Deficiency Records for Christian Extended Care and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Christian Extended Care and Rehabilitation. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-13 | 2023-11-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-13 | 2023-11-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-13 | 2023-11-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-13 | 2023-11-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-13 | 2023-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-13 | 2023-11-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-13 | 2023-11-10 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-10-13 | 2023-11-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-13 | 2023-11-03 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-10-13 | 2023-11-03 | 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 | 2023-10-13 | 2023-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-13 | 2023-11-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-20 | 2023-05-19 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-08-23 | 2022-09-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-09-23 | 2020-11-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-09-23 | 2020-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-23 | 2020-11-10 | 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 | 2020-09-23 | 2020-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-23 | 2020-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-23 | 2020-10-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-23 | 2020-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-31 | 2019-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-31 | 2019-07-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-05-31 | 2019-07-12 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-05-31 | 2019-07-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-31 | 2019-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-31 | 2019-07-12 | 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 | 2019-05-31 | 2019-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-31 | 2019-07-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-31 | 2019-07-12 | N |
