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Covenant Living - Windsor Park
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Ratings Deep Dive
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Jun 3, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| — | Feb 28, 2025 | Provide safe, appropriate pain management for a resident who requires such services. | D |
| — | Feb 28, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D |
| — | Feb 28, 2025 | 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. | F |
| — | Feb 28, 2025 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D |
1.3 RN Hours / Resident / Day
4.3 Total Nurse Hours / Resident / Day
20.0% RN Turnover Rate
5.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
59.9 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST COVENANT LIVING COMMUNITIES & SERVICES
OPERATIONAL/MANAGERIAL CONTROL COVENANT LIVING COMMUNITIES & SERVICES
CORPORATE DIRECTOR BENTLEY, SARAH
CORPORATE DIRECTOR CHRISTENSEN, PAMELA
CORPORATE DIRECTOR DAVIS, KARA
CORPORATE DIRECTOR EASTBURG, MARK
CORPORATE DIRECTOR KINCANNON, KURT
CORPORATE DIRECTOR MANLOVE, MATT
CORPORATE DIRECTOR MARTIN, ROBERT
CORPORATE DIRECTOR NELSON, RICHARD
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Jul 17, 2023 | Fine | $50,525 |
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