Above 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 Community Home during CMS and state inspections, most recent first.
A resident at risk for pressure injuries did not receive consistent care to prevent skin breakdown, resulting in a stage 3 pressure injury. The facility failed to complete weekly assessments, notify the physician of changes, and provide necessary support surfaces. Observations showed inadequate repositioning and offloading, leading to actual harm.
The facility failed to maintain the correct concentration of chemical sanitation in the 3-compartment sink for dishwashing, as required by the manufacturer's guidelines. The Dietary Director admitted that there was no process in place to measure the concentration levels until recently, and the facility had been out of quaternary strips needed for testing since late January. This posed a risk to the sanitation of dishes used for serving food to all 36 residents.
The facility failed to properly dispose of controlled medications for 11 residents and did not ensure the correct administration of a topical medication for a resident. Controlled substances were not destroyed in a timely manner, and a RN applied Diclofenac gel without using the measuring device, leading to potential inaccuracies in dosage.
A resident with heart failure experienced increased edema and weight gain, but the facility failed to conduct necessary assessments or implement interventions. Despite being on a diuretic, the resident's care plan lacked specific measures to prevent swelling. Interviews with staff revealed a lack of documentation and awareness of the resident's condition, contributing to the deficiency.
A resident with limited mobility did not receive appropriate restorative services as recommended by PT, due to staff being unaware of care plans and being pulled from restorative duties. The resident expressed concerns about inadequate physical therapy, and documentation issues were noted, with vague entries and missing records. The DON acknowledged the expectation for regular exercises, but documentation was found to be unacceptable.
A resident with a history of falls and impaired cognition was observed self-transferring without staff assistance, contrary to their care plan. The facility failed to apply necessary safety measures, such as gait belts and pressure alarms, and staff did not consistently follow protocols for safe transfers, leading to inadequate supervision and assistance.
A resident with multiple health conditions, including recurrent UTIs, was prescribed unnecessary prophylactic antibiotics without adequate indications. The resident received duplicate antibiotic therapy on two occasions, with both Cipro and Macrodantin administered simultaneously. The facility lacked an effective antibiotic stewardship program, and the Director of Nursing acknowledged the issue of antibiotics being administered without appropriate indications.
Failure to Provide Adequate Pressure Ulcer Care
Penalty
Summary
The facility failed to provide appropriate pressure ulcer care and prevent new ulcers from developing for a resident identified as R16. Upon admission, R16 was at risk for pressure injuries but had no existing pressure injuries. However, the facility did not consistently complete weekly pressure injury assessments, and the physician was not notified of changes in the pressure injury. Additionally, alternate support surfaces were not provided when skin issues were noted, and a pressure injury care plan was not developed until two months after the identification of a stage 3 pressure injury. The surveyor observed that offloading of the pressure injury was not consistently performed, leading to actual harm. R16's medical history included cauda equina syndrome, sepsis, malignant neoplasm of the prostate, muscle weakness, unsteadiness on feet, diabetes mellitus type 2, and pulmonary hypertension. Despite being at risk for skin breakdown, the facility failed to implement timely and effective interventions. The surveyor noted that R16 was often left in positions that did not offload pressure from the coccyx area, and the facility did not provide an air mattress as care planned. The facility's staff did not consistently reposition R16 every 1.5 to 2 hours as required, and there was a lack of documentation regarding the notification of the physician about the deterioration of the pressure injury. The surveyor's observations and interviews revealed that the facility's staff did not adhere to the care plan for repositioning and offloading pressure from R16's coccyx. The Director of Nursing acknowledged that the development of the stage 3 pressure injury could have been avoided with proper repositioning and the use of an air mattress. The facility's failure to implement a pressure injury care plan in a timely manner and to provide consistent and appropriate care resulted in the worsening of R16's condition.
Failure to Ensure Proper Chemical Sanitation in Dishwashing
Penalty
Summary
The facility failed to ensure that the chemical sanitation used in the 3-compartment sink for dishwashing was at the correct concentration according to the manufacturer's guidelines. This deficiency was identified during an observation by a surveyor, who noted that the kitchen staff was using a quaternary solution for dishwashing without a process in place to measure its concentration. The facility's policy required specific exposure times and concentrations for chemical sanitizing solutions, but there was no documentation or procedure to verify the quaternary concentration levels. During an interview, the Dietary Director (DD) admitted that prior to January 2025, there was no process to check the concentration levels, and a new process was only recently initiated. However, the facility had been out of quaternary strips since January 26, 2025, and was waiting for an order to arrive. The DD also confirmed that there were no logs documenting the quaternary concentration measurements for the past 30 days. Although no recent food-borne illnesses were reported, the lack of proper concentration testing posed a risk to the sanitation of dishes used to serve food to all 36 residents.
Improper Medication Disposal and Administration
Penalty
Summary
The facility failed to provide adequate pharmaceutical services, as evidenced by the improper handling and disposal of controlled medications for 11 residents. During a medication storage observation, it was found that controlled substances were not disposed of in a timely manner, contrary to the facility's policy and state regulations. The Director of Nursing (DON) acknowledged that the destruction of medications should occur at least weekly, but due to being busy, medications dating back to November 2024 had not been destroyed. The process for destruction involves two licensed staff verifying the amounts and disposing of them in a biohazard bag with kitty litter. Additionally, the facility did not ensure the proper administration of a topical medication for one resident. A Registered Nurse (RN) was observed applying Diclofenac 1% topical gel to a resident's shoulder without using the provided measuring device to ensure the correct dosage of 2 grams, as per the physician's order. The RN admitted to not knowing the exact amount applied and later found the measuring card in a drawer, acknowledging it should have been used. The deficiencies highlight a lack of adherence to established procedures for medication management, both in terms of disposal and administration. The failure to follow these procedures could potentially impact the safety and well-being of the residents, as medications were not handled according to regulatory timelines and dosages were not accurately measured.
Failure to Monitor and Address Heart Failure Symptoms
Penalty
Summary
The facility failed to provide necessary care and services to maintain the highest practicable well-being for a resident with heart failure, identified as R17. Upon admission, R17 had no edema in the lower extremities, but later developed 3+ pitting edema in the left lower extremity. The facility did not conduct assessments or implement interventions to address the increasing edema. Additionally, the facility did not complete weekly assessments for heart failure, including missed weekly weights, which are crucial for monitoring the resident's condition. R17's medical history includes heart failure, anemia, old myocardial infarction, paroxysmal atrial fibrillation, and localized edema. Despite being on a diuretic for heart failure, the facility failed to monitor and document signs and symptoms of heart failure exacerbation, such as edema and weight gain. The care plan for R17 was not initiated until several months after admission, and it lacked specific interventions to prevent swelling, other than administering diuretic medication. The facility's failure to follow its protocol for weekly weights and to document assessments contributed to the deficiency. Interviews with facility staff, including a registered nurse and the Director of Nursing, revealed a lack of awareness and documentation regarding R17's condition. The RN was unaware of the increase in edema and had not documented it in the electronic health record. The DON acknowledged the absence of a specific heart failure policy and the failure to complete weekly weights as per facility protocol. The deficiency was further highlighted by the resident's report of persistent swelling and the lack of facility action to address it.
Failure to Provide Restorative Services for Resident with Limited Mobility
Penalty
Summary
The facility failed to ensure that a resident with limited mobility received appropriate restorative services and assistance to maintain or improve mobility. The resident, identified as R7, was not ambulated per the recommendations of Physical Therapy (PT) and did not receive restorative exercises as recommended. R7's diagnoses included cerebral infarction, type 2 diabetes mellitus, history of falling, essential hypertension, and unspecified diastolic congestive heart failure. Despite the care plan indicating that R7 should ambulate with assistance and participate in a restorative program, there was a lack of documentation and execution of these activities. Observations and interviews revealed that R7 expressed concerns about not receiving adequate physical therapy or exercises to maintain independence. A Certified Nurse Assistant (CNA) was observed not allowing R7 to ambulate to the bathroom, contrary to the care plan, due to being unaware of the resident's care plan. The Physical Therapist confirmed that R7 was placed on a restorative program but was no longer on active PT due to a lack of improvement. The Restorative Coordinator admitted to being pulled from restorative duties to work on the floor, resulting in missed restorative exercises for R7. Documentation issues were also identified, with missing entries and late charting noted. The Restorative Coordinator provided late documentation and explained that the term 'resident not available' was used without specifying the reason, which could mean various things, including staff not reaching the resident. The Director of Nursing acknowledged the expectation for R7 to receive exercises and be walked regularly, but the documentation was found to be vague and unacceptable, lacking specific reasons for missed restorative exercises.
Failure to Provide Adequate Supervision and Assistance for Resident at High Fall Risk
Penalty
Summary
The facility failed to ensure adequate supervision and assistance to prevent accidents for a resident identified as R7, who was at high risk for falls. The resident, who has a history of cerebral infarction, diabetes, hypertension, and congestive heart failure, was observed self-transferring to the toilet without staff assistance on multiple occasions. Despite the care plan requiring the use of a gait belt during transfers and the application of pressure alarms in the recliner and wheelchair, these measures were not consistently followed. The resident's care plan also included a walking program with a gait belt and contact guard assist, which was not adhered to during the observed incidents. Surveyors noted that the floor alarm was not turned on and was placed on the bedside table instead of the floor, and the recliner alarm was not activated. Staff, including CNA K, failed to apply the gait belt during transfers and did not lock the wheelchair brakes, contrary to the care plan and physician orders. Interviews with staff revealed a lack of awareness and adherence to the care plan requirements, contributing to the resident's unsupervised ambulation and potential risk for falls.
Failure to Ensure Drug Regimen Free from Unnecessary Medications
Penalty
Summary
The facility failed to ensure that a resident's drug regimen was free from unnecessary medications, specifically concerning the use of prophylactic antibiotics. The resident, who was admitted with multiple health conditions including chronic kidney disease, multiple sclerosis, and recurrent urinary tract infections (UTIs), was prescribed Macrodantin daily for recurrent UTIs. However, the resident had previously been on Doxycycline prophylactically since admission, despite a lack of adequate indications for its use. The resident's medical records did not provide a clear justification for the prophylactic antibiotic use, and the last urology consultation did not mention the need for such treatment. Additionally, the resident experienced episodes of duplicate drug therapy, receiving both Cipro and Macrodantin simultaneously during treatment for UTIs. This occurred on two separate occasions, resulting in several days of unnecessary duplicate antibiotic therapy. The Director of Nursing, who also serves as the Infection Preventionist, acknowledged the absence of an effective antibiotic stewardship program and the administration of antibiotics without appropriate indications. The facility was unable to provide a policy on prophylactic antibiotic use or duplicate antibiotic therapy when requested by the surveyor.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 443 citations issued within 25 miles in the last 12 months — including the 10 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Hudson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Gables Of Boutwells Landing | 6 mi | ★★★★★ | 10 | 0 |
| The Estates At Greeley Llc | 6.7 mi | ★★★★★ | 0 | 0 |
| The Estates At Linden Llc | 6.8 mi | ★★★★★ | 4 | 0 |
| Good Samaritan Society - Stillwater | 7.5 mi | ★★★★★ | 9 | 0 |
| Kinnic Health And Rehabilitation Center | 10.1 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.