Christ's Home Retirement Community

In the surveyor’s words

From the most serious findings on record at Christ's Home Retirement Community, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF812Apr 6, 2023

  Based on review of facility policy and observation, it was determined that the facility failed to store food under sanitary conditions on the nursing unit. Findings include: Review of facility policy entitled, Outside Food, last reviewed [DATE], revealed that all items would be labeled and dated with the resident's name and room number and that expired items would be discarded. Observation of the unit refrigerator in the common, activity area of the nursing unit on [DATE], at 1:30 p.m., revealed a box of butter with an expiration date of [DATE], and a bag of grapes, a bottle of water, and two bags of various food items that were not labeled. There were four pre-mixed pouches of smoothies with expiration dates of [DATE], and [DATE] and [DATE]. 28 Pa. Code 201.18(b)(3) Management.

• No harm, potential for more than minimal, isolatedF607Feb 19, 2026

  Based on a review of facility policy, review of employee files, and staff interview, it was determined that the facility failed to initiate an employee criminal background check and complete required abuse training prior to the start of employment for two of five newly hired employees. (Employees E1 and E2)Findings include:Review of the facility policy entitled, Abuse Prevention Policy, last reviewed December 16, 2025, revealed that the facility was to screen potential employees for a history of abuse, neglect, or mistreating residents prior to employment. […]

• No harm, potential for more than minimal, isolatedF880Feb 19, 2026

  Based on facility policy review, clinical record review, observation, and staff interview, it was determined that the facility failed to implement Enhanced Barrier Precautions (EBP) to prevent the spread of infection for one of 12 sampled residents. (Resident 54) Findings include:Review of the facility policy entitled, Enhanced Barrier Precautions, last reviewed December,15, 2025, revealed that when EBP was ordered, staff was to wear a gown and gloves during high contact care activities with residents, such as during incontinence care and hygiene. Clinical record review revealed that Resident 54 had diagnoses that included pressure ulcer of the sacrum (lower back region). On January 10, 2026, the physician ordered that staff use EBP during care for Resident 54 due to the pressure ulcer. […]

• No harm, potential for more than minimal, isolatedF697Jan 9, 2025

  Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to attempt non-pharmacological interventions to alleviate pain prior to the administration of pain medication prescribed on an as needed basis for one of 12 sampled residents. (Resident 18) Findings include: Review of the facility policy entitled, Pain Management, last reviewed January 2025, revealed that non-pharmacological interventions should be attempted prior to administration of pain medication that was prescribed on an as needed basis. Clinical record review revealed that Resident 18 had diagnoses that included muscle weakness, cellulitis, and chronic ulcers to the left foot. […]

• No harm, potential for more than minimal, isolatedF755Jan 9, 2025

  Based on clinical record review, observation, policy review, and staff interview, it was determined that the facility failed to dispose of controlled medications in accordance with facility policy and in a manner to prevent potential diversion for one of five residents observed during the medication pass. (Resident 41) Findings include: Review of the facility policy entitled, Destruction of Unused Medications, last reviewed January 2025, revealed that drugs will be destroyed in a manner that renders the drugs unfit for human consumption. Medications were to be destroyed using a Drug Buster (a device that renders medications inert prior to disposal) and witnessed by a second licensed nurse. Clinical record review revealed that Resident 41 had diagnoses that included nerve pain. […]