Christian Heights Nursing and Rehabilitation Cente

In the surveyor’s words

From the most serious findings on record at Christian Heights Nursing and Rehabilitation Cente, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 21, 2025

  Based on observation, interview, and review of the facility's policy, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety. Food items were not sealed and/or covered to prevent contamination. Opened food items were not dated as required. Food maintained on ice during lunch meal service exceeded the required 41-degree Fahrenheit temperature limit for cold food items. The facility's failure had the potential to affect 56 of the facility's 57 residents who consumed food from the kitchen. The findings include: 1. Review of the undated facility policy, titled, Labeling and Dating, revealed proper labeling and dating ensured that all foods were stored rotated, and utilized in a first in-first out manner. […]

• No harm, potential for more than minimal, widespreadF921Feb 21, 2025

  Based on observation, interview, record review, and facility policy review, it was determined the facility failed to provide a functional, sanitary, and comfortable environment for 20 of 57 residents (Resident (R) 7, R10, R16, R19, R22, R25, R26, R33, R35, R38, R40, R42, R43, R46, R47, R48, R49, R50, R55, and R110.) Resident rooms had broken and/or missing floor tiles, peeling paint, and/or holes in walls. Four residents (R19, R46, F47, and R50) were noted to have an unsanitary commode in poor repair. The findings include: Review of the facility policy, Resident Rights Standard of Practice, originated 04/2024, revealed the facility follows the guidance of Regulatory Group 483.10, F550-F586, which includes the right to a safe, clean, comfortable, and homelike environment. […]

• No harm, potential for more than minimal, isolatedF602Mar 26, 2026

  Based on observation, interview, and review of facility policy, the facility failed to protect residents from misappropriation of property (medication) for 1 of 9 sampled residents observed during medication administration, Resident (R)38. The findings include: Review of the facility policy, titled Abuse Prohibition Standard of Practice, revised 07/2022, revealed the definition of misappropriation of resident property was the deliberate misplacement, exploitation, or wrongful, temporary or permanent use of the resident's belongings or money without the resident's consent. […]

• No harm, potential for more than minimal, isolatedF761Mar 26, 2026

  Based on observation and interview, the facility failed to store drugs under proper temperature controls, and failed to provide separately locked, permanently affixed compartments for storage of controlled drugs. This affected Resident (R)29. The findings include: Observation of the facility's only medication storage room was conducted on 03/26/2026 at 4:20 PM, with the Director of Nursing (DON). The Pixis system (Automated medication dispensing system using secure computerized cabinets to store and dispense medication) and three unlocked refrigerators were observed on the shelves of the medication storage room. Temperature logs for the refrigerators were checked with no concerns noted. However, there was no controlled substance affixed lock box present inside the refrigerators. […]