Inspection Reports for
Cumberland Crossings Retirement Community

The inspection included complaint investigation as part of the renewal process, but specific substantiation status is not stated.

The facility was found to have multiple deficiencies related to medication storage and administration, following prescriber's orders, additional resident assessments, and updating support plans. The submitted plan of correction was accepted and fully implemented by May 1, 2026.

The waiver is granted with conditions including enrollment in a 100-hour training course, completion of a competency test, attendance at an orientation program, and supervision until training completion. The Department will review compliance annually.

The inspection was complaint-related, but no deficiencies or citations were found, indicating no substantiated issues.

No regulatory citations or deficiencies were identified as a result of this inspection.

The waiver is granted based on submitted documentation of education from outside the United States and is subject to annual review during inspections to ensure compliance with waiver conditions and applicable regulations.

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.

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.

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.

The inspection included a complaint investigation component as indicated by the reason for visit: Renewal, Complaint.

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.

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.

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.

The facility was found to be in compliance with 55 Pa. Code Ch. 2600 relating to Personal Care Homes.

The Department has issued a regular license in response to the renewal application. The document does not report any inspection findings or deficiencies.