Christian Care Center of Unicoi County

In the surveyor’s words

From the most serious findings on record at Christian Care Center of Unicoi County, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF584Apr 15, 2026

  Based on facility policies, medical record review, observations, and interviews, the facility failed to provide a clean and homelike environment for 1 resident (Resident #53) of 46 residents reviewed for a homelike environment.The findings include: Review of the undated facility's policy titled, A Safe, Clean, Comfortable, and Homelike Environment, revealed .the resident has a right to a .homelike environment .the facility provides .maintenance services necessary to maintain a sanitary, orderly, and comfortable interior . Review of the facility's policy titled, Wheelchairs-Transfer and Transport, reviewed 10/25, revealed .Clean wheelchair weekly and PRN [As Needed] . […]

• No harm, potential for more than minimal, isolatedF759Apr 15, 2026

  Based on facility policy review, medical record review, observations, and interviews, the facility failed to ensure 1 of 2 nurses administered medications with a medication error rate of less than 5% (percent). A total of 2 errors were observed out of 27 opportunities, resulting in a medication error rate of 7.41%. The findings include:Review of the facility's policy titled, Medication Administration - Unit Dose Cart System, dated 1/2026, revealed .To correctly administer medications as prescribed .Verify the right ordered medication .Read label three times before administering medication .Check label against Medication Administration Record .Review of the medical record revealed Resident #28 was admitted to the facility on [DATE] with diagnoses including Urinary Tract Infection, Essential… […]

• No harm, potential for more than minimal, isolatedF578Aug 30, 2023

  Based on facility policy review, record review and interview, the facility failed to document evidence the resident had received information to formulate an advance directive for 1 resident (Resident #42) of 17 residents reviewed for advance directives. The findings include: Review of the facility policy titled, Advance Directives, dated 10/2022, showed .On admission .facility will determine if the resident has executed an Advance Directive .provide information concerning the right to formulate an Advance Directive . Resident #42 was admitted to the facility with diagnoses including Chronic Obstructive Pulmonary Disease, Acute and Chronic Respiratory Failure and Opioid Dependence. […]

• No harm, potential for more than minimal, isolatedF644Aug 30, 2023

  45837 Based on medical record review and interview, the facility failed to refer 2 residents (Residents #20 and #31), of 4 residents reviewed for Pre-Admission Screening and Resident Review (PASARR), to the state-designated authority for a Level II PASARR after the residents were identified with possible serious mental disorders. The findings include: Resident #20 was admitted to the facility on [DATE], and readmitted on [DATE], with diagnoses including Unspecified Dementia, Depression, Generalized Anxiety Disorder and Cognitive Communication Deficit. […]

• No harm, potential for more than minimal, isolatedF842Aug 30, 2023

  Based on medical record review and interview, the facility failed to maintain a complete and accurate medical record for 1 resident (Resident #199) of 17 residents reviewed. The findings include: Resident #199 was admitted to the facility on [DATE] with diagnoses including Atrial Fibrillation, Hypertension, Dementia, Arthritis, and Hypothyroidism. Review of Resident #199's admission Minimum Data Set assessment dated [DATE] showed a Brief Interview for Mental Status score of 3, which indicated the resident had severe cognitive impairment. […]