01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2024-03-13 | 5 | 2024-03-13 | 0 |
| Cycle 2 | 2022-04-21 | 2 | 2022-04-21 | 0 |
| Cycle 3 | 2021-02-25 | 6 | 2021-02-25 | 9 |
CMS CCN 4954192026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Covenant Woods Nursing Home
7090 Covenant Woods Drive · Mechanicsville, VA 23111 · Hanover County
Certified beds62CMS provider file
Recent citation rows22current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
22 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2024-03-13 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-04-252024-03-13 · HEALTHF0658Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Correction field: Deficient, Provider has date of correction · 2024-04-25 · complaint2024-03-13 · HEALTHF0690Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2024-04-25 · complaint2024-03-13 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2024-04-252024-03-13 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2024-04-252022-04-21 · HEALTHF0700Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Correction field: Deficient, Provider has date of correction · 2022-06-032022-04-21 · HEALTHF0814Severity C · widespread; potential for minimal harm
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Correction field: Deficient, Provider has date of correction · 2022-06-032021-02-25 · HEALTHF0550Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2021-04-082021-02-25 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2021-04-082021-02-25 · HEALTHF0695Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Correction field: Deficient, Provider has date of correction · 2021-04-082021-02-25 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Correction field: Deficient, Provider has date of correction · 2021-04-082021-02-25 · HEALTHF0758Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Correction field: Deficient, Provider has date of correction · 2021-04-082021-02-25 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Correction field: Deficient, Provider has date of correction · 2021-04-082021-02-25 · FIREK0211Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2021-05-062021-02-25 · FIREK0223Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Correction field: Deficient, Provider has date of correction · 2021-05-062021-02-25 · FIREK0293Severity E · pattern; potential for more than minimal harm
Egress Deficiencies
Have properly located and lighted "Exit" signs.
Correction field: Deficient, Provider has date of correction · 2021-05-062021-02-25 · FIREK0353Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2021-05-062021-02-25 · FIREK0363Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Correction field: Deficient, Provider has date of correction · 2021-05-062021-02-25 · FIREK0372Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2021-05-062021-02-25 · FIREK0511Severity E · pattern; potential for more than minimal harm
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Correction field: Deficient, Provider has date of correction · 2021-05-062021-02-25 · FIREK0521Severity D · isolated; potential for more than minimal harm
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has date of correction · 2021-05-062021-02-25 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2021-05-0603 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- ADAMS, RICHARDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2013
- ARMOR, BRANDONIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2020
- BALL, MELISSAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2020
- BEAULIEU, KELSEYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2020
- BOWERS, ROGERIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2020
- CLINGMAN, EDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2020
- COOKE, KARENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2017
- FULLER, DAVIDIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2017
- GRAVES, CHARLESIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2019
- KENT, JANETIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2019
- O'CONNER, JOEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2021
- PEARSON, LINDAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2020
- RUSSELL, KYLEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2022
- SATTERLUND, MICHELEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2020
- SCHOLER, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 04/01/2022
- JACKSON, LAFONIndividual · CORPORATE OFFICERNOT APPLICABLE · since 09/19/2019
- MAURITSEN, ERIKIndividual · CORPORATE OFFICERNOT APPLICABLE · since 12/10/2009
- PARKS, JUANITAIndividual · CORPORATE OFFICERNOT APPLICABLE · since 08/12/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours4.51per resident day
RN hours0.48per resident day
Weekend nurse hours4.19per resident day
Staff turnover—%CMS reported field
06 / LOCAL RECORDS
Open the Mechanicsville ledger →