Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Christian Care Retirement Community during CMS and state inspections, most recent first.
The facility failed to document physician orders for the DNR status of two residents, despite having signed declarations. Interviews with staff confirmed the requirement for such documentation, which was not met according to the facility's policy.
A resident with dementia and a history of exit-seeking behavior eloped from the facility's courtyard after being left unattended by an Activity Aide. The resident exited through an unlocked gate and was later found at another entrance. The facility's policy on preventing elopement was not effectively implemented, as the gate lacked a code alert alarm and the staff was unaware of the resident's need for supervision.
Failure to Document DNR Orders for Residents
Penalty
Summary
The facility failed to ensure that physician orders were in place for the code status of two residents, leading to a deficiency. Resident 62, diagnosed with encephalopathy and generalized anxiety, did not have a physician order for their Do Not Resuscitate (DNR) status, despite having a signed out-of-hospital DNR declaration and order by a physician. Similarly, Resident 166, who had chronic obstructive pulmonary disease, lacked a physician order for their DNR status, even though their advance directives indicated a wish for no resuscitation, signed on a prior date. Interviews with Registered Nurse 5 and the Director of Nursing (DON) confirmed that code status should be documented on the face sheet, physician orders, and resident room doors, and that there should have been a physician order for the DNR code status. The facility's Medical Treatment Declaration Policy, provided by the DON, outlines the need for guidelines to ensure residents are given the necessary information to make informed medical treatment choices.
Failure to Prevent Resident Elopement
Penalty
Summary
The facility failed to implement interventions to prevent the elopement of a resident, identified as Resident B, who was one of four residents reviewed. On the date of the incident, Resident B was in the courtyard with an Activity Aide who left her unattended to use the restroom. During this time, Resident B exited the courtyard through an unlocked gate, walked around the building, and rang the doorbell at another entrance. The staff let Resident B back inside, and her nurse was notified. The gate from which Resident B exited did not have a code alert alarm, although Resident B had a wanderguard/code alert on her walker due to her history of exit-seeking behavior. Interviews and record reviews revealed that the Activity Aide was unaware that Resident B should not be left unattended outside, despite the facility's standard practice of not leaving certain residents alone. Resident B was noted to be normally confused, with diagnoses including dementia and anxiety disorder. The facility's policy on elopement, revised in March 2022, defined elopement as an unplanned exit of a resident and emphasized the need to educate staff about residents at risk and the interventions to prevent such incidents. However, this policy was not effectively implemented in the case of Resident B.
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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 Bluffton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| River Terrace Health Care Center | 2.6 mi | — | 30 | 0 |
| Ossian Health Care And Rehabilitation Center | 9.1 mi | — | 1 | 0 |
| Markle Health & Rehabilitation | 10.3 mi | — | 1 | 0 |
| Swiss Village | 11.9 mi | — | 7 | 0 |
| Envive Of Berne | 12.4 mi | — | 0 | 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.