Inspection Reports for Cumberland Crossings Retirement Community
1 LONGSDORF WAY, A,B & C WINGS,, CARLISLE, PA, 17015
Back to Facility ProfileDeficiencies (last 4 years)
Deficiencies (over 4 years)
6.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
34% worse than Pennsylvania average
Pennsylvania average: 4.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
73% occupied
Based on a March 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Census: 43
Capacity: 59
Deficiencies: 0
Date: Mar 18, 2025
Visit Reason
The inspection was conducted as a complaint investigation during an unannounced partial inspection on 03/18/2025.
Complaint Details
The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.
Findings
No regulatory citations or deficiencies were identified as a result of this inspection.
Report Facts
License Capacity: 59
Residents Served: 43
Current Hospice Residents: 2
Resident Support Staff Hours: 0
Total Daily Staff: 56
Waking Staff: 42
Inspection Report
Follow-Up
Census: 44
Capacity: 59
Deficiencies: 1
Date: Jan 7, 2025
Visit Reason
The inspection was a partial, unannounced follow-up visit conducted due to an incident, to review the submitted plan of correction for previous deficiencies.
Findings
The submitted plan of correction was determined to be fully implemented, with continued compliance required. A specific deficiency related to staff training was corrected by reassigning transportation duties and enrolling the staff member in required training.
Deficiencies (1)
Staff A transported residents to medical appointments without completing the Department-approved direct care training course.
Report Facts
License Capacity: 59
Residents Served: 44
Current Residents in Hospice: 4
Total Daily Staff: 59
Waking Staff: 44
Inspection Report
Renewal
Census: 44
Capacity: 59
Deficiencies: 6
Date: Dec 17, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for Cumberland Crossings Retirement Community.
Findings
The inspection found multiple deficiencies including breaches in record confidentiality, direct care staff qualifications, improper handling of leftover food, unsecured medications and syringes, and medication administration errors. The facility submitted and implemented a plan of correction for all deficiencies.
Deficiencies (6)
Resident records containing protected health information were unlocked, unattended, and accessible on medication carts.
Direct care staff A did not have a high school diploma, GED, or active registry status on the Pennsylvania nurse aide registry.
Unlabeled, undated leftover cake was found in the B hallway lounge refrigerator.
Prescription creams were stored unlocked on the medication cart instead of in a locked treatment cart.
Medication record errors: Resident 3's medication was not available and not administered for several days, yet was marked as given.
Failure to follow prescriber's orders for Resident 3's medication due to unavailability from 12/10/24 through 12/16/24.
Report Facts
License Capacity: 59
Residents Served: 44
Current Hospice Residents: 3
Residents 60 Years or Older: 44
Residents Diagnosed with Mental Illness: 1
Residents Diagnosed with Intellectual Disability: 1
Residents with Mobility Need: 15
Residents with Physical Disability: 3
Total Daily Staff: 59
Waking Staff: 44
Inspection Report
Renewal
Census: 39
Capacity: 59
Deficiencies: 5
Date: Jan 30, 2024
Visit Reason
The inspection was conducted as a renewal visit to review compliance with licensing requirements for Cumberland Crossings Retirement Community on 01/30/2024 and 01/31/2024.
Findings
The submitted plan of correction was found to be fully implemented. Several deficiencies were identified related to medication labeling, storage procedures, medication administration documentation, following prescriber's orders, and resident record content, all of which had corrective plans accepted and implemented.
Deficiencies (5)
Medication labels for Resident #1 and Resident #2 did not reflect current physician orders.
Blood glucose checks for Resident #1 did not match the medication administration record (MAR).
Medication administration record for Resident #3 lacked staff initials for administered medication.
Resident #3 received medication despite blood pressure readings below prescribed parameters.
Resident #4's record did not include eye color, hair color, and identifying marks.
Report Facts
License Capacity: 59
Residents Served: 39
Total Daily Staff: 47
Waking Staff: 35
Residents with Mobility Need: 8
Residents 60 Years or Older: 39
Residents Diagnosed with Intellectual Disability: 1
Residents Diagnosed with Physical Disability: 1
Inspection Report
Renewal
Census: 37
Capacity: 59
Deficiencies: 10
Date: Nov 8, 2022
Visit Reason
The inspection was conducted as a renewal and complaint investigation of the Cumberland Crossings Retirement Community on 11/08/2022 and 11/09/2022.
Complaint Details
The inspection included a complaint investigation component as indicated by the reason for visit: Renewal, Complaint.
Findings
The inspection found multiple deficiencies including lack of fire safety orientation for ancillary staff, incomplete rights/abuse training within 40 hours, potential entrapment hazard from uncovered enabler bars, improper use and sharing of glucometers, sanitary condition violations, improper food storage, meal service not consistently provided in the dining room, expired medications, inaccurate medication administration records, and incomplete preadmission screening documentation. Plans of correction were submitted and fully implemented by 12/19/2022.
Deficiencies (10)
Ancillary staff person did not receive training in general fire safety and emergency preparedness prior to or during first work day.
Ancillary staff person completed 40 scheduled work hours prior to receiving training on reporting of reportable incidents and conditions.
Resident #1 has a partially covered enabler bar attached to bed posing potential entrapment hazard.
Glucometer belonging to Resident #2 was mistakenly used to measure Resident #3's blood sugar.
Trash can in kitchen was full, uncovered and not in use at the time.
An 8-quart container of frozen chicken pot pie was found with a warped lid resulting in an open and unsealed container.
Meal service was not provided in the dining room on certain days; meals served in residents' rooms beyond allowed exceptions.
Resident #1 had expired topical medication in bathroom.
Blood glucose levels for Resident #3 were not recorded properly on the Medication Administration Record; glucometer not calibrated to correct date and time.
Resident #1's preadmission screening form was completed after admission date.
Report Facts
License Capacity: 59
Residents Served: 37
Staffing Hours: 54
Waking Staff: 41
Current Hospice Residents: 2
Residents with Mobility Need: 17
Residents 60 Years or Older: 37
Residents Diagnosed with Intellectual Disability: 1
Residents with Physical Disability: 1
Notice
Capacity: 59
Deficiencies: 0
Date: Jun 30, 2021
Visit Reason
The document serves as a renewal notification and issuance of a regular license for Cumberland Crossings Retirement Community Personal Care Home, following receipt of the renewal application dated April 1, 2021.
Findings
The Department advises that an onsite inspection will be conducted within the next twelve months as required by regulation, and enforcement action will be taken if noncompliance is found during that inspection.
Report Facts
Maximum licensed capacity: 59
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jamie L. Buchenauer | Deputy Secretary, Office of Long-term Living | Signed the renewal notification letter. |
| Jarrod Leo | SVP – Chief Financial Officer | Recipient of the renewal notification letter. |
Inspection Report
Renewal
Census: 41
Capacity: 59
Deficiencies: 3
Date: Mar 31, 2021
Visit Reason
The inspection was conducted as a renewal inspection of the Cumberland Crossings Retirement Community to review compliance with licensing requirements.
Findings
The submitted plan of correction was determined to be fully implemented following the inspection visits on 03/31/2021 and 04/01/2021. Continued compliance must be maintained. Several deficiencies were cited related to medication storage procedures, preadmission screening forms, and support plan documentation, all of which have been accepted and implemented with completion dates of 06/25/2021.
Deficiencies (3)
On 3/25/21 at 8:00 AM, Resident #2 had a blood sugar reading on their glucometer of 174. The medication administration record (MAR) had a blood sugar reading of 176 recorded.
Resident #3's preadmission screening form, dated 5/20/20, was not signed by the person who completed the form and does not include a determination that the needs of the resident can be met by the services provided by the home.
The assessment update for Resident #1, dated 5/26/20, indicates that the resident has a need for a hospital bed. The hospital bed is equipped with half bedrails on each side. The resident uses the half bedrail on their right side for positioning. The resident's support plan, dated 11/26/20, does not document the plan to protect the resident from the potential risk of injury from the bedrails.
Report Facts
License Capacity: 59
Residents Served: 41
Total Daily Staff: 56
Waking Staff: 42
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