Christian Health Care Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF835Oct 18, 2021

  Based on observations, interviews, and record review, it was determined that the administration failed to ensure staff implemented the facility's abuse policy for three instances of abuse that occurred. Resident #105 assaulted Resident #197, Resident #198, and Resident #234. The assault against Resident #197 resulted in a laceration that required sutures. This had the potential to affect all residents. It was determined the facility's non-compliance with one or more requirements of participation caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• Immediate jeopardy, patternF600Oct 18, 2021

  Based on observations, record reviews, interviews, and facility policy review, it was determined the facility failed to provide a safe environment to prevent resident-to-resident abuse for three (Residents #197, #198, and #234) of three residents reviewed for resident-to-resident abuse. All residents on the [NAME] Unit were at risk of abuse from Resident #105. Resident #105 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #105 punched Resident #197 on 06/02/2021, resulting in an emergency room visit and stitches to Resident #197's upper lip. Resident #105 had inappropriate sexual contact with Resident #198 on 08/13/2021. Resident #105 pulled Resident #234's hair on 10/07/2021. Staff reported that Resident #105 got agitated and aggressive unprovoked. […]

• Immediate jeopardy, patternF607Oct 18, 2021

  Based on observations, record reviews, interviews, and facility policy review, it was determined the facility failed to implement their abuse policy to prohibit and prevent abuse by failing to put interventions in place to prevent further abuse perpetrated by Resident #105 towards three (Residents #197, #198, and #234) of three residents reviewed for resident-to-resident abuse. Resident #105 had diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #105 punched Resident #197 on 06/02/2021, resulting in an emergency room visit and stitches to Resident #197's upper lip. Resident #105 had inappropriate sexual contact with Resident #198 on 08/13/2021. Resident #105 pulled Resident #234's hair on 10/07/2021. Staff reported that Resident #105 got agitated and aggressive unprovoked. […]

• Immediate jeopardy, isolatedF689Jun 14, 2023

  Complaint #NJ00163279 Based on observation, interviews, record review, and review of other pertinent facility documentation, it was determined that the facility failed to provide adequate supervision for a resident who was an elopement risk for 1 of 3 residents reviewed for elopement on a secured behavioral unit (Resident #229). The facility failed to provide adequate supervision and identify that a resident with a history of elopement and cognitive impairment was missing upon the activation of an exit door alarm on a secured unit. […]

• Actual harm, isolatedF657Oct 18, 2021

  Based on observations, interviews, record review, and facility policy review, it was determined that the facility failed to update person-centered care plans to reflect changes in interventions for three (Residents #152, #105, and #213) of 39 residents reviewed for care planning. The facility failed to update the accident/falls care plans with additional interventions after falls occurred for Resident #152 and Resident #213, which could have prevented Resident #152 from falling and sustaining a fracture. The facility also failed to update the behavior care plan for Resident #105. This had the potential to affect all residents. Findings included: 1. A review of Resident #213's quarterly Minimum Data Set (MDS), dated [DATE], indicated diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]