Average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Covenant Home during CMS and state inspections, most recent first.
Dirty and Damaged Bedroom Ceilings: A resident reported a dirty ceiling, and surveyors observed an unknown brownish-black substance on several ceiling tiles in four rooms, with loose fitting tiles in two rooms and staining along the wall-ceiling junction in one room. The S1 Administrator confirmed the rooms were not clean and not in good repair as required.
A resident did not receive prescribed Klonopin for several days due to the medication not being available from the pharmacy, as confirmed by nursing notes and staff interviews. Additionally, the facility failed to maintain accurate and complete controlled substance records on two medication carts, with missing documentation, incomplete shift change reconciliations, and absent nurse signatures, as verified by staff and administrative interviews.
A bottle of expired atorvastatin 20 mg was found on a medication cart and remained available for a resident's use, despite facility policy requiring removal of outdated medications. Both an LPN and the DON confirmed the expired medication should not have been accessible.
Surveyors found that food items, including bacon and various cheeses, were improperly stored and left unlabeled and undated in the kitchen refrigerator. Prepared sandwiches were left unrefrigerated for several hours, resulting in unsafe temperatures. Additionally, raw chicken was thawed incorrectly in a sanitization sink with standing water. Staff interviews confirmed these practices did not meet professional standards for food safety.
The facility did not post required signage informing staff of their rights against retaliation for reporting suspected crimes, as confirmed by observations and interviews with multiple staff members including an LPN, DON, and RN. The administrator was unable to provide evidence that such signage had ever been displayed.
A resident with a history of skin tears, muscle weakness, vision problems, and on anticoagulant therapy experienced multiple skin tear injuries. Facility records and staff interviews confirmed that no care plan was developed or implemented to address prevention of further skin tears, despite the resident's ongoing risk and repeated incidents.
A resident with a UTI did not receive a scheduled dose of prescribed antibiotic because staff failed to administer the medication from the Emergency Drug Kit, despite its availability. Nursing staff and the DON confirmed the medication should have been given as ordered, but it was missed due to lack of awareness and follow-through.
A resident with Parkinson's disease and anxiety did not have the administration of their prescribed Sinemet medication accurately documented in the eMAR on two occasions. An LPN confirmed administering the medication but failed to record it as required by facility policy, and the administrator acknowledged the documentation lapse.
A registered nurse/treatment nurse used the same multi-dose wound cleanser bottle to spray directly onto the wounds of two residents without disinfecting the bottle or using protective measures between uses. The bottle was placed back on the treatment cart and into a drawer after each use, contrary to CDC infection control guidelines, and this practice was confirmed by both the nurse and the DON.
A resident who sustained a head laceration did not receive the required neurological assessments or documentation during several shifts, as mandated by facility policy. Staff and leadership confirmed the assessments were neither completed nor recorded as required.
The facility did not ensure the required number of CNAs were present and working during both the day and evening shifts, as outlined in its own facility assessment. Staffing records and interviews confirmed that at times, only 3 or 4 CNAs were on duty, which was below the minimum needed to meet resident care needs according to staff and leadership.
A resident with severe cognitive impairment and physical disabilities was physically abused by another resident during an activity session in the dining room. The attack, which involved punching and scratching, resulted in a superficial injury. Staff members, including an LPN and the Resident Activity Director, witnessed the incident and confirmed it as physical abuse, indicating a failure to protect the resident.
A resident with severe cognitive impairment was involved in a physical altercation with another resident, resulting in minor injuries. Despite the incident being witnessed and considered abuse by staff, the Administrator did not report it to authorities, citing the resident's dementia and lack of serious harm. This action violated the facility's policy requiring immediate reporting of such incidents.
A resident, who was cognitively intact and had a diagnosis of aphasia, was subjected to verbal and mental abuse by a CNA. The abuse involved the CNA yelling derogatory language at the resident, which was witnessed by another resident. The facility's investigation confirmed the abuse, leading to the termination of the CNA.
The facility failed to ensure proper food storage, labeling, and cleanliness in the kitchen area. Observations revealed undated and improperly stored food items, expired food, and cleanliness issues with ceiling fans and a mop bucket. The Dietary Supervisor confirmed these deficiencies.
The facility failed to dispose of garbage and refuse properly. An observation revealed a large crack in the dumpster lid, which had been present for approximately three months according to the Dietary Supervisor.
A resident with intact cognition was found with six disposable medicine cups containing Tums on her bedside table without an assessment for self-administration or a physician's order. The DON confirmed that the resident had not been assessed for self-administration, contrary to the facility's policy.
The facility failed to allow residents unrestricted visitation, requiring family members to make appointments and limiting visiting hours from 10:00 a.m. to 8:00 p.m. This practice led to complaints from residents and their families, who faced difficulties scheduling visits and expressed concerns over the restricted visitation policy.
Dirty and Damaged Bedroom Ceilings
Penalty
Summary
The facility failed to ensure bedroom ceilings were kept in a clean, sanitary manner and in good repair in 4 rooms: Room a, Room b, Room c, and Room d. During observations, an unknown brownish-black substance was seen on the surface of several ceiling tiles in each of the four rooms, and in Room d the substance was also observed along the junction of the wall and ceiling. Room b and Room a also had several loose fitting ceiling tiles. Resident #2 stated during interview that the ceiling in Room d was dirty. The same conditions were observed repeatedly over two days. Room d continued to show the brownish-black substance on several ceiling tiles and along the wall-ceiling junction. Room c had the substance on several ceiling tiles, while Room b and Room a continued to have several loose fitting ceiling tiles with the same substance on them. During an observation with the S1 Administrator, all four rooms were confirmed to have several ceiling tiles spotted with the unknown brownish-black substance, Room d had the substance in several areas at the wall-ceiling junction, and Room a and Room b had loose fitting tiles. The S1 Administrator confirmed the rooms were not clean and not in good repair as required.
Medication Availability and Controlled Substance Reconciliation Deficiencies
Penalty
Summary
The facility failed to ensure that medications were available and administered as ordered for a resident with multiple diagnoses, including dementia, unspecified psychosis, Parkinson's disease, and anxiety. The resident had a physician's order for Klonopin 0.5 mg to be administered twice daily, but the medication was not available from the pharmacy for several consecutive days. Nursing administration notes and interviews with nursing staff confirmed that the medication was not received and, therefore, not administered as ordered on multiple occasions. Additionally, the facility did not maintain accurate or complete records for controlled substances on two medication carts. Review of controlled substance count sheets for two residents revealed missing information, such as the date and time medications were received, inaccurate distribution amounts, incomplete on-hand amounts, and missing nurse signatures. There was also a lack of documented evidence for the receipt and disposition of controlled medications for these residents. Further review of the controlled drug inventory forms for both medication carts showed multiple instances where required shift change reconciliations were not completed or lacked the necessary signatures from both oncoming and off-going nurses. Interviews with nursing staff and the administrator confirmed that the controlled substance reconciliations were incomplete or inaccurate, and that the forms should have been properly completed and verified.
Expired Medication Found Accessible on Medication Cart
Penalty
Summary
A deficiency occurred when a bottle of atorvastatin 20 mg, prescribed for a resident to be taken daily, was found on Medication Cart b with a discard by date that had already passed. The expired medication was still available for use, contrary to the facility's Storage of Medications policy, which requires that no discontinued, outdated, or deteriorated medications be used and that such medications be recycled or destroyed. This was confirmed through observation of the medication cart, review of the resident's physician orders, and interviews with both the LPN and the Director of Nursing, who acknowledged that the expired medication should not have been accessible for resident use. The incident involved a resident with an active order for atorvastatin, and the expired medication was found during a review of the medication cart, with staff confirming the oversight.
Improper Food Storage, Labeling, and Thawing Practices Identified
Penalty
Summary
Surveyors observed multiple deficiencies in the facility's food storage and preparation practices. In the kitchen refrigerator, an opened box of uncooked bacon was stored above containers of orange juice, and several opened food items—including shredded cheddar cheese, American cheese, liquid eggs, sour cream, and Italian dressing—were found without labels or dates. Additional unlabeled and undated items, such as crab cakes, peas, and cooked meat, were also present. Individually wrapped sandwiches prepared the previous evening were left unrefrigerated from early morning, resulting in internal temperatures of 74°F and 71.5°F for turkey/mayonnaise and ham/mayonnaise sandwiches, respectively. Staff interviews confirmed that all food items should be labeled and dated, and that meat should not be stored above other foods. The dietary manager also acknowledged that the sandwiches should have remained refrigerated and that bacon should be stored on the bottom shelf. Further deficiencies were identified in the facility's food thawing procedures. Five bags of raw chicken, each with holes allowing water to enter, were found submerged in standing water in the facility's sanitization sink, with no running water present. The dietary manager confirmed that this was not the correct method for defrosting chicken and that it should have been thawed in the refrigerator instead. These observations and staff interviews demonstrate failures to store, label, and thaw food in accordance with professional standards and facility policy.
Failure to Post Employee Rights Against Retaliation for Reporting Crimes
Penalty
Summary
The facility failed to ensure that a notice of employees' rights against retaliation for reporting crimes against residents was posted in a conspicuous location, as required by the United States Social Security Act Title XI, Part A, Section 1150B(d)(3). Observations conducted in the employee common areas revealed that there was no signage related to employees' rights against retaliation for reporting suspected crimes. This was confirmed during multiple interviews with facility staff, including an LPN, the DON, and a Registered Nurse/Treatment Nurse, all of whom indicated that they had not seen such signage posted in the facility. Further, the facility administrator confirmed that there was no evidence to show that the required sign had ever been posted in a conspicuous location. The absence of this signage means that staff were not provided with the mandated information regarding their rights and the process for filing complaints if they experienced retaliation for reporting suspected crimes against residents. No information about specific residents or their medical conditions was included in the report.
Failure to Develop Care Plan for Skin Tear Prevention
Penalty
Summary
A deficiency was identified when the facility failed to develop and implement a care plan to address the prevention of skin tear injuries for a resident with multiple risk factors. The resident was admitted with diagnoses including a laceration to the left forearm, muscle weakness, lack of coordination, vision problems, and vascular dementia. The resident was also prescribed Plavix, a medication that increases the risk of bleeding. Despite these risk factors, the facility's records showed multiple incidents of skin tear injuries over several months. Review of the resident's care plan revealed no documented interventions or strategies to prevent further skin tear injuries. Interviews with facility staff confirmed that no care plan addressing these risks was developed or implemented, and no explanation was provided for this omission. The lack of a care plan occurred despite repeated incidents and the resident's ongoing vulnerability to injury.
Missed Administration of Prescribed Antibiotic for UTI
Penalty
Summary
A resident diagnosed with a urinary tract infection (UTI) was prescribed Sulfamethoxazole/Trimethoprim 800/160 mg to be administered orally twice daily for seven days, starting on 05/14/2025 at 8:00AM. Review of the electronic Medication Administration Record (eMAR) showed that the resident did not receive the scheduled morning dose as ordered. The medication was available in the facility's Emergency Drug Kit at the time the dose was due. Interviews with nursing staff and the Director of Nursing confirmed that the medication should have been administered from the Emergency Drug Kit if it was not available from the pharmacy. However, the staff did not administer the medication as ordered, and one nurse indicated a lack of knowledge regarding the contents of the Emergency Drug Kit. The administrator was unable to provide an explanation for the missed dose despite the medication's availability.
Failure to Accurately Document Medication Administration in eMAR
Penalty
Summary
A deficiency occurred when the facility failed to ensure accurate documentation of medication administration in the electronic Medication Administration Record (eMAR) for a resident diagnosed with Parkinson's disease and anxiety. The resident had a physician's order for Sinemet 25-100 mg to be administered orally three times daily. Review of the eMAR for May 2025 showed that the administration of Sinemet at 10:00 PM was not documented on two specific dates. During interviews, the LPN responsible confirmed that the medication was administered on those dates but was not documented in the eMAR as required by facility policy. The administrator also acknowledged that the medication administration was not properly documented.
Improper Handling of Multi-Dose Wound Cleanser During Wound Care
Penalty
Summary
The facility failed to follow infection control guidelines regarding the use of a multi-dose bottle of wound cleanser during wound care for two residents. Observations showed that a registered nurse/treatment nurse used the same bottle of wound cleanser to spray directly onto the wounds of two different residents, holding the bottle close to each wound. After each use, the nurse placed the bottle back onto the treatment cart and into a drawer without disinfecting it or placing it in a protective container to prevent cross-contamination. Interviews confirmed that the same bottle was used for both residents without any sanitization between uses. The nurse acknowledged this practice, and the director of nursing indicated that the wound cleanser should not have been used in this manner. The report references CDC guidelines, which state that multi-dose wound care products should be dedicated to individual residents or handled in a way that prevents cross-contamination, which was not followed in these instances.
Failure to Complete and Document Post-Head Injury Neurological Assessments
Penalty
Summary
The facility failed to ensure that post head injury neurological assessments were completed and documented as required for one resident. According to the facility's policies, neurological observations should be performed every hour for four hours, every four hours for twenty hours, and every shift for forty-eight hours following a head injury. The policies also require that these assessments be documented by the nurse on duty and reviewed by the Director of Nursing for accuracy and content. However, review of the resident's medical record and incident reports revealed that there was no documented evidence that neurological assessments were performed or recorded during several required shifts after the resident was found with a laceration to the back of the head from an unknown origin. Interviews with facility staff, including the Registered Nurse Supervisor/Wound Care Nurse, the DON, and the Administrator, confirmed that the neurological assessments should have been completed and documented according to policy, but the facility could not provide any documentation for the specified shifts. The lack of documentation and completion of required neurological assessments constituted a failure to follow established protocols for monitoring residents after a head injury.
Failure to Maintain Required CNA Staffing Levels
Penalty
Summary
The facility failed to provide the required number of Certified Nursing Assistants (CNAs) per its own facility assessment on one of two days reviewed. According to the facility's assessment, 5 to 6 CNAs were needed on the day shift and 5 to 6 on the evening shift to meet the needs of an average census of 64 residents. However, on the day in question, only 4 CNAs were scheduled for the day shift and 5 for the evening shift. Time sheet reviews further revealed that during certain periods of the day and evening shifts, there were only 3 or 4 CNAs present, which was below the facility's identified minimum staffing requirements. Interviews with staff, including CNAs, the scheduler, and the Director of Nursing, confirmed that 5 to 6 CNAs were needed on the day shift to adequately meet resident needs, and that having fewer than this number made it difficult to provide appropriate care. The administrator also confirmed that more than 4 CNAs should have been working during the day and evening shifts to meet resident needs. There was no documented evidence that additional CNAs were present during the times when staffing was below the required level.
Failure to Protect Resident from Physical Abuse
Penalty
Summary
The facility failed to protect a resident's right to be free from physical abuse, as evidenced by an incident involving two residents. Resident #3, who has severe cognitive impairment and is dependent on staff for activities of daily living due to diagnoses of sequelae of Poliomyelitis and hemiplegia, was physically attacked by Resident #2. The altercation occurred in the dining room during an activity group session, where Resident #2 approached and punched Resident #3 in the face, causing a scratch on the chin with a small amount of bleeding. This incident was witnessed by staff members, including a Licensed Practical Nurse and the Resident Activity Director, who confirmed the occurrence of physical abuse. The facility's policy on identifying types of abuse defines physical abuse as actions such as hitting and slapping, which aligns with the actions taken by Resident #2 against Resident #3. Interviews with staff, including the Director of Nursing and the Administrator, corroborated that the altercation was considered physical abuse. Despite the presence of staff, the attack could not be prevented, highlighting a failure in protecting Resident #3, who was unable to defend herself due to her medical condition.
Failure to Report Resident-to-Resident Abuse
Penalty
Summary
The facility failed to report an alleged incident of resident-to-resident abuse within the required timeframe to the Health Standards Section (HSS). The incident involved Resident #2, who has a diagnosis of unspecified dementia with mood disturbance and severe cognitive impairment, as indicated by a Brief Interview for Mental Status (BIMS) score of 3. On the morning of 11/04/2024, Resident #2 was involved in an altercation with Resident #3 in the dining room during an activity group session. Witnesses, including a Licensed Practical Nurse (LPN) and the Resident Activity Director, observed Resident #2 approach and physically assault Resident #3 by punching and scratching their face, resulting in a small amount of bleeding. Despite the incident being witnessed and considered physical abuse by several staff members, including the Resident Activity Director and the Director of Nursing, the Administrator did not report the incident to the appropriate authorities. The Administrator believed that due to Resident #2's dementia diagnosis and the lack of serious bodily harm, the incident did not constitute abuse. This decision was contrary to the facility's policy, which mandates reporting all alleged and validated violations to the governing state agency.
Resident Subjected to Verbal and Mental Abuse by CNA
Penalty
Summary
The facility failed to protect a resident from verbal and mental abuse by a Certified Nursing Assistant (CNA). The incident involved a resident who was cognitively intact, with a Brief Interview for Mental Status (BIMS) score of 13, and had adequate hearing and vision. The resident was admitted with a diagnosis of aphasia. The abuse was substantiated through interviews and record reviews, revealing that the CNA yelled at the resident, using derogatory language. This incident was witnessed by another resident, who confirmed hearing the CNA yell at the resident multiple times. The facility's policy on abuse defines verbal abuse as language that includes disparaging and derogatory terms, and mental abuse as actions such as humiliation and harassment. The facility's investigation confirmed the abuse, and the CNA involved was terminated. The incident was reported in the Statewide Incident Management System, and the facility substantiated the verbal and mental abuse through their investigation, which included reports from other residents who also experienced verbal abuse from the same CNA.
Deficiencies in Food Storage, Labeling, and Kitchen Cleanliness
Penalty
Summary
The facility failed to ensure proper food storage, labeling, and cleanliness in the kitchen area. Observations revealed multiple instances of opened and undated food items in the walk-in cooler, including chicken breast chunks, fig preserve, cubed cheese, celery stalks, sliced ham, and sliced turkey. Additionally, a 10-pound roll of ground beef was found directly on the freezer floor due to a slanted bottom shelf. Expired food items, such as cinnamon rolls and Hershey's syrup, were also found in the walk-in freezer and cooler, respectively. The Dietary Supervisor confirmed these findings and acknowledged that food should be dated, labeled, and not stored on the floor or left open to air. Further observations identified cleanliness issues in the kitchen area, including two ceiling fans with a buildup of an unidentified gray substance and a yellow mop bucket with a buildup of an unidentified black substance. The ceiling fans, which were used during the day and blew over food preparation areas, were confirmed to be in need of cleaning. The Dietary Supervisor also confirmed that the yellow mop bucket, used daily to mop the kitchen area, should have been replaced due to its condition.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to dispose of garbage and refuse properly. An observation on 05/19/2024 at 9:10 a.m. revealed that the dumpster had a large crack in the lid. During an interview at the same time, the Dietary Supervisor confirmed the findings and indicated that the dumpster lid had been cracked for approximately three months.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to assess a resident for self-administration of medications, specifically for Resident #32. The facility's policy requires a self-medication consent and release form, a self-medication assessment by the Director of Nursing (DON), and an order from the resident's physician to keep medication in the room. However, Resident #32, who had intact cognition as indicated by a Brief Interview for Mental Status score of 15, was found with six disposable medicine cups containing different colored tablets on her bedside table. The resident identified these tablets as Tums, which she kept in her dresser drawer and bedside table without an order or assessment for self-administration. Observations over two days confirmed the presence of these medicine cups. Interviews with a Certified Nursing Assistant (CNA) and a Licensed Practical Nurse (LPN) revealed that the resident's granddaughter brought the tablets, and the LPN was unaware that the resident was self-administering Tums. The DON confirmed that Resident #32 had not been assessed for self-administration of medications and should not have had medications at the bedside. This oversight indicates a failure to follow the facility's policy on self-administration of medications.
Failure to Allow Unrestricted Visitation
Penalty
Summary
The facility failed to allow residents unrestricted visitation, as evidenced by the posted visitation hours and the requirement for family members to make appointments. Observations and interviews revealed that residents and their families were restricted to visiting hours from 10:00 a.m. to 8:00 p.m., and appointments had to be scheduled in advance. This practice was confirmed through interviews with staff, residents, and family members, who expressed frustration and concern over the limited and scheduled visitation times. For instance, Resident #30's family had to make an appointment to visit her in the lobby, and Resident #15's daughter faced difficulties scheduling visits due to the online system being fully booked for her preferred times. Additionally, the facility's visitation policy, updated in March 2024, aimed to maintain security, dignity, and the rights of all residents but inadvertently restricted visitation. The policy required visits to be scheduled to avoid interfering with resident care activities such as bath time, therapy, and meals. However, this led to complaints from family members and residents, as noted in a confidential interview, where it was mentioned that families and residents were reluctant to voice their concerns due to fear of retaliation. The administrator confirmed that the decision to set visiting hours and require appointments was made to avoid interference with resident care, but this practice ultimately limited residents' rights to receive visitors at their convenience.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Nursing homes near New Orleans
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| John J Hainkel Jr Home And Rehabilitation Center | 0.3 mi | ★★★★★ | 1 | 0 |
| Chateau De Notre Dame Community Care Center | 2.5 mi | ★★★★★ | 0 | 0 |
| Wynhoven Community Care Center | 2.5 mi | ★★★★★ | 2 | 0 |
| Marrero Healthcare Center | 2.8 mi | ★★★★★ | 3 | 0 |
| Jefferson Healthcare Center | 3.4 mi | ★★★★★ | 6 | 0 |
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