Facility profile · CCN 055996
Covenant Post Acute
49 federal citations on record , and 2 federal enforcement actions totaling $174,074.
Record summary
Federal record · Q1 202649
Total citations
12
Last 3 years
1
Actual harm+
2
Federal penalties
$174,074
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
49 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 7, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Apr 30, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Mar 18, 2025 | F908 | Keep all essential equipment working safely. | F | Complaint |
| Mar 18, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Mar 18, 2025 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint |
| Feb 6, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 6, 2025 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Feb 6, 2025 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Standard |
| Sep 16, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Mar 7, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Oct 11, 2023 | F624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint |
| May 17, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint |
| Mar 27, 2023 | F908 | Keep all essential equipment working safely. | E | Standard |
| Mar 27, 2023 | F881 | Implement a program that monitors antibiotic use. | F | Standard |
| Mar 27, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Mar 27, 2023 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | F | Standard |
| Mar 27, 2023 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard |
| Mar 27, 2023 | F814 | Dispose of garbage and refuse properly. | F | Standard |
| Mar 27, 2023 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard |
| Mar 27, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Mar 27, 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 |
| Mar 27, 2023 | 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. | E | Standard |
| Mar 27, 2023 | F758 | 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. | E | Standard |
| Mar 27, 2023 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Mar 27, 2023 | F700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | E | Standard |
| Mar 27, 2023 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Mar 27, 2023 | 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. | G | Standard |
| Mar 27, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Mar 27, 2023 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Mar 27, 2023 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard |
| Mar 27, 2023 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Standard |
| Mar 27, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Mar 27, 2023 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Mar 27, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Mar 27, 2023 | F641 | Ensure each resident receives an accurate assessment. | E | Standard |
| Mar 27, 2023 | F557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard |
| Mar 27, 2023 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
| Mar 7, 2023 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Jan 23, 2019 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jan 23, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Jan 23, 2019 | 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. | E | Standard |
| Jan 23, 2019 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Jan 23, 2019 | F758 | 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. | E | Standard |
| Jan 23, 2019 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Jan 23, 2019 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard |
| Jan 23, 2019 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Standard |
| Jan 23, 2019 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jan 23, 2019 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Jan 23, 2019 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
Federal enforcement history
Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $174,074 and 1 payment-denial actions spanning 18 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 27, 2023 | Fine | $174,074 | — |
| Mar 27, 2023 | Payment Denial | — | Jun 25, 2023 · 18 days |
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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