All citations for Covenant Shores Health Center

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 Shores Health Center

Last standard health inspection on record

February 11, 2026

Showing 1 to 25 of 82 citations

No harm, with potential for more than minimal harm
Establish policies and procedures including evacuation.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2026).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2026).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2026).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2026).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2026).
No harm, with potential for more than minimal harm
Provide a written emergency evacuation plan.
Widespread (many residents). CMS level F.
Fire safety citation K-0711, Miscellaneous Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2026).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2026).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Widespread (many residents). CMS level F.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2026).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 11, 2026. Found during a standard inspection.
The home gave a date the problem would be corrected (March 2, 2026).
No harm, with potential for more than minimal harm
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Widespread (many residents). CMS level F.
Health citation F-0623, Resident Rights Deficiencies. Inspection of December 16, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 17, 2025).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of December 16, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Establish policies and procedures for volunteers.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of December 16, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 16, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 16, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 16, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 16, 2025).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 16, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of December 16, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of December 16, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Have elevators that firefighters can control in the event of a fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0531, Services Deficiencies. Inspection of December 16, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
Widespread (many residents). CMS level F.
Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 16, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (January 10, 2025).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Include a process for Emergency Preparedness collaboration.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0009, Emergency Preparedness Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Establish policies and procedures for volunteers.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0024, Emergency Preparedness Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Provide family notifications of emergency plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0035, Emergency Preparedness Deficiencies. Inspection of September 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (September 29, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.