Christian Heights Nursing Home: Facility Conditions - KY
Inspectors from the Centers for Medicare and Medicaid Services visited Christian Heights Nursing and Rehabilitation Center on February 18, 2025, and found the toilet in the shared bathroom of four residents — R19, R47, R50, and R46 — broken and overflowing with waste. The seat was cracked and hanging sideways. When inspectors returned on February 20, the snake and plunger were gone. The toilet was still full.
The housekeeper responsible for cleaning that bathroom every day told inspectors she had reported the problem to her housekeeping manager and thought she had reported it to maintenance. She said the toilet had "a problem of stopping up."
The Maintenance Director had a different framing. "It's a brand-new toilet," he told inspectors on February 20. "We are having an issue with a resident continuously stopping up a toilet." He said he was trying to order a different type of toilet to prevent the problem but hadn't yet placed the order. In the meantime, he said, "Currently it must be unstopped one to two times a day. It has gotten to the point that work orders are not being put in because I know I must check it every day."
Four residents sharing one bathroom. A toilet requiring clearing twice daily. No work orders being filed.
The broken toilet was the sharpest finding in a broader picture of physical decay that inspectors documented across more than a dozen rooms. The floor in R110 and R16's room had broken, uneven tile and food particles on the ground. Their room also carried a strong odor of urine. Rooms shared by R43 and R10, and by R42 and R49, had broken and missing floor tiles as well. In R35's room, a wall corner was crumbling and a pile of debris sat on the floor. The shower was missing six tiles, four of which had been stacked to the side. The caulking around the sink had turned brown and was peeling away.
In the room shared by R19 and R47, chipped paint covered the walls, yellow and brown stains ran down the wall and onto the floor beneath the sink, a corner of the door threshold was crumbling, and a debris pile sat on the floor. In R38's room, the paint was peeling away from a painted-over wallpaper border, and the outside was visible around the heating and air conditioning unit — a gap in the exterior wall of a nursing home in February.
R26's bathroom floor around the base of the toilet was caked in a reddish-brown substance. The handrail outside the Director of Nursing's office had a pile of dust and debris on it that was still there at 3:30 in the afternoon on the last day of the inspection. Food particles were on the floor and on tabletops in the dining room.
Two residents told inspectors directly what they wanted. R48, who scored a perfect 15 out of 15 on a cognitive assessment, said it would be nice if the peeling paint and poor condition of the walls and floor in his room were repaired. R40, who scored 14 out of 15, said she would like to see it fixed, referring to the walls, floors, and paint in her room, which also had a hole in the bathroom door and baseboards pulled away from the wall.
The Maintenance Director explained his approach to the broader repair problem. His preference, he told inspectors, was to complete all necessary repairs in one room before moving to the next. At the time of the inspection, only one room had received all its needed repairs. He said he had plans to cover the gouged walls with a vinyl material up to four or five feet high, but that would wait until funding was available. Until then, nothing was being done to repair the walls or paint. Floor tiles were being purchased a few at a time. "They may not match when we get them," he said, "but it will be better than nothing."
The Environmental Services Director said each room was scheduled for a monthly deep clean, including washing curtains, cleaning blinds, wiping down walls, and cleaning under furniture.
The Administrator told inspectors his expectation was for the facility to provide a clean, comfortable, and homelike environment. He said that expectation included both cleanliness and physical appearance.
R48, cognitively intact and living among chipped paint and stained floors, said it would be nice if someone fixed it.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Christian Heights Nursing and Rehabilitation Cente from 2025-02-21 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: July 6, 2026 · Our methodology
Christian Heights Nursing and Rehabilitation Cente in Pembroke, KY was cited for violations during a health inspection on February 21, 2025.
The seat was cracked and hanging sideways.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.