Midwest Covenant Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 26, 2025

  Based on record review, observation, and interviews, the facility failed to discard outdated foods. This had the potential to affect all residents who consumed food from the kitchen. The census was 38. Findings are: Record review of the facility policy and procedure Food Storage dated the year 2021 stated that policy will be that sufficient storage facilities will be provided to keep foods safe, wholesome, and appetizing. Record review of the BakerSource company's product data sheet dated [DATE] revealed that the shelf life of Cinnamon Streusel Coffee Cake Mix is 546 days from the date of manufacturer in ambient conditions as was the shelf life of the Carrot Cake Mix. […]

• No harm, potential for more than minimal, widespreadF812Apr 2, 2024

  Licensure Reference Number 175NAC 12-006.11E Based on observations, record reviews and interviews, the facility failed to monitor the required temperature for sanitization of facility dishware that had the potential to affect all facility residents; failed to ensure sanitary procedures between raw and cooked foods to prevent the potential for foodborne illness that had the potential to affect all facility residents; and the facility failed to monitor food temperatures for the prevention of foodborne illnesses for 12 of the 43 residents that ate from the kitchen. The facility census was 43. Findings are: A. On 04/01/2024 at 1:14 PM Dietary Aide (DA)-J was observed processing dishware in the soiled dish area. […]

• No harm, potential for more than minimal, widespreadF804Oct 21, 2021

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.11D Based on observation, interview, and record review; the facility staff failed to serve resident meals in a manner to preserve nutritive value and were maintained at a temperature to preserve safety and palatability. This had the potential to affect all of the facility residents who received food from the facility kitchen. The facility identified a census of 39 at the time of survey. Findings are: Interview with Resident 1 on 10/18/21 at 3:19 PM revealed when inquired how the facility food was they replied they had not received a bun for the cheeseburger they had ordered. They had received a hamburger patty and 2 slices of bread. […]

• No harm, potential for more than minimal, widespreadF812Oct 21, 2021

  Licensure Reference Number 175NAC 12-006.11E Based on observation, record review, and interview; the facility failed to ensure that staff followed hand washing and safe food handling practices during food preparation to prevent the potential for cross contamination and food borne illness. This had the potential to affect 37 of 37 residents that received the meal from the facility kitchen (Residents 2, 17, 10, 23, 30, 22, 19, 1, 18, 141, 7, 4, 38, 20, 32, 12, 6, 37, 5, 9, 26, 33, 3, 29, 21, 27, 142, 25, 34, 31, 140, 8, 11, 24, 35, 16, and 14). The facility census was 39. Findings are: Record review of the undated facility policy titled Disposable Gloves revealed the purpose is to reduce the risk of food borne illness. Step 2. Food handlers will wash hands before putting on gloves. Step 3. […]

• No harm, potential for more than minimal, patternF759Apr 2, 2024

  Licensure Reference Number 175NAC 12-006.10D Based on observation, record review, and interview the facility failed to ensure the medication error rate was under 5% with an observed medication error rate of 21.21%. This affected 7 of 15 residents observed (Residents 10, 32, 13, 9, 8, 22, and 21). The facility census was 43. Findings are: A. Record review of the [NAME] Lilly manufacturer's directions on both the drug insert and information located on [NAME] Lilly company website, the Insulin injection pen for Lispro Injection Solution, specifies Insulin needles must be primed prior to use. […]