A list of the most recent deficiencies for Covenant Home. 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 each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-29 | 2023-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-29 | 2023-08-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-06-29 | 2023-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-08-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-27 | 2023-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-27 | 2023-08-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-27 | 2023-08-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-29 | 2023-07-20 | N |
| Post nurse staffing information every day. | Health | 2023-06-29 | 2023-07-18 | 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 | 2023-06-29 | 2023-06-30 | 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 | 2022-08-22 | 2022-10-09 | 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 | 2022-08-22 | 2022-10-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-22 | 2022-09-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-22 | 2022-08-23 | 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 | 2021-09-28 | 2021-11-14 | 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 | 2021-09-28 | 2021-11-14 | 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 | 2021-09-28 | 2021-11-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-28 | 2021-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-28 | 2021-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-28 | 2021-11-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-28 | 2021-11-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-28 | 2021-11-14 | N |
