Covenant Living of Keene

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Jun 4, 2026

  Based on interview and record review, the facility failed to update their Water Management Program and implement control measures to prevent the growth and spread of Legionella and other opportunistic waterborne pathogens in a facility with a census of 20 residents (Resident identifier is #16).Findings include:Observation on 6/2/26 at approximately 10:00 a.m. of facility lobby revealed 2 drinking water fountains.Review on 6/2/26 of the facility Water Management Program dated January 2023 revealed no evidence of revisions or updates. Review revealed no identification of water drinking fountains. Further review revealed on page 31 a control measure labeled, DWM18, Run hot and cold water outlets daily in unoccupied resident rooms. […]

• No harm, potential for more than minimal, patternF881Jun 25, 2025

  Based on record review and interview, it was determined that the facility failed to implement their established antibiotic stewardship protocols for monitoring the appropriate antibiotic use (Resident identifiers #13, #16, and #123). Findings include: Review on 6/24/25 of facility Antibiotic Stewardship Guidelines undated, revealed on page 5 revealed .Antibiotic Time Out Every time antibiotics are prescribed .3. Reassess within 48 hours and adjust Rx (treatment) if necessary or stop Rx (treatment) if indicated . Review on 6/24/25 of Resident #13's physician orders revealed an order dated 5/30/25 for Keflex 500mg 3 times a day for 5 days for wound infection. […]

• No harm, potential for more than minimal, patternF680Apr 20, 2023

  Based on interview, it was determined that the facility failed to ensure that the activities program was directed by a qualified professional who is a qualified therapeutic recreation specialist. Findings include: Interview on 4/18/23 at approximately 10:30 a.m. with Staff G (Administrator) revealed that Staff F (Activities Director) had not completed necessary training required to direct an activities program.

• No harm, potential for more than minimal, patternF712Apr 20, 2023

  Based on interview and record review, it was determined that the facility failed to ensure that residents were seen by a physician at least once every 30 days during the first 90 days after admission to the facility and at least once every 60 days thereafter for 3 out of 3 residents reviewed for physician visits in a final sample of 12 residents reviewed (Resident identifiers are #161, #162 and #163). Findings include: Resident #161 Review on 4/20/23 of Resident #161's medical record revealed the following: Resident #161 was admitted to the facility on [DATE]. Further review revealed that Resident #161 was seen by the Nurse Practitioner (NP) on the following dates: 10/21/22, 1/16/23, 2/15/23, and 4/6/23. […]

• No harm, potential for more than minimal, patternF946Apr 20, 2023

  Based on interview and record review, it was determined that the facility failed to ensure staff were provided annual training for the facility's ethics program for 2 out of 3 staff reviewed. Findings include: Review on 4/20/23 of Staff E's (Registered Nurse) educations/trainings revealed: Ethics and Compliance training was completed on 1/28/22. Review on 4/20/23 of Staff D's (Cook) educations/trainings revealed: Ethics and Compliance training was completed on 1/25/22. Interview on 4/20/23 at approximately 11:45 a.m. […]