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.
Last standard health inspection on record
February 11, 2026
Showing 1 to 25 of 35 citations
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.
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.
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.
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.
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.
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.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
A waiver was granted (September 29, 2023).
No harm, with potential for more than minimal harm
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Have simulated fire drills held at unexpected times.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Ensure that testing and maintenance of electrical equipment is performed.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
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.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Ensure each resident receives an accurate assessment.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Ensure services provided by the nursing facility meet professional standards of quality.
The home gave a date the problem would be corrected (September 29, 2023).
No harm, with potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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.