Complete Care At Christian Home LLC

Inspection findings

1. Apr 15, 2026 Health · 9 findings
   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected May 8, 2026 · CMS health inspection

   • Serious Scope/severity G

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected May 8, 2026 · CMS health inspection

   • Serious Scope/severity G

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected May 8, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected May 8, 2026 · CMS health inspection

   • Not serious Scope/severity F

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 8, 2026 · CMS health inspection

   • Not serious Scope/severity E

     K0271 Egress Deficiencies

     Have exits that are accessible at all times.

     Corrected May 11, 2026 · CMS fire safety

   • Not serious Scope/severity F

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     CMS fire safety

   • Not serious Scope/severity C

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected May 8, 2026 · CMS fire safety

   • Not serious Scope/severity D

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected May 8, 2026 · CMS fire safety

2. Oct 14, 2025 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Nov 7, 2025 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Nov 7, 2025 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Nov 7, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0692 Quality of Life and Care Deficiencies

     Provide enough food/fluids to maintain a resident's health.

     Corrected Nov 7, 2025 · CMS health inspection

3. Jan 30, 2025 Fire Safety · 9 findings
   • Not serious Scope/severity F

     E0006 Emergency Preparedness Deficiencies

     Conduct risk assessment and an All-Hazards approach.

     Corrected Mar 14, 2025 · CMS fire safety

   • Not serious Scope/severity D

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Feb 21, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0757 Pharmacy Service Deficiencies

     Ensure each resident’s drug regimen must be free from unnecessary drugs.

     Corrected Feb 21, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0271 Egress Deficiencies

     Have exits that are accessible at all times.

     Corrected Mar 14, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     CMS fire safety

   • Not serious Scope/severity E

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Mar 14, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0911 Gas, Vacuum, and Electrical Systems Deficiencies

     Meet requirements for the installation and maintenance of electrical systems.

     Corrected Mar 14, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0912 Gas, Vacuum, and Electrical Systems Deficiencies

     Have power receptacles that are properly grounded.

     Corrected Mar 14, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0923 Gas, Vacuum, and Electrical Systems Deficiencies

     Have proper medical gas storage and administration areas.

     Corrected Mar 14, 2025 · CMS fire safety

4. Nov 22, 2023 Fire Safety · 6 findings
   • Not serious Scope/severity F

     E0006 Emergency Preparedness Deficiencies

     Conduct risk assessment and an All-Hazards approach.

     Corrected Dec 29, 2023 · CMS fire safety

   • Not serious Scope/severity D

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Dec 21, 2023 · CMS health inspection

   • Not serious Scope/severity D

     K0223 Egress Deficiencies

     Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

     Corrected Dec 21, 2023 · CMS fire safety

   • Not serious Scope/severity F

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     CMS fire safety

   • Not serious Scope/severity F

     K0914 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

     Corrected Jan 22, 2024 · CMS fire safety

   • Not serious Scope/severity D

     K0920 Gas, Vacuum, and Electrical Systems Deficiencies

     Ensure proper usage of power strips and extension cords.

     Corrected Dec 21, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• FENTROW, LAUREN — adp of the snf, NOT APPLICABLE, since 02/28/2025
• FENTROW, LAUREN — operational/managerial control, NOT APPLICABLE, since 02/28/2025
• HELLMAN, YOSEF — managing control - governing body, NOT APPLICABLE, since 02/28/2025
• HELLMAN, YOSEF — operational/managerial control, NOT APPLICABLE, since 02/28/2025
• KLUGMAN, JACOB — adp of the snf, NOT APPLICABLE, since 02/28/2025
• KLUGMAN, JACOB — indirect ownership interest, NOT APPLICABLE, since 02/28/2025
• LARSON, CINDY — operational/managerial control, NOT APPLICABLE, since 02/28/2025
• LARSON, CINDY — adp of the snf, NOT APPLICABLE, since 03/28/2025
• LEVERENTZ, LUANNE — adp of the snf, NOT APPLICABLE, since 02/28/2025
• STEIN, SHALOM — trustee of the snf, NOT APPLICABLE, since 02/28/2025
• STEIN, SHALOM — indirect ownership interest, NOT APPLICABLE, since 02/28/2025
• STEIN, SHALOM — managing control - governing body, NOT APPLICABLE, since 02/28/2025
• STEIN, SHALOM — corporate officer, NOT APPLICABLE, since 02/28/2025
• STEIN, SHALOM — adp of the snf, NOT APPLICABLE, since 02/28/2025
• STERNBUCH, DANIEL — adp of the snf, NOT APPLICABLE, since 02/28/2025
• STERNBUCH, DANIEL — operational/managerial control, NOT APPLICABLE, since 02/28/2025
• WEBER, LISA — operational/managerial control, NOT APPLICABLE, since 02/28/2025
• WEBER, LISA — adp of the snf, NOT APPLICABLE, since 02/28/2025
• CHRISTIAN HOME PROPCO LLC — adp of the snf, NOT APPLICABLE, since 02/28/2025
• DES CAPITAL LLC — adp of the snf, NOT APPLICABLE, since 02/28/2025
• JRK INVESTMENTS LLC — adp of the snf, NOT APPLICABLE, since 02/28/2025
• PC WCM OPCO HOLDCO LLC — 5% or greater direct ownership interest, 100%, since 02/28/2025
• PC WCM PROPCO HOLDCO LLC — adp of the snf, NOT APPLICABLE, since 02/28/2025
• PC WCM TOPCO LLC — adp of the snf, NOT APPLICABLE, since 02/28/2025
• PC WCM TOPCO LLC — 5% or greater indirect ownership interest, since 02/28/2025
• PEACE CAPITAL HOLDINGS II LLC — adp of the snf, NOT APPLICABLE, since 02/28/2025
• PEACE CAPITAL HOLDINGS II LLC — 5% or greater indirect ownership interest, since 02/28/2025
• SMS 2021 TRUST — 5% or greater indirect ownership interest, since 02/28/2025
• SMS 2021 TRUST — adp of the snf, NOT APPLICABLE, since 02/28/2025