Above average — CMS composite of the measures below.
The next survey window likely opens around May 2027
Estimate from public CMS data, current as of August 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Christian Health Care Center during CMS and state inspections, most recent first.
A resident’s PASRR Level I was not accurate on admission because the facility did not identify SMI or a suspicion of SMI despite records showing mirtazapine use for depression. The hospital PASRR showed no SMI history, but the discharge summary, med history, and psychotropic consent all documented depression treatment with mirtazapine. Staff said the PASRR was reviewed for accuracy, but they could not confirm medication review, and the DON stated a new PASRR Level I should have been completed if the resident was receiving mirtazapine for depression.
Controlled meds in a locked refrigerator box were not consistently managed and reconciled in a medication room reviewed by surveyors. An RN opened a locked med fridge and removed a locked plastic container holding lorazepam; staff said pharmacy monitored the emergency box and nursing did not count or audit those meds, while another RN described shift-change narcotic counts for controlled meds in a different med room. The DON stated pharmacy completed audits of the locked emergency boxes in the fridges, and nursing had not historically counted those meds unless they were resident-specific.
A resident with severe cognitive impairment experienced a fall during a transfer when a staff member, who was alone, lost footing on a Hoyer sling. The care plan requiring two staff members was not followed. The incident was not reported to the state agency, and the facility ruled it as an accident, despite acknowledging that not following the care plan could be considered neglect.
A resident with severe cognitive impairment fell in the bathroom when a staff member slipped on a Hoyer sling buckle. The staff member was unaware of the updated care plan requiring a Hoyer lift and was alone during the transfer, contrary to the care plan's requirements. The facility's investigation was insufficient, lacking comprehensive interviews and a root cause analysis, despite the staff member's pattern of not following care plans.
Inaccurate PASRR Screening for Resident With Depression
Penalty
Summary
PASRR screening for mental disorders or intellectual disabilities was inaccurate for one resident. The facility failed to identify a serious mental illness or a suspicion of serious mental illness on admission for a resident with depression. The facility policy stated social services staff review the PASRR screen during intake and complete a new Level I if they identify or credibly suspect SMI. Resident 62 was admitted to the facility after a hospital PASRR Level I assessment dated 02/05/2025 documented no history of SMI. However, the hospital discharge summary showed the resident was on mirtazapine, and the facility medication history showed an order for mirtazapine daily for depression on 02/06/2025. The informed consent for psychotropic medications also documented that the resident took mirtazapine for depression. During interviews, Social Services staff stated the admission coordinator reviewed the PASRR for accuracy before admission but could not confirm whether medications were reviewed, and the DON stated that if the resident had received mirtazapine for depression, a new PASRR Level I should have been completed.
Controlled Medications in Locked Refrigerator Boxes Not Reconciled
Penalty
Summary
The facility failed to manage and reconcile controlled medications in 1 of 3 medication storage rooms reviewed, specifically in the Baker Hall/Medicare unit medication room. Facility policy required Schedule II-V medications and other medications subject to abuse or diversion to be stored in a permanently affixed, double locked compartment separate from all other medications, and required a physical inventory of all controlled substances, including refrigerated items, at each shift change by two licensed nurses. During observation and interview, a medication refrigerator in the unit medication room was locked, but Staff E, an RN, used a key to unlock it and remove a small plastic locked container from inside. After unlocking the container, a small plastic bag containing 4 vials of lorazepam was observed. Staff E stated that pharmacy was the only one that monitored, counted, and refilled the emergency box, and that nursing staff did not count or monitor the medications when they were locked in the refrigerator; Staff E also stated that each nurse working had a key to access the medication rooms and the locked box in the refrigerator. A similar observation at the Cascade nurses' station medication room found a locked medication refrigerator containing a locked plastic box with four resident-specific insulin pens. When asked about controlled medications stored in that refrigerator and how they were monitored and accounted for, Staff F stated that two nurses counted narcotics at shift change and documented them in the narcotic ledger. In interview, the DON stated that pharmacy was the only one who completed audits of the locked emergency plastic boxes containing controlled medications in the refrigerators at the nurses' stations, and stated that in 30 years of nursing, nurses had never counted or audited controlled medications in the emergency kits unless they were resident specific. The report cites WAC 388-97-1300(2).
Failure to Report and Investigate Fall Incident
Penalty
Summary
The facility failed to adhere to its policies and procedures for timely reporting of a fall incident involving Resident 51, which was reviewed for potential abuse. Resident 51, who had severe cognitive impairment and required moderate assistance from two staff members for transfers, experienced a fall in the bathroom. The fall occurred when a staff member, who was alone during the transfer, lost footing on a Hoyer sling, resulting in both the staff and Resident 51 falling. The care plan, which required two staff members for assistance, was not followed during this incident. The facility's policy mandates immediate notification to relevant authorities within two hours for serious incidents and within 24 hours for those not resulting in serious injury. However, the fall was not reported to the state agency, and the incident was not logged in the state incident reporting log for August 2024. The investigation into the fall was initiated a day after the incident, and it was determined that the staff involved did not follow the care plan, which could be considered neglect. Despite this, the facility ruled out abuse and neglect, citing the fall as an accident and noting that the staff member had no pattern of neglectful behavior. Interviews with facility staff revealed discrepancies in the handling of the incident. Staff D, an LPN, acknowledged that the care plan was not followed and that the fall could be considered neglect. However, the facility's Administrator and Director of Nurses concluded that the incident was accidental and did not require reporting to the state agency. They noted that the staff member involved had previously struggled with following care plans but did not show willful intent to neglect. This failure to report and investigate the incident as potential neglect placed residents at risk of uninvestigated abuse or neglect.
Inadequate Investigation of Resident Fall Incident
Penalty
Summary
The facility failed to thoroughly investigate an alleged incident of neglect involving a resident, identified as Resident 51, who experienced a fall in the bathroom. The resident, who had severe cognitive impairment and required moderate assistance for transfers, fell when a staff member, Staff E, slipped on a Hoyer sling buckle. The incident report noted that the resident's care plan was reviewed, but no new interventions were implemented, and there was a lack of comprehensive statements or follow-up interviews from other staff members involved. Staff E, who was involved in the fall, admitted to not being fully aware of the resident's updated care plan, which required the use of a Hoyer lift for transfers. Staff E was the only person present during the transfer, contrary to the care plan's requirement for two-person assistance. Staff E acknowledged their oversight in not thoroughly reviewing the care plan. Interviews with other staff members, including Staff D and Staff F, revealed inconsistencies in the understanding and implementation of the resident's care plan, as well as a lack of thorough investigation into the incident. The facility's policy required a thorough investigation of incidents, including obtaining witness reports and conducting interviews with all relevant staff. However, the investigation into Resident 51's fall was insufficient, as it did not include comprehensive interviews or a root cause analysis. Staff B, the Director of Nurses, acknowledged that the staff involved had a pattern of not following care plans, yet the incident was deemed an accident, and abuse or neglect was ruled out without a report to the state agency.
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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 Lynden
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| North Cascades Health And Rehabilitation | 10.8 mi | ★★★★★ | 47 | 1 |
| Alderwood Park Health And Rehab Of Cascadia | 12.9 mi | ★★★★★ | 14 | 0 |
| Avalon Healthcare Bellingham | 13.2 mi | ★★★★★ | 15 | 0 |
| Stafholt Health And Rehabilitation Of Cascadia | 14.3 mi | ★★★★★ | 19 | 0 |
| Rock Hill Health & Rehabilitation | 14.8 mi | ★★★★★ | 4 | 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 August 2026) and official state health department websites.