Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record
CUMBERLAND HEALTH AND REHAB
BRIDGEPORT, AL · 100 certified beds · Last Life Safety survey June 3, 2024
CMS Certification Number 015420 · first certified May 1992
Ownership
Operated by HUNTSVILLE HOSPITAL HEALTH SYSTEM · Non profit - Corporation
- Ownership changed October 1, 2021 (change of ownership)from JACKSON COUNTY HEALTH CARE AUTHORITY
Position within AL
8 citations — more than 37% of the 224 certified nursing homes in AL. Compared within AL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated
The latest survey found 1 citation; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.
When is the next survey likely?
Well past the typical window (June 2025 to November 2025), and past the point by which nine in ten US facilities have been surveyed. This facility’s last Life Safety survey was June 2024. Nursing homes nationally are typically surveyed 12–17 months after the last one (median 14), measured over 19,385 consecutive surveys in the last two years of CMS records. AL has too few recent surveys to measure on its own, so the national interval is used.
A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured
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Emergency preparedness
1 of the 8 citations on file is Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index
Physical environment (health survey)
4 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index
How that compares
Compared with the median facility in AL, and nationally. Surveyors differ markedly between states, so the AL figure is the meaningful one.
| Measure | Citations |
|---|---|
| This facility | 8 |
| Median facility in AL | 9 |
| Median facility nationally | 11 |
Survey history
| Survey date | Citations |
|---|---|
| July 26, 2018 | 4 |
| August 29, 2019 | 3 |
| June 3, 2024 | 1 |
Most-cited tags
| Tag | What the surveyor checks | Times cited | Last cited |
|---|---|---|---|
| K-0751 | Have restrictions on the use of flammable curtains. | 1 | 2019-08-29 |
| E-0001 | Establish an Emergency Preparedness Program (EP). | 1 | 2018-07-26 |
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | 1 | 2024-06-03 |
| K-0324 | Provide properly protected cooking facilities. | 1 | 2019-08-29 |
| K-0351 | Install an approved automatic sprinkler system. | 1 | 2019-08-29 |
| K-0712 | Have simulated fire drills held at unexpected times. | 1 | 2018-07-26 |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 1 | 2018-07-26 |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | 1 | 2018-07-26 |
What the citations cover
- Smoke Deficiencies 3
- Miscellaneous Deficiencies 3
- Emergency Preparedness Deficiencies 1
- Gas, Vacuum, and Electrical Systems Deficiencies 1
| Category | Citations |
|---|---|
| Smoke Deficiencies | 3 |
| Miscellaneous Deficiencies | 3 |
| Emergency Preparedness Deficiencies | 1 |
| Gas, Vacuum, and Electrical Systems Deficiencies | 1 |
Every citation on file
As published by CMS, newest survey first. Descriptions are CMS’s own wording.
June 3, 2024 — 1 citation
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0353 | Inspect, test, and maintain automatic sprinkler systems. | Deficient, Provider has date of correction (July 2, 2024) |
August 29, 2019 — 3 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| K-0324 | Provide properly protected cooking facilities. | Deficient, Provider has date of correction (October 8, 2019) |
| K-0351 | Install an approved automatic sprinkler system. | Deficient, Provider has date of correction (October 8, 2019) |
| K-0751 | Have restrictions on the use of flammable curtains. | Deficient, Provider has date of correction (October 8, 2019) |
July 26, 2018 — 4 citations
| Tag | What the surveyor checks | Status |
|---|---|---|
| E-0001 | Establish an Emergency Preparedness Program (EP). | Deficient, Provider has date of correction (September 4, 2018) |
| K-0712 | Have simulated fire drills held at unexpected times. | Deficient, Provider has date of correction (September 4, 2018) |
| K-0741 | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Deficient, Provider has date of correction (September 4, 2018) |
| K-0918 | Have generator or other power source capable of supplying service within 10 seconds. | Deficient, Provider has date of correction (September 4, 2018) |
Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.