CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Covenant Post Acute
View the most recent health deficiencies and inspection results for Covenant Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Covenant Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-24 | 2026-04-14 | 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 | 2026-03-05 | 2026-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-07 | 2026-01-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-30 | 2025-05-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-18 | 2025-04-11 | 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 | 2025-03-18 | 2025-04-11 | Y |
| Keep all essential equipment working safely. | Health | 2025-03-18 | 2025-04-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-06 | 2025-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-06 | 2025-02-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2025-02-06 | 2025-02-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-02-06 | 2025-02-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-02-06 | 2025-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-02-06 | 2025-02-27 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-02-06 | 2025-02-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-02-06 | 2025-02-24 | 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 | 2025-02-06 | 2025-02-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-02-06 | 2025-02-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-06 | 2025-02-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-02-06 | 2025-02-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-16 | 2024-09-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-07 | 2024-03-29 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-10-11 | 2023-11-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-27 | 2023-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-27 | 2023-07-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-27 | 2023-07-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-27 | 2023-07-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-27 | 2023-07-13 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-05-17 | 2023-05-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-27 | 2023-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-27 | 2023-04-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-27 | 2023-04-19 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-27 | 2023-04-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-27 | 2023-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-27 | 2023-04-19 | N |
| 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. | Health | 2023-03-27 | 2023-04-19 | 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 | 2023-03-27 | 2023-04-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-03-27 | 2023-04-19 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-03-27 | 2023-04-19 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-27 | 2023-04-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-27 | 2023-04-19 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-03-27 | 2023-04-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-27 | 2023-04-19 | N |
| Keep all essential equipment working safely. | Health | 2023-03-27 | 2023-04-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-27 | 2023-04-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-27 | 2023-04-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-27 | 2023-04-19 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-03-27 | 2023-04-19 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-27 | 2023-04-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-27 | 2023-04-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-27 | 2023-04-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-27 | 2023-04-11 | 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 | 2023-03-27 | 2023-04-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-27 | 2023-04-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-27 | 2023-04-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-27 | 2023-04-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-27 | 2023-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-27 | 2023-04-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-27 | 2023-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-27 | 2023-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-23 | 2019-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-23 | 2019-04-04 | 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 | 2019-01-23 | 2019-04-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-23 | 2019-04-04 | N |
| 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. | Health | 2019-01-23 | 2019-04-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-01-23 | 2019-04-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-01-23 | 2019-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-23 | 2019-04-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-23 | 2019-04-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-23 | 2019-04-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-23 | 2019-04-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-23 | 2019-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-23 | 2019-02-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-01-23 | 2019-02-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-23 | 2019-02-06 | N |