Deficiency Records for Christian Nursing Home
Updated as of June 01, 2023
This is not the most recent data for Christian Nursing Home. For the most recent information, click here.
A list of the most recent deficiencies for Christian Nursing Home. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-01-18 | 2023-02-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-18 | 2023-02-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-02-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-20 | 2023-02-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-20 | 2023-02-03 | N |
| Post nurse staffing information every day. | Health | 2023-01-20 | 2023-02-03 | 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 | 2023-01-20 | 2023-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-20 | 2023-02-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-18 | 2023-01-31 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-01-18 | 2023-01-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-18 | 2023-01-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-18 | 2023-01-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-31 | 2022-11-23 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-10-31 | 2022-11-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-02-16 | 2022-03-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-16 | 2022-03-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-12 | 2022-01-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-02 | 2021-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-02 | 2021-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-02 | 2021-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-02 | 2021-12-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-08 | 2021-12-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-08 | 2021-12-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-08 | 2021-12-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-08 | 2021-12-20 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-12-08 | 2021-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-08 | 2021-12-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-08 | 2021-12-16 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-12-08 | 2021-12-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-12-08 | 2021-12-13 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2021-12-08 | 2021-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-25 | 2021-11-08 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-03-09 | 2021-04-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-02-05 | 2021-03-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-05 | 2021-03-01 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-10-02 | 2020-11-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-10-02 | 2020-11-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-02 | 2020-11-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-11-05 | 2020-11-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-11-05 | 2020-11-05 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2020-10-02 | 2020-11-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-10-02 | 2020-11-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-10-02 | 2020-11-03 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2020-10-02 | 2020-11-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-10-02 | 2020-11-03 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-10-02 | 2020-11-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-10-02 | 2020-11-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-10-02 | 2020-11-03 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-10-02 | 2020-11-03 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-10-02 | 2020-11-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-10-02 | 2020-11-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-02 | 2020-11-03 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-10-02 | 2020-11-02 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2020-10-02 | 2020-11-02 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-10-02 | 2020-10-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-02 | 2020-10-30 | N |
| Provide activities to meet all resident's needs. | Health | 2020-10-01 | 2020-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-01 | 2020-10-29 | 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 | 2020-10-01 | 2020-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-01 | 2020-10-29 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-10-02 | 2020-10-28 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2020-10-02 | 2020-10-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2020-10-02 | 2020-10-02 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2020-10-02 | 2020-10-02 | N |
