Covenant Home

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 96 beds and averages 56.6 residents a day — about 59% occupied, or roughly 39 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.20 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.49 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.04 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.94 hrs/resident/day on weekends vs 3.30 on weekdays — 11% thinner on weekends. RN hours go from 0.48 to 0.51 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 30% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

16 citations, most serious first. The 10 most serious are shown; the remaining 6 are one tap away and print in full.

• Potential for harm · E2026-05-20 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations and interview, the facility failed to ensure bedroom ceilings were kept in a clean/sanitary manner and in good repair for 4 (Room a, Room b, Room c, Room d) of the facility's 49 rooms observed for environmental requirements. Findings:In an interview on 05/18/2026 at 9:55AM, Resident #2 indicated the ceiling in Room d was dirty. Observation on 05/18/2026 at 9:55AM revealed an unknown brownish-black substance on the surface of several ceiling tiles, and along the junction of the wall and ceiling in Room d. Observation on 05/18/2026 at 11:32AM revealed several loose fitting ceiling tiles with an unknown brownish-black substance on the surface of several ceiling tiles in Room b. Observation on 05/18/2026 at 12:06PM revealed several loose fitting ceiling tiles with an unknown brownish-black substance on the surface of several ceiling tiles in Room a. Observation on 05/18/2026 at 12:54PM revealed an unknown brownish-black substance on the surface of several ceiling tiles in Room c. Observation on 5/19/2026 at 8:10AM revealed an unknown brownish-black substance on the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-21 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, and record reviews, the facility failed to: 1. Ensure medications were available for administration for 1 (Resident #58) of 5 (Resident #31, Resident #42, Resident #43, Resident #51, Resident #58) residents reviewed for medication administration; and, 2. Ensure an accurate and/or complete controlled medication reconciliation for 1 (Medication Cart a) of 2 (Medication Cart a, Medication Cart b) medication carts reviewed. Findings: 1. Review of the facility's Administering Medication policy and procedure, dated 08/2020, revealed, in part, medications should be administered as ordered. Review of Resident #58's medical record revealed, in part, Resident #58 was admitted to the facility on [DATE] with a diagnoses of, in part, dementia, unspecified Psychosis (a disorder characterized by a distorted perception of reality), Parkinson's disease (a progressive brain disorder which affects the body's movements) with anxiety. Review of Resident #58's physician's orders revealed, in part,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-05-21 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interviews, and record reviews, the facility failed to ensure an expired medication was not available for resident use in 1 (Medication Cart b) of 2 (Medication Cart a, Medication Cart b) medication carts reviewed for expired medications. Findings: Review of the facility's Storage of Medications policy and procedure, dated 08/2020, revealed, in part, no discontinued, outdated, or deteriorated medications were to be used in this facility. Further review revealed all such medications were recycled or destroyed per facility policy. Review of Resident #52's May 2025 physician's orders revealed, in part, an order to administer Resident #52 one tablet of atorvastatin (a medication used to lower cholesterol) 20 milligrams (mg) by mouth daily. Observation on 05/20/2025 at 9:10AM of Medication Cart b revealed a bottle of Resident #52's atorvastatin 20 mg with a discard by date of 04/30/2025 and was available for Resident #52's use. In an interview on 05/20/2025 at 9:15AM, S10Licensed Practical Nurse indicated the above mentioned medication was expired and available for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-05-21 · tag F0812 — failed to store, cook, and serve food safely — pattern
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure: 1. Food was stored in a sanitary manner; and, 2. Food was thawed in an appropriate manner. Findings: 1. Observation of the facility's kitchen refrigerator on 05/18/2025 at 9:13AM revealed an opened half full box of uncooked bacon was stored on the shelf above seven and a half quarts of orange juice. Further observation of the facility's refrigerator revealed an opened and undated package of shredded cheddar cheese, an opened and undated package of multiple slices of American cheese, an opened and undated container of liquid eggs, an opened and undated container of sour cream, and an opened and undated gallon container of Italian dressing which was approximately one-eighth full. Further observation revealed an unlabeled, undated package (which was identified by S5Cook as crab cakes), an unlabeled, undated container (which was identified by S5Cook as peas), and an unlabeled, undated bag of cooked meat. In an interview on 05/18/2025 at 9:25AM, S5Cook indicated all food items in the facility's refrigerator should be…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-21 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to ensure a notice of employees' rights against retaliation for reporting crimes against residents was posted in a conspicuous location. Findings: Review of the United States Social Security Act Title XI, Part A, Section 1150B(d)(3) dated 08/14/1935 and amended on 09/26/2024 revealed, in part, each long-term care facility shall post conspicuously in an appropriate location a sign specifying the rights of employees against retaliation for reporting crimes against residents of the facility. Further review revealed, such sign shall include a statement that an employee may file a complaint against a long-term care facility that violates the provisions against retaliation with respect to the manner of filing such a complaint. Observation of the facility's employee common areas on 05/19/2025 at 1:00PM revealed no conspicuous signage related to employees' rights against retaliation for reporting suspected crimes. In an interview on 05/20/2025 at 2:10PM, S10Licensed Practical Nurse indicated there was no signage…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-21 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure a care plan was developed for a resident to decrease the risk of skin tear injuries for 1 (Resident #43) of 2 (Resident #6, Resident #43) sampled residents investigated for accidents. Findings: Review of Resident #43's medical record revealed, in part, Resident #43 was admitted to the facility on [DATE] with diagnoses which included, in part, laceration to the left forearm, muscle weakness, lack of coordination, vision problems, and vascular dementia. Review of Resident #43's May 2025 physician's orders revealed, in part, an order to administer Plavix (a medication used to prevent blood clots and increases the risk of bleeding) 75 milligrams (mg) one tablet by mouth daily. Review of the facility's incident and accident log dated February 2025 through May 2025 revealed, in part, the following incidents involving Resident #43: - 02/20/2025 at 5:00AM: injury incident (skin tear); - 03/08/2025 at 12:00AM: injury incident (skin tear); - 03/19/2025…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-21 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility failed to ensure a resident with a urinary tract infection (UTI) received antibiotic medication as ordered for 1 (Resident #50) of 1 (Resident #50) sampled resident investigated for UTIs. Findings: Review of the facility's Administering Medication policy and procedure, dated 08/2020 revealed, in part, medications should be administered as ordered. Review of the facility's Emergency Drug Kit inventory form dated 05/19/2025 revealed, in part, 6 doses of Sulfamethoxazole/Trimethoprim (a medication used to treat bacterial infections) 800/160 milligrams (mg) oral tablets available for resident use. Review of Resident #50's medical record revealed, in part, Resident #50 was diagnosed with a UTI on 05/13/2025. Review of Resident #50's May 2025 physician's orders revealed, in part, an order dated 05/13/2025 to administer Resident #50 one tablet of Sulfamethoxazole/Trimethoprim 800/160 mg by mouth twice daily for 7 days for treatment of a UTI. Further review revealed the medication should have been started on 05/14/2025 at 8:00AM. Review…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-21 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews and record reviews, the facility failed to ensure a resident's electronic Medication Administration Record (eMAR) was accurately documented for 1 (Resident #58) of 5 (Resident #31, Resident #42, Resident #43, Resident #51, Resident #58) sampled residents reviewed for accurate medical record documentation for medication administration. Findings: Review of the facility's Administering Medication policy and procedure, dated 08/2020, revealed, in part, medications should be administered as ordered. Review of Resident #58's medical record revealed, in part, Resident #58 was admitted to the facility on [DATE] with diagnoses of, in part, Parkinson's disease (a progressive brain disorder which affects the body's movements) with anxiety. Review of Resident #58's May 2025 physician's orders revealed, in part, an order for Sinemet (a medication used to treat Parkinson's disease) 25-100 mg 1 tablet by mouth three times a day. Review of Resident #58's May's 2025's eMAR revealed, in part, Resident #58's…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-21 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and record reviews, the facility failed to ensure a multi-dose bottle of wound cleanser was handled per Infection Control Guidelines between use on residents for 2 (Resident #18, Resident #42) of 2 (Resident #18, Resident #42) sampled residents observed during wound care. Findings: Review of the Center for Disease Control's Infection Control Assessment and Response (ICAR) Tool for General Infection Prevention and Control (IPC) Across Settings Module 8 Wound Care Facilitator Guide, dated 01/27/2023 revealed, in part, multi-dose topical wound care medications, such as sprays, should be dedicated to an individual resident, whenever possible. Further review revealed dedicated containers should have been properly labeled and stored in a manner to prevent cross-contamination or use on another patient/resident. Further review revealed if it was not possible to dedicate an entire tube or container of wound care cream or ointment to an individual patient/resident, then a small amount of medication should have been allocated for single-resident use prior to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-11-07 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, record reviews, facility document review, and facility policy review it was determined that the facility failed to protect a resident's right to be free from physical abuse for 1(Resident #3) of 3 residents reviewed for abuse. Findings included: Review of the facility's policy titled, Identification of Types of Abuse, dated April 2023, revealed, in part, 3. Physical abuse is defined as hitting, slapping, punching, kicking, etc. Review of Resident #3's medical record revealed, in part, Resident #3 was admitted to the facility on [DATE] with a diagnosis of sequelae of Poliomyelitis and hemiplegia. Review of Resident #3's quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 10/30/2024 revealed, in part, Resident #3 had a Brief Interview of Mental Status (BIMS) of 7, indicating severe cognitive impairment; and she was dependent upon staff for activities of daily living (ADLs) such as transfers, toileting, personal hygiene, bathing, and mobility. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 8 rows in the source record cover these 4 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 89% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in LA