Covenant Shores Health Center
Covenant Shores Health Center Information
| Facility Name | Covenant Shores Health Center |
| Location | 9107 Fortuna Drive, Mercer Island, WA 98040 |
| County (SSA Code) | King (160) |
| Phone Number | 206-316-8042 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 43 |
| Average Number of Residents | 32.2 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | COVENANT LIVING WEST |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1997-09-04 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.31119 |
| Reported LPN Staffing Hours per Resident per Day | 0.26026 |
| Reported RN Staffing - Hours per Resident per Day | 1.75841 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.01867 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.32986 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.19501 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.13815 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.74791 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.38567 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.27173 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.19376 |
| Total Weighted Health Survey Score for three cycles | 124.833 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-29 |
| Rating cycle 1 - Health Deficiency Score | 15 |
| Rating cycle 1 - Total Health Inspection Score | 60 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-09 |
| Rating cycle 2 - Health Deficiency Score | 60 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-04-05 |
| Rating cycle 3 - Health Deficiency Score | 341 |
| Rating cycle 3 - Total Health Inspection Score | 341 |
| Number of Facility-Reported Incidents | 5 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 6500 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |