Inspection Reports for Covington Post Acute
765 Bert Johnston Ave, Covington, TN 38019, United States, TN, 38019
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
39% better than Tennessee average
Tennessee average: 4.4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Routine
Census: 76
Deficiencies: 3
Date: Nov 7, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to food safety, infection prevention and control, and environmental safety within the facility.
Findings
The facility failed to ensure food was stored, prepared, and served under sanitary conditions, with issues including non-functioning sanitation equipment, expired and undated food items, and carbon buildup on cookware. Infection control lapses were observed with staff failing to perform proper hand hygiene and barrier precautions. Environmental deficiencies included mildew in multiple resident shared bathrooms and unsanitary conditions in ice machines.
Deficiencies (3)
Food was stored, prepared, and served under unsanitary conditions including expired and undated food items, non-working three-compartment sink sanitizer, incomplete sanitation logs, and carbon buildup on cookware.
Staff failed to perform hand hygiene during incontinent care and did not follow enhanced barrier precautions during PEG site care for sampled residents.
Facility failed to maintain a safe, sanitary, and comfortable environment due to mildew in 17 of 47 resident shared bathrooms and unsanitary ice machines.
Report Facts
Census: 76
Expired food items: 8
Expired sliced ham packages: 2
Resident shared bathrooms with mildew: 17
Resident shared bathrooms observed: 47
Ice machines observed: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN A | Licensed Practical Nurse | Failed to perform hand hygiene and barrier precautions during resident care |
| Dietary Supervisor | Responsible for ensuring sanitization logs completion and food/drink maintenance | |
| Registered Dietician | RD | Responsible for ensuring cleaning and sanitation logs are completed timely |
| Maintenance Supervisor | Aware of sanitation issues and mildew, responsible for maintenance and cleaning | |
| Director of Nursing | DON | Confirmed proper infection control practices and PPE use |
Inspection Report
Routine
Deficiencies: 5
Date: Jul 15, 2021
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident dignity, trust fund refunds, care plan meetings, medication storage and labeling, and food safety practices.
Findings
The facility was found deficient in multiple areas including failure to maintain resident dignity by staff not knocking before entering rooms, delayed refund of resident trust funds, incomplete attendance at interdisciplinary care plan meetings, improper medication labeling and storage, and failure to follow infection control practices during food handling and meal delivery.
Deficiencies (5)
Failure to maintain or enhance resident dignity and respect when a staff member failed to knock and/or announce herself before entering residents' rooms during dining observations.
Failure to refund residents' funds within 30 days of death or discharge for 4 of 6 sampled residents reviewed for trust funds.
Failure to ensure mandatory personnel attended interdisciplinary care plan meetings for 17 of 18 sampled residents.
Failure to ensure opened medications were properly labeled and dated, external and internal medications were not stored separately, and medications were stored past expiration in 4 of 7 medication storage areas.
Failure to ensure food was stored and distributed to prevent infection spread; staff failed to wear appropriate PPE and perform proper hand hygiene during meal delivery and food handling.
Report Facts
Staff members: 14
Residents affected: 6
Residents affected: 4
Residents reviewed: 18
Medication storage areas: 7
Medication storage areas deficient: 4
Residents affected: 64
Residents in facility: 71
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Director of Nursing | Director of Nursing | Confirmed staff should knock and announce themselves before entering rooms; confirmed medication storage and labeling requirements; confirmed PPE and hand hygiene requirements |
| Social Worker | Social Worker | Confirmed residents' refunds should be made within 30 days of discharge or death |
| MDS Coordinator #1 | MDS Coordinator | Confirmed care plan meetings lacked required disciplines and attendance |
| Staffing Coordinator | Staffing Coordinator | Confirmed medication open dates should be recorded and internal/external meds stored separately |
| Registered Nurse #1 | Registered Nurse | Confirmed medication should be wasted if loose and undated |
| Registered Dietician | Registered Dietician | Confirmed dietary staff should perform hand hygiene between dirty and clean dishes and after trash disposal |
| Dietary Aide #1 | Dietary Aide | Observed failing to wear gloves and perform hand hygiene during dishwashing and meal preparation |
| Dietary Aide #2 | Dietary Aide | Observed failing to perform hand hygiene after trash disposal |
| Certified Nursing Assistant #1 | Certified Nursing Assistant | Observed failing to wear PPE and perform hand hygiene during meal delivery and tray setup |
| Certified Nursing Assistant #2 | Certified Nursing Assistant | Failed to knock and announce before entering residents' rooms during dining observations |
Inspection Report
Plan of Correction
Deficiencies: 0
Date: Jun 12, 2019
Visit Reason
This document is a Statement of Deficiencies and Plan of Correction for Covington Post Acute, related to regulatory oversight of the nursing home.
Findings
No health deficiencies were found during the inspection.
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