Covenant Shores Health CenterCMS ratings, inspections and fines
- Address
- 9107 Fortuna Drive, Mercer Island, WA 98040
- CCN
- 505504
- Ownership type
- Non-profit, corporation
- Certified beds
- 43
- Chain
- Covenant Living
- Residents per day
- 38
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Covenant Shores Health Center an overall rating of 5 of 5 stars. The last standard survey was on 11 Feb 2026. The latest survey cycle has 11 health citations. The median for nursing homes in Washington is 14. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Changes in the CMS recordFeed of changes in Washington (RSS)
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | King County median | Washington median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 5 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 4 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 5 | 4.0 | 4.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 47 homes in the county, 193 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Washington median |
|---|---|---|---|
| Cycle 1 (latest) | 11 Feb 2026 | 11 | 14 |
| Cycle 2 | 16 Dec 2024 | 9 | 17 |
| Cycle 3 | No date | 15 | 13 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 11 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Feb 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 6 Mar 2026 |
| 11 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 6 Mar 2026 |
| 11 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | 6 Mar 2026 |
| 11 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 6 Mar 2026 |
| 11 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 6 Mar 2026 |
| 11 Feb 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 6 Mar 2026 |
| 11 Feb 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 6 Mar 2026 |
| 11 Feb 2026 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 6 Mar 2026 |
| 11 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Mar 2026 |
| 11 Feb 2026 | F0761 | 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. | D | Standard survey | 6 Mar 2026 |
| 11 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Mar 2026 |
Survey cycle 2: 9 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 16 Dec 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 17 Jan 2025 |
| 16 Dec 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 17 Jan 2025 |
| 16 Dec 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 17 Jan 2025 |
| 16 Dec 2024 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 17 Jan 2025 |
| 16 Dec 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | F | Standard survey | 17 Jan 2025 |
| 16 Dec 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 17 Jan 2025 |
| 16 Dec 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Jan 2025 |
| 16 Dec 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Jan 2025 |
| 16 Dec 2024 | F0761 | 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. | D | Standard survey | 17 Jan 2025 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 1 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0758 | 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. | D | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0761 | 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. | E | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 Sep 2023 |
| 1 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 29 Sep 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Washington median | Washington average (CMS) |
|---|---|---|---|
| All nurse staff | 4.41 | 4.10 | 4.37 |
| Registered nurses (RN) | 1.58 | 0.90 | 0.94 |
| Licensed practical nurses (LPN) | 0.19 | 0.77 | |
| Nurse aides | 2.65 | 2.66 | |
| All nurse staff, weekends | 3.94 | 3.60 | 3.81 |
- Nurse staff turnover in a year
- 51.0%
- Nurse staff turnover, Washington median
- 43.2%
- RN turnover in a year
- 33.3%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Washington median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.5% | 13.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | 0.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.0% | 1.1% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 2.1% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | 0.9% | 1.0% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | 3.7% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 2.4% | 14.1% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Non-profit, corporation
- Setting
- Continuing care retirement community
- Legal business name
- Covenant Living West
- Chain
- Covenant Living (15 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Covenant Living Communities & Services | Operational/managerial control | 23 Dec 1975 |
The site shows organisations only. It does not show the names of persons.
Other homes in King County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Kin on Health Care Center | Seattle | 2 of 5 | 12 | $19,468 | 27 May 2026 | |
| Caroline Kline Galland Home | Seattle | 3 of 5 | 19 | $0 | 4 Mar 2026 | |
| Washington Care Center | Seattle | 2 of 5 | 14 | $52,007 | 16 Dec 2025 | |
| Transitional Care of Seattle | Seattle | 4 of 5 | 17 | $0 | 23 Sep 2025 | |
| Park Shore | Seattle | 4 of 5 | 14 | $0 | 8 Dec 2025 | |
| Seattle Medical Post Acute Care | Seattle | 2 of 5 | 23 | $73,318 | 11 Sep 2025 | |
| Bailey-Boushay House | Seattle | 3 of 5 | 17 | $0 | 5 May 2025 | |
| Bellevue Post Acute | Bellevue | 3 of 5 | 26 | $0 | 10 Jan 2026 | |
| The Terraces at Skyline | Seattle | 2 of 5 | 19 | $0 | 7 Aug 2025 | |
| Mirabella | Seattle | 5 of 5 | 16 | $23,463 | 27 Jun 2025 | |
| Renton Health & Rehabilitation | Renton | 2 of 5 | 11 | $256,725 | 13 Jan 2026 | |
| Redmond Care and Rehabilitation Center | Redmond | 5 of 5 | 8 | $0 | 13 Jun 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Covenant Shores Health Center (CCN 505504). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/covenant-shores-health-center-mercer-island-wa-505504/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Covenant Shores Health Center last inspected?
- The latest inspection with a citation in the CMS record was on 11 Feb 2026. It was a standard survey. It gave 11 citations. The standard survey before the last one was on 16 Dec 2024.
- Who operates Covenant Shores Health Center?
- The CMS record gives the ownership type as non-profit, corporation. CMS lists the home in the chain Covenant Living. The CMS ownership file names Covenant Living Communities & Services for operational or managerial control. This site does not show the names of persons.
- Is Covenant Shores Health Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 1 home in Washington as a Special Focus Facility and 5 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.