Christian Heights Nursing And Rehabilitation Cente
Christian Heights Nursing and Rehabilitation Cente in Pembroke, KY — inspection on February 21, 2025.
Found 1 citation. 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
Review of the facility policy, Homelike Environment Standard of Practice, last reviewed 10/2020, revealed the facility shall maximize, to the extent possible, characteristics of the facility to reflect a personalized, homelike setting.
This shall include cleanliness and order and pleasant, neutral scents.
Observation of the facility during an initial tour on 02/18/2025, beginning at 10:55 AM. revealed the following:
a. R48 and R55's room had chipped paint and gouge marks on the door and doorframe.
The rubber baseboard was pulled away from the wall, and there were yellow/orange stains on the floor.
During an interview with R48 on 02/21/2025 at 4:00 PM, he stated it would be nice if the peeling paint and poor condition of the walls and floor was repaired.
Review of a Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 12/01/2024 revealed the resident was cognitively intact, based on a Brief Interview for Mental Status (BIMS) score of 15/15.
b. R25 and R40's room had a hole in the bathroom door.
The baseboard was pulled away from the wall.
The walls had a large area of chipping paint. In an interview on 02/21/2025 at 4:05 PM with R40, she stated she would like to see it fixed, referring to the condition of the walls, floors, and paint.
Review of an MDS, with an ARD of 02/15/2025, revealed R40 was cognitively intact, based on a BIMS score of 14/15.
c. R110 and R16's room had a strong odor of urine.
The floor had broken tile and was uneven.
Food particles were noted on the floor.
d. R43 and R10's room had broken tiles in the floor.
e. R42 and R49's room had multiple broken and missing tiles in the floor.
185338
Form Approved OMB
STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.
Building 185338 B.
Wing 02/21/2025
NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE
Christian Heights Nursing and Rehabilitation Cente 124 West Nashville Street Pembroke, KY 42266