Deficiency Records for Covenant Shores Health Center
Updated as of July 01, 2019
This is not the most recent data for Covenant Shores Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Covenant Shores Health 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-08 | 2019-03-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-02-08 | 2019-03-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-09 | 2018-08-10 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-07-09 | 2018-08-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-07-09 | 2018-08-10 | 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 | 2018-07-09 | 2018-08-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-09 | 2018-08-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-09 | 2018-08-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-07-09 | 2018-08-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-09 | 2018-08-10 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-07-09 | 2018-08-10 | 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 | 2018-07-09 | 2018-08-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-09 | 2018-08-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-09 | 2018-08-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-02 | 2018-07-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-02 | 2018-07-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-07-02 | 2018-07-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-02 | 2018-07-09 | 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 | 2018-07-02 | 2018-07-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-02 | 2018-07-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-07-02 | 2018-07-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-08 | 2018-04-08 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-04-05 | 2017-05-05 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-04-05 | 2017-05-05 | N |
| Maintain comfortable sound levels. | Health | 2017-04-05 | 2017-05-05 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-04-05 | 2017-05-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-05 | 2017-05-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-05 | 2017-05-05 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-05 | 2017-05-05 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-05 | 2017-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-05 | 2017-05-05 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-04-05 | 2017-05-05 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-05 | 2017-05-05 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-04-05 | 2017-05-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-05 | 2017-05-05 | N |
| Provide or obtain dental services for each resident. | Health | 2017-04-05 | 2017-05-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-05 | 2017-05-05 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-04-05 | 2017-05-05 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2017-04-05 | 2017-05-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-05 | 2017-05-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-28 | 2017-04-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-03-28 | 2017-04-05 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-09 | 2016-12-27 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-08-17 | 2016-09-23 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-08-17 | 2016-09-23 | Y |
| Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2016-08-17 | 2016-09-23 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-08-17 | 2016-09-23 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-08-17 | 2016-09-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-17 | 2016-09-23 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-17 | 2016-09-23 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-08-17 | 2016-09-23 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-17 | 2016-09-23 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-08-17 | 2016-09-23 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-01-12 | 2016-02-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-12 | 2016-02-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-12 | 2016-02-17 | N |
