurse staffing information. F
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. E
Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly. E
At least once a month, have a licensed pharmacist check the drugs that each resident takes. E
Follow all laws and professional standards. E
Give professional services that follow each resident's written care plan. J
Listen to the resident or family groups or act on their complaints or suggestions. K
Provide care in a way that keeps or builds each resident's dignity and self respect. G
Protect each resident from all abuse, physical punishment, and being separated from others. G
Keep each resident's personal and medical records private and confidential. D
1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. J

COMPLAINT SURVEY RESULTS: SUBSTANTIATED

DATERATINGCOMPLAINT VIOLATION CONFIRMEDSCOPE/SEVERITY CODE
10/07/2005 Provide care in a way that keeps or builds each resident's dignity and self respect. D
03/10/2006 Let the resident refuse treatment or refuse to take part in an experiment. D
04/20/2007 Give professional services that meet a professional standard of quality. D
07/25/2007 Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. D
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