Covington Court Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Covington Court Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Aug 18, 2023

  Based on record review and interview, the facility failed to ensure that adequate visual supervision was provided by staff to prevent a severely cognitively impaired resident from eloping from the facility undetected for 1 (Resident #2) of 4 sampled residents. The situation resulted in a finding of Immediate Jeopardy, Past Non-compliance. The facility's Administrator was notified of the findings of Immediate Jeopardy on 8/17/23 at 12:41 PM. The findings include: Review of Resident #2 Significant Change Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 06/14/2023 noted a score of 4, on the Brief Interview for Mental Status (BIMS), which indicates severely impaired cognitive function. […]

• Immediate jeopardy, isolatedF684Aug 2, 2022

  Based on interview and record review, the facility failed to ensure the physician ordered [CONDITION(S)] and [CONDITION(S)] and failed to schedule [CONDITION(S)] and [CONDITION(S)] appointments for 1 (Resident #1) of 3 (Resident ' s #1, #2, and #3) case mix residents following Resident #1 ' s recent hospital admission. The failed practice caused Resident #1 to miss three hemodialysis and one [CONDITION(S)] treatment and resulted in fluid overload and a life-threatening electrolyte imbalance requiring immediate treatment. […]

• Actual harm, isolatedF623Mar 11, 2022

  Based on record review and interview, the facility failed to ensure residents and/or their representatives and the Ombudsman were provided in writing the reason for discharge or attempted discharge and the reasons for discharge were documented in the resident's record and appropriate placement was obtained prior to discharge for 1 of 1 (Resident #2) resident who was discharged to a homeless shelter and 1 of 1 (Resident #3) who the facility attempted to discharge to a homeless shelter. This failed practice resulted in actual harm to Resident #2 who was discharged to a homeless shelter without permission and had the potential to cause more than minimal harm to Resident #3 who the facility attempted to discharge to a homeless shelter. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Jul 14, 2023

  Based on observation, record review and interview, the facility failed to ensure foods stored in the freezer, refrigerator and dry storage area were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; expired dairy products and food items were promptly removed / discarded on or before the expiration or use by date to prevent the growth of bacteria; dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential for cross contamination for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, widespreadF835Jul 14, 2023

  Based on observation, interview, and record review the facility failed to ensure that a licensed administrator was responsible for the overall operation of the facility. The failed practice had the ability to affect all 124 residents who currently reside in the facility according to the census list which was provided by the Assistant Administrator on 7/10/23 at 11:04 AM. The findings are: On 7/10/23 at 10:45 AM the survey team entered the building and was greeted by Assistant Administrator. The surveyor asked for administrator and was told that the new administrator would be starting on Wednesday. The Assistant Administrator reported that she was in charge. When asked if she held a current license in the state of Arkansas, she stated, No, but its ok because we are within our 14 days. […]