Covenant Home

In the surveyor’s words

From the most serious findings on record at Covenant Home, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF584May 20, 2026

  Based on observations and interview, the facility failed to ensure bedroom ceilings were kept in a clean/sanitary manner and in good repair for 4 (Room a, Room b, Room c, Room d) of the facility's 49 rooms observed for environmental requirements. Findings:In an interview on 05/18/2026 at 9:55AM, Resident #2 indicated the ceiling in Room d was dirty. Observation on 05/18/2026 at 9:55AM revealed an unknown brownish-black substance on the surface of several ceiling tiles, and along the junction of the wall and ceiling in Room d. Observation on 05/18/2026 at 11:32AM revealed several loose fitting ceiling tiles with an unknown brownish-black substance on the surface of several ceiling tiles in Room b. […]

• No harm, potential for more than minimal, patternF755May 21, 2025

  Based on observations, interviews, and record reviews, the facility failed to: 1. Ensure medications were available for administration for 1 (Resident #58) of 5 (Resident #31, Resident #42, Resident #43, Resident #51, Resident #58) residents reviewed for medication administration; and, 2. Ensure an accurate and/or complete controlled medication reconciliation for 1 (Medication Cart a) of 2 (Medication Cart a, Medication Cart b) medication carts reviewed. Findings: 1. Review of the facility's Administering Medication policy and procedure, dated 08/2020, revealed, in part, medications should be administered as ordered. […]

• No harm, potential for more than minimal, patternF761May 21, 2025

  Based on observation, interviews, and record reviews, the facility failed to ensure an expired medication was not available for resident use in 1 (Medication Cart b) of 2 (Medication Cart a, Medication Cart b) medication carts reviewed for expired medications. Findings: Review of the facility's Storage of Medications policy and procedure, dated 08/2020, revealed, in part, no discontinued, outdated, or deteriorated medications were to be used in this facility. Further review revealed all such medications were recycled or destroyed per facility policy. Review of Resident #52's May 2025 physician's orders revealed, in part, an order to administer Resident #52 one tablet of atorvastatin (a medication used to lower cholesterol) 20 milligrams (mg) by mouth daily. […]

• No harm, potential for more than minimal, patternF812May 21, 2025

  Based on observation and interview, the facility failed to ensure: 1. Food was stored in a sanitary manner; and, 2. Food was thawed in an appropriate manner. Findings: 1. Observation of the facility's kitchen refrigerator on 05/18/2025 at 9:13AM revealed an opened half full box of uncooked bacon was stored on the shelf above seven and a half quarts of orange juice. Further observation of the facility's refrigerator revealed an opened and undated package of shredded cheddar cheese, an opened and undated package of multiple slices of American cheese, an opened and undated container of liquid eggs, an opened and undated container of sour cream, and an opened and undated gallon container of Italian dressing which was approximately one-eighth full. […]

• No harm, potential for more than minimal, patternF812May 21, 2024

  Based on observations and interview, the facility failed to: 1. Ensure food available for use was dated, labeled, stored and not left open to air; 2. Ensure food items were not placed directly on the freezer floor without a barrier; 3. Ensure expired food was discarded properly; and, 4. Ensure kitchen equipment and ceiling fans were clean. Findings: 1. Observation on [DATE] at 9:10 a.m. of the walk-in cooler revealed, in part, the following: 1. An opened and undated box of homestyle chicken breast chunks; 2. An opened and undated 5.5 oz. opened fig preserve; 3. An opened and undated Ziploc bag of cubed cheese; 4. 2 opened and undated bags of celery stalks; 5. An undated 3lb bag of cubed cheese; 6. A Ziploc bag of sliced ham dated [DATE] opened to air; and, 7. […]