Covenant Woods Nursing Home

7090 Covenant Woods Drive · Mechanicsville, VA · 23111 · 8045698003

62 certified beds Non profit - Corporation Part of a CCRC

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

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Red flags

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 77
Serious harm & abuse 20% 100
Staffing 20% 20
Federal penalties 15% 100
Trend 10% 18
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)none

Inspection citations (13 in the current record)

  • Potential for harm · D March 13, 2024

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

    Corrected April 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 13, 2024

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

    Corrected April 25, 2024 · Quality of Life and Care

  • Potential for harm · D March 13, 2024

    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.

    Corrected April 25, 2024 · Quality of Life and Care

  • Potential for harm · D March 13, 2024 · found via complaint

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

    Corrected April 25, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 13, 2024 · found via complaint

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

    Corrected April 25, 2024 · Quality of Life and Care

  • Potential for harm · D April 21, 2022

    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.

    Corrected June 3, 2022 · Quality of Life and Care

  • No harm found · C April 21, 2022

    Dispose of garbage and refuse properly.

    Corrected June 3, 2022 · Nutrition and Dietary

  • Potential for harm · D February 25, 2021

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

    Corrected April 8, 2021 · Resident Rights

  • Potential for harm · D February 25, 2021

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

    Corrected April 8, 2021 · Quality of Life and Care

  • Potential for harm · D February 25, 2021

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

    Corrected April 8, 2021 · Quality of Life and Care

  • Potential for harm · D February 25, 2021

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

    Corrected April 8, 2021 · Pharmacy Service

  • Potential for harm · D February 25, 2021

    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 April 8, 2021 · Pharmacy Service

  • Potential for harm · D February 25, 2021

    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 April 8, 2021 · Pharmacy Service

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 495419 · certified since December 15, 2015. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.