Lions Rehab Center
LIONS REHAB CENTER in CUMBERLAND, MD — inspection on March 27, 2026.
Found 6 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During the interview the DON stated when Resident #42 was admitted to the facility, his/her bathroom was out of order due to the floor needing time to set as it was newly renovated.
She further stated that a commode should have been available for Resident #42 to utilize while the bathroom was out of commission.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
215073 03/27/2026
Lions Rehab Center 901 Seton Drive Cumberland, MD 21502
The surveyor also noted a change of condition note written by Registered Nurse (RN) #34 on 12/10/25 regarding the new wound found on Resident #96's {genitalia}. In the section that documents that the Resident Representative (Responsible Party) was notified, RN #34 wrote, Resident is alert and oriented-refused to have family notified said thats (sic) my {genitalia} and I don't want to tell them. On 3/25/26 at 8:09 AM, the surveyor conducted an interview with the Director of Nursing (DON).
During the interview the surveyor reviewed the concern that Resident #96's RP was not notified of the new skin conditions for Resident #96 and the PR had concerns about the treatment of wounds.
The DON confirmed that the RP should have been notified when the new skin condition was found and the treatment that were needed.
215073 03/27/2026
Lions Rehab Center 901 Seton Drive Cumberland, MD 21502
During the interview Resident #13 stated that if he/she had ask GNA #31 for anything and he/she was in a bad mood GNA #31 would get upset and say, I hate my job. Resident #31 stated that he/she was scared to ask for help because he/she did not want to get GNA #31 all worked up.On 3/26/26 at 8:26 AM, the surveyor interviewed Resident # 6.
During the interview Resident #6 stated that GNA #31 would offer to give a bath and stated that he/she would come back and would not return until the afternoon. Resident #6 also stated that GNA #31 would tell Resident #6 that he/she did not have time to change him/her and would do it when he/she came back. Resident #6 stated that he/she was scared to ask for things because he/she would be told no.On 3/26/26 at 8:32 AM, the Surveyor interviewed Resident #49.
During the interview Resident #49 stated the GNA #31 would often tell him/her that he/she would be right back after checking in with Resident #49 in the morning and wound not come back until after lunch, even though he/she was wet and was dependent on staff for help. Resident #49 also stated that he/she heard Resident #13 yell in pain while being bathed by GNA #31 and heard GNA #31 tell Resident #13, I can't bathe you if you are like that. I don't have to bathe you. I can be taken off your assignment.On 3/26/26 at 9:35 AM, the surveyor interviewed GNA #32.
During the interview GNA #32 confirmed that her statement was true.On 3/26/26 at 10:59 AM, the surveyor conducted an interview with The Director of Nursing (DON).
During the interview the surveyor relayed the concerns that that GNA #31 verbally abused Resident #42 and walked away from providing cares.
The DON stated that after the allegation GNA #31 was suspended and after the concerns were validated, fired.
She also stated that GNA #31 was reported to the Board of Nursing and the abuse prevention education was completed by the staff after the investigation.
215073 03/27/2026
Lions Rehab Center 901 Seton Drive Cumberland, MD 21502
stated that after a fall the facility investigates the reason for the fall and addresses the issues.
She
after the first fall, however, it was written only after the 2nd fall.
The DON agreed that the actual fall
215073 03/27/2026
Lions Rehab Center 901 Seton Drive Cumberland, MD 21502
During the interview the surveyor reviewed the concern that would care for Resident #96's coccyx wound was not ordered or documented as provided 12/12/25-12/17/25 until a new order was written on 12/17/25.
The DON stated she would look for wound care documentation. At the time of exit no additional documentation was provided to the surveyor.
215073 03/27/2026
Lions Rehab Center 901 Seton Drive Cumberland, MD 21502
During the interview the surveyor reviewed the missing doses of lorazepam for Resident #70 and asked why the medication would not have been administered as ordered.
The DON stated that if the medication order was not signed by the provider, then the pharmacy would not release the medication.
The surveyor showed the DON that some of the progress notes stated that the medication was given however nothing was documented on the MAR.
The DON stated that the medication should have been given as ordered and if the provider needed to sign the prescription, then the staff should have talked to the provider and gotten a signature.
She further stated she would look for additional documentation to indicate if the medication was given on the days documented as given. At the time of exit no additional documents were provided to the surveyor.