Sayre Christian Village Nursing Home

In the surveyor’s words

From the most serious findings on record at Sayre Christian Village Nursing Home, in the surveyor’s own words.

• Actual harm, isolatedF656Nov 9, 2023

  Based on interview, record review, review of facility policy, and review of the Centers for Medicare and Medicaid Services, Resident Assessment Instrument (RAI) Manual 3.0, it was determined the facility failed to develop and implement a comprehensive person centered care plan for each resident to meet a resident's nursing, and mental and psychosocial needs that were identified in the comprehensive assessment for one (1) of forty-four (44) sampled residents (Resident #2). Resident #2's Comprehensive Care Plan (CCP), initiated 05/19/2021, revealed the facility failed to develop a CCP which specified how many staff members were required to safely assist the resident with a bath. […]

• Actual harm, isolatedF689Nov 9, 2023

  Based on observation, interview, record review, and review of the facility's policy and procedures, it was determined the facility failed to ensure residents were free of accident hazards as possible and failed to provide the necessary supervision and assistance to prevent accidents for one (1) of forty-four (44) sampled residents (Resident #2). Resident #2 was assessed to require the assistance of two (2) staff to assist with his/her baths and showers. However, the facility failed to ensure the resident's Comprehensive Care Plan (CCP) was reflective of the resident's assessed needs. […]

• No harm, potential for more than minimal, widespreadF812May 15, 2026

  Based on observation, interview, and review of the facility's policies, the facility failed to prepare, store, and serve food under sanitary conditions. Observation of the Dietary Manager on 05/11/2026 at 2:00 PM, 2:20 PM, and 4:47 PM, revealed he performed hand hygiene at the hand sink and turned off the faucet with his bare hands.Observation of the resident nourishment refrigerator on Unit 2 on 05/11/2026 at 4:40 PM, revealed three clear plastic pitchers filled three-quarters full of a brown liquid substance. […]

• No harm, potential for more than minimal, patternF628May 15, 2026

  Based on interview, record review, and review of the facility's policy, the facility failed to notify the resident and the resident's representative of the transfer or discharge and the reasons for the move in writing and in a language and manner they understood as soon as practicable. The facility failed to ensure the notice included the reason, date, and location for the transfer, as well as a statement of the residents' appeal rights and the contact information for the state Long-Term Care Ombudsman. The deficient practice was identified for 3 of 7 residents sampled for transfer and/or discharge, Resident (R) 1, R7, and R11. […]

• No harm, potential for more than minimal, patternF880May 15, 2026

  Based on observation, interview, and review of the facility's policy, the facility failed to maintain an effective cleaning and disinfection program for shared resident-care equipment. This affected 2 out of the 3 facility's Hoyer sit-to-stand lifts, one on the 300 Unit and one on the 200 Unit.The findings include: Review of the facility's policy titled, Cleaning and Disinfection of Resident-Care Equipment, dated 01/01/2025, revealed cleaning was the removal of visible soil from objects and surfaces and normally was accomplished manually or mechanically using water with detergents or enzymatic products. Additionally, the policy stated each user was responsible for routine cleaning and disinfection of multi-resident items after each use, particularly before use for another resident. […]