Coventry House Inn

In the surveyor’s words

From the most serious findings on record at Coventry House Inn, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF801Jan 8, 2026

  Based on interview and record review, the facility failed to employ a staff member with appropriate credentials to supervise and manage the dietary department resulting in the potential for food service sanitation failures, food borne illness and for clinical areas of dietary needs of all residents being compromised and unmet. Findings include:During the kitchen tour on 1/6/2026 at 9:14 AM, Food Service Director (FSD) J stated that she had been in the FSD position for over a year and signed up for the Dietary Manager classes the end of October. FSD J said that the Registered Dietitian (RD) isn't full time at the facility but comes in 2-3 times a month. […]

• No harm, potential for more than minimal, widespreadF812Jan 8, 2026

  Based on observation, interview and record review, the facility failed to ensure proper label and dating of foods in the kitchen and the resident refrigerator resulting in the potential to spread food borne illness to residents that consume food from the kitchen and the resident refrigerator. Findings Include:During the kitchen tour on 1/6/2026 at 9:14 AM with Food Service Director (FSD) J, the following was observed:The reach in refrigerator in the kitchen:2 large plastic bowls with salad with no label and date. […]

• No harm, potential for more than minimal, widespreadF812Dec 5, 2024

  Based on observation, interview, and record review, the facility failed to: 1. Clean non-food contact surfaces; 2. Label and date cooked potentially hazardous food products with a prepared and discard date; 3. Repair or replace a water-damaged temperature gauge on the dish machine; 4. Ensure dish machine was at proper temperature prior to use; 5. Ensure food products reached safe internal temperature prior to service; and 6. Ensure prepared food was properly cooled. These conditions resulted in an increased risk of contaminated foods and an increased risk of food borne illness for all residents who consume food from the kitchen. Findings include: An initial kitchen/food service tour was conducted on 12/3/24 beginning at 9:15 AM with Food Service Director (FSD) M. […]

• No harm, potential for more than minimal, widespreadF680Nov 2, 2023

  Based on interview, and record review, the facility failed to employ an Activity Director who possessed the required qualifications for the position, resulting in the potential for unmet met psychosocial needs, feelings of boredom and a lack of person-centered activities. This citation has the potential to impact all 27 residents within the facility. Findings include: In an interview on 11/1/23 at 3:22pm, Activities Director (AD) R revealed resident involvement in group and individual activity attendance was currently not being tracked in a manner that would allow for her to ensure residents were being provided with activities of interest and attending activities consistently each week. […]

• No harm, potential for more than minimal, widespreadF812Nov 2, 2023

  Based on observation and interview, the facility failed to: 1. properly date and discard food items, 2. securely store packaged food product after opening, 3. clean food and non-food contact surfaces, 4. properly store clean cooking utensils and pans to prevent bacterial harborage and contamination. Findings include: On 10/30/23 beginning at 9:33 AM, an initial tour of the kitchen/food service was conducted with Dietary Manager (DM) Q. The following observations/interviews occurred during this initial tour: At 9:33 AM in the dry storage area, noted the following: an opened, bulk-sized container of baking soda labeled with an opened date of 12/2/22 and a discard date of 5/2/23; an opened, bulk-sized bag of puffed rice cereal labeled with an opened date of 4/19/23 and a use by date of… […]