Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Christian City Rehabilitation Center during CMS and state inspections, most recent first.
A resident with generalized weakness, gait/mobility impairment, obesity, muscle spasm, and cervical spinal stenosis was care planned for a two-person assist with transfers, with intact cognition noted on MDS. A CNA transferred the resident alone, the resident's legs gave out, and the resident fell to the floor; the DON and Administrator confirmed the care plan was not followed, and the resident's family confirmed the resident had been planned for two-person transfer assistance.
A resident with weakness, abnormal gait, obesity, and spinal stenosis was care planned for a two-person assist for transfers, but was transferred by only one CNA and fell to the floor. Staff later used a Hoyer lift to return the resident to bed, and x-rays showed no fracture or dislocation. Interviews with the family, CNA, DON, and Administrator confirmed the resident had been transferred without the required second staff member.
Failure to Follow Two-Person Transfer Care Plan
Penalty
Summary
The facility failed to follow the care plan for one of three sampled residents, R1, related to a two-person assist for transfers. R1 was admitted with diagnoses including generalized muscle weakness, other abnormalities of gait and mobility, BMI 45.0-49.9, other muscle spasm, and spinal stenosis of the cervical region. The most recent quarterly MDS documented a BIMS score of 15, indicating intact cognition. The care plan dated 10/29/2025 stated that R1 required a two-person assist for transfers, and physician orders dated 10/28/2025 included physical therapy six days a week for eight weeks for weakness, gait, and mobility. On 11/6/2025, CNA DD transferred R1 without a second staff member, and R1 fell to the floor. CNA DD stated she was the only staff member assigned to care for R1 and asked R1 to stand with her hands on the bed so she could be cleaned when R1's legs gave out and she fell onto her knees. The DON and Administrator confirmed CNA DD did not follow the care plan and that R1 fell as a result. R1's family member also confirmed that R1 suffered a fall due to being transferred by one CNA and stated R1 had initially been care planned for two-person assistance with transfers.
Failure to Provide Required Transfer Assistance Resulted in Resident Fall
Penalty
Summary
The facility failed to provide assistance to prevent a fall for one of three sampled residents, a resident with generalized muscle weakness, abnormal gait and mobility, obesity, other muscle spasm, and cervical spinal stenosis. The resident’s EMR showed a BIMS score of 15, indicating little to no cognitive impairment. The care plan dated 10/29/2025 documented that the resident required a two-person assist for transfers, and physician orders dated 10/28/2025 included physical therapy six days a week for weakness, gait, and mobility. On 11/6/2025, the resident was observed kneeling on her knees at the bedside while therapy and nursing staff attempted to get her off the floor and back into bed. A Hoyer lift was used to safely return the resident to bed. The next day, x-rays of the bilateral hips, knees, femur, and skull were completed and were negative for fracture or dislocation. Progress notes also documented that the resident was resting quietly, had no signs or symptoms of delayed injury, and required two-person assistance with bed mobility care. Interviews confirmed that the resident had been transferred by only one CNA when the fall occurred, despite being care planned for two-person assistance. The resident’s family member stated the resident fell due to being transferred by one CNA and confirmed the resident had initially been care planned for two-person assistance for transfers. The DON and Administrator confirmed that CNA DD transferred the resident without a second staff member, resulting in the resident falling to the floor, and CNA DD stated she was the only staff member assigned to care for the resident at the time.
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Illustrative
What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Union City
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fairburn Heights Of Journey Llc | 3.6 mi | ★★★★★ | 9 | 0 |
| Riverdale Center For Nursing And Healing | 7.3 mi | ★★★★★ | 8 | 0 |
| Fayetteville Center For Nursing & Healing Llc | 7.5 mi | ★★★★★ | 7 | 0 |
| Healthcare At College Park, Llc | 8.3 mi | ★★★★★ | 0 | 0 |
| Arrowhead Post Acute Llc | 8.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.