Facility profile · CCN 505504
Covenant Shores Health Center
40 federal citations on record , including 1 at the Immediate Jeopardy level, and 1 federal enforcement actions totaling $190,005.
Record summary
Federal record · Q1 202640
Total citations
24
Last 3 years
1
Actual harm+
1
Federal penalties
$190,005
Total fines
3
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
40 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Dec 16, 2024 | 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. | D | Standard |
| Dec 16, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Dec 16, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Dec 16, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard |
| Dec 16, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | Standard |
| Dec 16, 2024 | F610 | Respond appropriately to all alleged violations. | D | Standard |
| Dec 16, 2024 | F578 | 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. | D | Standard |
| Dec 16, 2024 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
| Dec 16, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Sep 1, 2023 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Sep 1, 2023 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Sep 1, 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 |
| Sep 1, 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. | D | Standard |
| Sep 1, 2023 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Sep 1, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 1, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Sep 1, 2023 | 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 |
| Sep 1, 2023 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Sep 1, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Sep 1, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Sep 1, 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 |
| Sep 1, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 1, 2023 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Sep 1, 2023 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Apr 4, 2023 | F880 | Provide and implement an infection prevention and control program. | K | Complaint |
| Apr 4, 2023 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint |
| Jun 24, 2022 | F886 | Perform COVID19 testing on residents and staff. | E | Standard |
| Jun 24, 2022 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Jun 24, 2022 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Jun 24, 2022 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard |
| Jun 24, 2022 | 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. | D | Standard |
| Jun 24, 2022 | 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 |
| Jun 24, 2022 | 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. | D | Standard |
| Jun 24, 2022 | 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 |
| Jun 24, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Jun 24, 2022 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard |
| Jun 24, 2022 | 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 |
| Jun 24, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Jun 24, 2022 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Jun 24, 2022 | F578 | 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. | E | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $190,005 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 4, 2023 | Fine | $190,005 | — |
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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