Facility profile · CCN 145606
Covenant Living - Windsor Park
18 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $50,525.
Record summary
Federal record · Q1 202618
Total citations
18
Last 3 years
2
Actual harm+
1
Federal penalties
$50,525
Total fines
5
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
18 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 3, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Feb 28, 2025 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Feb 28, 2025 | F761 | 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. | F | Standard |
| Feb 28, 2025 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard |
| Feb 28, 2025 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Feb 28, 2025 | F693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard |
| Apr 19, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Apr 19, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Apr 19, 2024 | F688 | 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. | D | Standard |
| Apr 19, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Apr 19, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | E | Standard |
| Aug 25, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Jul 17, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint |
| Jul 17, 2023 | F610 | Respond appropriately to all alleged violations. | L | Complaint |
| Jul 17, 2023 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jul 17, 2023 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Jul 17, 2023 | F803 | 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. | E | Standard |
| Jul 17, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $50,525 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jul 17, 2023 | Fine | $50,525 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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