All citations for Covenant Living - Windsor Park

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Covenant Living - Windsor Park

Last standard health inspection on record

February 28, 2025

Showing 1 to 14 of 14 citations

  1. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 3, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 11, 2025).

  2. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2024).

  3. No harm, with potential for more than minimal harm

    Install a two-hour-resistant firewall separation.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0133, Construction Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  4. No harm, with potential for more than minimal harm

    Have exits that are accessible at all times.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0271, Egress Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  5. No harm, with potential for more than minimal harm

    Install proper backup exit lighting.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0281, Egress Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  6. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  7. No harm, with potential for more than minimal harm

    Properly select, install, inspect, or maintain portable fire extinguishes.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  8. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  9. No harm, with potential for more than minimal harm

    Meet requirements for the use of electrical equipment.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  10. No harm, with potential for more than minimal harm

    Ensure proper usage of power strips and extension cords.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 24, 2024).

  11. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2024).

  12. No harm, with potential for more than minimal harm

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2024).

  13. No harm, with potential for more than minimal harm

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2024).

  14. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of April 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 3, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.