All citations for Church Home Rehabilitation and Healthcare

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Church Home Rehabilitation and Healthcare

Last standard health inspection on record

July 31, 2025

Showing 1 to 19 of 19 citations

No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2025).
No harm, with potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Pattern (more than a few residents). CMS level E.
Health citation F-0758, Pharmacy Service Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 2025).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0223, Egress Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0291, Egress Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2025).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0511, Services Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2025).
No harm, with potential for more than minimal harm
Have proper medical gas storage and administration areas.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 31, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (September 22, 2025).
No harm, with potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Isolated (one or a few residents). CMS level D.
Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).
No harm, with potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Isolated (one or a few residents). CMS level D.
Health citation F-0755, Pharmacy Service Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).
No harm, with potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Isolated (one or a few residents). CMS level D.
Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Isolated (one or a few residents). CMS level D.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0223, Egress Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0291, Egress Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).
No harm, with potential for more than minimal harm
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0511, Services Deficiencies. Inspection of March 14, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (April 27, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.