Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
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 Health Center during CMS and state inspections, most recent first.
A resident with dementia, scoliosis, and impaired mobility had a comprehensive care plan and assignment sheet specifying use of a total mechanical lift with a green sling and two-person assist for all transfers. Despite this, a CNA independently transferred the resident from a wheelchair to a bed without using the lift or a second staff member, causing a full-thickness laceration to the resident’s lower leg from contact with the bed frame that required hospital treatment and suturing. Interviews and record review showed the lift requirement and sling color were clearly documented and accessible to staff, and nursing leadership stated the CNA was aware of these care plan interventions but did not follow them.
A resident with dementia, impaired mobility, and dependence for transfers was care planned and assigned to be transferred with a total mechanical lift, green sling, and assistance of two staff, as documented in the MDS, care plan, device assessment, and assignment sheets. Despite this, a CNA independently transferred the resident from wheelchair to bed without using the mechanical lift, during which the resident’s leg struck the iron bed frame, causing a full-thickness laceration that required hospital evaluation and suturing. Staff interviews confirmed that the resident was known to require a total lift and that assignment sheets clearly indicated the required lift, sling color, and two-person assist.
The facility failed to keep drugs and biologicals locked and properly dated, affecting medication carts and storage rooms. A nurse and a CMT left medication carts unlocked and unattended, while expired and undated solutions were found in a storage room. Staff interviews revealed lapses in monthly checks, with the DON and Administrator emphasizing the need for proper medication management.
Failure to Follow Care Plan Transfer Requirements Resulting in Resident Injury
Penalty
Summary
The deficiency involves the facility’s failure to implement a comprehensive, person-centered care plan for a resident whose assessment and care plan required use of a mechanical total lift with a green sling and assistance of two staff for all transfers. The resident was admitted with diagnoses including unspecified dementia, scoliosis, and overactive bladder, and had a BIMS score indicating moderate cognitive impairment. The comprehensive care plan, initiated shortly after admission and later updated, identified a self-care deficit and risk for decline related to impaired mobility, with interventions specifying assistance with ADLs, two-person assist, and use of appropriate equipment. On 02/25/2025, the care plan and device assessment were updated to require a total lift with green sling and two-person assist for transfers, including transfers to the tub, and this requirement was also reflected on the resident’s assignment sheet. Despite these documented requirements, on 04/09/2025 a CNA transferred the resident from wheelchair to bed without using the mechanical lift and without a second staff member. During this transfer, the resident sustained a full-thickness vertical laceration to the right lower leg that extended to the bone, reportedly caused by contact with the iron bed frame. The injury required control of bleeding at the facility and subsequent evaluation and treatment at a local hospital, where the diagnosis of leg laceration was confirmed and sutures were placed. Hospital discharge instructions included daily warm soapy washes, antibiotic ointment, elevation to prevent swelling, optional light compression, and suture removal after 10 days. Interviews and record reviews confirmed that the requirement for a total lift with green sling and two-person assist was clearly communicated and available to staff. The assignment sheet listed the need for a lift with two-person assist and the specific sling color, and other CNAs stated that such information is routinely provided on assignment sheets and can also be verified in the electronic care plan or care guide. The MDS nurse stated that care plans are developed to ensure staff follow standards of care based on resident needs, and the DON and nursing staff confirmed that it was their expectation that staff follow care plan interventions. The DON and Interim Executive Director indicated that the CNA who performed the transfer was aware of the lift and two-person assist requirement but chose to transfer the resident independently without the mechanical lift, leading to the resident’s injury.
Failure to Use Required Mechanical Lift Resulting in Resident Leg Laceration
Penalty
Summary
The deficiency involves the facility’s failure to ensure a resident received adequate supervision and required assistive devices to prevent accidents during transfers. Facility policy on Accidents and Supervision required that residents’ environments remain as free of accident hazards as possible and that each resident receive adequate supervision and assistive devices, including implementation and monitoring of specific interventions to reduce risk. The Interim Executive Director stated the facility did not have a policy on the use of mechanical lifts. The resident at issue, R37, had diagnoses including unspecified dementia, scoliosis, and overactive bladder, and was assessed with a BIMS score of 11/15, indicating moderate cognitive impairment. The resident was dependent for chair/bed-to-chair transfers and used a wheelchair. R37’s comprehensive care plan, initiated shortly after admission, identified a self-care deficit and risk for decline related to impaired mobility, with interventions including assistance with ADLs and assistance of two staff. On 02/25/2025, the care plan was updated to specify that the resident required a total lift with a green sling and assistance of two staff for transfers, and the Comprehensive Device Assessment documented the use of a wheelchair, total lift with green sling, and side rails for positioning, including use of the green sling for tub transfers. The current assignment sheet also indicated that the resident required a lift with two-person assist and a green sling. Staff interviews confirmed that assignment sheets listed the level of assistance and sling color for residents who used lifts, and that R37 was known to require a total lift for transfers. Despite these assessments and care plan directives, on 04/09/2025 CNA10 transferred R37 from wheelchair to bed alone and without using the required mechanical lift. During this transfer, the resident sustained a vertical, full-thickness laceration to the right lower leg, which RN5 observed to have been caused by the iron bed frame. The injury required control of bleeding, physician notification, and transfer to the hospital emergency department, where the diagnosis was a leg laceration requiring sutures and wound care instructions. R37 later stated that staff usually used a mechanical lift to get her out of bed and that she remembered getting a big cut on her leg when an aide tried to move her without the lift. The facility’s internal investigation concluded that, despite recent documented training on use of the mechanical lift, CNA10 did not follow the care plan and did not use the mechanical lift as required, resulting in the resident’s leg laceration.
Medication Storage and Security Deficiencies
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were kept under lock when not attended, and medications/solutions were not dated when opened or disposed of when expired. This deficiency was observed in one of two medication carts and one of three medication rooms audited. During an observation, a registered nurse left a medication cart unlocked and unattended for approximately five minutes while gathering additional supplies. The nurse acknowledged the mistake, stating that medication carts should be locked at all times when not in use to prevent unauthorized access. Similarly, a certified medication technician left a medication cart unlocked and unattended while administering medications to a resident, and failed to secure a controlled medication that was to be wasted. In the medication storage room, an opened vial of Tubersol Solution was found without a date, and three vials of glucose control solutions were expired. Interviews with nursing staff revealed that they were responsible for checking the supply storage rooms monthly, but had overlooked the expired solutions. The Director of Nursing and the Administrator both expressed expectations for proper storage and management of medications, emphasizing the importance of keeping stock up to date and ensuring that expired medications are not present in the facility.
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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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Nursing homes near Bowling Green
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Magnolia Village Nursing And Rehabilitation Center | 0.7 mi | ★★★★★ | 0 | 0 |
| Bowling Green Nursing And Rehabilitation Center | 1 mi | ★★★★★ | 4 | 0 |
| Colonial Nursing And Rehabilitation Center | 1 mi | ★★★★★ | 2 | 0 |
| Signature Healthcare Of Bowling Green | 2.2 mi | ★★★★★ | 2 | 0 |
| Greenwood Rehabilitation And Healthcare Center | 3.2 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.