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Deficiency Records for Covenant Village Care Center
View the most recent health deficiencies and inspection results for Covenant Village Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Covenant Village Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-06-27 | 2025-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-27 | 2025-07-23 | 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 | 2025-06-27 | 2025-07-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-06-27 | 2025-07-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-06-27 | 2025-07-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-27 | 2025-07-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-27 | 2025-07-23 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-27 | 2025-07-23 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-06-27 | 2025-07-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-27 | 2025-07-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-06-27 | 2025-07-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-06-12 | 2024-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-12 | 2024-06-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-12 | 2024-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-12 | 2024-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-12 | 2024-06-25 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-06-12 | 2024-06-25 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-06-12 | 2024-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-12 | 2024-06-20 | 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 | 2024-06-12 | 2024-06-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-06-12 | 2024-06-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-14 | 2019-07-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-14 | 2019-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-14 | 2019-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-14 | 2019-07-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-06-14 | 2019-07-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-14 | 2019-07-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-14 | 2019-07-17 | 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 | 2019-06-14 | 2019-07-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-14 | 2019-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-14 | 2019-07-17 | N |