Above average — CMS composite of the measures below.
The next survey window likely opens around February 2027
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 Covington Post Acute during CMS and state inspections, most recent first.
Failure to Provide Scheduled Shower and Hygiene Assistance: The facility did not ensure scheduled ADL bathing and personal hygiene assistance was provided for multiple residents who required staff help. One resident with cognitive impairment and weakness reported receiving only a few showers since admission, while CNA documentation and interview confirmed repeated missed showers and lack of time to complete assigned care. Two other dependent residents with significant neurologic and medical conditions also had multiple missed baths/showers documented, and one was observed with a strong foul body odor. The DON confirmed the residents were scheduled for showers three times weekly and that refusals should be documented as refusals, not as NA or activity did not occur without explanation.
Resident trust balances exceeded the $2,000 Medicaid asset limit for 7 sampled residents. Financial record review showed multiple residents with balances ranging from slightly over the limit to more than $8,900 above it, despite the BOC and Administrator both stating that $2,000 was the maximum allowed in resident trust.
A resident with Alzheimer's disease, moderate cognitive impairment, and an Eliquis order fell while being changed and hit her head, causing a forehead bruise/hematoma and a skin tear to the elbow. The SBAR note showed the provider was not notified at the time of the incident, and an LPN later stated she called the resident's son but did not notify the physician or NP. The NP learned of the fall later during facility rounding, noted the resident's head injury and hip pain, and sent the resident to the ED for further evaluation.
The facility failed to maintain sanitary conditions in its kitchen, affecting food storage, preparation, and serving for all residents. The three-compartment sink was not functioning properly, with incomplete sanitation logs and awareness of the issue by supervisors. Observations revealed carbon buildup on cookware and undated or expired food items in storage areas.
The facility failed to ensure a safe and sanitary environment, with mildew found in multiple shared bathrooms and an unsanitary ice machine. Observations revealed dark black spots, identified as mildew, on ceilings and walls due to ventilation issues. The ice machine had a black substance, dust buildup, and an ice scoop resting in water. The Maintenance Supervisor was unaware of the extent of the mildew problem until informed by State Agency staff.
An LPN failed to perform hand hygiene during incontinent care for a resident with severe cognitive impairment and a pressure ulcer, using the same gloves to handle a faucet and wet a towel. Additionally, the LPN did not wear a gown during PEG site care for another resident, contrary to enhanced barrier precautions. The DON confirmed the need for proper PPE use.
Failure to Provide Scheduled Shower and Hygiene Assistance
Penalty
Summary
The facility failed to ensure ADL assistance was provided for showering and personal hygiene for 3 of 4 sampled residents reviewed for ADLs. Facility policy stated residents unable to perform ADLs independently would receive services necessary to maintain grooming and personal/oral hygiene, and the resident rights policy stated residents had the right to receive services included in the plan of care and to have reasonable accommodation of needs and preferences. Resident #2 had diagnoses including mild cognitive impairment, lack of coordination, and muscle weakness with need for assistance with personal care. The care plan and MDS showed the resident required staff assistance with ADLs, including partial to moderate assistance with showering and supervision to touch assistance with personal hygiene. The resident was scheduled for showers three times weekly, but shower documentation showed repeated missed showers across December 2025 through March 2026, and the record reflected only 4 showers from 12/17/2025 through 3/25/2026. The resident stated he had not received a shower but about 4 times since admission and said he had told a nurse, but nothing had been done. CNA A stated she was responsible for the resident’s showers, said she often did not have enough time to complete assigned showers, and stated the last shower she gave him was about 3 weeks earlier. Resident #8 had diagnoses including hemiplegia, dysphagia, malnutrition, seizures, and gastrostomy status, and the care plan stated the resident needed total assist for bathing. The resident was dependent on staff with ADLs and was scheduled for showers three times weekly, but bathing task documentation showed multiple missed baths/showers in January, February, and March 2026. During observation, the resident was in bed with a strong foul body odor noted in the room and stated he did not get showers/baths like he was scheduled. Resident #67 had diagnoses including hemiplegia, traumatic brain injury, malnutrition, and dementia, and the care plan stated the resident needed moderate to maximum assistance for bathing. The resident was also scheduled for showers three times weekly, but bathing task documentation showed missed baths/showers in January, February, and March 2026. During observation, the resident stated she did not get 3 baths a week and sometimes only got one a week. The DON confirmed the residents were scheduled for showers on Tuesday, Thursday, and Saturday, and stated that if residents refused, the documentation should reflect refusal rather than NA or activity did not occur without explanation.
Resident Trust Balances Exceeded Medicaid Asset Limit
Penalty
Summary
The facility failed to honor residents’ right to manage their financial affairs by not maintaining resident trust balances under the $2,000 Tennessee Medicaid asset limit for 7 of 55 sampled residents. Review of the American Council on Aging website showed that in 2026, a single Medicaid nursing home applicant in Tennessee must have assets under $2,000. Financial document review showed Resident #12 had a balance of $10,975.19, Resident #14 had $8,106.10, Resident #30 had $2,808.26, Resident #37 had $2,542.12, Resident #50 had $5,639.36, Resident #78 had $3,348.96, and Resident #84 had $4,764.38, all above the allowable limit. Medical record review identified these residents as having diagnoses including COPD, HTN, A-fib, anxiety, Alzheimer's, bipolar disorder, dementia, epilepsy, depression, diabetes, anemia, kidney disease, seizures, osteoarthritis, and chronic pain. During interview, the BOC stated the account limit was $2,000, and the Administrator also stated that $2,000 should be the maximum in resident trust. Despite this, the reviewed resident statements showed balances exceeding the limit for each of the seven residents.
Failure to Notify Provider After Resident Fall With Injury
Penalty
Summary
The facility failed to notify the physician after a resident fell and sustained injuries. The resident had diagnoses including Alzheimer's disease, malnutrition, hypertension, and depression, and was dependent on staff for ADLs with a BIMS score of 8, indicating moderate cognitive impairment. The resident also had an order for Eliquis, a blood thinner, which increased concern after the fall. According to the SBAR note, the resident rolled from her bed to the floor while being changed by a CNA. The resident struck her head and sustained a bruise to the forehead and a skin tear to the left elbow. Nursing staff assessed the resident, cleaned and dressed the skin tear, and placed another CNA in the room to help prevent the resident from slipping over the edge of the bed while care was completed. The note documented that the provider was not notified at the time of the incident. The NP later documented that she became aware of the fall two days later during review and discussion with nursing staff. At that time, the resident had a left forehead hematoma and complained of left hip pain, and the NP noted the resident was on Eliquis and was sent to the emergency department for further evaluation and imaging. During interviews, the LPN stated she called the resident's son but did not think she notified the physician or NP, and acknowledged the fall should have been reported to the provider the same day. The NP and DON both stated that staff should notify the provider when a resident has a fall with injury.
Sanitation and Food Storage Deficiencies
Penalty
Summary
The facility failed to maintain sanitary conditions in its kitchen, affecting the storage, preparation, and serving of food to all 76 residents. Observations revealed that the three-compartment sink used for washing, rinsing, and sanitizing cookware was not functioning properly, as the sanitation test strip indicated no sanitation solution was present. This issue had persisted for about a month, and both the Dietary and Maintenance Supervisors were aware of the malfunction. Additionally, the sanitation logs for the three-compartment sink were incomplete, with multiple instances where the required chemical strip tests were not performed. Further inspection of the kitchen and storage areas uncovered several unsanitary conditions. Carbon buildup was observed on multiple pieces of cookware, including stock pots and a cast iron skillet. In the walk-in cooler, undated and expired food items were found, such as a bowl of yellow gelatin, an unfrosted cake, and packages of sliced ham. In the dry storage area, an opened and unsecured box of dried pinto beans was noted. Additionally, expired orange sherbet cups were found in the nutritional refrigerator at the nurse's station. The Dietary Supervisor confirmed the responsibility for ensuring proper labeling, dating, and disposal of expired food, as well as maintaining the sanitation logs.
Facility Fails to Maintain Sanitary Environment
Penalty
Summary
The facility failed to maintain a safe, sanitary, and comfortable environment for its residents, staff, and visitors, as evidenced by the presence of mildew in multiple shared bathrooms and an unsanitary ice machine. Observations revealed dark black spots, identified as mildew, on the ceilings and walls of shared bathrooms in various rooms across the 100, 300, and 400 halls. These observations were made over several days, indicating a persistent issue. The Maintenance Supervisor confirmed that the mildew was due to ventilation fan issues, which had not been addressed in a timely manner. Additionally, the ice machine on the 400 hall was found to be in an unsanitary condition, with a dark black substance on the upper inside rim, dust particle buildup on the ledge and filter, and the ice scoop resting in water. Despite a work history report indicating that the ice machine was cleaned and maintained on time, the observations contradicted this, showing a lack of proper sanitation practices. Interviews with the Maintenance Supervisor revealed a lack of awareness regarding the extent of the mildew problem until it was pointed out by State Agency staff. The supervisor admitted to checking rooms randomly on a weekly basis but was unaware of the mildew in the resident bathrooms. This oversight highlights a failure in the facility's monitoring and maintenance processes, contributing to the unsanitary conditions observed.
Infection Control Deficiencies in Resident Care
Penalty
Summary
The facility failed to maintain infection prevention practices during care activities for two residents. An LPN did not perform hand hygiene during incontinent care for a resident with severe cognitive impairment and a stage 2 pressure ulcer. The LPN wore gloves while handling the resident's brief, then used the same gloves to turn on a faucet and wet a towel without performing hand hygiene, before continuing with the care. This action was contrary to the facility's hand hygiene policy, which requires hand hygiene after handling contaminated objects and before performing resident care procedures. Additionally, the same LPN did not follow enhanced barrier precautions during PEG site care for another resident with severe cognitive impairment and a gastrostomy tube. The LPN performed the site care without donning a gown, which is required PPE for such procedures according to the facility's transmission-based precautions policy. The LPN acknowledged the oversight, and the DON confirmed that a gown should have been worn during the procedure.
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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.
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Nursing homes near Covington
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Magnolia Creek Nursing And Rehabilitation | 1.8 mi | ★★★★★ | 7 | 0 |
| Ripley Healthcare And Rehab Center | 13.5 mi | ★★★★★ | 3 | 0 |
| Lauderdale Community Living Center | 14.1 mi | ★★★★★ | 29 | 1 |
| Gallaway Health And Rehab | 16.2 mi | ★★★★★ | 3 | 1 |
| Haywood Post Acute | 18.9 mi | ★★★★★ | 0 | 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 July 2026) and official state health department websites.