Covington, TN

Covington Post Acute

3-star overall rating with 3-star inspections with 3 recent health deficiencies

765 Bert Johnston Avenue, Covington, TN

(901) 475-0027

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

98

Certified beds

Average residents

82

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Links Healthcare Group

Operator or chain grouping

Approved since

1994-06-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.53

Registered nurse staffing

LPN hours / resident day

1.11

Licensed practical nurse staffing

Aide hours / resident day

1.74

Nurse aide staffing

Weekend hours

2.82

Weekend nurse staffing

RN turnover

50%

Annual RN turnover

Total nurse turnover

31%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 0.9
1.6
0.7 pts better
1.9
1 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.0
1.6
0.6 pts better
1.8
0.8 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
89.9%
9.3 pts better
93.4%
5.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.5%
5.5 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 2.4%
3.6%
1.2 pts better
3.3%
0.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 34.3%
11.8%
22.5 pts worse
11.4%
22.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 0.0%
6.2%
6.2 pts better
5.4%
5.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.3%
32.2%
15.9 pts better
19.6%
3.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 3.8%
18.1%
14.3 pts better
16.7%
12.9 pts better
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 ability to walk independently worsened 29.7%
19.9%
9.8 pts worse
16.3%
13.4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 9.6%
15.3%
5.7 pts better
14.9%
5.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.3%
0.9%
0.4 pts worse
1.0%
0.3 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 1.6%
1.9%
0.3 pts better
1.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 11.0%
20.2%
9.2 pts better
19.8%
8.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 3.3%
5.4%
2.1 pts better
5.1%
1.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
79.6%
20.4 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 11.8%
11.2%
0.6 pts worse
12.0%
0.2 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.6%
1.6%
1 pts better
1.6%
1 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
79.8%
20.2 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.6%
22.2%
3.4 pts worse
23.9%
1.7 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-07 · Fire 2024-11-07

3 health deficiencies

Top issue: Environmental (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2021-07-15 · Fire 2021-07-15

5 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2019-06-12 · Fire 2019-06-12

0 health deficiencies

No concentrated health issue counts in this cycle.

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-11-07

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 2024-12-02

E · Potential for more than minimal harm 2024-11-07

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 2024-12-02

D · Potential for more than minimal harm 2024-11-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-12-02

F · Potential for more than minimal harm 2021-07-15

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 2021-07-29

E · Potential for more than minimal harm 2021-07-15

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2021-07-29

D · Potential for more than minimal harm 2021-07-15

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 2021-07-29

D · Potential for more than minimal harm 2021-07-15

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2021-07-29

D · Potential for more than minimal harm 2021-07-15

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 2021-07-29

Penalties and ownership

What sits behind the stars

Ownership

Links Healthcare Group LLC

5% Or Greater Direct Ownership Interest · Organization

100% 29 facilities 2025-01-01
Rodriguez, Curtis

5% Or Greater Indirect Ownership Interest · Individual

47% 29 facilities 2025-01-01
Tilford, Toby

5% Or Greater Indirect Ownership Interest · Individual

47% 29 facilities 2025-01-01
765 Bert Johnston Avenue Tn LLC

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2025-01-01
Links Healthcare Group LLC

Operational/Managerial Control · Organization

0% 29 facilities 2024-12-26
Moore, Renita

Operational/Managerial Control · Individual

0% 1 facilities 2025-01-01
Moughrabieh, Mohamad

Operational/Managerial Control · Individual

0% 2 facilities 2024-12-26
Rodriguez, Curtis

Operational/Managerial Control · Individual

0% 29 facilities 2025-01-01
Rodriguez, Curtis

Corporate Officer · Individual

0% 29 facilities 2025-01-01
Tilford, Toby

Operational/Managerial Control · Individual

0% 29 facilities 2025-01-01
Tilford, Toby

Corporate Officer · Individual

0% 29 facilities 2025-01-01

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Fines
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Staffing
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Fines
$42,195

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