A list of the most recent deficiencies for Christian 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-05-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-04-12 | 2023-05-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-12 | 2023-05-01 | 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 | 2023-04-12 | 2023-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-12 | 2023-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-12 | 2023-05-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-11-10 | 2022-12-14 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-11-18 | 2022-01-02 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-11-18 | 2022-01-02 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-11-18 | 2022-01-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-15 | 2021-03-30 | Y |
| Provide appropriate foot care. | Health | 2021-03-15 | 2021-03-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-07 | 2019-07-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-07 | 2019-07-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-07 | 2019-07-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-07 | 2019-07-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-07 | 2019-07-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-07 | 2019-07-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-07 | 2019-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-07 | 2019-07-05 | 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 | 2019-06-07 | 2019-07-05 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-07 | 2019-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-07 | 2019-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-07 | 2019-07-05 | 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 | 2019-06-07 | 2019-07-05 | 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 | 2019-06-07 | 2019-07-05 | N |
| Provide or obtain dental services for each resident. | Health | 2019-06-07 | 2019-07-05 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-06-07 | 2019-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-07 | 2019-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-07 | 2019-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-29 | 2019-06-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-29 | 2019-06-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-29 | 2019-06-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-08 | 2018-04-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-08 | 2018-04-15 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-03-08 | 2018-04-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-03-08 | 2018-04-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-08 | 2018-04-15 | 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 | 2018-03-08 | 2018-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-08 | 2018-04-15 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-03-08 | 2018-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-08 | 2018-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-08 | 2018-04-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-03-08 | 2018-04-15 | 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 | 2018-03-08 | 2018-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-08 | 2018-04-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-03-08 | 2018-04-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-08 | 2018-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-08 | 2018-04-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-03-08 | 2018-04-15 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-03-08 | 2018-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-05 | 2018-04-04 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2018-03-05 | 2018-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-05 | 2018-03-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-03-05 | 2018-03-05 | N |
