Christian City Rehabilitation Center
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
so that she could comfortably have a bowel movement. CNA DD stated that she asked Resident R1 to stand with her hands on the bed so that CNA DD could clean her and her legs gave out, and she fell onto her knees. CNA DD stated she immediately called for help and multiple staff came to assist. CNA DD stated it was her understanding that Resident R1 was required to have one CNA to assist with transfers prior to 11/6/2025 and the care plan was updated after the fall on 11/6/2025 to have two people for transfers. CNA DD revealed she reviews the care plan to see if a resident requires one or two person assistance.
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/21/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Christian City Rehabilitation Center
7300 Lester Road Union City, GA 30291
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0689
F 0689 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
stated she reviews the care plan to know if a resident requires one person or two people to assist with transfers. Interview on 11/21/2025 at 2:48 pm with Licensed Practical Nurse (LPN) EE revealed she has been employed with the facility for one year. LPN EE revealed the incident with Resident R1 occurred before she entered the room. LPN EE confirmed Resident R1 was on her knees in a prayer position, and six staff members were
in the room attempting to get her back into bed. LPN EE stated Resident R1 was assessed for injuries, and no injuries were reported. LPN EE continued and stated Resident R1 complained of pain in her lower extremities, and imaging was ordered, performed and resulted with no injuries. Interview on 11/21/2025 at 4:00 pm with the Director of Nursing (DON) and Administrator confirmed CNA DD transferred Resident R1 without the assistance of a second staff member, which resulted in Resident R1 falling on the floor. Both confirmed Resident R1 was care-planned on 10/29/2025 for two person assistance during transfers. It was confirmed Resident R1 was discharged from the facility
on 11/9/2025 due to respiratory distress and not because of injuries from the fall.Interview on 11/21/2025 at 4:29 pm with CNA DD confirmed Resident R1 sustained a fall on 11/6/2025. CNA DD stated she was the only staff member assigned to care for Resident R1. CNA DD stated Resident R1 requested a bedside commode so that she could comfortably have a bowel movement. CNA DD stated that she asked Resident R1 to stand with her hands on the bed so that CNA DD could clean her when her legs gave out and she fell onto her knees. CNA DD stated she immediately called for help and multiple staff came to assist. CNA DD stated it was her understanding that Resident R1 was required to have one CNA to assist with transfers prior to 11/6/2025 and the care plan was updated
after the fall on 11/6/2025 to have two people for transfers. CNA DD revealed she reviews the care plan to see if a resident requires one or two person assistance.
Event ID:
Facility ID:
If continuation sheet
CHRISTIAN CITY REHABILITATION CENTER in UNION CITY, GA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in UNION CITY, GA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from CHRISTIAN CITY REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.