Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Cumberland Valley Nursing & Rehabilitation Center during CMS and state inspections, most recent first.
A facility failed to develop a comprehensive care plan for a resident with a history of inappropriate sexual behavior. Despite multiple incidents involving the resident and other residents, the facility did not update the care plan to include necessary interventions like supervision and monitoring. Interviews with staff revealed inconsistencies in understanding and implementing these interventions, leaving other residents vulnerable to further incidents.
A facility failed to provide adequate supervision to prevent sexual abuse, resulting in multiple incidents involving inappropriate behavior by a resident. Despite initial incidents, the facility did not assess the resident's risk or implement effective interventions, leading to further occurrences. The facility's policies on abuse prevention and resident rights were not effectively followed, placing residents at risk and resulting in a deficiency.
The facility failed to provide documented evidence of food handler safety certifications for three Dietary Aides who were observed handling food during meal preparation. Despite local health department requirements, the facility's acting management believed only cooks needed certification. A Health Department Employee confirmed that all food handlers should be certified, but the facility could not provide the necessary documentation.
The facility failed to meet food safety standards, with observations of undated and improperly stored food, uncovered plates with debris, and staff not following hair restraint policies. An employee used a dirty plate, handled food without gloves, and carried tray covers against his shirt, all contrary to facility policies.
Failure to Implement Comprehensive Care Plan for Resident with Inappropriate Behavior
Penalty
Summary
The facility failed to develop and implement a Comprehensive Person-Centered Care Plan (CCP) for residents, specifically for a resident with a history of inappropriate sexual behavior. This deficiency was identified through multiple incidents involving the resident, who was observed engaging in inappropriate sexual conduct with other residents. Despite these incidents, the facility did not adequately update the resident's CCP to include necessary interventions such as supervision and monitoring to prevent further occurrences. The first incident occurred when the resident was found with his hand under another resident's shirt. Although the facility placed the resident on increased monitoring for a short period, the CCP was not updated to include specific interventions for supervision or monitoring to address the resident's inappropriate behavior. Subsequent incidents involved the same resident being found in compromising situations with other residents, yet the CCP still lacked necessary interventions to manage the resident's behavior effectively. Interviews with facility staff revealed a lack of clarity and consistency in understanding and implementing the necessary interventions. The facility's failure to update the CCP with appropriate measures, such as 1:1 monitoring, left other residents vulnerable to further incidents. The deficiency highlights the facility's inability to adequately address and manage the resident's behavior through a comprehensive care plan, leading to repeated incidents of inappropriate conduct.
Removal Plan
- R33 was placed on 1:1 monitoring.
- R33 was referred to the hospital's behavioral health unit.
- R33 and R58 were placed on acute charting to identify any signs or symptoms of psychosocial decline.
- R58 was referred for psychiatric services.
- A stop sign was hung on R58's door.
Inadequate Supervision Leads to Repeated Incidents of Sexual Abuse
Penalty
Summary
The facility failed to ensure adequate supervision to prevent sexual abuse for three residents, leading to multiple incidents involving inappropriate sexual behavior by one resident. The first incident occurred when a resident was found with his hands under another resident's shirt. Despite this, the facility did not assess the resident's risk for inappropriate sexual behaviors or implement effective interventions to prevent further incidents. The facility's care plan for the resident included monitoring for disruptive behavior, but there was no evidence of increased monitoring or interventions to prevent the resident from entering other residents' rooms uninvited. Subsequent incidents involved the same resident being found in another resident's room, engaging in inappropriate sexual behavior. The facility again failed to implement effective interventions or update the care plan to address the resident's behavior. The facility's documentation lacked evidence of assessments for the capacity to consent to sexual activity for the involved residents, and there was no documented evidence of the resident's behaviors during monitoring periods. Interviews with staff and family members revealed a lack of communication and understanding of the incidents and the measures taken to address them. The facility's policies on abuse prevention and resident rights were not effectively implemented, as evidenced by the repeated incidents and lack of appropriate interventions. The facility's failure to provide adequate supervision and implement effective interventions placed residents at risk for sexual abuse, leading to the identification of Immediate Jeopardy. The facility's actions and inactions in response to the incidents did not align with their policies, resulting in a deficiency in ensuring a safe environment for residents.
Deficiency in Food Handler Certification for Dietary Aides
Penalty
Summary
The facility failed to employ staff with the appropriate competencies and skill sets to carry out the functions of the food and nutrition service, as required by state regulations. Specifically, the facility did not provide documented evidence of valid food handler safety certifications for three Dietary Aides (DA 1, DA 2, and DA 3), who were observed handling food during meal preparation. The local health department mandates that all individuals who handle food must obtain a food handler safety card to ensure food safety standards are maintained. During interviews, the Assistant Food and Nutritional Services Manager and the Regional Food and Nutritional Services Manager both stated that only cooks were required to maintain food handler certifications, not the Dietary Aides. However, a Health Department Employee confirmed that everyone handling food should be certified, and there should be a copy of the certification on file. Despite requests from the State Survey Agency Surveyor, the facility was unable to provide the necessary documentation for the three Dietary Aides, indicating a deficiency in meeting the required food safety standards.
Food Safety and Sanitation Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as observed during a survey. In the kitchen, food items were found undated, improperly labeled, or stored in a manner that could lead to contamination. Specifically, baking powder was stored past its use-by date, and cereal containers were either missing dates or had broken seals. Additionally, plates in the warmer were uncovered and had debris on them. An employee, identified as [NAME] 1, was observed using a dirty plate to serve food, although it was later set aside after being questioned. The Assistant Food and Nutritional Services Manager acknowledged that outdated or undated food should not be on the shelf or served to residents, and that plates should be covered to maintain cleanliness. Further observations revealed that [NAME] 1 did not comply with the facility's policy on hair restraints, as his beard and mustache were not fully covered, and his bandana did not adequately restrain his hair. Additionally, [NAME] 1 used a thermometer without cleaning it and handled food without gloves, which was against the facility's policy. Another incident involved [NAME] 1 and a Dietary Aide improperly handling chicken without gloves, which was not sanitary. Lastly, [NAME] 1 was seen carrying tray covers against his shirt, which he admitted should not have happened. These actions and inactions contributed to the facility's failure to meet food safety standards.
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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.
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Nursing homes near Burkesville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Clinton County Care And Rehabilitation Center | 14.7 mi | — | 0 | 0 |
| Signature Healthcare Of Monroe County Rehab And We | 18.4 mi | — | 0 | 0 |
| Celina Health And Rehabilitation Center | 18.5 mi | — | 0 | 0 |
| Pickett Care And Rehabilitation Center | 19.8 mi | — | 0 | 0 |
| Metcalfe Nursing And Rehabilitation Center | 20 mi | — | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.