Inspection Reports for Christian Heights Nursing and Rehabilitation Center

124 WEST NASHVILLE ST, PEMBROKE, KY, 42266

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Inspection Report Summary

The most recent inspection on November 25, 2025, found the facility in substantial compliance with no deficiencies noted. Earlier inspections included deficiencies related to food safety and environmental conditions, such as improper food storage and issues with the facility’s physical environment. Inspectors cited problems with uncovered and undated food items, food temperature control, and maintenance concerns like broken floor tiles and unsanitary commodes. There were no complaint investigations reported in the available documents, and enforcement actions were not listed in the available reports. The inspection history shows improvement, with the most recent survey indicating resolution of prior issues.

Deficiencies (last 1 years)

Deficiencies (over 1 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

57% better than Kentucky average
Kentucky average: 4.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2025

Census

Latest occupancy rate 56 residents

Based on a November 2025 inspection.

Census over time

51 54 57 60 63 Feb 2025 Nov 2025

Inspection Report

Abbreviated Survey
Census: 56 Deficiencies: 0 Date: Nov 25, 2025

Visit Reason
An Abbreviated Survey was conducted to assess compliance with 42 CFR 483 subpart B at Christian Heights Nursing and Rehabilitation Center.

Findings
The facility was found to be in substantial compliance with no deficiencies issued related to KY2673655 and KY2609335.

Report Facts
Sample Size: 3 Supplemental Residents: 2

Inspection Report

Abbreviated Survey
Census: 57 Deficiencies: 2 Date: Feb 21, 2025

Visit Reason
A Standard Recertification and an Abbreviated Survey was conducted on 02/21/2025 to assess the facility's compliance with 42 CFR 483 subpart B.

Findings
The facility was found not to be in substantial compliance with federal regulations, with deficiencies issued related to food safety and environmental conditions. The facility failed to store, prepare, distribute, and serve food in accordance with professional standards, and failed to provide a safe, functional, sanitary, and comfortable environment for residents.

Deficiencies (2)
Food items were not sealed and/or covered to prevent contamination; opened food items were not dated; food maintained on ice exceeded the required 41-degree Fahrenheit limit, potentially affecting 56 residents.
Facility failed to provide a safe, functional, sanitary, and comfortable environment for 20 of 57 residents; issues included broken/missing floor tiles, peeling paint, unsanitary commodes, and malfunctioning toilets.
Report Facts
Survey Census: 57 Sample Size: 16 Supplemental Residents: 1 Temperature limit: 41 Residents potentially affected: 56 Temperature of hot foods: 186 Temperature of cold foods: 41 BIMS score: 15

Employees mentioned
NameTitleContext
Cook 1Interviewed regarding food safety practices and labeling
Cook 2Interviewed regarding food safety practices and labeling
Dietary ManagerInterviewed and provided education on food safety and storage
District Dietary ManagerInterviewed regarding food safety expectations and monitoring
AdministratorInterviewed regarding food safety and environmental maintenance expectations
Maintenance DirectorInterviewed regarding bathroom repairs and maintenance issues
Housekeeping SupervisorProvided education on housekeeping and maintenance issues
Housekeeper (H1)Interviewed regarding cleaning responsibilities and bathroom issues
Environmental Services DirectorInterviewed regarding cleaning schedules and deep cleaning

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