Above 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 June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Covington Skilled Nursing & Rehab Center during CMS and state inspections, most recent first.
The facility did not provide written notification to residents or their responsible parties regarding room changes, affecting three individuals with varying cognitive statuses and medical conditions. Staff interviews revealed inconsistent practices and a lack of awareness about the requirement for written notifications, with verbal communication and chart notes used instead. The facility's policy did not address the need for written notification.
A resident with respiratory failure and ongoing oxygen therapy did not have a current physician's order for oxygen after staff discontinued the order in error when changing monitoring frequency. Observations confirmed the resident continued to use oxygen without an active order, contrary to facility policy requiring a physician's order for oxygen administration.
The facility failed to ensure its activities program was led by a qualified professional, as the current Activity Director lacked required certification and prior experience, and was only enrolled in a certification program after surveyor inquiry. Oversight was provided by a DCS/RN who also lacked activity director certification, potentially affecting all residents.
The facility did not accurately complete its facility-wide assessment, omitting key information such as capacity and average daily census. The Administrator confirmed the submitted assessment was incorrect and later provided an unsigned, mismatched version.
Failure to Provide Written Room Change Notifications
Penalty
Summary
The facility failed to provide written notification to residents and/or their responsible parties regarding room changes, as required. Three residents were affected by this deficiency. One resident, who was cognitively intact and had diagnoses including adult failure to thrive, diabetes, and spinal stenosis, was moved between rooms multiple times without receiving written notice. Another resident with cognitive impairment and diagnoses of ventricular fibrillation, dementia, and acute kidney failure was moved to a different room, with only a phone message left for the responsible party and no written notification provided. A third resident, also cognitively intact and diagnosed with heart failure, diabetes, and osteoarthritis, did not receive written notice when a new roommate was assigned to their room. Interviews with staff, including the Social Service Designee (SSD), Regional Nurse, floor nurses, Assistant Director of Nursing (ADON), and Director of Nursing (DON), revealed a lack of awareness and inconsistent practices regarding the requirement for written room change notifications. The SSD reported notifying residents verbally and documenting in the chart, but was unaware of the need for written notification. Nursing staff denied completing any notification forms, and there was confusion among leadership about who was responsible for the process. Review of the facility's policy on room transfers showed no mention of written notification, only documentation in the resident chart.
Failure to Maintain Physician's Order for Oxygen Therapy
Penalty
Summary
A deficiency occurred when the facility failed to ensure a physician's order for oxygen was in place for a resident with a history of respiratory failure, hypertension, and diabetes mellitus. The resident's care plan and quarterly MDS assessment indicated ongoing oxygen therapy, and observations confirmed the resident was using oxygen via nasal cannula. However, review of the physician's orders revealed that after a certain date, there was no active order for oxygen therapy, only an order for routine tubing changes. Nursing notes indicated that the nurse practitioner discontinued daily oxygen saturation checks and changed monitoring to monthly, but the oxygen order itself was inadvertently discontinued at the same time. Further observations showed the resident wearing a nasal cannula, with the oxygen concentrator sometimes turned off, which was verified by the DON, who acknowledged the resident would turn off the oxygen at times. The DON also confirmed that the oxygen order should have remained in place and that its discontinuation was an error linked to the change in monitoring frequency. Facility policy required a physician's order for oxygen administration, which was not maintained in this case.
Unqualified Staff Directing Activities Program
Penalty
Summary
The facility failed to ensure that its activities program was directed by a qualified professional, as required by its own job description and regulatory standards. Review of the personnel file for the current Activity Director (AD) showed no evidence of appropriate qualifications or certification for the position. The AD was initially hired as an activity assistant and promoted to Activity Director after the previous director left, despite having no prior experience in an activity position and not being enrolled in a certification program at the time of promotion. The AD had attended a 13.5-hour training called Activity Director Bootcamp, but this did not count toward the required certification. The job description for the Activity Director position specified that certification through an accredited source was required. Interviews with the AD, the Administrator, and the Director of Clinical Services/Registered Nurse (DCS/RN) confirmed that neither the AD nor the DCS/RN held the necessary activity director certification. The DCS/RN, who had been overseeing the activities program since 2021, also lacked certification and only had limited experience in activity positions. Documentation showed that the AD was only enrolled in a certification program after surveyor inquiry, with enrollment confirmed on the day of the interview. This deficiency had the potential to affect all 56 residents in the facility.
Incomplete Facility Assessment Documentation
Penalty
Summary
The facility failed to accurately complete and document its facility-wide assessment, which is necessary to determine the resources required to care for residents during both routine operations and emergencies. Record review showed that the assessment, dated and signed by the Administrator, Regional Director of Operations, and DON, was reviewed at the Quality Assurance Agency meeting in January 2025 but did not include the facility's capacity or average daily census. During an interview, the Administrator confirmed that the assessment provided was missing this critical information and acknowledged that the version submitted was not correct. A second, unsigned version was later produced, which did not match the original assessment.
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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.
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How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Parkside Health Care Center | 6.3 mi | ★★★★★ | 4 | 0 |
| Masternick Memorial Health Care Center | 7.2 mi | ★★★★★ | 2 | 0 |
| St Mary's Alzheimer's Center | 7.7 mi | ★★★★★ | 0 | 0 |
| Beaver Valley Rehabilitation And Healthcare Center | 9.3 mi | ★★★★★ | 34 | 1 |
| Hampton Woods Nursing Center, Inc | 9.5 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release June 2026) and official state health department websites.