Christian Extended Care & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Christian Extended Care & Rehabilitation, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Oct 13, 2023

  Based on observation and interview, the facility failed to label and cover opened food packages, keep the kitchen floor and ceiling clean, and failed to ensure staff followed the facility hairnet/beard net policy. This had the potential to affect all residents who consumed food prepared by the facility. The census was 48. 1. Observation on 10/10/23 at 9:35 A.M. of the bulk storage room, showed the following: -An opened, undated jug of syrup on the shelf with dry pasta; -An undated, opened package of sandwich cookie pieces, with no covering on the far back storage rack. Observation on 10/11/23 at 7:56 A.M. […]

• No harm, potential for more than minimal, patternF880Mar 28, 2025

  Based on interview and record review, the facility failed to ensure employee two-step tuberculin skin tests were completed in accordance with guidelines from the Centers for Disease Control and Prevention (CDC) and State health department, as per the facility policy, for four out of nine employees reviewed. The census was 47. Review of the facility's Employee Health policy, last reviewed July 2022, showed: -Purpose: To provide specific directions for consistent processing of all employee health-related concerns within the corporation's residences; -Policy: -Employment History and Physical Examinations: --All newly hired employees must be medically certified to be free from communicable disease before there is contact with any resident; -Tuberculosis Control Program: --The first step of… […]

• No harm, potential for more than minimal, patternF640Oct 13, 2023

  Based on interview and record review, the facility failed to electronically transmit resident Minimum Data Sets (MDS), a federally mandated assessment instrument completed by facility staff, in a timely manner for four of four months reviewed. The census was 48. Review of the Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) manual, version 1.18.11 dated October 2023, showed: -All Medicare and/or Medicaid-certified nursing homes and swing beds, or agents of those facilities, must transmit required MDS data records to CMS' Internet Quality Improvement and Evaluation System; -Transmitting Data: Providers must transmit all sections of the MDS 3.0 required for their State-specific instrument and all tracking or correction… […]

• No harm, potential for more than minimal, isolatedF677Mar 28, 2025

  Based on observation, interview and record review, the facility staff failed to provide the required assistance with activities of daily living (ADLs, bathing, dressing, hygiene, grooming, and toileting) for three residents to maintain adequate personal hygiene (Resident #270, Resident #169, and Resident #19). The sample was 12. The census was 47. Review of the facility's Skin Integrity policy, revised, September, 2022, showed: -Policy: All residents will be assessed for the risk of skin breakdown; Risk factors identified will be evaluated; Interventions will be developed and implemented to minimize or stabilize the risk; Interventions will be care planned; -Prevention: Excessively dry skin should be treated with a moisturizing lotion. Review of the facility's A.M. and P.M. […]

• No harm, potential for more than minimal, isolatedF761Oct 13, 2023

  Based on observation, interview and record review, the facility failed to ensure medications kept in the facility medication room were within the date of expiration and to ensure a medication in the medication cart was labeled when it was opened and with the expiration date from opening. These practices affected one out of one medication room and one out two medication/treatment carts reviewed. The census was 48. Review of the facility's Storage and Expiration Dating of Medications, Biologicals policy, last revision on 8/7/23, showed: -Facility should ensure that medications and biologicals that have an expired date on the label, have been retained longer than recommended by the manufacturer or supplier guidelines, are stored separate from other medications until destroyed or returned to… […]