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Deficiency Records for Covenant Shores Health Center
View the most recent health deficiencies and inspection results for Covenant Shores Health Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Covenant Shores Health Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-02-11 | 2026-03-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-11 | 2026-03-06 | N |
| Respond appropriately to all alleged violations. | Health | 2026-02-11 | 2026-03-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-02-11 | 2026-03-06 | 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 | 2026-02-11 | 2026-03-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-11 | 2026-03-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-02-11 | 2026-03-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-11 | 2026-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-11 | 2026-03-06 | 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 | 2026-02-11 | 2026-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-11 | 2026-03-06 | N |
| Meet other general requirements. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-02-11 | 2026-03-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2026-02-11 | 2026-03-02 | 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 | 2026-02-11 | 2026-03-02 | 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 | 2024-12-16 | 2025-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-16 | 2025-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-16 | 2025-01-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-12-16 | 2025-01-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-12-16 | 2025-01-17 | N |
| Respond appropriately to all alleged violations. | Health | 2024-12-16 | 2025-01-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-12-16 | 2025-01-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-12-16 | 2025-01-17 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-12-16 | 2025-01-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-16 | 2025-01-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-16 | 2025-01-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-12-16 | 2025-01-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-12-16 | 2025-01-10 | 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 | 2024-12-16 | 2025-01-10 | 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 | 2024-12-16 | 2025-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-16 | 2025-01-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-16 | 2025-01-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-16 | 2025-01-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-12-16 | 2025-01-10 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-12-16 | 2025-01-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-12-16 | 2025-01-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-16 | 2025-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-01 | 2023-09-29 | Y |
| 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 | 2023-09-01 | 2023-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-01 | 2023-09-29 | 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 | 2023-09-01 | 2023-09-29 | 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 | 2023-09-01 | 2023-09-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-01 | 2023-09-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-01 | 2023-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-01 | 2023-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-01 | 2023-09-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-01 | 2023-09-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-01 | 2023-09-29 | 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 | 2023-09-01 | 2023-09-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-01 | 2023-09-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-01 | 2023-09-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-01 | 2023-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Meet other general requirements. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-01 | 2023-09-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-01 | 2023-09-29 | N |