Covenant Woods Nursing Home

Certification

Medicare-certified.

Ratings

Inspection history (13)

Records from February 2021 to March 2024.

• March 13, 2024

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 25, 2024.

• March 13, 2024

  Tag F0700

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 25, 2024.

• March 13, 2024

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 25, 2024.

• March 13, 2024

  Tag F0658

  Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 25, 2024.

• March 13, 2024

  Tag F0656

  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 25, 2024.

• April 21, 2022

  Tag F0700

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 3, 2022.

• April 21, 2022

  Tag F0814

  Dispose of garbage and refuse properly.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected June 3, 2022.

• February 25, 2021

  Tag F0756

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2021.

• February 25, 2021

  Tag F0695

  Provide safe and appropriate respiratory care for a resident when needed.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2021.

• February 25, 2021

  Tag F0758

  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 l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2021.

• February 25, 2021

  Tag F0761

  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.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2021.

• February 25, 2021

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2021.

• February 25, 2021

  Tag F0550

  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 8, 2021.

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

4.78 nurse hours per resident per day in Q2 2026, up from 4.68 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

• Parent company: Baker Tilly Us LLP