Covenant Post Acute

In the surveyor’s words

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

• Immediate jeopardy, widespreadF880Jan 4, 2021

  Based on observation, interview and record review, the facility failed to follow established national standards of practice for the prevention of COVID-19 virus (a serious contagious respiratory (Lung) infection transmitted from person to person) outbreak (a sudden rise in the number of cases of a disease) for 45 of 59 sampled Residents (Resident 1, 3, 4, 5, 7, 8, 9, 10, 12, 13, 14, 15, 16, 18, 20, 21, 22, 25, 27, 29, 30, 33, 37, 38, 39, 40, 43, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 63, 67, 68 and 69) and 22 staff members when: 1.Staff assigned to oversee and provide employees' return to work guidance after a sick-call absence did not follow the facility policy and Centers for Disease Control and Prevention (CDC- a United States federal agency under the Department of… […]

• Actual harm, patternF692Mar 17, 2022

  Based on interview and record review, the facility failed to implement a comprehensive systemic approach to ensure effective monitoring and systems to maintain acceptable parameters of nutritional status for two of four sampled residents (Resident 1 and Resident 2) when: 1. Resident 1 experienced a continuous and progressive weight decline from ,d+[DATE] to ,d+[DATE], with a total weight loss of 55 pounds (lbs- a unit of measurement) (35 percent of body weight). 2. Resident 2 experienced a 13 lbs (9.8 percent) weight loss in 6 months, and 8 pounds (6.2 percent) loss in 1 month with no implemented interventions to address the weight loss. […]

• Actual harm, isolatedF693Mar 27, 2023

  Based on observation, interview, facility document and Policy and Procedure review, the facility failed to identify and address complications related to an enteral feeding (complete nutrition delivered via a feeding tube directly into the stomach) for one of one sampled residents (Resident 21) when dehydration risk was not care planned and monitored for Resident 21 who received enteral feedings as the sole means of nutrition and fluid. This failure caused dehydration in Resident 21 which could lead to further medical complications including but not limited to confusion, weakness, low blood pressure, kidney problems and in severe incidences, death. […]

• No harm, potential for more than minimal, widespreadF880Mar 18, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective infection prevention and control program when one of two facility boiler systems (a device that heats the facility ' s water and/or ventilation system) stopped working and the laundry was washed in temperatures below the minimum water temperatures according to the facility ' s policy and procedure (P&P). This failure placed the 117 residents at risk for cross contamination from laundry not properly washed and sanitized according to the P&P. Findings: During an interview on 3/18/25 at 10:00 a.m. with the Administrator (ADM), the ADM stated he received a phone call from the Director of Maintenance (DOM) on the morning of 3/18/25 because the boiler to the facility ' s water supply was not working. […]

• No harm, potential for more than minimal, widespreadF908Mar 18, 2025

  Based on observation, interview, and record review, the facility failed to maintain essential equipment in a safe operating condition when one of two boiler systems (a device that heats the facility ' s water and/or ventilation system) was not monitored, maintained and failed to operate from 3/15/25 to 3/18/25. This failure resulted in a non-functioning boiler system, unable to heat water throughout the facility including the laundry, kitchen, showers and sink faucets and placed the residents at risk for poor hygiene, infectious disease and discomfort. […]