A list of the most recent deficiencies for Christian Care Nursing Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-21 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-09-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-21 | 2023-07-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-21 | 2023-07-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-21 | 2023-07-24 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-04 | 2022-10-26 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-06-01 | 2022-06-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-01 | 2022-06-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-01 | 2022-06-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-01 | 2022-06-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-06-01 | 2022-06-14 | N |
| 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. | Health | 2022-06-01 | 2022-06-14 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-06-01 | 2022-06-14 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-06-01 | 2022-06-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-27 | 2020-04-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-13 | 2020-04-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-13 | 2020-04-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-13 | 2020-04-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-13 | 2020-04-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-13 | 2020-04-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-02-13 | 2020-04-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-13 | 2020-04-17 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2020-02-13 | 2020-04-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-13 | 2020-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-13 | 2020-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2020-04-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-13 | 2020-04-17 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-02-13 | 2020-04-17 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-02-13 | 2020-04-17 | N |
| 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. | Health | 2020-02-13 | 2020-04-17 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-02-13 | 2020-04-17 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-13 | 2020-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-04-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-13 | 2020-04-17 | N |
