Christian Homes Health Care Center

Inspectors wroteLicensure Reference Number 175 NAC 12-006.11(E) Based on record review, observations, and interviews, the facility failed to label and date foods stored in the kitchen and failed to ensure that foods were prepared and served in a manner to prevent food-borne illnesses. The facility also failed to ensure hand hygiene was followed during meal service. This had the potential to affect all individuals who received foods from the kitchen and dining rooms. The facility census was 71. Findings Are: Record review of the United States Department of Agriculture (USDA) 2022 Food Code dated 01/18/2023 revealed that the Food Code addresses risk factors of food borne illnesses and identified risk factors of improper temperatures, proper hygiene, contaminated equipment, inadequate cooking times, and foods from unsafe sources. [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(S)Based on observation, record review, and interview the facility failed to consecutively serve meals to all residents seated at the same table to maintain resident dignity for 10 of 12 residents observed (Residents 62, 41, 27, 35, 72, 47, 36, 70, 31, and 12). The facility census was 71.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(D)&(E) Based on record reviews, observations and interviews, the facility failed to inform the resident and/or resident representative, in advance of care, of the risks and benefits and possible alternatives of treatment for 5 of 6 residents sampled (Residents 1, 4, 10, 53, and 60). The facility census was 71. Findings Are: Record review of the facility policy Psychotropic Medication Checklist dated May 2021 revealed that upon receiving physician orders staff must have permission from the Designated Power of Attorney (DPOA) (a legal document that authorizes a trusted person (the agent or attorney-in-fact) to manage the financial, legal, or medical affairs of another (the principal) person when that person is no longer able to make decisions) or the resident before administering medications. [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(F)(i) Based on record review and interview the facility failed to ensure an baseline care plan (a written plan required to be developed within 24 hours of admission detailing the instructions needed for staff to provide initial effective and person-centered quality care for a resident) was completed within 24 hours of admission for 7 (Residents 18, 60, 11, 53, 70, 2, and 9) of 10 sampled residents and failed to provide a written summary of the baseline care plan to the resident or their representative for 9 (Residents 18, 74, 60, 11, 53, 3, 70, 2, and 9) of 10 sampled residents. The facility census was 71.

Inspectors wroteBased on record review and interview, the facility failed to ensure the Ombudsman was informed of all resident discharges and transfers. This affected 2 (Residents 74 and 76) of 2 sampled residents. The facility census was 71. In an interview with the Social Services Director (SSD) on 03/10/2026 at 11:20 AM it was revealed that the SSD sent a list of emergency transfers to the ombudsman monthly. A.Record review of Resident 74's Progress Notes dated 1/2/2026 revealed the resident had an emergency transfer to the hospital on that date at 7:45 AM.Record review of the Emergency Transfers from Facility for January 2026 revealed there were three residents listed on the form, which was provided to the ombudsman. Resident 74 was not included on this form. [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(D)Based on record review and interview, the facility failed to accurately code the Minimum Data Set (MDS, a federally mandated comprehensive assessment tool used to determine a resident's functional capabilities and helps nursing home staff identify health problems) for 2 (Residents 1 and 63) of 18 sampled residents. The facility census was 71.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(F) Based on record review and interview the facility failed to ensure the Comprehensive Care Plan (CCP, a document that includes measurable objectives and timetables to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment) reflected a discharge plan and goals for 1 (Resident 11) sampled resident, and accurately reflected a therapeutic diet and antipsychotic medication use for 1 (Resident 53) of 4 sampled residents. The facility census was 71.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09 Based on record review and interviews, the facility failed to follow physician/providers orders for the administration of an as needed medication for 1 (Resident 11) of 1 sampled residents. The facility census was 71.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.15 Based on record review and interview the facility failed to identify a resident's preference to, or not to, have dental services on admission to the facility for 1 (Resident 53) of 1 sampled residents. The facility census was 71.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(D) Based on record review and interview, the facility failed to perform hand hygiene between glove changes during completion of catheter care and wound care for 1 (Resident 11) of 1 sampled resident. The facility census was 71.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B) Based on record review, observations, and interviews, the facility staff failed to ensure sanitization of multiuse equipment between residents to prevent the potential for cross contamination for 2 (Residents 1 and 3) of 4 residents sampled. The facility identified a census of 69. Findings Are: A record review of a facility policy titled, Infection Prevention and Control Program dated 01/2025 revealed in the Policy section that this facility has established and maintains 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 as per acceptable national standards and guidelines. [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(H) Based on record reviews and interviews, the facility failed to have qualified dietary staff working in the kitchen. This had the potential to affect all residents who reside in the facility. The facility census was 75.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.04 (E) Findings are: Based on record review and interview, the facility failed to notify the State Agency of a change in the Director of Nursing position within the required 5 days. This failure had the potential to affect all the residents residing in the facility. The facility census was 75. A record review of the Change of Administrator of Director of Nursing Notification form revealed that the Director of Nursing was changed on 11/8/24 and the notice to the State agency was received on 1/15/25. A interview on 4/8/25 at 1:30 PM with the Administrator confirmed that the Notification of a change in the Director of Nursing was not sent to the State Agency in the required time frame and the notification should have been.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H) Based on record review and interview; the facility failed to report an allegation of abuse for 1 (Resident 1) of 3 sampled residents. The facility census was 64.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(H) Based on record review and interview, the facility failed to identify specific target behaviors for the use of an antidepressant (used to treat depression) medication for 5 (Residents 3, 35, 37, 44, 55), antianxiety (used to treat anxiety) medication for 2 (Residents 35 and 55) and an antipsychotic (used to treat psychosis) for 2 (Residents 44 and 55) of 5 residents reviewed for psychotropic (group of medications used to treat mental health disorders) medication use. The facility census was 61.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.05(B) Based on record review and interview, the facility failed to ensure the Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN, a required notice of the cost of continuing to receive skilled services) and the Notice of Medicare Non-Coverage (NOMNC-a required notice allowing the resident to appeal the facility decision to end Medicare Part A coverage) were provided to Resident 3 and Resident 44 or their representatives to notify them of charges for non-covered care items and services prior to a change in Medicare A coverage. This affected 2 of 3 residents sampled for Advance Beneficiary Notification. The facility census was 61.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H) Based on record review and interview, the facility failed to report a suspected allegation of abuse to the state agency within the required time frame after a allegation was made and failed to report the follow-up investigation in the required 5 working days for 1 (Resident #53) out of 16 sampled residents. The facility census was 61.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.02(H) The facility staff failed to investigate an alleged incident of abuse for 1 (Resident 53) out of 16 sampled residents. The facility census was 61.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09B Based on record review and interview; the facility failed to ensure the Minimum Data Set (MDS-a comprehensive assessment of each resident's functional capabilities used to develop a resident's plan of care) reflected a Level II PASARR (Preadmission Screening and Resident Review -that is a federal requirement to help ensure that individuals are not inappropriately placed in nursing homes for long term care. Level 2 screening is triggered by evidence of a serious mental illness (SMI), Intellectual/Developmental Disabilities (ID/DD) or condition related to Intellectual or Developmental Disabilities (RC) as defined by Medicaid) for one (Resident 1) and failed to code the use of an antibiotic for one (Resident 35) of 16 sampled residents. The facility census was 61.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(E)(i) Based on interview and record review, the facility failed to develop and implement a resident-centered comprehensive care plan (CCP-a written interdisciplinary comprehensive plan detailing how to provide quality care for a resident) that accurately reflected the care needs of the resident for 2 (Residents 3 and 35) of 16 sampled residents. The facility census was 61.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.09(F)(iii) Based on observation, record review, and interview, the facility failed to revise the Comprehensive Care Plan to include the current use of a Positive Airway Pressure device for Resident 14 and Resident 62, and failed to revise the Comprehensive Care Plan for Resident 2 related to falls. This affected 3 of 16 residents reviewed for care plan revision. The facility census was 61.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.18(B), 175 NAC 12-006.18(D) Based on observations, record reviews and interviews, the facility failed to implement Enhanced Barrier Precautions (EBP- an infection control intervention designed to reduce transmission of multidrug-resistant organisms [MDROs] in nursing homes. [...]

Inspectors wroteLicensure Reference Number 175 NAC 12-006.04(D)(i) Based on record reviews and interviews, the facility failed to designate a licensed Registered Nurse (RN) to work full time hours as the Director of Nursing. This had the potential to affect all residents in the facility. The facility census was 61.

Inspectors wroteLicensure Reference Number NAC 12-006.05(6) Based on record reivew, observations, and interviews, the facility failed to ensure the catheter drainage bag was covered to protect 1 (Resident 15) of 3 sampled residents for dignity. The census was 51.

Inspectors wroteLicensure Reference Number 175 NAC 12-006.17 Based on record review, observations, and interviews, the facility failed to ensure C-PAP (CPAP or continuous positive airway pressure, is a respiratory therapy intervention used to provide a patent airway during periods of sleep apnea. It requires a machine that generates by a machine, delivered through a tube into a mask that fits over the nose or mouth), mask and tubing was cleaned after use to prevent the spread of infection that affected 2 (Resident # 156 and #1) of 2 sampled residents. The facility census was 51 at time of survey.