Christian Community Home

In the surveyor’s words

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

• Actual harm, isolatedF686Feb 12, 2025

  Based on observation, interview, and record review, the facility did not ensure that 1 of 4 residents (R16) reviewed for pressure injuries (PI) received care consistent with professional standards of practice to prevent potential skin breakdown and promote healing of existing PIs. R16 was at risk for PI on admission having no PIs, weekly PI assessments were not completed consistently, physician was not notified with changes in the PI, alternate support surfaces were not provided when skin issues were noted. The PI care plan was not developed until 2 months after the identification of the stage 3 PI. Offloading of the PI was not observed by Surveyor. This is cited at actual harm. Findings include: The facility policy, titled Prevention of skin breakdown, revised [DATE], states: .D. […]

• No harm, potential for more than minimal, widespreadF812Apr 8, 2026

  Based on observation and interview, the facility failed to distribute food under sanitary conditions. Gloves were not used appropriately, and food was handled without proper hand hygiene. This has the potential to affect all 35 residents who reside in the facility. The facility policy and procedure titled: General Food Preparation and Handling last reviewed on 05/2025 states under section 3 of policy, Food Preparation,*g. Bare hands should never touch ready to eat raw food directly/ Disposable gloves are a single use item and should be discarded after each use. Employees should wash hands prior to putting gloves on and after removing gloves. *h. […]

• No harm, potential for more than minimal, widespreadF812Feb 12, 2025

  Based on observation, record review and interview, the facility failed to ensure the chemical sanitation used in the 3-compartment sink for dishwashing was the correct concentration per manufacturer's guidelines. This had the potential to affect all 36 residents who are served food from the facility's kitchen. This is evidenced by: Facility policy titled, Resource: Sanitation of Dishes/Manual Washing, dated 2021, states in part: Manual washing using chemical to sanitize: - An exposure time of at least 10 seconds for a chlorine solution of 50mg/L that has a pH of 10 or less and a temperature of at least 100 degrees Fahrenheit; -Or a pH of 8 or less and a temperature of at least 75 degrees Fahrenheit; - An exposure time of at least 30 seconds for other chemical sanitizing solutions per… […]

• No harm, potential for more than minimal, widespreadF812Jan 4, 2024

  Based on observation, interview and record review, the facility did not store, prepare, distribute and serve food in accordance with professional standards for food service safety by not wearing hairnets appropriately, and did not ensure proper hand hygiene with food handling. This has the potential to affect all 26 of 26 residents residing in the facility. Findings include: The facility policy, entitled Company Dress Code, dated December 2023, states in part: All those in the kitchen must wear hair restraint (i.e., Hairnet, CCHS ball cap, chef's hat, bonnet). On 01/02/24 at 9:08 AM, Surveyor observed Dietary Aide (DA) K wearing a hat that had their ponytail protruding from the cap. The ponytail was not restrained with a hair net and was exposed to the kitchen area. […]

• No harm, potential for more than minimal, widespreadF880Jan 4, 2024

  Based on observation, interview and record review, the facility did not establish and maintain an infection prevention and control program to help prevent the development and transmission of communicable diseases and infections; the facility did not have a clear water management process or plan in effect to prevent transmission of Legionella infection. This has the potential to affect 26 of the 26 residents reviewed. Improper hand hygiene occurred for 5 of 26 residents. (R21, R15, R23, R8, and R12.) Improper use of PPE for 2 of 2 resident observations (R181, R183). […]