A list of the most recent deficiencies for Christian Home and Rehab Ctr. 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 receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-21 | 2024-01-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-21 | 2023-12-29 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-11-22 | 2023-12-21 | 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 | 2023-11-21 | 2023-12-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-21 | 2023-12-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-02-28 | 2023-03-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-02-28 | 2023-03-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-28 | 2023-03-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-28 | 2023-03-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-19 | 2022-11-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-19 | 2022-11-14 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-10-18 | 2022-11-09 | 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 | 2022-10-18 | 2022-11-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-18 | 2022-11-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-18 | 2022-11-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-18 | 2022-10-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-18 | 2022-10-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-24 | 2022-06-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-24 | 2022-06-10 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-24 | 2022-06-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-15 | 2022-04-08 | Y |
| 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 | 2021-08-25 | 2021-10-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-25 | 2021-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-25 | 2021-09-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-08-25 | 2021-09-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-25 | 2021-09-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-25 | 2021-09-30 | 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 | 2021-08-25 | 2021-09-23 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2021-08-25 | 2021-09-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-20 | 2021-06-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-20 | 2021-06-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-20 | 2021-06-11 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-21 | Not Fixed | 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 | 2022-10-18 | Not Fixed | 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 | 2021-08-25 | Not Fixed | N |
