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.

• Actual harm, isolatedF684May 27, 2025

  Based on interview and record review the facility failed to consistently provide oral care as care planned, notify the power of attorney (POA) and medical provider timely of a change in dental condition for 1 of 2 residents (Resident 47) reviewed for dental care. Resident 47 experienced harm when they developed abscesses in their mouth that required antibiotic treatment. Findings Included .Resident 47 was a long-term resident of the facility with diagnoses which included dementia (a mental disorder in which a person loses the ability to think, remember, learn, make decisions, and solve problems) with severe agitation, mood disturbances and anxiety, high blood pressure, and dysphasia (difficulty swallowing).Review of Resident 47's Annual Minimum Data Set (MDS-an assessment tool) assessment… […]

• Actual harm, isolatedF551Nov 18, 2021

  Based on interview and record review the facility failed to ensure one of one resident (1) retained and exercised their right to revoke their Durable Power of Attorney (DPOA), failed to honor the resident's repeated requests to be discharged home in accordance with their wishes and preferences, and failed to include the resident in the care planning process which included discharge planning. These failed practices violated the resident's rights causing undue psychosocial distress and harm for Resident 1. […]

• Actual harm, isolatedF603Nov 18, 2021

  Based on observation, interview and record review the facility failed to ensure a resident's right to be free from involuntary seclusion for one of one resident (1). This failed practice caused psychosocial harm to Resident 1 who was moved into the Secured Dementia Unit shortly after admission to the facility with a temporary change in mental status due to a change in condition. The resident displayed no behaviors and remained in the Secured Dementia Unit for 10 months which caused the resident undue psychosocial distress, diminished quality of life and loss of autonomy. Findings included . […]

• No harm, potential for more than minimal, patternF641May 27, 2025

  <DENTAL> <RESIDENT 47> Resident 47 admitted to the facility on [DATE] with diagnoses which included Alzheimer's Disease (progressive disease that destroys memory and other mental functions), high blood pressure, and dysphasia (difficulty swallowing). Review of Resident 47's Annual MDS assessment dated [DATE] showed they had no obvious or likely cavity, no broken natural teeth, no facial pain or discomfort, and no inflamed or bleeding gums or difficulty chewing. In an observation on 05/20/2025 at 2:45 PM, Resident 47 gums and teeth appeared to be black in color, with debris in their teeth, and they were missing teeth. […]

• No harm, potential for more than minimal, patternF761May 27, 2025

  Based on observation, interview and record review, the facility failed to properly label and/or discard undated, opened ophthalmic medications (drugs specifically formulated for application to the eye). This failure placed the residents at risk of receiving compromised or ineffective medications. Findings included . Review of a facility policy titled, Medication Storage in the Facility, dated 05/09/2018, documented the facility would ensure all medications were stored safely, securely, and properly, following manufacturer's recommendations. […]