Covered Bridge Health Campus

In the surveyor’s words

From the most serious findings on record at Covered Bridge Health Campus, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF628Feb 12, 2026

  Based on interview and record review, the facility failed to notify the Ombudsman that residents were discharged from the facility for 3 of 3 discharged residents' records reviewed. (Residents 63, 64, and 65) Findings include:1. The clinical record for Resident 63 was reviewed on [DATE] at 11:53 A.M. The resident was admitted to the facility on [DATE]. A Progress Note, dated [DATE] at 6:07 A.M., indicated the resident experienced a change of condition and was sent to the local hospital's emergency department for evaluation.A Progress Note, dated [DATE] at 5:21 P.M., indicated the resident was admitted to the hospital. […]

• No harm, potential for more than minimal, isolatedF684Feb 12, 2026

  Based on observation and interview, the facility failed to follow manufacturers guidelines related to priming an insulin pen for 1 of 2 insulin pens observed. (Resident 55)Findings include: Medication administration was observed on 02/11/2026 at 11:03 A.M., with Qualified Medication Aide (QMA) 5. The QMA prepared insulin for Resident 55 using an insulin pen and indicated the resident was to receive 3 units of lispro (Humalog) insulin per the sliding scale. The QMA removed the insulin pen from the medication cart, checked the label, removed the pen cap, cleaned the end of the pen with an alcohol wipe, applied the needle, and removed the cap of the needle. […]

• No harm, potential for more than minimal, isolatedF760Feb 12, 2026

  Based on record review and interview, that facility failed to follow a physician's order related to a blood thinning medication administration for 1 of 6 residents reviewed for unnecessary medications. (Resident 20)Findings include:The clinical record for Resident 20 was reviewed on 02/09/2026 at 11:46 A.M. An admission Minimum Data Set (MDS) assessment, dated 01/09/2026, indicated the resident was cognitively intact. The resident's diagnoses included, but were not limited to, hip and knee replacement and deep vein thrombosis (blood clot - DVT). A Hospital Discharge summary, dated [DATE], indicated the resident had a total right hip replacement on 12/30/2025. […]

• No harm, potential for more than minimal, isolatedF761Feb 12, 2026

  Based on observation and interview, the facility failed to appropriately store medications for 1 of 3 medication carts reviewed. (100 Hall Medication Cart)Findings include: On 02/09/2026 at 10:57 A.M., the 100 Hall Medication Cart was observed with RN 4 and contained the following:- A small round white pill was lying loose in the bottom of the second drawer along with dust and paper debris and- A half of a small oval green pill was lying loose in the bottom of the third drawer along with dust and paper debris.During an interview, on 02/09/2026 at 10:58 A.M., RN 4 indicated she didn't know what the pills were or who they belonged to, pills should not be loose in the medication cart. […]

• No harm, potential for more than minimal, isolatedF842Feb 12, 2026

  Based on record review and interview, the facility failed to transcribe a physician order on admission for 1 of 16 resident records reviewed. (Resident 20)Findings include:The clinical record for Resident 20 was reviewed on 02/09/2026 at 11:46 A.M. An admission Minimum Data Set (MDS) assessment, dated 01/09/2026, indicated the resident was cognitively intact. The resident's diagnoses included, but were not limited to, hip and knee replacement, hypertension, osteoporosis, malnutrition.A hospital discharge record, dated 01/27/2026, indicated the resident was to receive Coumadin (a blood thinning medication) 3 milligrams (mg) on Sunday, Monday, Wednesday, and Friday. […]