Covenant Woods Retirement Community has a 3-star overall rating, with a strong 4-star health inspection score but a very low 1-star staffing rating and 2-star quality measures; 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 not reported.
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.
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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.
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F-Tag 700 — 42 CFR §483.25(n) — S/S: D
Recent history
INSPECTION
Health inspection found 5 health deficiencies.
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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.