National Church Residences Chillicothe

In the surveyor’s words

From the most serious findings on record at National Church Residences Chillicothe, in the surveyor’s own words.

• Immediate jeopardy, patternF880Feb 8, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated 03/13/20, Nursing Home Guidance from the Centers for Disease Control (CDC), review of the facility ' s policy and procedure, record reviews, observations, and staff interviews, the facility failed to appropriately implement the use of Personal Protective Equipment (PPE) and isolation procedures to prevent the spread of the [CONDITION(S)]-CoV-2 virus (COVID-19) among facility residents. […]

• No harm, potential for more than minimal, patternF880Dec 6, 2023

  Based on observation, medical record review, staff interview, and facility policy review, the facility failed to ensure staff practiced proper infection control precautions during an outbreak of COVID-19. This had the potential to affect all 25 residents (#1, #3, #5, #6, #7, #11, #12, #13, #14, #15, #17, #18, #20, #21, #22, #24, #26, #28, #29, #30, #31, #32, #35, #36, and #42) who were negative for COVID-19 and resided on the same unit as Resident #10 and Resident #27. The census was 41. Findings include: Observation on 12/06/23 from 9:55 A.M. to 10:10 A.M. revealed State tested Nursing Aide (STNA) #103 walking out of Resident #10 and Resident #27's room, who were on droplet isolation precautions due to having COVID-19. […]

• No harm, potential for more than minimal, patternF550Nov 6, 2023

  Based on observation, record review, interview and facility policy review, the facility failed to ensure five residents (#3, #5, #15, #34 and #41) indwelling urinary catheter collection bag was covered for privacy. This affected five of seven residents reviewed for indwelling urinary catheters. The facility identified seven residents with indwelling urinary catheters. The facility census was 42. Findings Include: 1. Review of the medical record for Resident #3 revealed an initial admitted [DATE] with the latest readmission of 04/05/23 with diagnoses including chronic respiratory failure, atrial fibrillation, emphysema, hypertension, chronic kidney disease, anemia, basal cell carcinoma of skin of right upper limb, obstructive and reflux uropathy, osteoarthritis, hyperlipidemia and… […]

• No harm, potential for more than minimal, isolatedF689Apr 23, 2026

  Based on observations, interviews , record review and review of facility policy and procedure, the facility failed to ensure post fall interventions were in place for one resident (#14) out of three residents (#12, #14 and #22) reviewed for falls. The census was 34. Findings include:Review of medical record for Resident # 14 revealed readmission date of 12/9/25 with diagnoses including Alzheimer's disease, dementia , Type tTo Diabetes, chronic kidney disease and multiple sclerosis .Resident #14's quarterly Minimum Data Systems (MDS) revealed a Brief Interview of Mental Status BIMS score of six indicating severe cognitive deficits. […]

• No harm, potential for more than minimal, isolatedF644Dec 31, 2025

  Based on medical record review and staff interview, the facility failed to ensure Pre-admission Screening and Resident Reviews (PASARR) were completed and updated to reflect a new qualifying diagnosis. This affected two (#5 and #38) of two residents reviewed for PASARR accuracy. The facility census was 36.Findings include: 1. Review of Resident #38's medical record revealed an admission date of 01/09/24. Diagnoses included acute and chronic respiratory failure with hypoxia, congestive heart failure, type II diabetes, atrial fibrillation, mild cognitive impairment of unknown etiology, dysphagia, generalized anxiety disorder, drug induced subacute dyskinesia, major depressive disorder, and fibromyalgia. […]