Christian Community Home of Osceola, Inc

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 5, 2022

  Based on record review and interview, the facility did not ensure adequate supervision and assistive devices were provided to prevent accidents for 1 of 5 residents (R22) reviewed for falls. R22 was identified as a fall risk upon admission and sustained seven documented falls at facility between [DATE] and [DATE]; the last fall, on [DATE] resulted in a right [CONDITION(S)] and R22 required a 5 day hospitalization before returning to facility. The facility did not implement a comprehensive care plan to address or implement interventions to reduce R22's risk of falls. Findings include: R22 was reviewed as a Closed Record during the facility's Recertification Survey. […]

• Actual harm, isolatedF686Jan 14, 2021

  Based on interview and record review, the facility did not ensure a resident received care, consistent with professional standards of care, to prevent the development of a pressure injury. This occurred for 1 of 2 residents (R) reviewed for pressure injuries (R1). R1 was at risk for development of pressure injuries and developed a stage 3 pressure injury while at the facility. R1 did not have appropriate staging, monitoring, assessment, or a care plan for prevention or care of a pressure injury. Findings include: Record review identified R1 was admitted to the facility on [DATE] for therapy following a [MEDICAL CONDITION]. R1's [DIAGNOSES REDACTED]. […]

• No harm, potential for more than minimal, widespreadF812Aug 12, 2026

  Based on observation, interview and record review, the facility did not prepare, distribute and serve food in a manner that prevents foodborne illness to 37 out of 37 residents reviewed.Surveyor observed dirty fan attached to wall located above serving steam table where kitchen staff serve residents' meals.Findings include: On 08/11/26 at 11:23 AM, Surveyor observed a fan mounted in the kitchen above the serving steam table. Surveyor observed lint hanging from the fan on the wall above residents' serving plates. Surveyor interviewed [NAME] R and asked how often the fan is used in kitchen. [NAME] R stated kitchen staff use it sometimes when it is extremely hot in the kitchen. Surveyor asked [NAME] R how often the fan is cleaned. […]

• No harm, potential for more than minimal, widespreadF880Aug 12, 2026

  Based on observation, interview and record review, the facility did not establish and maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections. This had the potential to affect all 37 residents (R).-Infection Control (IC) surveillance logs for the month of January to August 2026 had data missing. -No Enhanced Barrier Precautions (EBP) in place for R33 who has open wounds.-Clean Resident clothing observed uncovered in hallways and touching the floor.-Staff are not aware why R36 is on Enhanced Barrier Precautions (EBP).-Enhanced Barrier Precautions (EBP) posted for R36 are not being followed.-Staff did not perform proper hand hygiene per… […]

• No harm, potential for more than minimal, widespreadF812May 7, 2025

  Based on observation, interview, and record review, the facility did not prepare, distribute, and serve food in a manner that prevents foodborne illness to 33 out of 33 residents reviewed. The kitchen cooler contained a variety of foods not labeled with open or use-by dates. Cook Q had personal beverages on the food prep table. Findings include: Surveyor reviewed the policy titled, Food Safety and Sanitation, which states in part, .#4: All time and temperature control for safety (TSC) foods (including leftovers) should be labeled, covered, and dated when stored. […]