Deficiency Records for Covington Court Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Covington Court Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-18 | 2023-08-18 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-07-14 | 2023-08-13 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-07-14 | 2023-08-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-14 | 2023-08-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-14 | 2023-08-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-07-14 | 2023-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-14 | 2023-08-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-14 | 2023-08-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-14 | 2023-08-13 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-07-14 | 2023-08-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-14 | 2023-08-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-07-14 | 2023-08-13 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-07-14 | 2023-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-14 | 2023-08-13 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-07-14 | 2023-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-14 | 2023-08-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-14 | 2023-08-13 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-14 | 2023-08-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-14 | 2023-08-13 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-11 | 2023-08-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-11 | 2023-08-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-11 | 2023-08-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-22 | 2023-07-21 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-04-12 | 2023-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-02 | 2022-08-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-12 | 2022-06-18 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-20 | 2022-06-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-05-20 | 2022-06-18 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-05-20 | 2022-06-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-05-20 | 2022-06-18 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-05-20 | 2022-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-20 | 2022-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-20 | 2022-06-18 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-05-20 | 2022-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-20 | 2022-06-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-20 | 2022-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-20 | 2022-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-20 | 2022-06-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-20 | 2022-06-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-20 | 2022-06-18 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-17 | 2022-06-18 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-17 | 2022-06-18 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-05-17 | 2022-06-18 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-05-17 | 2022-06-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-17 | 2022-06-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-17 | 2022-06-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-11 | 2022-03-25 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-03-31 | 2021-04-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-03-31 | 2021-04-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-31 | 2021-04-21 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-03-31 | 2021-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-31 | 2021-04-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-03-22 | 2021-04-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-03-22 | 2021-04-21 | N |
