Above average — CMS composite of the measures below.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Preferred Care At Cumberland during CMS and state inspections, most recent first.
A resident’s admission record was sent with another resident to a third-party appointment, resulting in confidential medical and personal information being mixed between two residents. The resident whose information was sent had diagnoses including metabolic encephalopathy, type II DM, and atrial fibrillation, while the other resident’s paperwork included diagnoses such as acute osteomyelitis, type II DM, and memory deficit following cerebral infarction. The LNHA said a new Unit Clerk being trained by Medical Records staff mixed up the documents.
Kitchen staff failed to ensure cleaned pots and pans were fully air-dried before being stacked and stored. An observation found multiple pans still wet after cleaning, and the DM confirmed they were put away before drying, contrary to facility policy.
A resident admitted with multiple respiratory conditions, including pneumonia, OSA, COPD, chronic bronchitis, and dependence on oxygen, did not have these diagnoses or the use of a BiPAP machine documented in the baseline care plan. The omission was confirmed through record review and staff interview, indicating the baseline care plan did not include essential information needed for person-centered care.
A resident's discharge MDS was started but not completed or accepted in the EMR and was transmitted to the State months late. The RND confirmed the MDS team submitted it late and stated it was overlooked.
Activities were not provided in accordance with a resident's preferences. The resident had stroke and dementia diagnoses, severe cognitive impairment, and preferences that included music, news, group activities, fresh air, and religious activities. Although the care plan included music, outdoor time, and group participation, the resident did not attend scheduled music and other group programs, and the one-on-one visits provided were limited to snack, chat, mail, card, and reading a book rather than being based on the resident's stated preferences.
A resident with a stroke, left-sided hemiplegia, and severe cognitive impairment had OT-documented PROM recommendations for the left UE and LE through the FMP. However, the care plan and CNA Kardex did not show PROM as an intervention, and CNA documentation did not reflect that PROM was provided. The RD confirmed the resident did not receive the recommended FMP services, and the ADON stated the committee chose not to pick the resident up for FMP and instead relied on gentle ROM during care, which was not documented in the resident’s care plan or Kardex.
A resident with severe cognitive impairment and a stage 2 pressure ulcer required extensive assistance with bed mobility. The facility staff failed to consistently document turning and repositioning in the resident's medical records, as required by the CNA job description and facility policy. Interviews with staff confirmed the presence of blanks in the documentation, indicating either a failure to perform or document the care.
Resident Records Mixed and Sent to Wrong Appointment
Penalty
Summary
The facility failed to maintain resident medical information confidential in accordance with accepted professional standards when the wrong resident’s admission record was sent with another resident to a third-party facility appointment. The deficiency involved one of seven residents reviewed. The resident whose paperwork was sent had diagnoses including acute osteomyelitis, type II diabetes, and memory deficit following cerebral infarction, and the grievance record showed that another resident’s admission record had been mixed in with that resident’s medical information. The resident whose medical and personal information was mistakenly sent with the other resident had diagnoses including metabolic encephalopathy, type II diabetes, and atrial fibrillation. Facility grievance records documented that the resident’s admission record was sent with the other resident’s medical information to the appointment. During interviews, the LNHA stated that he was notified by a third-party provider that the records had been mixed up and that the error occurred when a new Unit Clerk being trained by Medical Records staff erroneously mixed up the documents for the two residents.
Wet Pots and Pans Stored Before Drying
Penalty
Summary
The facility failed to ensure kitchen staff thoroughly cleaned and air-dried pots and pans before storage. Review of the facility policy titled, Cleaning and Storage of Pots/Pans in Dietary, dated 02/28/25, stated that cookware should be properly cleaned and dried after use and that staff should ensure items are appropriately dry before putting them away. During an observation and interview on 08/04/25 at 9:55 AM, the Dietary Manager confirmed that six 12-inch by 12-inch by 6-inch pans and three 8-inch by 12-inch by 6-inch pans had been cleaned and stacked for use while still wet. The pans were observed stacked wet and not allowed to properly air dry prior to being stacked, and the Dietary Manager stated they should be dry before being put away and that they were not dry before they were stacked.
Baseline Care Plan Lacked Critical Respiratory Information for New Admission
Penalty
Summary
The facility failed to ensure that the baseline care plan for a newly admitted resident included sufficient information to provide person-centered care. Specifically, the baseline care plan did not document the resident's significant respiratory conditions, which included pneumonia, obstructive sleep apnea (OSA), chronic obstructive pulmonary disease (COPD), dependence on oxygen, chronic bronchitis, and the use of a BiPAP machine. These omissions were identified through a review of the resident's face sheet, physician orders, and the baseline care plan in the electronic medical record (EMR). Further review of the resident's five-day Minimum Data Set (MDS) confirmed that the resident was cognitively intact, experienced shortness of breath when lying flat, required continuous oxygen, and utilized a BiPAP machine. During an interview, the Regional Nursing Director acknowledged that the resident's respiratory diagnoses and the BiPAP order were not included in the baseline care plan. This lack of documentation meant that the baseline care plan did not contain the minimum healthcare information necessary to properly care for the resident as required by facility policy.
Late Transmission of MDS Assessment
Penalty
Summary
The facility failed to ensure that one resident's MDS assessment was transmitted to the State in a timely manner. Review of the RAI manual showed that required OBRA assessments must be completed and transmitted within specified timeframes, including discharge assessments being transmitted no later than 14 days after the MDS completion date. Record review showed that Resident 13 was readmitted to the facility and later discharged to the hospital, and an MDS for a discharge return not anticipated with an ARD of 03/08/25 was started in the EMR but was not shown as completed or accepted. During interview, the Regional Nursing Director confirmed that the MDS team submitted the assessment late on 08/07/25, about five months after it was started, and stated that it was overlooked.
Activities Not Provided in Accordance With Resident Preferences
Penalty
Summary
Activities were not provided in accordance with the resident's preferences for one resident who was admitted with diagnoses including cerebral infarction (stroke) and dementia. The resident's admission MDS showed a BIMs score of 3 out of 15, indicating severe cognitive impairment, total dependence for wheelchair mobility, and that the interview for daily and activity preferences should be conducted. The resident identified listening to music, keeping up with the news, doing things with groups of people, going outside and getting fresh air in good weather, and participating in religious activities as somewhat important while at the facility. The care plan documented that the resident enjoyed listening to all kinds of music, sitting outside when weather permitted, and watching TV and movies, and included interventions to transport the resident to activities of interest, provide supplies or materials for leisure activities as needed or requested, and encourage participation in group activities. The July and August 2025 activity calendars included move and music, music performances, coffee socials, religious programs, karaoke, and group activities, but the resident did not attend scheduled programs including music programs in July and August. One-on-one activity documentation showed brief visits consisting of snack, chat, mail, card, and reading a book, and observations found the resident in bed or in a Broda chair in a hallway alcove without stimulation while music programs were occurring elsewhere and the resident was not in attendance. The Activity Director stated the resident's one-on-one activities were not based on the resident's activity preferences.
Failure to Implement PROM for Resident With Left-Sided Weakness
Penalty
Summary
The facility failed to ensure that passive range of motion (PROM) recommendations were implemented for one resident with a history of cerebral infarction and left-sided hemiplegia. The resident’s admission MDS showed severe cognitive impairment and limitation in range of motion in the upper and lower extremities on one side. OT discharge documentation stated that a Functional Maintenance Program had been established for PROM to the left upper and lower extremities, and the FMP document identified goals to maximize available ROM with PROM to the left upper and lower extremities and gentle ROM during AM/PM care. The resident’s care plan addressed the stroke and left-sided weakness, including monitoring for contractures, but it did not identify PROM as an intervention for the resident’s limited ROM. Review of CNA documentation for several months did not show that PROM was being provided. The Rehab Director stated OT recommended ROM through the FMP and that referrals for FMP are made to nursing, but confirmed the resident did not receive FMP services as recommended. The ADON stated the FMP committee decided not to pick the resident up for services and instead referred the resident to unit CNAs for gentle ROM during morning and evening care, but the care plan and CNA Kardex did not include PROM, and the ADON could not find it documented there.
Failure to Document Resident Care in Medical Records
Penalty
Summary
The facility staff failed to consistently document the Activities of Daily Living (ADL) status for a resident, specifically in the area of turning and repositioning, as required by the Certified Nursing Aide (CNA) job description and the facility's policy on medical record documentation. The resident, who was admitted with diagnoses including acute ischemic heart disease and a stage 2 pressure ulcer, required extensive assistance with bed mobility due to severe cognitive impairment. The Minimum Data Set (MDS) indicated that the resident had a Brief Interview for Mental Status (BIMS) score of 0, reflecting severe cognitive impairment, and required weight-bearing support for bed mobility. The Documentation Survey Report (DSR) for the resident showed multiple instances of missing documentation for turning and repositioning across various shifts in August, September, and October 2023. Interviews with facility staff, including a CNA and the Assistant Director of Nursing (ADON), confirmed the presence of blanks in the DSR and acknowledged that these could indicate either a failure to perform the care or a failure to document it. The facility's policy required that documentation be accurate, relevant, and complete, yet the DSR contained numerous blank entries, suggesting non-compliance with this policy.
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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 Bridgeton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| South Jersey Extended Care | 2.7 mi | ★★★★★ | 16 | 0 |
| Big Oak Rehabilitation And Healthcare Center | 9 mi | ★★★★★ | 8 | 0 |
| Millville Center | 11.9 mi | ★★★★★ | 2 | 2 |
| New Jersey Veterans Memorial Vineland | 13.9 mi | ★★★★★ | 2 | 1 |
| Bishop Mccarthy Center For Rehab & Healthcare | 14.1 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 August 2026) and official state health department websites.