D

COVENANT SHORES HEALTH CENTER

9107 FORTUNA DRIVE, MERCER ISLAND, WA 98040
Score: 52 / 100

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

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 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

40
Total Deficiencies
Dec 15, 2024
Most Recent Inspection
🟠 39 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0623 Severity F
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including a
    Dec 15, 2024 · Resident Rights Deficiencies
  • Tag 0645 Severity E
    PASARR screening for Mental disorders or Intellectual Disabilities
    Dec 15, 2024 · Resident Assessment and Care Planning Deficiencies
  • Tag 0552 Severity D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    Dec 15, 2024 · Resident Rights Deficiencies
  • Tag 0554 Severity D
    Allow residents to self-administer drugs if determined clinically appropriate.
    Dec 15, 2024 · Resident Rights Deficiencies
  • Tag 0578 Severity D
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and
    Dec 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

Ownership
For profit - Corporation
Certified Beds
43
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 15, 2024
Deficiencies (Cycle 1)
9