Above average — CMS composite of the measures below.
The next survey window likely opens around March 2027
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cumbernauld Village during CMS and state inspections, most recent first.
Staff failed to follow infection prevention and control practices during peri-care, urinary catheter care, and use of shared mechanical lifts. A resident on antibiotic treatment for a UTI received incontinence and peri-hygiene care from a CNA who did not change gloves or perform hand hygiene before handling a gait belt, assisting with transfers, and touching clothing in the resident’s cabinet. Another resident on Enhanced Barrier Precautions for a suprapubic catheter had urine from a leg bag emptied by a CNA who wore gloves but did not don a gown during this high-contact catheter care. In addition, a mechanical lift was used for multiple residents and transported between rooms without being sanitized between uses, despite facility policy requiring cleaning and disinfection of common equipment before use with another resident.
A resident with Alzheimer’s disease, severe cognitive impairment, depression, anxiety, delusions, and behavioral symptoms was receiving lorazepam both as a scheduled dose and PRN every four hours for restlessness and agitation, including a topical form if oral medication was refused. Physician orders for the PRN lorazepam lacked stop dates, and although the consultant pharmacist recommended a stop date or GDR, the physician declined, citing hospice and palliative care without specifying a duration. The nurse overseeing psychotropic use confirmed the absence of a stop date and uncertainty about requirements for palliative residents, despite facility policy mandating that PRN psychotropic medications (other than antipsychotics) be limited to 14 days unless a longer timeframe is explicitly ordered. This resulted in a deficiency related to unnecessary psychotropic medication management.
The facility was found to have sanitation deficiencies in the food preparation area. Dietary staff were observed without proper hair and beard restraints, and an incident of cross-contamination occurred when a staff member improperly disposed of a paper towel and then prepared food without re-washing hands. The facility lacked a policy addressing these issues.
The facility failed to maintain sanitary conditions by not properly disposing of garbage and refuse. During a tour, it was found that the lids of an outside dumpster were open, allowing potential access to wildlife. Staff confirmed that the lids should be closed to prevent pest attraction. The facility lacked a policy for proper garbage disposal.
A resident with pain and osteoarthritis did not have non-pharmacological interventions included in their care plan, despite receiving scheduled and PRN medications. The facility's policy requires both non-pharmacological and pharmacological interventions, but the care plan only included the latter. An administrative nurse confirmed the expectation for non-medical interventions, indicating a deficiency in policy adherence.
A resident with a history of dementia and anxiety, dependent on staff for personal hygiene, was observed with several days' worth of facial hair, despite a preference for a clean-shaven appearance. The resident experienced a decline in condition and responsiveness, yet staff failed to provide grooming opportunities outside of scheduled bath days, contrary to the facility's policy.
The facility failed to use recipes for preparing pureed diets, affecting three residents. Dietary staff prepared meals by adding water, gravy, or butter to achieve the right consistency without guidance on maintaining nutritional value. The absence of recipes and a policy for pureed diet preparation was confirmed by dietary staff and the facility dietician.
Inadequate Infection Control for Peri-Care, Catheter Care, and Shared Equipment
Penalty
Summary
The deficiency involves failures in infection prevention and control practices related to peri-care, urinary catheter care, and cleaning of shared mechanical lifts. During morning care, a CNA provided incontinence and peri-hygiene care to a resident who was receiving antibiotic treatment for a urinary tract infection. The CNA donned clean gloves, removed a soiled brief, performed peri-hygiene, and then placed a clean brief on the resident. Without changing gloves or performing hand hygiene, the CNA used a gait belt worn over her shoulder, assisted the resident into a wheelchair, opened the resident’s clothing cabinet, handled multiple dresses for the resident to choose from, and assisted the resident into the bathroom before removing the soiled gloves. The CNA later acknowledged she should have changed gloves after peri-hygiene and brief placement, and a licensed nurse present in the room confirmed that gloves should have been changed and hands washed after contact with infectious material. Another deficiency was identified in the care of a resident on Enhanced Barrier Precautions due to a suprapubic catheter connected to a leg bag. A CNA emptied the leg bag into a urinal for measurement, cleaned the drain spigot with an alcohol pad, and flushed the urine, but did not don a gown while providing this high-contact catheter care, despite the resident reporting that staff usually wore gloves and gowns for his care. Additionally, a mechanical lift used for multiple residents was observed being moved between several rooms without being sanitized between uses. A CNA stated uncertainty about when and by whom the lifts were cleaned, and the facility’s infection control policy required cleaning and disinfection of common equipment before use with another resident.
Failure to Implement Required Stop Orders for PRN Antianxiety Medication
Penalty
Summary
The deficiency involves the facility’s failure to ensure that a resident receiving PRN antianxiety medication had appropriate stop orders in place, as required by facility policy. The resident had diagnoses including late-onset Alzheimer’s disease, pain, anxiety, severe cognitive impairment, delusions, and behavioral symptoms such as paranoia and agitation. The resident’s admission MDS documented severe cognitive impairment and behavioral symptoms, and the Behavioral Symptom CAA noted multiple episodes of paranoia and agitation, leading to an increased dose of Seroquel and lorazepam 1 mg PRN every four hours for anxiety. The care plan documented severely impaired cognition, depression, and use of antidepressant and antipsychotic medications for anxiety and paranoid thoughts, with interventions such as redirection and monitoring for worsening depression. Physician orders dated 01/30/26 and 03/27/26 directed staff to administer lorazepam 1 mg every four hours PRN for restlessness/agitation and topical lorazepam 2 mg/ml every four hours PRN if the oral dose was refused, both without stop dates. Another order dated 02/19/26 directed scheduled lorazepam 1 mg in the afternoon for anxiety disorder. The consultant pharmacist’s review on 02/09/26 recommended a stop date or GDR for the anxiolytic, but the physician declined, stating the resident was on hospice and receiving palliative care, without specifying a duration for continued PRN use. The administrative nurse responsible for monitoring psychotropic use confirmed that the physician had declined a stop date and was unsure about the need for a stop order for palliative residents. This was inconsistent with the facility’s Unnecessary Drugs and Psychotropic Drugs policy, which required limiting PRN psychotropic medications (other than antipsychotics) to 14 days unless a longer timeframe was deemed appropriate by the prescriber, thereby resulting in the cited deficiency.
Sanitation Deficiencies in Food Preparation
Penalty
Summary
The facility failed to maintain sanitary conditions in the food preparation area, as observed during a survey. Dietary staff were found not using appropriate hair and beard restraints, which are necessary to prevent contamination of food. Specifically, two dietary staff members were seen with their hair unrestrained and exposed outside of their ball caps, and one of them also lacked a beard guard. These observations were confirmed by Dietary Staff CC and BB, who acknowledged that hair nets and beard guards should be used to prevent foodborne illnesses. Additionally, an incident of cross-contamination was observed when a dietary staff member washed her hands, dried them with a paper towel, and then used the same towel to lift the lid of a trash barrel before sliding the lid with her bare hand. She then proceeded to prepare pureed foods without re-washing her hands. Dietary Staff BB confirmed that staff should use a foot-operated trash can to avoid direct contact with the lid, thus preventing cross-contamination. The facility did not have a policy in place to address the use of hair restraints, beard restraints, and proper handwashing procedures to prevent cross-contamination.
Improper Garbage Disposal
Penalty
Summary
The facility failed to maintain and dispose of garbage and refuse properly, leading to a deficiency in sanitary conditions. During an initial tour, it was observed that the lids of a three-compartment outside dumpster were open, with one compartment containing a full garbage bag. Dietary staff confirmed that the lids should be closed at all times to prevent rodents and wildlife from accessing the garbage and spreading it throughout the facility grounds. Administrative staff also verified that all facility staff used the dumpsters and should ensure the lids are closed to contain the trash. The facility lacked a policy to address garbage and refuse disposal and containment, contributing to the deficiency.
Failure to Include Non-Pharmacological Pain Interventions in Care Plan
Penalty
Summary
The facility failed to review and revise the care plan for a resident, identified as R29, to include non-pharmacological interventions for pain management. The resident's electronic medical record documented diagnoses of pain and osteoarthritis, with a history of moderate cognitive impairment. Despite receiving both scheduled and as-needed medications for pain, the care plan lacked instructions for non-medical interventions. This oversight was identified during a review of the resident's care plan, which was last revised on June 5, 2024. The facility's policy on Pain Management-Assessment, Monitoring, and Care Planning, revised in October 2024, mandates the inclusion of both non-pharmacological and pharmacological interventions in the resident's plan of care. However, the care plan for R29 did not adhere to this policy, as it only included pharmacological interventions. An administrative nurse acknowledged the expectation for the care plan to include non-medical interventions, highlighting the deficiency in the facility's adherence to its own pain management policy.
Failure to Provide Grooming for Resident with Decline in Condition
Penalty
Summary
The facility failed to ensure that a resident, identified as R30, received grooming per his usual preference. R30 had a medical history that included fractures, dementia, and anxiety, and was assessed as having moderately impaired cognitive skills with fluctuating inattention and physical behavior directed towards others. The resident was dependent on staff for personal hygiene and had a care plan that required staff assistance for grooming. Observations revealed that R30 had several days' worth of facial hair, and his family member confirmed that the resident preferred a clean-shaven appearance but could not recall when he last received a shave. Further observations indicated that R30 was less responsive and had a decline in condition over the past week. Interviews with staff, including a CNA and a licensed nurse, confirmed the resident's increased somnolence and decline in status. The facility's policy instructed staff to provide grooming opportunities according to the care plan, but the staff failed to provide grooming opportunities for R30 outside of scheduled bath days, despite his decline in condition and resistive behaviors.
Failure to Use Recipes for Pureed Diets
Penalty
Summary
The facility failed to prepare food consistent with required recipes to ensure nutritional value and preservation of vitamins for three residents on pureed diets. During an observation, dietary staff FF admitted to preparing pureed diets without following any recipes, instead adding water, gravy, or butter until the desired consistency was achieved. She was unaware of how to maintain the nutritional value of the food. Dietary staff BB confirmed the absence of recipes for pureed diets and was not aware that such recipes were necessary to preserve nutritional value. Upon contacting the facility dietician, it was confirmed that recipes should be available for each menu item for residents on pureed diets. The facility also lacked a policy addressing the use of recipes for pureed diet preparation.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Winfield
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Kansas Veterans Home | 0.5 mi | ★★★★★ | 1 | 0 |
| Winfield Senior Living Community | 1.4 mi | ★★★★★ | 0 | 0 |
| Winfield Rest Haven Ii, Llc | 1.6 mi | ★★★★★ | 0 | 0 |
| Anew Healthcare Oxford | 10.5 mi | — | 0 | 0 |
| Medicalodges Arkansas City | 12.5 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.