Covenant Woods Retirement Community has an overall 4 out of 5 stars, with 4-star health inspections, 3-star staffing, and 2-star quality measures. Reported nurse staffing is 4.51 hours per resident per day, above the federal benchmark of 4.1, and there were no fines in the last 24 months.
Last inspection: March 13, 2024Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.5111.
Staffing detail
Registered nurses
0.48
Licensed practical nurses
1.29
Nurse aides
2.75
Weekend nursing
4.19
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
14.8%27.3%Worsening
Residents with a fall causing major injury
4.3%1.9%Improving
Residents with pressure ulcers (bedsores)
8%4.8%Improving
Residents with a urinary tract infection
4.3%2%Improving
Residents who lost too much weight
2.6%7.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
34.2%16.3%Improving
Residents whose ability to walk got worse
—35.4%—
Long-stay residents on antianxiety or sleep medication
12.5%13.6%Worsening
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
10.8%2%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—92.7%—
Long-stay residents given the pneumonia vaccine
95.7%70.4%Worsening
Short-stay residents given the seasonal flu vaccine
—86%—
Short-stay residents given the pneumonia vaccine
79.5%56.5%Worsening
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited March 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
The nursing home failed to provide services that met professional standards of quality. Cited March 2024 — isolated incident, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited March 2024 — isolated incident, potential for harm.
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F-Tag 690 — 42 CFR §483.25(e) — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited March 2024 — isolated incident, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited March 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: D
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
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INSPECTION
Health inspection found 6 health deficiencies.
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Operator & ownership
Ownership
Non profit - Corporation
Occupancy
57.2 residents on an average day (92% of 62 beds)
Resident voice
Resident council
Medicare history
Certified for 10 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.