Deficiency Records for Covenant Village Care Center
Updated as of November 01, 2021
This is not the most recent data for Covenant Village Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Covenant Village Care 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 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 | 2021-09-10 | 2021-10-07 | 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 | 2021-09-10 | 2021-10-07 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-09-10 | 2021-10-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-10-28 | 2020-11-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-27 | 2020-03-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2020-02-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-13 | 2020-02-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-02-11 | 2020-02-27 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-02-11 | 2020-02-27 | 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 | 2020-02-11 | 2020-02-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-11 | 2020-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-27 | 2020-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-04-03 | 2019-05-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-13 | 2019-01-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-13 | 2019-01-31 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-12-13 | 2019-01-31 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-12-13 | 2019-01-31 | 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 | 2018-12-13 | 2019-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-13 | 2019-01-31 | N |
| Dispose of garbage and refuse properly. | Health | 2018-12-13 | 2019-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-11 | 2019-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-11 | 2019-01-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-11 | 2019-01-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-11 | 2019-01-31 | N |
