CMS data shows Covenant Shores Health Center earning a D grade with a score of 52/100, placing it below most facilities in Washington. Prospective residents and families should carefully review the specific areas of concern detailed below.
Staffing levels at Covenant Shores Health Center exceed national averages, with 4.22 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.39 hours per resident per day also exceeds the national average of 0.7 hours.
Recent CMS inspections identified 40 deficiencies at Covenant Shores Health Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including a.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.22 | 3.8 | Above Average |
| Registered Nurses (RN) | 1.39 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.20 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.62 | 2.4 | Average |
| Weekend Total Nursing | 3.88 | 3.8 | Average |
| Weekend RN Hours | 1.35 | 0.7 | Above Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0623 Severity FProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including aDec 15, 2024 · Resident Rights Deficiencies
- Tag 0645 Severity EPASARR screening for Mental disorders or Intellectual DisabilitiesDec 15, 2024 · Resident Assessment and Care Planning Deficiencies
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.Dec 15, 2024 · Resident Rights Deficiencies
- Tag 0554 Severity DAllow residents to self-administer drugs if determined clinically appropriate.Dec 15, 2024 · Resident Rights Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andDec 15, 2024 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.4% | 4.5% | Worse |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 11.4% | 14.5% | Better |
| Urinary tract infections | 1.6% | 2.5% | Better |
| ADL decline (daily activities) | 23.3% | 14.0% | Worse |
| Excessive weight loss | 8.8% | 7.5% | Worse |
| New/worsened incontinence | 19.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $190,005
How This Grade Was Calculated
This facility's grade of D is based on a score of 52 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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