Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Cumberland Village Care during CMS and state inspections, most recent first.
The facility failed to maintain a dishwasher and hot water heater in proper working order, affecting the sanitization of kitchen and foodware. The hot water heater was only intermittently functional, overloading the dishwasher's booster temperature regulator, which failed to reach the necessary sanitization temperature. As a result, the kitchen had to use a contingency plan involving a 3-compartment sink and disposable foodware.
The facility failed to maintain sanitary conditions in the kitchen and did not discard dented cans and expired juice, potentially affecting 148 residents. Observations revealed unsanitary equipment, including a deep fryer and serving pan, and expired lemon juice in storage. The Assistant Dietary Account Manager confirmed these issues were missed during routine checks.
A facility failed to obtain a physician's orders for dialysis site monitoring and did not document dialysis site assessments for a resident requiring dialysis. Despite regular assessments by nursing staff, the Medication Administration Record lacked documentation, and Hemodialysis Communication Records were incomplete. The Assistant Director of Nursing confirmed the absence of a physician's order in the medical record, leading to incomplete documentation.
The facility did not adhere to its policy of posting daily staffing information, as observed during a survey. The policy requires posting details such as census, shift hours, and staff numbers at the beginning of each shift. However, on a survey date, the posting was outdated, showing information from two days prior. The DON confirmed the lapse in updating and posting the required information.
The facility failed to properly contain garbage and maintain sanitation in two of its dumpsters. Observations revealed that the top panels of dumpsters #1 and #2 had fallen in, exposing contents to elements and pests. Dumpster #2 was overfilled, with debris found on the ground. The Assistant Dietary Account Manager confirmed these deficiencies.
The facility failed to provide hand hygiene assistance to six residents before meals and did not ensure staff donned appropriate PPE for a resident under Enhanced Barrier Precautions. Observations revealed CNAs did not assist residents with severe cognitive impairments in hand hygiene, and staff did not wear gowns during high-contact activities for a resident requiring EBP. These actions were contrary to the facility's infection prevention policies.
A resident with diabetes had multiple instances of elevated blood sugar levels above 401, as recorded in their medical records. Although the prescribed insulin was administered, the facility failed to notify the medical provider as required by the physician's orders. Interviews with staff confirmed the expectation to report such levels, but documentation showed this was not done on several occasions.
The facility failed to protect residents from physical abuse by other residents, resulting in harm. Multiple incidents involved residents with cognitive impairments engaging in physical altercations, leading to injuries such as lacerations and nosebleeds. Despite having policies prohibiting abuse, the facility did not effectively prevent these incidents, indicating a deficiency in ensuring resident safety.
Deficiency in Kitchen Equipment Maintenance
Penalty
Summary
The facility failed to maintain essential kitchen equipment in proper working order, specifically one dishwasher and one hot water heater, which are crucial for the sanitization of kitchen and foodware. The Maintenance Director reported that the hot water heater, which supplies hot water to the kitchen's dishwasher, was only functioning intermittently for about a week, leading to an increased workload on the dishwasher's booster temperature regulator. This malfunction resulted in the dishwasher not consistently reaching the required temperatures for proper sanitization, as observed during a test run where the water temperature did not rise above 40 degrees Fahrenheit. During observations and interviews, it was confirmed that the dishwasher was not functioning correctly, as it failed to reach the necessary 120 degrees Fahrenheit for sanitizing dishes. The kitchen staff had to run dishes through the machine multiple times to attempt to achieve the appropriate temperature, but the booster temperature regulator was likely overloaded due to the lack of a consistent hot water supply. As a result, the kitchen had to resort to using a contingency plan involving a 3-compartment sink and disposable foodware to ensure dish sanitization. The Maintenance Director acknowledged the need for immediate repairs to both the dishwasher and the hot water heater.
Sanitation and Food Safety Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain kitchen cooking and serving equipment in a sanitary condition and did not properly discard dented cans and expired juice, potentially affecting 148 of 152 residents. During an observation of the dry storage area, three dented cans were found, including a 6.5-pound can of applesauce, a 3.1-pound can of corned beef hash, and a 6.6-pound can of marinara sauce. These cans were stored and available for resident use, despite the facility's policy requiring dented cans to be separated and discarded. The Assistant Dietary Account Manager confirmed that these cans were missed during the weekly check. Additionally, the cooking area was observed to have unsanitary conditions, including a grease-like, brownish-black food debris on the deep fryer, hot holding cabinet, and griddle. A 4-inch serving pan was found with crusty, white food debris, indicating it was not stored in a sanitary condition. Furthermore, two 1-quart containers of expired lemon juice were found in the reach-in cooler #1, which were confirmed to be expired and should have been discarded. These observations highlight the facility's failure to adhere to its policies on equipment sanitation and food safety.
Failure to Document Dialysis Site Assessments
Penalty
Summary
The facility failed to obtain a physician's orders for dialysis site monitoring and did not document dialysis site assessments for thrill, bruit, and infection for a resident requiring dialysis services. The facility's policy required communication and documentation of the patient's condition before and after hemodialysis treatments, but this was not consistently followed. The medical record for the resident, who had diagnoses including End Stage Renal Disease and Dependence on Renal Dialysis, lacked an order to assess the dialysis access site for bruit, thrill, and signs of infection or bleeding every shift. Observations and interviews revealed that the resident's dialysis access site was assessed by nurses every shift and before and after dialysis treatments. However, the Medication Administration Record (MAR) did not contain documentation of these assessments. The Assistant Director of Nursing confirmed that the physician's order was not entered into the medical record, which would have triggered the MAR for nurses to document the assessments. The Hemodialysis Communication Records for the resident showed incomplete documentation on multiple dates, with sections for pre and post dialysis treatment assessments left blank. The Director of Nursing confirmed that these records were not completed in their entirety and did not reflect the assessments performed by the licensed nurses. Interviews with nursing staff indicated that they assessed the dialysis access site regularly and would notify a physician if abnormalities were present, but this was not consistently documented.
Failure to Post Daily Staffing Information
Penalty
Summary
The facility failed to comply with its policy of posting daily staffing information, as observed during a survey. The facility's policy, dated August 7, 2023, requires the posting of census, shift hours, number of staff, and total hours worked by both licensed and unlicensed nursing staff responsible for patient care at the beginning of each shift. However, during an observation on January 12, 2025, at 11:30 AM, it was noted that the daily staff posting was outdated, showing information from January 10, 2025. In an interview conducted on the same day at 1:30 PM, the Director of Nursing (DON) acknowledged that the daily staffing information was not updated and posted as required, confirming the deficiency in adhering to the facility's policy.
Improper Garbage Containment and Sanitation Issues
Penalty
Summary
The facility failed to ensure proper containment and sanitary conditions of garbage and refuse in two of its three dumpsters, as per the facility's policy titled 'Dispose of Garbage and Refuse' dated August 2017. During an observation and interview with the Assistant Dietary Account Manager, it was noted that the top left panels of dumpsters #1 and #2 had fallen into the dumpsters, leaving their contents exposed to the elements and pests. Additionally, dumpster #2 was overfilled, resulting in a cardboard box, two foam boxes, and a plastic drinking cup being found on the ground behind it. The Assistant Dietary Account Manager confirmed that the contents of dumpsters #1 and #2 were not properly contained and that the area surrounding dumpster #2 was not maintained in a sanitary condition.
Infection Control Deficiencies in Hand Hygiene and PPE Use
Penalty
Summary
The facility failed to offer hand hygiene assistance to six residents prior to meals, as observed during meal tray distribution on one of the three hallways. The facility's policy requires staff to assist residents with hand hygiene before meals, using either soap and water or alcohol-based hand rubs. However, during observations, Certified Nursing Assistants (CNAs) did not offer hand hygiene assistance to residents with severe cognitive impairments who required assistance for personal hygiene. Interviews with CNAs confirmed that they did not provide the necessary hand hygiene assistance to the residents before their meals. Additionally, the facility did not ensure that staff donned appropriate Personal Protective Equipment (PPE) for a resident under Enhanced Barrier Precautions (EBP). The facility's policy mandates the use of gowns and gloves during high-contact activities for residents requiring EBP due to conditions such as open wounds. During an observation, CNAs were seen providing incontinence care to a resident without wearing gowns, despite the posted sign on the resident's door indicating the need for such precautions. Interviews with the CNAs and the Director of Nursing confirmed the failure to adhere to the EBP requirements. The deficiencies observed highlight a lack of adherence to the facility's infection prevention and control policies, specifically regarding hand hygiene assistance and the use of PPE. The residents involved had various diagnoses, including dementia and cognitive impairments, which necessitated assistance with activities of daily living, including personal hygiene. The failure to provide hand hygiene assistance and to don appropriate PPE during care activities represents a significant lapse in infection control practices within the facility.
Failure to Notify Provider of Elevated Blood Sugar Levels
Penalty
Summary
The facility failed to ensure physician orders were followed for a resident with elevated fingerstick blood sugar (BS) levels. The resident, who was cognitively intact and had a history of diabetes, was prescribed Humalog insulin to be administered before meals and at bedtime according to a sliding scale. The physician's order also required that any BS level above 401 be reported to a medical provider. However, on multiple occasions, the resident's BS levels exceeded 401, and while the prescribed insulin was administered, there was no documentation that the medical provider was notified as required. Interviews with the Nurse Practitioners and the Director of Nursing confirmed that the facility's expectation was for nurses to notify the provider of elevated BS levels above 401. Despite this, there was no evidence that the provider was informed on several specific dates when the resident's BS levels were elevated. The resident's frequent refusal of BS fingersticks and long-acting insulin was noted as a contributing factor to the elevated levels, but the lack of notification to the medical provider constituted a failure to follow the physician's orders.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to protect residents from physical abuse by other residents, resulting in harm to several individuals. On multiple occasions, residents with cognitive impairments engaged in physical altercations, leading to injuries. For instance, one resident hit another, causing a laceration and abrasion, while another incident involved a resident being struck in the face, resulting in a nosebleed. These incidents highlight the facility's inability to prevent resident-to-resident abuse, despite having policies in place prohibiting such behavior. The incidents involved residents with various diagnoses, including dementia, anxiety disorders, and other cognitive impairments. These conditions contributed to the residents' aggressive behaviors, as seen in the altercations. The facility's records indicate that the residents involved had moderate to severe cognitive impairments, which likely influenced their actions. Despite the presence of care plans addressing potential physical behaviors, the facility did not effectively prevent these incidents from occurring. The facility's investigation and documentation reveal that staff were aware of the altercations and took steps to separate the residents and assess injuries. However, the repeated nature of these incidents suggests a systemic issue in managing resident behaviors and ensuring a safe environment. The facility's failure to prevent these altercations resulted in actual harm to some residents, indicating a deficiency in protecting residents' rights to be free from abuse.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 33 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lafollette
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Tennova Lafollette Health And Rehab Center | 4.8 mi | ★★★★★ | 0 | 0 |
| Rocky Top Care Center | 9.5 mi | ★★★★★ | 7 | 0 |
| Andersonville Tn Opco Llc | 12.5 mi | ★★★★★ | 8 | 0 |
| Beech Tree Health And Rehabilitation | 15.7 mi | ★★★★★ | 0 | 0 |
| The Waters Of Clinton, Llc | 16.1 mi | ★★★★★ | 7 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Cumberland Village Care.
100% money-back within 48 hours.
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.