Deficiency Records for Christian Extended Care and Rehabilitation
Updated as of September 01, 2023
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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-20 | 2023-05-19 | 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 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 |
| 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 | Y |
| 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 |
| 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 |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | 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 and maintain the bed rail. | 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 |
| 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 |
