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Covenant Shores Health Center

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9107 Fortuna Drive
Mercer Island, WA 98040
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Details

Type of Ownership For profit - Corporation
Participates in Medicare? Yes
Participates in Medicaid? Yes
Certified Beds 43
Continuing Care? No
Resident Council? Yes
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 05/02/2011

Date of last standard health inspection: 05/02/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 12/01/2010 - 11/30/2011
Total number of Health Deficiencies for this nursing home: 2
Average number of Health Deficiencies in WA: 11
Average number of Health Deficiencies in US: 8
Range of Health Deficiencies in WA: 0 - 47
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. 05/02/2011 06/15/2011 Minimal harm or potential for actual harm Pattern
Properly mark drugs and other similar products. 05/02/2011 06/15/2011 Potential for minimal harm Pattern

Inspection, 04/06/2010

Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and give out food in a safe and clean way. 04/06/2010 05/01/2010 Minimal harm or potential for actual harm Pattern
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. 04/06/2010 05/01/2010 Minimal harm or potential for actual harm Isolated
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make a complete assessment that covers all questions for areas that are listed in official regulations. 04/06/2010 05/01/2010 Minimal harm or potential for actual harm Isolated

Inspection, 03/12/2009

Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. 03/12/2009 05/01/2009 Minimal harm or potential for actual harm Pattern
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Provide social services for related medical problems to help each resident achieve the highest possible quality of life. 03/12/2009 05/01/2009 Minimal harm or potential for actual harm Isolated
Give professional services that meet a professional standard of quality. 03/12/2009 05/01/2009 Minimal harm or potential for actual harm Isolated
Resident Rights Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Tell each resident who can get Medicaid benefits about 1) which items and services Medicaid covers and which the resident must pay for; or 2) how to apply for Medicaid, along with the names and addresses of State groups that can help. 03/12/2009 05/01/2009 Potential for minimal harm Pattern

Inspection, 11/04/2008

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is free of dangers that cause accidents. 11/04/2008 12/15/2008 Actual harm Isolated

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in WA Golden Living Center, Asheville
RN Staff Only1 N/A N/A 5 out of 5 stars
Total Number of Residents 86 75 38
Total, Licensed Nurse Staff Hours
per Resident per Day 		1 hour 29 minutes 1 hour 37 minutes 1 hour 31 minutes
RN Hours
per Resident per Day 		40 minutes 55 minutes 1 hour 11 minutes
LPN/LVN Hours
per Resident per Day 		49 minutes 41 minutes 20 minutes
CNA Hours
per Resident per Day 		2 hours 25 minutes 2 hours 35 minutes 3 hours 12 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Percent of high-risk long-stay residents who have pressure sores 6%
Percent of long-stay residents given influenza vaccination during the flu season 90+%
Percent of long-stay residents who are more depressed or anxious 13%
Percent of long-stay residents who had a urinary tract infection 3%
Percent of long-stay residents who have moderate to severe pain 0%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 5%
Percent of long-stay residents who spend most of their time in bed or in a chair 0%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 90+%
Percent of long-stay residents who were physically restrained 0%
Percent of long-stay residents whose ability to move about in and around their room got worse 2%
Percent of long-stay residents whose need for help with daily activities has increased 5%
Percent of low-risk long-stay residents who have pressure sores Not Available
Percent of low-risk long-stay residents who lose control of their bowels or bladder 52%

Short-Term Residents

Percent of long-stay residents who lose too much weight 3%
Percent of short-stay residents given influenza vaccination during the flu season 90+%
Percent of short-stay residents who had moderate to severe pain 2%
Percent of short-stay residents who have delirium 0%
Percent of short-stay residents who have pressure sores 2%
Percent of short-stay residents who were assessed and given pneumococcal vaccination 90+%

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 04/26/2011

Automatic Sprinkler Systems in all required areas fully sprinklered
Date of last standard fire safety inspection: 04/26/2011
Dates of Complaint Investigations: 12/01/2010 - 11/30/2011
Total number of Fire Safety Deficiencies for this nursing home: 1
Average number of Fire Safety Deficiencies in WA: 3
Average number of Fire Safety Deficiencies in US: 4
Range of Fire Safety Deficiencies in WA: 0 - 5
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly maintained smoke detectors. 04/26/2011 05/06/2011 Minimal harm or potential for actual harm Widespread

Inspection, 04/06/2010

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
automatic sprinkler systems that have been maintained in working order. 04/06/2010 05/01/2010 Potential for minimal harm Pattern
back-up procedures in place for a faulty automatic sprinkler system. 04/06/2010 05/01/2010 Minimal harm or potential for actual harm Isolated
Corridor Walls and Doors Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
corridor and hallway doors that block smoke. 04/06/2010 05/01/2010 Minimal harm or potential for actual harm Isolated
Hazardous Area Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
construction that can resist fire for one hour or an approved fire extinguishing system. 04/06/2010 05/01/2010 Minimal harm or potential for actual harm Pattern
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
smoke barrier doors that can resist smoke for at least 20 minutes. 04/06/2010 05/01/2010 Minimal harm or potential for actual harm Pattern