St Joseph, MI

Coventry House Inn

4-star overall rating with 3-star inspections with 8 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

3905 Lorraine Path, St Joseph, MI

(269) 428-1111

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

32

Certified beds

Average residents

29

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Symphony Care Network

Operator or chain grouping

Approved since

2003-03-14

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

1.78

Registered nurse staffing

LPN hours / resident day

0.26

Licensed practical nurse staffing

Aide hours / resident day

2.41

Nurse aide staffing

Weekend hours

4.04

Weekend nurse staffing

RN turnover

29%

Annual RN turnover

Total nurse turnover

36%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
95.0%
5 pts better
93.4%
6.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents experiencing one or more falls with major injury 6.1%
3.1%
3 pts worse
3.3%
2.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 0.0%
4.1%
4.1 pts better
11.4%
11.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 6.2%
5.5%
0.7 pts worse
5.4%
0.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 6.1%
19.6%
13.5 pts better
19.6%
13.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 26.9%
16.5%
10.4 pts worse
16.7%
10.2 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 12.9%
11.7%
1.2 pts worse
14.9%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.9%
0.9 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
1.7%
1.7 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 10.3%
20.4%
10.1 pts better
19.8%
9.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 0.0%
5.6%
5.6 pts better
5.1%
5.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.0%
82.8%
14.2 pts better
81.7%
15.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 6.3%
11.5%
5.2 pts better
12.0%
5.7 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.5%
1.3%
0.8 pts better
1.6%
1.1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 89.8%
79.5%
10.3 pts better
79.7%
10.1 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 30.4%
24.2%
6.2 pts worse
23.9%
6.5 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-12-05 · Fire 2024-12-05

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2023-11-02 · Fire 2023-11-02

13 health deficiencies

Top issue: Resident Rights (3 deficiencies)

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2022-10-20 · Fire 2022-10-20

9 health deficiencies

Top issue: Administration (2 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-12-05

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2025-01-10

F · Potential for more than minimal harm 2024-12-05

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-01-10

F · Potential for more than minimal harm 2024-12-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-01-10

F · Potential for more than minimal harm 2024-12-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-12-05

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-12-05

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2025-01-10

F · Potential for more than minimal harm 2023-11-02

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-12-04

F · Potential for more than minimal harm 2023-11-02

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-12-04

F · Potential for more than minimal harm 2023-11-02

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-12-04

E · Potential for more than minimal harm 2023-11-02

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-12-04

F · Potential for more than minimal harm 2023-05-16

K711 · Miscellaneous Deficiencies

Fire Safety

Provide a written emergency evacuation plan.

Corrected 2023-06-28

E · Potential for more than minimal harm 2023-05-16

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-06-28

Inspection history

Recent health citations

F · Potential for more than minimal harm 2024-12-05

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-01-10

E · Potential for more than minimal harm 2024-12-05

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-12-05

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-12-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-12-05

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-12-05

F756 · Pharmacy Service Deficiencies

Health

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

Corrected 2025-01-10

D · Potential for more than minimal harm 2024-12-05

F758 · Pharmacy Service Deficiencies

Health

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 2025-01-10

D · Potential for more than minimal harm 2024-12-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-01-10

F · Potential for more than minimal harm 2023-11-02

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2023-12-08

F · Potential for more than minimal harm 2023-11-02

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-12-08

F · Potential for more than minimal harm 2023-11-02

F835 · Administration Deficiencies

Health

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

Corrected 2023-12-08

E · Potential for more than minimal harm 2023-11-02

F761 · Pharmacy Service Deficiencies

Health

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 2023-12-08

E · Potential for more than minimal harm 2023-11-02

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-01-08

E · Potential for more than minimal harm 2023-11-02

F883 · Infection Control Deficiencies

Health

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

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-02

F550 · Resident Rights Deficiencies

Health

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

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-02

F554 · Resident Rights Deficiencies

Health

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

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-02

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-02

F655 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-01-08

D · Potential for more than minimal harm 2023-11-02

F759 · Pharmacy Service Deficiencies

Health

Ensure medication error rates are not 5 percent or greater.

Corrected 2023-12-08

D · Potential for more than minimal harm 2023-11-02

F921 · Environmental Deficiencies

Health

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

Corrected 2023-12-08

F · Potential for more than minimal harm 2022-10-20

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-11-11

F · Potential for more than minimal harm 2022-10-20

F838 · Administration Deficiencies

Health

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

Corrected 2022-11-11

F · Potential for more than minimal harm 2022-10-20

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2022-11-11

F · Potential for more than minimal harm 2022-10-20

F921 · Environmental Deficiencies

Health

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

Corrected 2022-11-11

D · Potential for more than minimal harm 2022-10-20

F554 · Resident Rights Deficiencies

Health

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

Corrected 2022-11-11

D · Potential for more than minimal harm 2022-10-20

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-11-11

D · Potential for more than minimal harm 2022-10-20

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-11-11

D · Potential for more than minimal harm 2022-10-20

F758 · Pharmacy Service Deficiencies

Health

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 2022-11-11

D · Potential for more than minimal harm 2022-10-20

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2022-11-11

Penalties and ownership

What sits behind the stars

Ownership

Symphony Of Michigan Holdings LLC

5% Or Greater Direct Ownership Interest · Organization

100% 5 facilities 2019-09-01
Aria Consulting Services LLC

Operational/Managerial Control · Organization

0% 2 facilities 2019-09-01
Benoit Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2019-09-01
Calumet South LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2019-09-01
Drake Louis Enterprise, LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 8 facilities 2019-09-01
Fairhome Trust Uad 12312012

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2019-09-01
Gzlt Holdings LLC

5% Or Greater Indirect Ownership Interest · Organization

0% 5 facilities 2019-09-01
Hartman, David

5% Or Greater Indirect Ownership Interest · Individual

0% 8 facilities 2019-09-01
Hartman, David

Operational/Managerial Control · Individual

0% 8 facilities 2019-09-01
Hartman, David

Corporate Officer · Individual

0% 8 facilities 2019-09-01
Hartman, Mark

5% Or Greater Indirect Ownership Interest · Individual

0% 6 facilities 2019-09-01
Krupp, Ari

5% Or Greater Indirect Ownership Interest · Individual

0% 5 facilities 2019-09-01
Krupp, Ari

Operational/Managerial Control · Individual

0% 5 facilities 2019-09-01
Krupp, Ari

Corporate Officer · Individual

0% 5 facilities 2019-09-01
Senderowicz, Yossi

5% Or Greater Indirect Ownership Interest · Individual

0% 5 facilities 2019-09-01
Truist

5% Or Greater Security Interest · Organization

0% 8 facilities 2019-09-01
Willow Delta Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 7 facilities 2019-09-01
Ziomkowski, Mary

5% Or Greater Indirect Ownership Interest · Individual

0% 1 facilities 2019-09-01
Ziomkowski, Mary

W-2 Managing Employee · Individual

0% 1 facilities 2022-01-01

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