Federal inspection record · CMS data as of October 1, 2026

Covenant Woods Nursing Home

7090 Covenant Woods Drive, Mechanicsville, VA · (804) 569-8003

CMS overall rating

4 of 5

Compare with a nearby home →
Certified beds
62
Residents per day
55
Ownership
Non-Profit
Chain
No chain reported
Medicare / Medicaid
Medicare
Certified since
December 15, 2015

1

How this home got 4 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Virginia.

  2. Staffing

    no change

    Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    4 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Virginia homes

Covenant Woods Nursing Home carries 16 inspection points. That is fewer than 90% of Virginia's 287 rated homes.

5★4★3★2★1★+9 homes above 494.7505102550100200400inspection points → fewer is better on the leftThis home · 16 pts · 4★

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Virginia: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

  • 5★ 0–16 pts
  • 4★ 16–45 pts
  • 3★ 45–76.5 pts
  • 2★ 76.5–168.75 pts
  • 1★ over 168.75 pts

Bars show every rated home in Virginia by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

13 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts
K 0 100 pts
L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 12 4 pts
E 0 8 pts
F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 1 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care6D
  1. D

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    March 13, 2024 · Complaint · F690 · Corrected April 25, 2024

  2. D

    Provide safe and appropriate respiratory care for a resident when needed.

    March 13, 2024 · Standard · F695 · Corrected April 25, 2024

  3. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    March 13, 2024 · Standard · F700 · Corrected April 25, 2024

  4. D

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    April 21, 2022 · Standard · F700 · Corrected June 3, 2022

  5. D

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

    February 25, 2021 · Standard · F689 · Corrected April 8, 2021

  6. D

    Provide safe and appropriate respiratory care for a resident when needed.

    February 25, 2021 · Standard · F695 · Corrected April 8, 2021

Pharmacy Service3D
  1. D

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

    February 25, 2021 · Standard · F756 · Corrected April 8, 2021

  2. D

    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.

    February 25, 2021 · Standard · F758 · Corrected April 8, 2021

  3. D

    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.

    February 25, 2021 · Standard · F761 · Corrected April 8, 2021

Resident Assessment and Care Planning2D
  1. D

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

    March 13, 2024 · Standard · F656 · Corrected April 25, 2024

  2. D

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

    March 13, 2024 · Complaint · F658 · Corrected April 25, 2024

Nutrition and Dietary1C
  1. C

    Dispose of garbage and refuse properly.

    April 21, 2022 · Standard · F814 · Corrected June 3, 2022

Resident Rights1D
  1. D

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

    February 25, 2021 · Standard · F550 · Corrected April 8, 2021

Inspection history

  1. 2024-03-13

    5 health deficiencies · 0 fire-safety deficiencies

    Top issue: Quality of Life and Care (3 deficiencies)

  2. 2022-04-21

    2 health deficiencies · 0 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  3. 2021-02-25

    6 health deficiencies · 9 fire-safety deficiencies

    Top issue: Pharmacy Service (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 4 h 47 min of nursing staff time a day, 29 min of it from a registered nurse.

This home

4 h 47 min

Virginia average

3 h 53 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Number of hospitalizations per 1000 long-stay resident daysAbout the same1.41.41.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.2 pts worse1.61.41.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine13 pts worse78.2%91.2%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine28.9 pts worse64.4%93.3%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.5 pts better3.0%3.5%3.2%
Percentage of long-stay residents who have depressive symptoms20.5 pts better0.0%20.5%13.5%
Percentage of long-stay residents who lose too much weight0.9 pts better4.4%5.3%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication9.3 pts better11.4%20.7%19.5%
Percentage of long-stay residents who received an antipsychotic medication12.3 pts worse26.5%14.2%15.4%
Percentage of long-stay residents who were physically restrained0.1 pts better0.0%0.1%0.1%
Percentage of long-stay residents whose ability to walk independently worsened16.2 pts worse30.4%14.2%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased6 pts worse20.5%14.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse0.5%0.4%0.7%
Percentage of long-stay residents with a urinary tract infection0.1 pts better1.5%1.6%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence16.6 pts better4.7%21.3%18.3%
Percentage of long-stay residents with pressure ulcers1 pts better3.4%4.4%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine14.8 pts worse59.4%74.2%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.3 pts better11.2%11.5%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts worse2.7%1.3%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.7 pts better76.0%73.3%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.8 pts better19.2%22.0%23.4%

·

Who owns and runs it

48 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Adams, RichardCorporate Director · Individual0%1 facilities
Adams, RichardOperational/Managerial Control · Individual0%1 facilities
Armor, BrandonCorporate Director · Individual0%1 facilities
Baker Tilly Advisory Group LPAdp Of The SNF · Organization0%83 facilities
Baker Tilly Us LlpAdp Of The SNF · Organization0%75 facilities
Ball, MelissaCorporate Director · Individual0%1 facilities
Beaulieu, KelseyCorporate Director · Individual0%1 facilities
Beaulieu, KelseyOperational/Managerial Control · Individual0%1 facilities
Bowers, RogerCorporate Director · Individual0%1 facilities
Cedarfield CorporationAdp Of The SNF · Organization0%1 facilities
Chiles Healthcare Consulting, LLCAdp Of The SNF · Organization0%1 facilities
Clingman, EdCorporate Director · Individual0%1 facilities
Clingman, EdOperational/Managerial Control · Individual0%1 facilities
Cooke, KarenCorporate Director · Individual0%1 facilities
Cooke, MarjorieOperational/Managerial Control · Individual0%1 facilities
Covenant WoodsOperational/Managerial Control · Organization0%1 facilities
Davis, CarrieOperational/Managerial Control · Individual0%1 facilities
Davis, CarrieAdp Of The SNF · Individual0%1 facilities
Dhaliwal, AnjuOperational/Managerial Control · Individual0%1 facilities
Floyd, AbigailOperational/Managerial Control · Individual0%1 facilities
Fuller, DavidCorporate Director · Individual0%1 facilities
Gibbons, RichardOperational/Managerial Control · Individual0%1 facilities
Graves, CharlesCorporate Director · Individual0%1 facilities
Hamann, KatieOperational/Managerial Control · Individual0%1 facilities
Jackson, LafonCorporate Officer · Individual0%1 facilities
Jackson, LafonOperational/Managerial Control · Individual0%1 facilities
Karim, KhalidAdp Of The SNF · Individual0%1 facilities
Kent, JanetCorporate Director · Individual0%1 facilities
Kottkamp, NathanOperational/Managerial Control · Individual0%1 facilities
Mauritsen, ErikCorporate Officer · Individual0%1 facilities
O'conner, JoeCorporate Director · Individual0%1 facilities
O'conner, JoeOperational/Managerial Control · Individual0%1 facilities
Oley, AnthonyAdp Of The SNF · Individual0%1 facilities
Parks, JuanitaCorporate Officer · Individual0%2 facilities
Parks, JuanitaOperational/Managerial Control · Individual0%2 facilities
Pearson, LindaCorporate Director · Individual0%1 facilities
Pisecki, MarieOperational/Managerial Control · Individual0%1 facilities
Russell, KyleCorporate Director · Individual0%1 facilities
Russell, KyleOperational/Managerial Control · Individual0%1 facilities
Satterlund, MicheleCorporate Director · Individual0%1 facilities
Satterlund, MicheleOperational/Managerial Control · Individual0%1 facilities
Scholer, JohnCorporate Director · Individual0%1 facilities
Stokes, PatriceOperational/Managerial Control · Individual0%1 facilities
Tomes, MeghanOperational/Managerial Control · Individual0%1 facilities
Tomes, MeghanAdp Of The SNF · Individual0%1 facilities
Tulli, JuliaOperational/Managerial Control · Individual0%1 facilities
Wright, ThomasCorporate Officer · Individual0%2 facilities
Wright, ThomasOperational/Managerial Control · Individual0%2 facilities

·

Fire safety

9 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke3F
  1. F

    Inspect, test, and maintain automatic sprinkler systems.

    February 25, 2021 · K353 · Corrected May 6, 2021

  2. D

    Install corridor and hallway doors that block smoke.

    February 25, 2021 · K363 · Corrected May 6, 2021

  3. D

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    February 25, 2021 · K372 · Corrected May 6, 2021

Egress3E
  1. E

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    February 25, 2021 · K211 · Corrected May 6, 2021

  2. E

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    February 25, 2021 · K223 · Corrected May 6, 2021

  3. E

    Have properly located and lighted "Exit" signs.

    February 25, 2021 · K293 · Corrected May 6, 2021

Services2E
  1. E

    Have properly installed electrical wiring and gas equipment.

    February 25, 2021 · K511 · Corrected May 6, 2021

  2. D

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    February 25, 2021 · K521 · Corrected May 6, 2021

Gas, Vacuum, and Electrical Systems1F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    February 25, 2021 · K918 · Corrected May 6, 2021

·

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