| Cumberland Pointe Health Campus | |
| 1051 Cumberland Ave, West Lafayette, Indiana 47906 | |
| (765) 463-2571 | |
| Name | Cumberland Pointe Health Campus |
|---|---|
| Location | 1051 Cumberland Ave, West Lafayette, Indiana |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 71 |
| Occupancy Rate | 82.68% |
| Medicare ID (CCN) | 155775 |
| Legal Business Name | Witham Memorial Hospital |
| Ownership Type | Non Profit - Corporation |
| Chain | Trilogy Health Services (123 nursing homes) |
| Chain Average Overall Rating | 4.2 out of 5 |
| NPI Number | 1477798908 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Witham Memorial Hospital |
| Doing Business As | Cumberland Pointe Health Campus |
| Address | 1051 Cumberland Ave, West Lafayette, IN 47906 |
| Phone Number | 765-463-2571 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.22 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.72 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.52 | 0.86 |
| Nurse aide hours per resident per day | 1.99 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.91 | 3.42 |
| RN hours per resident per day on the weekend | 0.54 | 0.48 |
| Physical therapist hours per resident per day | 0.06 | 0.07 |
| Total nursing staff turnover | 46.7% | 45.8% |
| Registered nurse turnover | 38.5% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jun 16, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Jul 7, 2025 |
| Jun 16, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jul 7, 2025 |
| Jun 16, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 7, 2025 |
| Jun 16, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 7, 2025 |
| Jun 16, 2025 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 7, 2025 |
| Jun 16, 2025 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 7, 2025 |
| Jun 16, 2025 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. F0694, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 7, 2025 |
| Jun 16, 2025 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 7, 2025 |
| Apr 25, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Jun 10, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, pattern | Corrected by Jul 19, 2024 |
| Jun 10, 2024 | Ensure a qualified health professional conducts resident assessments. F0642, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jun 10, 2024 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jun 10, 2024 | Provide safe, appropriate pain management for a resident who requires such services. F0697, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jun 10, 2024 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. F0803, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jun 10, 2024 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. F0810, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jun 10, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Jun 10, 2024 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jul 19, 2024 |
| Mar 7, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Apr 28, 2023 |
| Mar 7, 2023 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Apr 28, 2023 |
| Mar 7, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2023 |
| Mar 7, 2023 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2023 |
| Mar 7, 2023 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2023 |
| Mar 7, 2023 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2023 |
| Mar 7, 2023 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2023 |
| Mar 7, 2023 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. F0700, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2023 |
| Mar 7, 2023 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2023 |
| Mar 7, 2023 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2023 |
| Mar 7, 2023 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Apr 28, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.74 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 15.67 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.27 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 98.73 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.24 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 2.44 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.82 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 78.02 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 1.37 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 18.15 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 8.25 | 15.38 |
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