Christian Health Center Corbin

Inspectors wroteBased on interview, record review, and review of the facility's policies, the facility failed to ensure that one (Resident (R) 93) of 13 sampled residents reviewed for abuse was free from abuse by another resident (R12). The facility was aware that R12 exhibited escalating behaviors toward staff and other residents, including entering other residents' rooms, physical sexual contact, and aggression since at least 08/2025. Despite documented identification of R12's ongoing behaviors, the facility failed to develop a comprehensive care plan to reflect the behaviors, so as to implement consistent behavioral interventions to protect other residents. On 01/05/2026, R12 touched and physically restrained R93 in her bed, causing R93 psychosocial harm with emotional distress and fear. [...]

Inspectors wroteBased on record review, staff interview, and facility documentation, the facility failed to immediately report allegations and incidents of potential abuse, as well as injuries of unknown origin, to appropriate external authorities, including law enforcement and/or the State Survey Agency (SSA), in accordance with facility policy and federal regulations. This failure involved eight (Resident (R) 12, R19, R30, R67, R84, R87, R90, R93) of 13 sampled residents reviewed for abuse. The failure to immediately report allegations as required included a witnessed incident on 01/05/2026 when R12, who had a history of sexual behaviors, physically restrained R93 in her bed, causing R93 psychosocial harm with emotional distress and fear. [...]

Inspectors wroteBased on interview, record review, and review of facility's policies, the facility failed to develop and implement a comprehensive care plan to meet resident-specific needs for one (Resident (R) 12) of 13 sampled residents reviewed for abuse. The facility was aware that R12 exhibited escalating behaviors toward staff and other residents, including physical sexual contact and aggression, since at least 08/2025. Despite documented identification of these behaviors, the facility failed to develop a comprehensive care plan which reflected the behaviors, reflected measurable goals, and included person-centered consistent behavioral interventions to protect other residents from R12's behaviors. [...]

Inspectors wroteBased on interview, record review, and review of facility's documents, the facility failed to ensure that it was administered in an effective manner to meet the needs of each resident, in the areas of developing/implementing care plans, freedom from abuse, and immediate reporting of alleged incidents of abuse. This failure affected two (Resident (R) 12 and R93) of 13 sampled residents reviewed for abuse. The facility was aware that R12 exhibited escalating behaviors toward staff and other residents, including physical sexual contact and aggression, since at least 08/2025. Despite documented identification of these behaviors, the facility failed to develop and implement a comprehensive care plan to protect residents from the potential for abuse. On 01/05/2026, R12 touched and physically restrained R93 in her bed, causing R93 psychosocial harm with emotional distress and fear. [...]

Inspectors wroteBased on interview, record review, and review of facility documentation and policies, the facility failed to conduct a thorough investigation in response to incidents of potential abuse and/or injuries of unknown origin involving six (Resident (R) 19, R30, R67, R84, R87, R90) of 13 sampled residents reviewed for abuse. The facility failed to thoroughly investigate alleged incidents and/or injuries of unknown origin so as to learn facts, determine if abuse had occurred, and identify actions to prevent the potential for further abuse.

Inspectors wroteBased on observation, interview, record review, and review of the facility's policy, the facility failed to ensure its residents were free from medication errors for 1 of 3 sampled residents, Resident (R)85. Following a medication observation with Registered Nurse (RN)2 it was determined she had crushed Pantoprazole 40 milligram (mg) Delayed Release (DR) tablet and an Isosorbide 30 mg Extended Release (ER) Tablet and administered them to R85. According to the pharmacy's instructions on the medication label, both medications should have been administered whole.

Inspectors wroteBased on observation, interview and review of the facility's policy, the facility failed to ensure all medications were labeled at a minimum of the medication's name (generic and/or brand), prescribed dose, strength, the expiration date when applicable, the resident's name, and route of administration; and include an opened date if indicated for three (3) of six (6) sampled medication carts and 1 of 2 sampled medication refrigerators.

Inspectors wroteBased on observations, interviews, record review, and review of the facility's policy the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections.

Inspectors wroteBased on observation, interview, and record review it is determined the facility failed to evaluate Resident (R1) for the ability to safely self-administer medications for one of 31 sampled residents. During an observation on 3/10/2025 at 3:43 PM, an open bottle of prescribed Nystatin Powder (an antifungal medication that treats skin infections caused by yeast) was found on R1's bed. R1 stated she applied the medication herself throughout the day. However, facility staff found no documentation or assessment to indicate the interdisciplinary team had evaluated and determined R1's ability to safely self-administer medications.

Inspectors wroteBased on interview, record review, and facility policy review it was determined the facility failed to allow a resident to exercise his or her rights as a resident of the facility and as a citizen or resident of the United States for 1 of 1 sampled resident (Resident (R) 1). The facility must protect and promote the rights of the resident. Although R1 had not been assessed as an elopement risk and did not consent for wander guard placement, the facility placed a wander guard on R1 on 08/01/2024.

Inspectors wroteBased on observations, interview, record review, and facility policy review, it was determined the facility failed to ensure one (1) of twenty-seven (27) sampled residents received adequate supervision to prevent accidents. The facility assessed Resident #8 to be at risk for elopement and was to wear a wander bracelet (a device worn that emits a sound when passed through an alarmed door). However, observations on 02/05/2020 revealed the resident was not wearing the bracelet as required.