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Deficiency Records for Covenant Village of The Great Lakes

View the most recent health deficiencies and inspection results for Covenant Village of The Great Lakes. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Covenant Village of The Great Lakes. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Conduct testing and exercise requirements. Fire Safety 2026-03-26 2026-04-17 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2026-03-26 2026-04-17 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 2026-03-26 2026-04-17 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2026-03-26 2026-04-17 N
Provide and implement an infection prevention and control program. Health 2026-03-26 2026-04-17 N
Provide and implement an infection prevention and control program. Health 2025-03-05 2025-04-05 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2025-03-05 2025-04-04 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2025-03-05 2025-03-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2025-03-05 2025-03-28 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2025-03-05 2025-03-28 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2025-03-05 2025-03-28 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2025-03-05 2025-03-28 N
Conduct testing and exercise requirements. Fire Safety 2024-01-26 2024-02-21 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-01-26 2024-02-14 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-01-26 2024-02-14 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-01-26 2024-02-14 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-01-26 2024-02-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-26 2024-02-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-26 2024-02-14 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-26 2024-02-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-26 2024-02-14 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-01-26 2024-02-14 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 2024-01-26 2024-02-14 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-26 2024-02-14 N

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