Christian City Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jul 28, 2026

  Based on observations, staff interviews, record review, and review of the facility's policy titled Elopement Prevention, the facility failed to implement adequate supervision and elopement prevention measures to safeguard one of three sampled residents (R) (R1). This failure allowed the resident to leave the facility without staff knowledge, resulting in an elopement.On July 23, 2026, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had caused or had the likelihood to cause serious injury, harm, impairment, or death to residents.The facility's Administrator, Director of Health Services (DHS), and Corporate Nurse Consultant were informed of the Immediate Jeopardy (IJ) on July 23, 2026, at 6:05 PM. […]

• Immediate jeopardy, isolatedF835Jul 28, 2026

  Based on observations, staff interviews, and reviews of the Administrator and Director of Nursing (DON) Job Descriptions, the facility administration failed to manage the facility in a manner that protects residents and safeguards them from elopement. Specifically, the administration was aware that the front entry door did not have an operational Wander Guard system to ensure residents at risk for elopement were protected. Despite this known hazard, corrective measures were not implemented. Resident (R) (R1) was placed in imminent danger due to the facility's failure to implement interventions for R1 upon admission. […]

• No harm, potential for more than minimal, widespreadF812Aug 6, 2026

  Based on observations, staff interviews, and a review of the facility's policy titled Labeling, Dating, and Storage and Pot/Pan Washing and Sanitation the facility failed to properly store, label, date, and discard food items. In addition, the facility failed to maintain sanitary conditions with dishes. These deficiencies created a potential risk for 168 out of 171 residents who received an oral diet from the kitchen, increasing their risk of foodborne illnesses.Findings Include:Review of the facility's policy titled Labeling, Dating, and Storage, dated 11/11/2022, documented in Procedures 1. Food and beverage items will have an identifying label as well as a received date and opened date, as applicable; for items prepared onsite, a 'use by' date will also be indicated. 2. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2024

  Based on observations, staff interviews, and review of the facility policies titled, Foodborne Illness, Patients/Residents' Personal Food', and Labeling, Dating, and Storage, the facility failed to properly thaw frozen foods by not allowing running water to overflow to prevent potential harmful particles/bacteria to run freely. The facility also failed to ensure resident nourishment refrigerators and freezers were clean, resident foods were labeled and dated, as well as food items discarded past the use by date. The deficient practice had the potential to affect 170 residents receiving an oral diet. The facility census was 174. Findings include: Review of the facility policy titled Foodborne Illness revealed under Procedure, 2. […]

• No harm, potential for more than minimal, widespreadF812Jun 23, 2022

  Based on observation, interview, and record review the facility failed to ensure the kitchen was maintained in clean and sanitary condition. This deficient practice had the potential to affect all residents receiving an oral diet. As indicated on the facility's Form Centers for Medicaid and Medicare Services (CMS)-672, Resident Census and Conditions of Residents Form, the facility's census on 6/21/22, was 170 residents. Findings include: Review of the facility Cleaning Schedule Policy with an effective date of 9/1/01 and a revised date of 3/22/16 revealed it is the policy of the corporation that the Dietary Manager prepares a list of all cleaning tasks and posts them in the Dietary Department. […]