Christian City Rehabilitation Center
CHRISTIAN CITY REHABILITATION CENTER in UNION CITY, GA — inspection on November 21, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
so that she could comfortably have a bowel movement. CNA DD stated that she asked 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 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.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/21/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Christian City Rehabilitation Center
7300 Lester Road Union City, GA 30291
SUMMARY STATEMENT OF DEFICIENCIES
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 R1 occurred before she entered the room. LPN EE confirmed 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 R1 was assessed for injuries, and no injuries were reported. LPN EE continued and stated 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 R1 without the assistance of a second staff member, which resulted in R1 falling on the floor.
Both confirmed R1 was care-planned on 10/29/2025 for two person assistance during transfers. It was confirmed 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 R1 sustained a fall on 11/6/2025. CNA DD stated she was the only staff member assigned to care for R1. CNA DD stated R1 requested a bedside commode so that she could comfortably have a bowel movement. CNA DD stated that she asked 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 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.
Facility ID: