Christian Care Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 19, 2026

  Based on observations, interviews, and a review of facility records, the facility failed to ensure dishwashing machines were maintained and operated according to manufacturer specifications to effectively clean and sanitize resident dishes and food. The deficient practice could result in inadequate cleaning and sanitization of resident dishes and food-contact equipment, increasing the risk for transmission of infectious organisms and foodborne illness.Findings include:On August 17, 2026, at 6:30 AM, during the initial tour of the first kitchen with the cook (staff #175), the low temperature (chemical sanitization) dishwashing machine was observed during the wash and rinse cycle. […]

• No harm, potential for more than minimal, widespreadF851Aug 27, 2025

  Based on documentation, staff interview, and the facility policy and procedures, the facility failed to report accurate PBJ (Payroll Based Journal) data as per requirements.Findings included: Review of the PBJ (Payroll Based Journal) FY (fiscal year) Quarter 2 2024 (January 1 to March 31) revealed:no registered nurse (RN) hours on January 1, 2, 3, 9, 13, 14 2024 or March 20 and 31, 2024. no licensed nursing coverage twenty-four hours a day on January 9, 13, 14, 21, 28, 2024, February 4, 11, 17, 25, 2024, and March 2, 3, and 31, 2024. Review of the employee time cards revealed that during the PBJ FY Quarter 2 2024 (January 1 to March 31): there was a registered nurse (RN) coverage for 12 hours on January 1, 2, 3, 9, 13, 14 2024. there was RN coverage for 12 hours on March 20 and 31, 2024. […]

• No harm, potential for more than minimal, patternF689Jul 21, 2023

  Based on observations, clinical record reviews, staff interviews, facility documentation and policy and procedures, the facility failed to ensure that the resident environment remained free of accident hazards, by failing to ensure that a shower chair was inspected for safety before use, and that one resident received appropriate transfer assistance (#113). The deficient practice increased the risk for preventable accidents. Findings include: Resident #113 was admitted on [DATE], with diagnoses that included wedge compression fracture of vertebra, fracture of shaft of right arm humerus, difficulty walking and muscle weakness. […]

• No harm, potential for more than minimal, patternF755Jul 21, 2023

  Based on observations, staff interviews, and policy review, the facility failed to ensure their system of prompt identification of loss or potential diversion of controlled medications was implemented. The resident census was 9. The deficient practice could result in misappropriation of residents' medications. Findings include: -Regarding misappropriation of a medication: Review of the Controlled Count Record revealed no evidence of two nurse reconciliation: -January 29, 2023: 6AM - 6PM - no evidence of off-going nurse verification -January 29, 2023: 6PM - 6 AM - no evidence of on-coming nurse verification. […]

• No harm, potential for more than minimal, patternF812Jul 21, 2023

  Based on observations, interviews, and record review, the facility failed to ensure that food was properly stored, labeled and dated sanitary conditions. The census was 9. The deficient practice could result in residents acquiring a foodborne illness. Findings include: During a brief kitchen inspection conducted on [DATE] at 8:29 a.m. with the Food Service Director (staff #7), the following were identified in the refrigerator and freezer: -Sweet Street Chocolate Peanut Butter Pie with a received date of [DATE], was notably exposed to air and had no use by date. -Brand Villa Frizzoni pepperoni slices was open and exposed to air, with no use by date. -1 large box of blueberries with received date of [DATE] was open and exposed to air and did not include an open or use by date. […]