Deficiency timeline

Coventry House Inn

Dated inspection findings, penalties, and correction notes for this continuing care retirement community in St Joseph, MI. Newest events first.

31 eventsClass insights →
  1. Class IIIPotential for more than minimal harm (F)cms

    F0801: Nutrition and Dietary

    Nutrition & dietary

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Corrected Feb 13, 2026

  2. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Feb 13, 2026

  3. Class IIIPotential for more than minimal harm (D)cms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Feb 13, 2026

  4. Class IIIPotential for more than minimal harm (D)cms

    F0553: Resident Rights

    Resident rights

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected Feb 13, 2026

  5. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Feb 13, 2026

  6. Class IIIPotential for more than minimal harm (D)cms

    F0657: Resident Assessment and Care Planning

    Assessment & care planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected Feb 13, 2026

  7. Class IIIPotential for more than minimal harm (D)cms

    F0677: Quality of Life and Care

    Quality of life & care

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected Feb 13, 2026

  8. Class IIIPotential for more than minimal harm (D)cms

    F0804: Nutrition and Dietary

    Nutrition & dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected Feb 13, 2026

  9. Class IIIPotential for more than minimal harm (D)cms

    F0842: Resident Assessment and Care Planning

    Assessment & care planning

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected Feb 13, 2026

  10. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Feb 13, 2026

  11. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Jan 10, 2025

  12. Class IIIPotential for more than minimal harm (E)cms

    F0804: Nutrition and Dietary

    Nutrition & dietary

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected Jan 10, 2025

  13. Class IIIPotential for more than minimal harm (D)cms

    F0658: Resident Assessment and Care Planning

    Assessment & care planning

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected Jan 10, 2025

  14. Class IIIPotential for more than minimal harm (D)cms

    F0684: Quality of Life and Care

    Quality of life & care

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected Jan 10, 2025

  15. Class IIIPotential for more than minimal harm (D)Complaint-relatedcms

    F0689: Quality of Life and Care

    Quality of life & care

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected Jan 10, 2025

  16. Class IIIPotential for more than minimal harm (D)cms

    F0756: Pharmacy Service

    Pharmacy services

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Corrected Jan 10, 2025

  17. Class IIIPotential for more than minimal harm (D)cms

    F0758: Pharmacy Service

    Pharmacy services

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

    Corrected Jan 10, 2025

  18. Class IIIPotential for more than minimal harm (D)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jan 10, 2025

  19. Class IIIPotential for more than minimal harm (F)cms

    F0680: Quality of Life and Care

    Quality of life & care

    Ensure the activities program is directed by a qualified professional.

    Corrected Dec 8, 2023

  20. Class IIIPotential for more than minimal harm (F)cms

    F0812: Nutrition and Dietary

    Nutrition & dietary

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected Dec 8, 2023

  21. Class IIIPotential for more than minimal harm (F)cms

    F0835: Administration

    Administration

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected Dec 8, 2023

  22. Class IIIPotential for more than minimal harm (E)cms

    F0761: Pharmacy Service

    Pharmacy services

    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.

    Corrected Dec 8, 2023

  23. Class IIIPotential for more than minimal harm (E)cms

    F0880: Infection Control

    Infection control

    Provide and implement an infection prevention and control program.

    Corrected Jan 8, 2024

  24. Class IIIPotential for more than minimal harm (E)cms

    F0883: Infection Control

    Infection control

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

    Corrected Dec 8, 2023

  25. Class IIIPotential for more than minimal harm (D)cms

    F0550: Resident Rights

    Resident rights

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected Dec 8, 2023

  26. Class IIIPotential for more than minimal harm (D)cms

    F0554: Resident Rights

    Resident rights

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected Dec 8, 2023

  27. Class IIIPotential for more than minimal harm (D)cms

    F0583: Resident Rights

    Resident rights

    Keep residents' personal and medical records private and confidential.

    Corrected Dec 8, 2023

  28. Class IIIPotential for more than minimal harm (D)cms

    F0655: Resident Assessment and Care Planning

    Assessment & care planning

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected Dec 8, 2023

  29. Class IIIPotential for more than minimal harm (D)cms

    F0656: Resident Assessment and Care Planning

    Assessment & care planning

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected Jan 8, 2024

  30. Class IIIPotential for more than minimal harm (D)cms

    F0759: Pharmacy Service

    Pharmacy services

    Ensure medication error rates are not 5 percent or greater.

    Corrected Dec 8, 2023

  31. Class IIIPotential for more than minimal harm (D)cms

    F0921: Environmental

    Environment

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected Dec 8, 2023

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AHCA class rollups without individual citation dates appear as a single summary row. CMS nursing home deficiencies include survey date, tag, category, scope/severity, and fine amounts when published. Back to community profile