Deficiency Records for Christian Extended Care and Rehabilitation
Updated as of April 01, 2019
This is not the most recent data for Christian Extended Care and Rehabilitation. For the most recent information, click here.
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 | 2018-06-25 | 2018-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-25 | 2018-08-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-06-25 | 2018-08-06 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-06-25 | 2018-08-06 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-06-25 | 2018-08-06 | N |
| Respond appropriately to all alleged violations. | Health | 2018-06-25 | 2018-08-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-25 | 2018-08-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-25 | 2018-08-06 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-06-25 | 2018-08-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-06-25 | 2018-08-06 | N |
| Post nurse staffing information every day. | Health | 2018-06-25 | 2018-08-06 | 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 | 2018-06-25 | 2018-08-06 | 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 | 2018-06-25 | 2018-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-25 | 2018-08-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-06-26 | 2017-08-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-06-26 | 2017-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-26 | 2017-08-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-26 | 2017-08-08 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-26 | 2017-08-08 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-06-26 | 2017-08-08 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-06-26 | 2017-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-26 | 2017-08-01 | N |
| 1) Protect current or future residents from giving up their Medicaid or Medicare benefits; or 2) follow federal rules for admissions. | Health | 2017-06-26 | 2017-07-21 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-06-26 | 2017-07-20 | N |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2017-06-26 | 2017-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-26 | 2017-06-27 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-06-26 | 2017-06-27 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-05-13 | 2016-06-27 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2016-05-13 | 2016-06-27 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-05-13 | 2016-06-27 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-05-13 | 2016-06-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-05-13 | 2016-06-27 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-05-13 | 2016-06-27 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-05-13 | 2016-06-27 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-05-13 | 2016-06-27 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-05-13 | 2016-06-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-13 | 2016-06-27 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2016-05-13 | 2016-06-27 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-13 | 2016-06-27 | N |
| Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2016-05-13 | 2016-06-27 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-05-13 | 2016-06-27 | Y |
