Deficiency Records for Christian Homes Health Care Center
Updated as of May 01, 2022
This is not the most recent data for Christian Homes Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Christian Homes Health Care 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? |
---|---|---|---|---|
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-28 | 2021-11-12 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-09-28 | 2021-11-12 | 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 | 2021-09-28 | 2021-11-12 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-28 | 2021-11-12 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-28 | 2021-11-12 | N |
Provide and implement an infection prevention and control program. | Health | 2021-09-28 | 2021-11-12 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2021-09-27 | 2021-11-12 | N |
Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2021-09-27 | 2021-11-12 | N |
Provide and implement an infection prevention and control program. | Health | 2020-12-01 | 2021-01-08 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-03 | 2019-11-17 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-10-03 | 2019-11-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-03 | 2019-11-17 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-03 | 2019-11-17 | 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 | 2019-10-03 | 2019-11-17 | Y |
Implement emergency and standby power systems. | Fire Safety | 2019-10-04 | 2019-11-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-04 | 2019-11-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-04 | 2019-11-17 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-06-28 | 2018-08-12 | N |
Respond appropriately to all alleged violations. | Health | 2018-06-28 | 2018-08-12 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-06-28 | 2018-08-12 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-06-28 | 2018-08-12 | N |
Ensure each resident receives an accurate assessment. | Health | 2018-06-28 | 2018-08-12 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-06-28 | 2018-08-12 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-28 | 2018-08-12 | N |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-06-28 | 2018-08-12 | 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 | 2018-06-28 | 2018-08-12 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-06-28 | 2018-08-12 | 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 | 2018-06-28 | 2018-08-12 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-06-28 | 2018-08-12 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-06-28 | 2018-08-12 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-06-28 | 2018-08-12 | N |
Implement emergency and standby power systems. | Fire Safety | 2018-06-26 | 2018-08-12 | N |
Install a two-hour-resistant firewall separation. | Fire Safety | 2018-06-26 | 2018-08-12 | 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 | 2018-06-26 | 2018-08-12 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-26 | 2018-08-12 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-26 | 2018-08-12 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-26 | 2018-08-12 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-06-26 | 2018-08-12 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-26 | 2018-08-12 | N |
Meet other general requirements that are deficient. | Fire Safety | 2018-06-26 | 2018-08-12 | N |
Meet other general requirements that are deficient. | Fire Safety | 2018-06-26 | 2018-08-12 | N |
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-06-26 | 2018-08-12 | N |