Christian Park Health Care Center

In the surveyor’s words

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

• Actual harm, patternF880Apr 9, 2026

  Based on observation, interview, and record review, the facility failed to implement a complete infection control program as evidenced by failure to:Effectively mitigate outbreaks of COVID-19 and Influenza A resulting in widespread dissemination of infection disease throughout the facility.Properly disinfect and store multiple-resident use glucometers and individual insulin pens following use.Maintain clean and sanitary medication carts, andProperly clean and sanitize resident bed pans for 5 of the 5 residents in the facility that use bed pans.This deficient practice resulted in the harm when COVID-19 and Influenza A outbreaks in January and February 2026, respectively, spread throughout all Halls of the facility, infecting 25 Residents with one death for COVID-19, infecting 10 Residents… […]

• Actual harm, isolatedF689Jul 15, 2026

  This citation pertains to complaint #3053535Based on interview and record review, the facility failed to ensure the safe wheelchair transportation of one resident (R4) of three residents reviewed for accidents and environmental hazards. This deficient practice resulted in actual harm when the resident's leg slipped from the wheelchair footrest during transport, causing hyperextension of the knee, an inoperable femur fracture due weight and respiratory status, chronic pain, and confinement to bed.Findings include:Resident #4 (R4)Review of R4's Minimum Data Set (MDS) assessment dated [DATE], revealed R4 was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF600Apr 9, 2026

  Based on observation, interviews, and record review, the facility failed to protect the residents' right to be free from willful neglect in answering a call light for one Resident (8) of 4 residents reviewed, resulting in Resident #8 waiting for over 20 minutes to be addressed while moaning, crying out and thrashing. Based on the reasonable person concept Resident #8 exhibited signs and symptoms of extreme pain and overwhelming anxiety caused by this extended time of unmet needs.Findings include: Review of a facility Abuse Prohibition Policy dated 10/14/2022 read in part: Policy-Each guest/resident shall be free from abuse, neglect, mistreatment, exploitation, and misappropriation of property. […]

• Actual harm, isolatedF627Apr 9, 2026

  This citation pertains to Complaint # 2972928.Based on interview, and record review, the facility failed to timely readmit one Resident (#1) of three residents reviewed for admission, transfer, and discharge rights, resulting in Resident #1 feeling of unnecessary separation from family and friends and uncertainty related to continued medical care and financial stress, as well as psychological stress and anxiety.Findings include:Resident (R1)Review of an admission Record revealed R1 was originally admitted to the facility on [DATE] with pertinent diagnoses which included: respiratory failure.Review of the Minimum Data Set (MDS) assessment for R1 dated 2/12/2026 revealed a Brief Interview for Mental Status (BIMS) score of 14/15 indicating R1 was cognitively intact.Review of R1's EMR read in… […]

• Actual harm, isolatedF684Dec 16, 2025

  This citation pertains to intake: 2674136Based on interview and record review, the facility failed to implement preventative measures, promptly assess and treat constipation for 1 resident (Resident #1) of 3 residents reviewed for quality of care and prevent further medical complications from constipation. This failure resulted in actual harm when R1was hospitalized for a small bowel obstruction, leading to acute kidney injury and sepsis.Findings include:According to Legal and Ethical Issues in Nursing, 4th Edition, ([NAME], G, 2006), a major responsibility of all health care providers is that they keep accurate and complete medical records. From a nursing perspective, the most important purpose of documentation is communication. […]