| Coventry House Inn | |
| 3905 Lorraine Path, St Joseph, Michigan 49085 | |
| (269) 428-1111 | |
| Name | Coventry House Inn |
|---|---|
| Location | 3905 Lorraine Path, St Joseph, Michigan |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 32 |
| Occupancy Rate | 89.69% |
| Medicare ID (CCN) | 235605 |
| Legal Business Name | Cliffside Company LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Symphony Care Network (7 nursing homes) |
| Chain Average Overall Rating | 1.7 out of 5 |
| NPI Number | 1801962097 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Cliffside Company L L C |
| Doing Business As | Coventry House Inn |
| Address | 3905 Lorraine Path, Saint Joseph, MI 49085 |
| Phone Number | 269-428-1111 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.37 | 3.86 |
| Registered nurse (RN) hours per resident per day | 1.87 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.2 | 0.86 |
| Nurse aide hours per resident per day | 2.3 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.87 | 3.42 |
| RN hours per resident per day on the weekend | 1.3 | 0.48 |
| Physical therapist hours per resident per day | 0.18 | 0.07 |
| Total nursing staff turnover | 34.1% | 45.8% |
| Registered nurse turnover | 17.6% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Jan 8, 2026 | 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. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Feb 13, 2026 |
| Jan 8, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Feb 13, 2026 |
| Jan 8, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 13, 2026 |
| Jan 8, 2026 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 13, 2026 |
| Jan 8, 2026 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 13, 2026 |
| Jan 8, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 13, 2026 |
| Jan 8, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 13, 2026 |
| Jan 8, 2026 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Feb 13, 2026 |
| Jan 8, 2026 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Feb 13, 2026 |
| Jan 8, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Feb 13, 2026 |
| Dec 5, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Jan 10, 2025 |
| Dec 5, 2024 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Jan 10, 2025 |
| Dec 5, 2024 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 10, 2025 |
| Dec 5, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 10, 2025 |
| Dec 5, 2024 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jan 10, 2025 |
| Dec 5, 2024 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 10, 2025 |
| Dec 5, 2024 | 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. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 10, 2025 |
| Dec 5, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 10, 2025 |
| Nov 2, 2023 | Ensure the activities program is directed by a qualified professional. F0680, Quality of Life and Care, Standard inspection | Potential for harm, widespread | Corrected by Dec 8, 2023 |
| Nov 2, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Dec 8, 2023 |
| Nov 2, 2023 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, widespread | Corrected by Dec 8, 2023 |
| Nov 2, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Dec 8, 2023 |
| Nov 2, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jan 8, 2024 |
| Nov 2, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Dec 8, 2023 |
| Nov 2, 2023 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Nov 2, 2023 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Nov 2, 2023 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Nov 2, 2023 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Nov 2, 2023 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 8, 2024 |
| Nov 2, 2023 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 8, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.33 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 12.12 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 6.06 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 13.89 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.66 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.62 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | Not Available | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.65 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Not Available | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.8 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 2.15 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.65 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 25 | 15.38 |